2008 ECG Reimbursement Download
Source: Medicare Physician's Fee Schedule for Calendar Year 2008
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:
| 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 |
