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 |
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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