Billing code
G650A — Continuous ECG monitoring (Holter) Level 1 – professional component – 12 to 35 hours
Level-1 Holter reading, 12–35 hours
Bill G650 for personally interpreting a Level 1 continuous ECG recording of 12 to 35 hours.
Watch for: One professional component per recording; the report must state channels, continuity, analysis type and device model.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $47.90 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- G650A
- Description
- Continuous ECG monitoring (Holter) Level 1 – professional component – 12 to 35 hours
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Level 1 continuous ambulatory ECG (Holter-type) monitoring, professional component, for a recording of 12 to 35 hours.
What it covers
G650 is the professional component of Level 1 continuous ECG monitoring (for example Holter) for 12 to 35 hours (J16).
Level 1 needs a device that records three or more channels at once, captures every beat continuously with three or more skin electrodes, allows analysis and manual review of all parts of the recording, produces graphical and quantitative reports, and has a patient diary and event marker. Minimum 12 hours of monitoring (J16).
Billing rules
- Minimum 12 hours of monitoring; the device must meet the Level 1 definition (J16).
- Maximum one professional component, one technical recording component and one technical scanning component per patient, per recording (J16).
- External loop recorders that rely only on patient activation and can't analyze rhythm in real time are not insured (J17).
- The report must state the number of channels, whether the recording was continuous, whether analysis was real-time, post-hoc or both, and the device manufacturer and model (J17).
- You must personally interpret the results to bill the professional component (J1).
Often billed with
- G651 technical recording component for the same recording (J16).
- G652 technical scanning component for the same recording (J16).
Related codes: G651, G652, G654, G655, G653
Source: Schedule of Benefits (July 1, 2026), Diagnostic and Therapeutic Procedures, Electrocardiography (ECG) – Continuous ECG Monitoring, page J16; notes J17.
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