MedicaidReimbursementMedium impact
Increase in rates for electrocardiographic recording services, effective January 1, 2023
Oregon Health Plan·OR · Cardiology, Internal Medicine, Family Medicine·Plan
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Oregon Health Authority increased reimbursement rates for two ECG monitoring CPT codes (93243 and 93247) effective January 1, 2023. Providers are encouraged to resubmit claims for these services to obtain the higher payment rates.
Action Required
Immediately: Billing team should review and resubmit claims for CPT codes 93243 and 93247 services provided after January 1, 2023 to obtain the increased reimbursement rates. Contact Oregon Medicaid Provider Services at 800-336-6016 (option 5) for assistance with claim adjustments.