Indications for Holter Monitoring
Holter Monitoring is also known as Ambulatory Electrocardiographic Monitoring (AECG) is considered medically reasonable and necessary for capturing ECG abnormalities in the ambulatory environment. The indications for Holter Monitoring may include:
- The patient complains of palpitations and physical examination of standard EKG have not satisfactorily explained the patient’s complaints / symptoms. Such symptoms can include but not limited to chest pain, shortness of breath, skipped beats, palpitations, light headedness or dizziness (syncope).
- The patient has experienced unexplained syncopal episode or the patient has experienced a transient episode of cerebral ischemia which is felt to possibly be secondary to cardiac rhythm disturbance
- The patient has found to have significant cardiac or conduction disorder and Holter Monitoring is necessary as a part of the evaluation & management of the patient
- The patient has a heart condition associated with high incidence of serious cardiac arrhythmias and / or myocardial ischemia where the Holter Monitor is performed as a part of the evaluation and management of the patient.
- The patient has cardiac arrhythmias or other cardiac condition and a cardiac medication which affects the electrical conduction system of the heart has been prescribed with Holter Monitoring necessary to evaluate the effect of the cardiac medication on the patient’s cardiac rhythm and / or conduction system.
- The patient has a pacemaker and clinical findings (history or physical examination) suggest possible pacemaker malfunction.
To ensure that payment is made for medically necessary services, the indications for Holter Monitoring are covered only when its frequency is performed within the accepted standards of medical practice for the approved diagnosis conditions. The diagnosis conditions reflect the indication for which the service considered medically necessary.