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Reimbursement Update for Electrocardiography Procedure Codes

April 18, 2019

Effective for dates of processing on or after April 22, 2019, proportional set-component logic will be applied for the following electrocardiography (ECG/EKG) CPT procedure codes:

CPT Code
ECG Procedure Set
CPT Code
Component Test
93000 93005, 93010
93015 93016, 93017, 93018
93040 93041, 93042
93224 93225, 93226, 93227

The change is intended to provide accurate proportional reimbursements for providers who bill for the component tests instead of the ECG/EKG procedure sets. Providers will likely see a change in the reimbursement amount received for these services, beginning April 22, 2019.

If providers have any questions regarding claims and reimbursements, they are encouraged to contact the Telephone Service Center at 1-800-541-5555.