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
|