Electrocardiogram (EKG), interpretation and report only
Audit Defense & Denial Intelligence
Research-based denial patterns from OrbDoc Bill Analyzer
1. Cannot bill interpretation without tracing (need 93000 or 93005)
Common93010 is interpretation-only code. Billing 93010 without corresponding 93005 (tracing only) or without performing 93000 (complete) triggers denial.
Common Causes
- • Interpretation billed without technical component
- • Should have billed 93000 (complete) instead of separate components
- • EKG performed and interpreted by same practice billing wrong codes
Resolution Strategy
Correct billing: If same practice did tracing and interpretation, bill 93000 (complete). If only interpretation done, ensure technical component billed by performing facility.
💬 Plain Language Explanation
What this means
This is an EKG interpretation and report. A doctor reviewed and analyzed your electrocardiogram (heart rhythm test) and provided a written report.
Why you might see this
You'll see this code when your EKG was interpreted by a doctor. This is separate from the actual EKG test (code 93000). Sometimes both codes appear on your bill - one for the test, one for the interpretation.
Common context
Common code when EKGs are interpreted. May be bundled with the EKG test itself (code 93000) depending on insurance.
What to ask your provider
"'Was this EKG interpretation billed separately from the EKG test itself? Some insurance plans bundle these together.'"
Who are you?
Code Details
Medicare Pricing
PFSRVU Breakdown
OPPS Details
Automate Coding
Let OrbDoc AI automatically suggest codes from your clinical notes.
Patient? Check your bill.
Use our free analyzer to understand charges and spot errors.
Analyze My BillAsk OrbDoc AI
Get instant answers about 93010 - pricing, bundling rules, or billing questions.
Ask a QuestionFrequently Asked Questions
CPT 93010 is the billing code for "Electrocardiogram (EKG), interpretation and report only". It falls under the Diagnostic category and is used by healthcare providers to bill insurance for this specific service.
Medicare pays approximately $7.76 for CPT 93010 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.
The most common denial reason for CPT 93010 is "Cannot bill interpretation without tracing (need 93000 or 93005)". 93010 is interpretation-only code. Billing 93010 without corresponding 93005 (tracing only) or without performing 93000 (complete) triggers denial. Common causes include: Interpretation billed without technical component; Should have billed 93000 (complete) instead of separate components. Appeal success rate is approximately 40-60%.