© Copyright 2026 American Medical Association. All rights reserved.
Wearable electrocardiographic rhythm-derived monitoring, identified by CPT® Code 93232, involves the continuous recording of the heart's electrical activity over a 24-hour period. This procedure utilizes a specialized device, commonly referred to as a Holter monitor, which is worn by the patient during their normal daily activities. The device is equipped with electrodes or leads that are strategically placed on the patient's chest to capture the heart's rhythm and rate continuously. The data collected includes original waveform recordings of the electrocardiogram (ECG), which are stored on a magnetic tape or a digitized medium for subsequent analysis. The monitoring process is designed to provide a comprehensive overview of the patient's cardiac function, including assessments of heart rhythm, ST segment analysis, heart rate variability, and T-wave alternans. After the monitoring period, the patient returns the device, and the stored data undergoes microprocessor-based analysis. This analysis generates a detailed report, which includes a miniaturized printout of the entire recording and selective sampling of rhythm strips. The physician is responsible for reviewing and interpreting the data to identify any potential heart arrhythmias. It is important to note that this code specifically pertains to the microprocessor-based analysis of the recorded data and the accompanying report, distinguishing it from other related codes that cover different aspects of the procedure.
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