93000 cpt code

CPT 93000 | Electrocardiogram | ECG With At Least 12 Leads | Interpretation & Report

CPT 93000 can be reported when a health provider records the electrical conduction of a patient’s heart to examine abnormalities. This is done with twelve leads connected to a recording device with twelve electrodes on the patient’s body.

1. Description

CPT code 93000 is officially described in the CPTs manual as: “Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report.”

2. Procedure

During the 93000 CPT code procedure, the provider attaches 12 electrodes to the chest, arms, and legs, using small suction cups or adhesives, and applies leads, or wires, from the recording device to the electrodes.

He records the heart’s electrical signals, which translates any weakness of the heart muscle or irregularity of the heartbeat into a waveform on a graphic display.

The provider then interprets the graph and reports any abnormality detected in the tracing.

3. Billing Guidelines

Do not append modifier 26, Professional component, or TC, Technical component with CPT CPT code 93000 because it already represents the professional and technical components of the service.

To report the technical component only, the rendering provider should report CPT code 93005.

Report CPT 93010 instead of CPT 93000 to report the professional component only.

4. Reimbursement

A maximum of 3 units of 93000 CPT code can be billed on the same date of service. Modifier 26 or modifier TC are not applicable with CPT 93000, as mentioned before in the billing guidelines.

The CPT 93000 cost and RUVS are as follows:

Facility: Cost $16.04, RUVS 0.46355

Non-Facility: Cost $16.04, RUVS 0.46355

5. Resources

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57326

https://www.medicaid.gov/medicaid/program-integrity/downloads/nccimanual2021-chapterone.pdf

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