CommercialCoverageMedium impact
07.02.21r, Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring
Independence Blue Cross·Cardiology, Internal Medicine, Family Medicine·Medical Policy
Effective date
Jul 21, 2025
We identified it
Jun 19, 2026
Summary
Medical necessity criteria for Ambulatory Electrocardiography (AECG) and Mobile Cardiac Outpatient Telemetry (MCOT) monitoring have been updated for commercial insurance plans. This affects when these cardiac monitoring services will be considered medically necessary and covered.
Action Required
By July 21, 2025: Billing and clinical teams must review updated medical necessity criteria for AECG and MCOT monitoring services. Update prior authorization request templates and clinical documentation requirements to align with new criteria. Ensure providers document medical necessity according to revised standards to avoid claim denials.