Such symptoms include syncope, dizziness, chest pain, palpitations, or shortness of breath. AECG is most typically used to evaluate symptoms that may correlate with intermittent cardiac arrhythmias and/or myocardial ischemia. AECG devices are intended to provide the physician with documented episodes of arrhythmia, which may not be detected using a standard 12-lead EKG. There is no coverage for EKG services when rendered as a screening test or as part of a routine examination unless performed as part of the one-time, “Welcome to Medicare” preventive physical examination under section 611 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003.Īmbulatory electrocardiography (AECG) refers to services rendered in an outpatient setting over a specified period of time, generally while a patient is engaged in daily activities, including sleep. Coverage includes the review and interpretation of EKGs only by a physician. EKG recordings are used to diagnose a wide range of heart disease and other conditions that manifest themselves by abnormal cardiac electrical activity.ĮKG services are covered diagnostic tests when there are documented signs and symptoms or other clinical indications for providing the service. Electrodes placed on the body in predetermined locations sense this electrical activity, which is then recorded by various means for review and interpretation. An electrocardiogram (EKG) is a graphic representation of electrical activity within the heart.
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