The following common procedure terminology codes (CPT Codes) describe the various resting electrocardiograph procedures and the national average reimbursement amount.
They include, but are not limited to:
CPT Code | Component Code | Description | National Fee |
93000 | 93005, 93010, 93040, 93041, 93042 | Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report. | $22.96 |
93005 | 93040, 93041, 93042 | Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report. | $14.54 |
93010 | 93040, 93041, 93042 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only. | $8.43 |
93040 | 93041, 93042, 93268 | Rhythm ECG, one to three leads; with interpretation and report. | $13.77 |
93041 | Rhythm ECG, one to three leads; tracing only without interpretation and report. | $6.11 | |
93042 | 92968, 93272 | Rhythm ECG, one to three leads; interpretation and report only. | $7.66 |
Electrocardiography ICD-9 Codes
The following ICD-9 Codes support the medical necessity for the use of an electrocardiograph. They include, but are not limited to:
The following ICD-9 Codes support the medical necessity for the use of an electrocardiograph. They include, but are not limited to:
240 – 246.9 | Disease of thyroid gland |
245 - 245.9 | Thyroiditis |
243 | Congenital Hypothyroidism |
304 – 304.93 | Drug dependency |
276.7 | Hyperpotassemia |
410 – 414.9 | Ischemic heart disease |
401 – 405.99 | Hypertensive disease |
420 – 420.99 | Acute pericarditis |
415 – 417.9 | Disease of pulmonary circulation |
428 – 428.9 | Heart failure |
422 – 422.99 | Acute myocarditis |
648.6 – 648.64 | Other cardiovascular diseases |
648.5 – 648.54 | Congenital cardiovascular disease |
669.1 – 669.14 | Shock during or following labor and delivery |
669 – 669.04 | Maternal distress |
780.4 | Dizziness and giddiness |
780.7 | Malaise and fatigue |
785.1 | Palpitations |
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