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Medicare AdvantageCoverageMedium impact

Ambulatory Cardiac Monitoring Devices - Medicare Advantage (Revised)

Humana·Cardiology, Internal Medicine, Family Medicine·Medicare Advantage
Effective date
Jun 21, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

This is a comprehensive Medicare Advantage policy for ambulatory cardiac monitoring devices that takes effect June 21, 2026. It establishes coverage criteria for various cardiac monitoring technologies including Holter monitors, loop recorders, and mobile cardiac telemetry systems.

Action Required

Action needed
Before June 21, 2026: Billing team must review and update cardiac monitoring billing procedures to align with new Medicare Advantage coverage criteria. Ensure documentation supports medical necessity for ambulatory cardiac monitoring devices using the specific indications outlined in the policy. Update prior authorization processes if required by applicable Local Coverage Determinations in your jurisdiction.

Affected Billing Codes

93224
93225
93226
93227
93241
93242