Question:

When billing for a 12-lead electrocardiogram (ECG), is there a different CPT® code for patients that have Medicare? If so, what are the appropriate codes?

Answer:

Regular diagnostic ECG is billed using the same codes regardless of the payer, including Medicare. The only time an ECG is coded in some other way for Medicare is if it is done as part of the “Welcome to Medicare” exam. In that case, one of the following HCPCS codes would be assigned: G0403, G0404, G0405.

93000 Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only

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