Xpress ECG

You Order, We Deliver!

Xpress ECG is an online order mail delivery ECG service.  You create an online account with no cost and no obligations.  Place the order online, QT Medical will deliver.  Upon completion, the ECG is sent to the cloud, and the recorder is mailed back.  Simple as that!
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How Xpress ECG Works

Step 1
Step 1

Physician orders ECG through
QT Medical
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Step 2
Step 2

Xpress ECG Kit is mailed directly to the patient's home

Step 3
Step 3

Patient records a 12-lead ECG in the comfort of his/her home

Step 4
Step 4

Results instantly uploaded to the cloud for remote review

Step 5
Step 5

Patient returns the kit to QT Medical

What’s in the Kit

1 x PCA 500 ECG recorder

PCA 500 ECG recorder

1 x Prepositioned electrode strip

Prepositioned electrode strip

Prepaid envelope for easy return

Prepaid envelop

Compare with existing services

How does Xpress ECG compare with Apple Watch and AliveCor?
Xpress ECG
Apple Watch
AliveCor KardiaMobile
12 leads
Single lead
Single lead
Clinical use
Comprehensive assessment for arrhythmia, structural changes, ischemia, genetic heart disease, and non-cardiac changes.
Heart rate, Afib
Heart rate, Afib
$50 ($30 for a limited time)
Doctor guidance
Covered as standard 12-lead ECG test
Not covered
How does Xpress ECG compare with 12-lead ECG in office?
Xpress ECG
12-lead ECG in office
Trained Technician or Nurse
Smooth, no interruption
Takes staff time and room
First consult
ECG before patient arrival
ECG at visit or after visit
Risk of COVID exposure
Low to None
Time consuming
$50 ($30 for a limited time)
>$60 (PPE, electrodes, staff time, room)
Insurance Reimbursement
$66 to $114*
Patient satisfaction
7 times more than conventional ECG
Advantages of using Xpress ECG for telehealth, RPM and office visit
  • Great patient care and satisfaction.
  • Expanding telehealth and RPM practice.
  • Simple and easy, manage all ECGs in the cloud.
  • Excellent insurance reimbursement.*
  • Free online account, no obligations, and first two Xpress ECG tests complimentary.
  • Better workflow in office visit, lower the risk of COVID exposure.

CPT Code 99091 may be used for Xpress ECG service, with $66 reimbursement by Medicare. In some patients, CPT Code 99490 (Chronic Care Management, $48) may be billed together with Code 99091

CPT Code 99091 Description:

Collection and interpretation of physiologic data (e.g., ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, training, licensure/regulation (when applicable) requiring a minimum of 30 minutes of time.

Note: Code 99091 should be billed no more than once in a 30-day period. The practitioner must obtain advance patient consent for the service and document this in the patient’s medical record.

CPT Code 99490 Description:

Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:

  • multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient;
  • chronic conditions place the patient at significant risk of death, acute exacerbation/ decompensation, or functional decline;
  • comprehensive care plan established, implemented, revised, or monitored.

Why PCA 500 for Xpress ECG

PCA 500 is the first FDA-cleared hospital-quality 12-lead ECG designed for personal use. Its patented, proprietary electrodes streamline ECG procedures and reduce errors. With its simplicity, ease of use, mobile technology and cloud management, PCA 500 brings hospital ECG to homes.


setup time


Patients record an ECG
by themself




ECG recording

FAQ for Healthcare Professionals

How Does Xpress ECG work?

You create a free online Dashboard account and order an ECG when needed. QT Medical receives the order and ships out an Xpress ECG kit to the patient. The patient completes the ECG test, then mails PCA 500 back to QT Medical. The recorded ECG is automatically uploaded to the cloud and you will instantly receive an email notification to review the ECG on the Dashboard. The turnaround time is typically 2-4 days.

What patients can benefit from Xpress ECG at home?

There are two common clinical scenarios to use Xpress ECG. First of all, Xpress ECG can be used as a non-urgent standard resting 12-lead ECG for screening, diagnosis and follow up. To be used on patients who need pre-op clearance, routine physical, weight loss program enrollment, have cardiac symptoms (palpitation, fatigue, etc.), to rule out cardiac conditions, and under surveillance of medication side effects (most notably psychiatric, antibiotic and oncological medications). Secondly, Xpress ECG can be used for monthly Remote Patient Monitoring (RPM) of patients with chronic medical conditions. This can be patients with intermittent arrhythmias, stable angina on medical therapy, congestive heart failure, diabetes and hypertension.

Can patients do a 12-lead ECG test at home?

Yes. The Xpress ECG kit includes a PCA 500 recorder, a prepositioned electrode strip, instructions, and a postage paid return envelope. PCA 500 is cleared by the FDA for patients' use at home. A clinical trial showed that over 95% patients could use PCA 500 to complete a 12-lead ECG test based on simple instructions; video instructions and FAQs are available. Our customer service can provide further assistance over the phone when needed.

