Results 1 to 4 of 4

BIlling for 48 hour Holer

  1. Question BIlling for 48 hour Holer
    Medical Coding Books
    We have just started billing for Holter monitors. We own the equip and do the readings so we are billing 93224 for the 24 hour.

    What do we bill for the 48 hour? Do we bill 93224 for day one and 93226,93227 for day 2?

    Any help would be great...thanks!

  2. #2
    Default Not an official source but some good ideas.
    I wasn't able to find any official resource information but did locate an unofficial sorce that advised the following options...

    [1] Add modifier -22 to procedure code 93224 and increase your fee based on your provider's protocol. Be certain to include documentation to justify the prolonged service.

    [2] Consider reporting 93224 on two separate lines with the appropriate date on each line.

    [3] Another sorce advised reporting 93224 on the first line and 93237 on the seoncd line for the second 24 hour period. Their rational is that many services performed for the 24-hour Holter do not need to be reproduced for an additional 24 hours.

    I highly recommend contacting the carrier to determine how they would prefer to see the service reported.

  3. #3
    Default 48 Hr Holter Monitor
    We are currently having the same debate and have come up with the same information. Has anyone out there come up with something more definitive since this thread was started? We tried to get clarification from the payer on how they wanted the service keyed but they "do not have anyone who can answer coding questions.

    Any input is appreciated

  4. #4
    Duluth, Minnesota
    We always used the 93224 with two dates - the initial date of course - and the day after for the next one. That worked best and didn't seem to cause any issues. If it was Medicare however - we used 93225tracing/93227interp - with two dates of course.
    Donna, CPC, CPC-H

Similar Threads

  1. 3 hour GTT billing - glucose tolerance
    By abranch13 in forum Pathology & Clinical Laboratory
    Replies: 0
    Last Post: 12-11-2014, 04:07 PM
  2. 3 hour GTT billing - insulin test
    By abranch13 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 12-11-2014, 04:06 PM
  3. 3 hour GTT billing
    By abranch13 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-11-2014, 04:06 PM
  4. CPT 95920 per patient, per hour or only per hour
    By AHVC in forum General Surgery
    Replies: 1
    Last Post: 01-21-2011, 03:53 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.