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Archival of policy regarding cardiac pacemaker reporting

February 10, 2020

As of January 27, 2020, the AmeriHealth Claim Payment Policy #03.02.13f: Evaluation or Setup of a Cardiac Pacemaker Reported with an Electrocardiogram (ECG/EKG) was archived.

Reason for policy archival

AmeriHealth follows the Centers for Medicare & Medicaid Services’ National Correct Coding Initiative (NCCI) Code Pair Edits. These edits will be applied to the reporting of ECG/EKG codes in conjunction with the CPT® procedure codes reported for an evaluation or setup of a cardiac pacemaker.

Service type Procedure codes

Cardiac pacemaker evaluation or setup

  • 93279
  • 93280
  • 93281
  • 93282
  • 93283
  • 93284
  • 93286
  • 93287
  • 93288
  • 93289
  • 93293
  • 93294
  • 93295
  • 93296
  • 93640
  • 93641
  • 93642
  • 93724
  • 93745

ECG/EKG

  • 93000
  • 93005
  • 93010
  • 93040
  • 93041
  • 93042

Learn more

Advance notification of archival was posted on the Medical Policy Portal on December 27, 2019.

For more information about NCCI coding, please review Claim Payment Policy #00.01.56a: National Correct Coding Initiative (NCCI) Code Pair Edits, which is available on our Medical Policy Portal.  

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