Is it a standard 12-lead ECG test? How is the quality?

Yes. PCA 500 is cleared by the FDA for patients and professional use. The electrode placements follow the American Heart Association guidelines. A clinical trial showed that PCA 500 is equivalent, as a diagnostic 12-lead ECG, to the market leader Philips PageWriter TC70, used in hospitals. In fact, the ECG signal quality from patients’ use of PCA 500 at home is often better than ones done by technicians in the hospital.

Does it cost anything to get started?

No. Registering an online Dashboard account with QT Medical is absolutely FREE. There is no commitment and no obligations to keep an account. When you have a patient who needs an ECG test, you will be ready to order from the dashboard in just 1-2 min. If you register your Dashboard account before July 15, you will receive TWO complimentary Xpress ECG tests.

Does it make financial sense for my practice to use Xpress ECG?

Absolutely! Reimbursement rates for telehealth services are now on par with the rate for in person visits. Many new codes for Remote Patient Monitoring (RPM) can be used for home testing services. In fact, Xpress ECG at home can be reimbursed 300% the rate of a resting 12-lead ECG performed by a technician in your office!

The cost of an Xpress ECG test is $30, paid by your office at the time of ordering. Your office can bill CPT code 99091 (Medicare reimbursement $66), and possibly add code 99490 ($49). When used as monthly RPM, you can also bill code 99457 ($61). Reimbursement Guide can be requested from QT Medical for more details.

Why use Xpress ECG for your ECG needs?
  • Great patient care—Patients can get their diagnostic test and monitoring without the risk of potential coronavirus exposure.
  • Expanding telehealth and RPM practice-- Xpress ECG offers everything for your f 12-lead ECG needs and routine care of RPM of patients.
  • Simple and easy, manage all ECGs in the cloud-- The process is simple and easy— you order the test online, we deliver the kit, the patient completes the test at home, and results are uploaded instantaneously!
  • Excellent insurance reimbursement
  • Free online account, no obligations, and two complimentary Xpress ECG tests
How do I get started?
How do I activate an Xpress ECG account?

Once your Organization has created a Dashboard account, an email is automatically sent containing an activation link and your temporary password. Click on the link to activate your Administrator account.

How do I order an Xpress ECG test?

First, register for a free online Dashboard account from QT Medical then log in. Click on “Xpress ECG” on the left hand side on the Dashboard, select the electrode size and “Add to cart.” During the checkout process, please input your patient’s information (address and phone number) and complete the payment. Please note, you will have to create an account to checkout for the first time from our shopping cart.

How do I know what size Electrode strip to order for each patient?

Once you have successfully enrolled, your Account Manager will contact you with a “Welcome Email” containing important documents for Xpress ECG. You may reference the document titled, “How to Determine the Size of Electrode Strip.” This document contains various methods for sizing patients for their electrode strip.

How soon will the patient receive the Xpress ECG kit?

When an order is placed, QT Medical will ship the Xpress ECG kit the next business day by USPS Priority Mail, which typically takes 1 to 3 days to arrive.

How can my clinic bill for Xpress ECG? What CPT codes can I bill for?

Your office can bill CPT code 99091 (Medicare reimbursement $66), and possibly add code 99490 ($49). When Xpress ECG is used as a monthly RPM, you can also bill code 99457 ($61). You can refer to the document “Reimbursement Guide” in your Welcome Email for details.

How will I know my patients have all the information they need?

When ordering an Xpress ECG test, please make sure the email, address and phone number of the patient are all accurate. We will verify the order and provide the information and assistance needed for the patient to complete the test.

FAQ for Patients

Where do I find my login information?

You should receive your username and password along with your kit. Simply login with the info, follow in-app instructions and record an ECG.

How can I get customer support?

Our Customer Service team is available for calls and emails regarding Xpress ECG. We want to ensure anyone who orders an Xpress ECG at home or in a clinic will receive the assistance necessary to complete an ECG.

Any patient can call QT Medical Customer Service anytime for help at +1 855 722 6006 or write us at service@qtmedical.com.

How do I know if my device is compatible with the QT ECG app?

We are compatible with most iPhone, iPad, Android devices. For more information on compatibility, please visit: https://www.qtmedical.com/compatibility

How do I know if I am recording my ECG?

Make sure you are connected by locating the “Tap to Connect” button on the top left corner. Once correctly connected, your ECG will stream.

How do I return the kit when I am done with my ECG?

When you have completed your ECG test, simply discard the electrode strip and place the compact ECG recorder into the prepaid USPS envelope for free return. You can place the envelope in your Outbox or drop it off at your local USPS store.

Order Xpress ECG Now!