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93002 - CDPHP does not allow separate reimbursement for CPT (routine

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Procedure / ServiceCDPHP does not allow separate reimbursement for CPT (routine
Procedure / Service Description

During the rehabilitation program, two stress tests will be allowed - capacity and to recommend activity level. CDPHP does not allow separate reimbursement for CPT 93000-93010 (routine electrocardiogram) and 93040-93042 (rhythm electrocardiogram) when billed with 93798 (cardiac rehabilitation with continuous ECG monitoring).

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.