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2025 CPT code 93000

Routine electrocardiogram (ECG) using at least 12 leads, with interpretation and report.

This code should not be used for telemetry monitoring. It is only appropriate for a specifically ordered and interpreted ECG with a separate, signed report. The need for the ECG should be clearly documented in the patient's record.

Modifiers may be applicable to 93000 in certain circumstances. For example, modifier 52 may be used if the service is significantly reduced. Modifier 59 may be used to indicate a distinct procedural service. Modifier 76 can be used for a repeat ECG by the same physician, and 77 if repeated by a different physician.

Medical necessity for an ECG is established when there is a clinical indication to assess the heart's electrical activity. This could be due to symptoms such as chest pain, palpitations, shortness of breath, dizziness, or syncope, or for monitoring certain medical conditions or medications.

The physician is responsible for the entire procedure, including applying the electrodes, recording the ECG, interpreting the results, and preparing the report. This involves explaining the procedure to the patient, ensuring proper electrode placement for accurate readings, analyzing the ECG tracing for abnormalities, and documenting the findings in a clear and concise report.

In simple words: A standard EKG where the doctor places small sticky pads on your chest, arms and legs, that are attached to wires that connect to a machine. This records the electrical activity of your heart, and the doctor analyzes the results and gives you a written report explaining what was found.

This code represents a routine electrocardiogram (ECG) performed using at least 12 leads, including the recording, interpretation of the tracing, and a written report of the findings. The procedure involves attaching electrodes to the patient's chest, arms, and legs, which are connected to a recording device. The device captures the heart's electrical activity, displayed as waveforms on a graph. The provider analyzes the graph to identify any abnormalities in heart rhythm or muscle function.

Example 1: A 55-year-old male presents to the emergency department with chest pain. An ECG is ordered (93000) to assess for any cardiac abnormalities such as myocardial ischemia or infarction., A 70-year-old female with a history of palpitations undergoes a routine check-up. An ECG (93000) is performed to evaluate the heart rhythm and detect any arrhythmias., A 30-year-old athlete experiences shortness of breath during exercise. An ECG (93000) is ordered as part of a cardiac workup to rule out underlying heart conditions.

Documentation should include the medical reason for the ECG, the interpretation of the ECG findings, and a signed report by the interpreting physician. The report should describe the heart rate, rhythm, axis, intervals, and any abnormalities detected. If a specific event prompted the ECG (e.g., chest pain, syncope), it should be clearly documented in the patient's medical history.

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