Medicare AdvantageCoverageMedium impact
MA07.026r, Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring
Independence Blue Cross·Cardiology, Internal Medicine, Family Medicine·Medical Policy
Effective date
Jan 1, 2025
We identified it
Jun 19, 2026
Summary
Medicare Advantage updated medical necessity criteria and coding requirements for ambulatory electrocardiography (AECG) monitoring and mobile cardiac outpatient telemetry (MCOT) monitoring services. Changes affect how these cardiac monitoring services must be documented and billed.
Action Required
Before January 1, 2025: Billing team must review updated medical necessity criteria for AECG and MCOT monitoring services in Medicare Advantage plans. Update documentation requirements and coding protocols for cardiac monitoring procedures. Ensure providers understand new criteria to prevent claim denials.