2025 CPT code 93010
(Active) Effective Date: N/A Revision Date: N/A Diagnostic - Electrocardiography Cardiology Feed
Interpretation and report of a routine electrocardiogram (ECG) with at least 12 leads.
Modifiers 59 (distinct procedural service) and 76 (repeat procedure by the same physician) may be applicable depending on the circumstances.
The ECG must be medically necessary for the diagnosis or management of a patient's condition.The documentation must clearly indicate the reason for ordering the ECG and how the results are used to influence patient care. Examples of medically necessary reasons include evaluation of chest pain, syncope, palpitations, known arrhythmias, and routine cardiac evaluation.
The physician's responsibility is to interpret the ECG tracing and prepare a detailed, signed report of their findings.This report should include a diagnosis and recommendations for further management, if necessary. The physician should document the clinical indication for the test and link the findings to the patient's overall medical condition.
In simple words: The doctor reviews the results of your heart's electrical activity recording (ECG) and writes a report explaining what the test shows.
This CPT code encompasses the physician's interpretation and written report of a routine electrocardiogram (ECG) consisting of 12 or more leads.The procedure involves analyzing the ECG tracing to identify any abnormalities in the heart's electrical activity, such as arrhythmias, myocardial ischemia, or conduction delays. The physician then prepares a comprehensive report detailing their findings and clinical implications. This code does not include the technical component of performing the ECG itself; that is separately billed.The interpretation and report must be documented separately from the ECG recording.The test should be ordered due to a specific clinical event or concern.
Example 1: A 65-year-old male patient presents to the emergency department with chest pain. An ECG is performed, and the physician interprets the results, revealing ST-segment elevation myocardial infarction (STEMI). The 93010 code is used to bill for the interpretation and report of the ECG., A 70-year-old female patient undergoes a routine physical examination.As part of the exam, a 12-lead ECG is performed, and the physician reviews the results, noting a normal sinus rhythm.The 93010 code is used for billing., A 40-year-old patient with known atrial fibrillation undergoes an ECG as part of routine follow-up.The ECG reveals an increase in the frequency of atrial fibrillation episodes. The physician interprets the ECG and writes a report documenting the findings and adjusting the patient's medication regimen accordingly.93010 is used to bill for the interpretation and report.
* Physician's order for the ECG.* The ECG tracing itself.* A separate, signed, written interpretation and report by the physician.* Documentation in the patient's medical record supporting the medical necessity for the ECG.
** Always refer to the most up-to-date CPT coding guidelines and payer-specific rules for complete and accurate billing.
- Revenue Code: T2A (OTHER TESTS - ELECTROCARDIOGRAMS)
- RVU: This information is not provided in the source and requires consultation with a professional medical billing resource or fee schedule.
- Payment Status: Active
- Modifier TC rule: Modifier 26 (professional component) and TC (technical component) are not applicable with 93010 because the professional and technical components are billed separately.
- Fee Schedule: Fee schedules vary by payer and location; please refer to the relevant fee schedules for historical data.
- Specialties:Cardiology, Internal Medicine, Family Medicine, Emergency Medicine
- Place of Service:Office, Hospital, Emergency Room, Ambulatory Surgical Center, other