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UnitedHealthcareMedicare Advantage · Billing Codes · Medical Policy · Cardiology, Internal MedicineMedium impact

Ambulatory Electrocardiographic (AECG) Monitoring

Effective date
Nov 1, 2026
Identified
Nov 7, 2026

Previous versions

Summary

UnitedHealthcare's Medicare Advantage bulletin for November 2026 updated its Ambulatory Electrocardiographic (AECG) Monitoring policy, adding diagnosis codes I42.00, I42.01, I42.09, I42.81, I42.89, I47.22, I49.81, I49.82, and I49.89 to the applicable-codes list for CPT 93224–93229, 93241–93248, 93268, 93270–93272, and 0937T–0940T. The bulletin also notes that I42.0 and I49.8 were deleted Sep. 30, 2026, and the coverage document list was refreshed. Billing teams should update diagnosis coding for AECG monitoring claims to use the newly listed codes.

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What to do

Action · 4 steps
01Billing team: Effective 2026-11-01, when submitting claims for CPT 93224–93229, 93241–93248, 93268, 93270–93272, and 0937T–0940T for UnitedHealthcare Medicare Advantage members, confirm the diagnosis codes I42.00, I42.01, I42.09, I42.81, I42.89, I47.22, I49.81, I49.82, and I49.89 are added to the diagnosis codes available in charge entry and claim edit lists for these services.
02Providers and front desk staff should be told that I42.0 and I49.8 were deleted Sep.
0330, 2026, so encounter forms no longer offer those codes for AECG monitoring orders.
04Claims carrying the deleted codes will be affected, so review open charges and resubmit with current codes where needed.

Codes mentioned

932249322593226932279322893229932419324293243932449324593246932479324893268932709327193272I42.00I42.01I42.09I42.81I42.89I47.22I49.81I49.82I49.89I42.0I49.8

Original notice

Ambulatory Electrocardiographic (AECG) Monitoring
uhcprovider.com · Always check the source before changing claims.
View original ↗

Related changes

See all UnitedHealthcare changes →
Ambulatory Electrocardiographic (AECG) MonitoringHighEffective Sep 1, 2026 · Medical PolicyAnnual ICD-10 and Quarterly CPT/HCPCS Code Updates (Exchange)MediumEffective Oct 1, 2026 · Code UpdatesAnnual ICD-10 and Quarterly CPT/HCPCS Code Updates (UMR)HighEffective Oct 1, 2026 · Code UpdatesAnnual ICD-10 and Quarterly CPT/HCPCS Code Updates (Surest)HighEffective Oct 1, 2026 · Code UpdatesBrowse every UnitedHealthcare change in the policy list

Related policy hubs

UnitedHealthcare policiesCardiologyInternal MedicineCode 93224Code 93225Code 93226Code 93227Code 93228Code 93229Code 93241Code 93242Code 93243Code 93244Code 93245Code 93246Code 93247Code 93248Code 93268Code 93270Code 93271Code 93272Code I42.00Code I42.01Code I42.09Code I42.81Code I42.89Code I47.22Code I49.81Code I49.82Code I49.89Code I42.0Code I49.8

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