CommercialCoverageMedium impact
07.02.21r, Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring
Independence Blue Cross·Cardiology·Medical Policy
Effective date
Jul 21, 2025
We identified it
Jun 19, 2026
Summary
Policy 07.02.21r updates medical necessity criteria for Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring services. The billing team must review updated coverage requirements and apply new medical necessity standards to all AECG and MCOT claims submitted on or after the effective date to avoid denials.
Action Required
By July 21, 2025: Billing team must obtain and review the complete policy text from the source URL to identify specific medical necessity criteria changes. Update billing system validation rules and prior authorization workflows to enforce new criteria. Notify providers of updated documentation requirements for AECG and MCOT services. Train billing staff on new medical necessity standards. Beginning July 21, 2025, apply new criteria to all AECG and MCOT claims. Claims submitted without meeting updated medical necessity criteria will be denied.