Sec. 5-65. Reimbursement rates for long-term electrocardiogram monitoring.
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Sec. 5-65. Reimbursement rates for long-term electrocardiogram monitoring.
(a)As used in this Section, "long-term ambulatory electrocardiogram monitoring services" means the provision of external cardiac patch monitoring devices to patients to wear for 48 hours or greater and the interpretation of data gathered by such devices to detect heart arrhythmias that can lead to stroke, cardiac arrest, or other comorbidities or medical complications if not correctly diagnosed.
(b)Subject to federal approval, for dates of service on and after January 1, 2026, the Department shall reimburse diagnostic testing facilities that provide long-term ambulatory electrocardiogram monitoring services at a rate not less than 80% of the Medicare Physician Fee Schedule rate in effect for such services on the effective date of this amendatory Act of the 104th General Assembly.