Uhc – Cardiac Event Monitoring – Commercial and Individual Exchange Medical Policy

Some updates include:

• Coverage Rationale Replaced language indicating:
  • “Cardiac event monitoring is proven and medically necessary for evaluating suspected cardiac arrhythmias as outlined [in the policy]” with “the [listed services] are proven and medically necessary for evaluating suspected cardiac arrhythmias”
• Outpatient Cardiac Telemetry
  • Removed list of proven and medically necessary indications
• Applicable Codes
  • Added CPT/HCPCS codes 93297, 93799, and E1399

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/cardiac-event-monitoring-06012024.pdf