CommercialCoverageMedium impact
07.02.21r, Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring
Independence Blue Cross·Cardiology, Family Medicine, Internal Medicine·Medical Policy
Effective date
Jul 21, 2025
We identified it
Jun 19, 2026
Summary
IBX updated medical necessity criteria for Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring services. The changes affect coverage requirements for cardiac monitoring services and will take effect July 21, 2025.
Action Required
By July 21, 2025: Review and update documentation requirements for AECG and MCOT monitoring services to ensure compliance with new medical necessity criteria. Billing team should obtain the full policy details from the IBX website to understand specific documentation requirements. Train providers on updated criteria to prevent claim denials.