Electrocardiogram (EKG or ECG) screenings
Medicare Coverage Information
Overview
Medicare provides coverage for electrocardiogram (EKG or ECG) screenings when they are deemed medically necessary by a healthcare provider. These heart tests help diagnose potential cardiac conditions and are typically covered under Part B preventive or diagnostic services.
- Covered when ordered by a qualified healthcare professional
- Must be medically necessary for diagnosis or treatment
- Typically covered under Medicare Part B
- May require a doctor's referral and documentation
- Screening frequency depends on individual health conditions
- Medicare Part B beneficiaries
- Patients with documented cardiac risk factors
- Individuals receiving preventive health screenings
- Patients with symptoms requiring cardiac diagnostic testing
- After meeting Part B deductible, Medicare typically covers 80% of the approved amount
- Beneficiary is responsible for 20% coinsurance
- No cost for preventive EKG screenings during annual wellness visits
- Must be performed by Medicare-approved healthcare providers
- Requires physician documentation of medical necessity
- Frequency of coverage depends on individual health risk factors
- Consult with your primary care physician about EKG screening needs
- Verify coverage details with your specific Medicare plan
- Request a detailed explanation of benefits before the procedure
- Check if your healthcare provider accepts Medicare assignment
Last updated: 6/15/2025
Quick Information
- Provider
- Medicare
- Last Updated
- 6/15/2025
- Topics
- Medicare EKG coverageelectrocardiogram screeningheart health Medicarecardiac diagnostic testsMedicare preventive services
Related Coverage Topics
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