© Copyright 2026 American Medical Association. All rights reserved.
External electrocardiographic recording for more than 7 days up to 15 days, as described by CPT® Code 93245, involves the use of a continuous rhythm recording device that captures the heart's electrical activity over an extended period. This procedure allows for long-term monitoring of a patient's cardiac rhythm while they engage in their normal daily activities. The recording device is designed to be compact, lightweight, and waterproof, enabling patients to wear it comfortably without disrupting their routine. The device is typically placed on the upper left chest, where it adheres securely to the skin. Once positioned, the device is tested to ensure proper functionality, and an initial recording is obtained to confirm that it is capturing the necessary data. Patients receive instructions on how to care for and operate the device, which is then activated to continuously record the electrocardiographic (ECG) rhythm for a duration exceeding 7 days but not exceeding 15 days. After the monitoring period, patients return the device to the healthcare facility, where the recorded data is downloaded for further analysis. A computerized analysis is conducted, and a comprehensive report is generated. This report includes a review of the ECG data and a detailed interpretation of the findings by a physician or other qualified healthcare professional. The complete procedure, encompassing rhythm recording, data storage, scanning analysis, and professional interpretation, is reported using CPT® Code 93245. For specific components of the procedure, other codes such as 93246, 93247, and 93248 are utilized to denote recording only, scanning analysis and report only, and physician review and interpretation only, respectively.
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