TMPPM 2008 > Texas Medicaid Services > Physician > Procedures and Services

   
 

36.4.9.8 Electrocardiogram (EKG)

An EKG is a recording of the heart's electrical activity. The EKG provides important information about the spread of excitation to the different chambers of the heart and helps diagnose cases of abnormal cardiac rhythm and myocardial damage.

EKG procedure codes 5-93000, T-93005, I-93010, 5-93040, T-93041, and I-93042 are payable for the following diagnosis codes:

Diagnosis Codes

03282

0362

03640

03641

03642

03643

07420

07421

07422

07423

0860

08881

0930

0931

09320

09321

09322

09323

09324

09381

09382

09389

09883

09884

09885

11281

11503

11504

11513

11514

11593

11594

124

1303

135

1640

1641

1642

1643

1648

1649

19889

2127

25000

25001

25002

25003

25010

25011

25012

25013

25020

25021

25022

25023

25030

25031

25032

25033

25040

25041

25042

25043

25050

25051

25052

25053

25060

25061

25062

25063

25070

25071

25072

25073

25080

25081

25082

25083

25090

25091

25092

25093

2512

2720

2721

2722

2723

2724

2725

2726

2727

2728

2750

2752

2753

27541

27542

2760

2761

2762

2763

2764

27650

27651

27652

2766

2767

2768

27730

27739

3062

3373

390

3910

3911

3912

3918

3919

3920

3929

393

3940

3941

3942

3949

3950

3951

3952

3959

3960

3961

3962

3963

3968

3969

3970

3971

3979

3980

39890

39891

39899

4010

4011

4019

40200

40201

40210

40211

40290

40291

40300

40301

40310

40311

40390

40391

40400

40401

40402

40403

40410

40411

40412

40413

40490

40491

40492

40493

40501

40509

40511

40519

41000

41001

41002

41010

41011

41012

41020

41021

41022

41030

41031

41032

41040

41041

41042

41050

41051

41052

41060

41061

41062

41070

41071

41072

41080

41081

41082

41090

41091

41092

4110

4111

41181

41189

412

4130

4131

4139

41400

41401

41402

41403

41404

41405

41406

41407

41410

41411

41412

41419

4142

4148

4149

4150

41511

41512

41519

4160

4161

4168

4169

4170

4171

4178

4179

4200

42090

42091

42099

4210

4211

4219

4220

42290

42291

42292

42293

42299

4230

4231

4232

4233

4238

4239

4240

4241

4242

4243

42490

42491

42499

4250

4251

4252

4253

4254

4255

4257

4258

4259

4260

42610

42611

42612

42613

4262

4263

4264

42650

42651

42652

42653

42654

4266

4267

42681

42682

42689

4269

4270

4271

4272

42731

42732

42741

42742

4275

42760

42761

42769

42781

42789

4279

4280

4281

42820

42821

42822

42823

42830

42831

42832

42833

42840

42841

42842

42843

4289

4290

4291

4292

4293

4294

4295

4296

42971

42979

42981

42982

42983

42989

4299

43300

43301

43310

43311

43390

43391

43400

43401

43410

43411

43490

43491

4359

4372

44100

44101

44103

4411

4412

4416

4417

4439

4440

4441

44421

44422

4460

4467

4580

45821

4589

4590

496

514

5173

5184

5185

51882

51884

51919

53081

57410

64201

64202

64203

64204

64251

64252

64253

64254

64850

64851

64852

64853

64854

65420

65421

65423

66810

66811

66812

66813

66814

66971

67450

67451

67452

67453

67454

7100

7142

71941

7200

7231

7295

7336

7450

74510

74511

74512

74519

7452

7453

7454

7455

74560

74561

74569

7457

7458

7459

74600

74601

74602

74609

7461

7462

7463

7464

7465

7466

7467

74681

74682

74683

74684

74685

74686

74687

74689

7469

7470

74710

74711

74720

74721

74722

74729

7473

74740

74741

74742

74749

7580

7593

75982

78001

78002

78003

78009

7802

7804

78079

7808

7815

7823

7825

7850

7851

7852

7853

78550

78551

78552

78559

78600

78602

78605

78609

78650

78651

78652

78659

78701

78702

78703

7871

78900

78907

78960

79001

79009

7904

7905

7906

7932

79430

79431

79439

7991

8072

8073

8074

8600

8601

8602

8603

8604

8605

86100

86101

86102

86103

86110

86111

86112

86113

8628

8629

90000

90001

90002

90003

9001

9010

9011

9012

9013

90140

90141

90142

90181

90182

90183

9221

9584

9607

9631

96509

9720

9721

9722

9723

9724

9725

9726

9727

9728

9729

9779

986

9893

9894

9895

9920

9921

9940

9941

9947

9948

9950

99522

99523

99527

99600

99601

99602

99603

99604

99609

99661

99671

99672

99683

9971

9980

99931

99939

9994

V151

V252

V421

V422

V426

V4321

V433

V4500

V4501

V4502

V4509

V4581

V4582

V472

V4983

V5331

V5332

V5339

V5844

V5869

V717

V7281

V7284

EKG interpretations are payable. The EKG codes for which interpretation components are paid are I-93010 and I-93042.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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