CPT code 93000: Electrocardiogram (ECG), complete: tracing plus interpretation2026 Medicare rate & RVUs in Iowa
A resting 12-lead ECG reported when the same billing entity records the tracing and provides a written interpretation, commonly in physician offices and clinics.
In Iowa, Medicare pays $14.20 for 93000 in the office.
Check a contract rate as a % of Medicare · 93000 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 93000 covers
This service is a resting 12-lead electrocardiogram. A medical assistant, nurse, or technician places the electrodes and records the tracing. A physician or other qualified practitioner evaluates the rhythm, rate, intervals, axis, and waveform changes and documents an interpretation. Common indications include chest pain, palpitations, syncope, and medication monitoring. Clinically indicated preoperative evaluation may also involve an ECG. The complete service is commonly reported in offices and clinics; when a hospital supplies the tracing, the physician commonly reports only the interpretation.
Report 93000 when the same billing entity furnishes both the tracing and its interpretation and report. Documentation should identify the indication, retain the tracing, and include the interpreter's signed findings. CMS treats 93000 as a global-test-only code: report 93005 for the tracing alone or 93010 for interpretation and report alone rather than appending modifier TC or 26 to 93000. When multiple eligible cardiovascular diagnostic tests are furnished to the same patient on the same day, CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Iowa compares for 93000
Across 109 of 109 payment localities, the office rate for 93000 runs from $13.77 in Arkansas to $19.67 in San Benito County, CA. Iowa pays $14.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$14.20
- Los Angeles, CA · California$17.02+$2.82
- Washington, DC area · District of Columbia$17.35+$3.15
- Miami, FL · Florida$16.76+$2.56
- Chicago, IL · Illinois$16.31+$2.11
- Manhattan, NY · New York$17.58+$3.38
- Alaska · Alaska$18.49+$4.29
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $13.95 | — |
| ArkansasArkansas | $13.77 | — |
| ArizonaArizona | $14.99 | — |
| Bakersfield, CACalifornia | $16.08 | — |
| Chico, CACalifornia | $16.02 | — |
| El Centro, CACalifornia | $16.02 | — |
| Fresno, CACalifornia | $16.02 | — |
| Hanford, CACalifornia | $16.02 | — |
| Madera, CACalifornia | $16.02 | — |
| Merced, CACalifornia | $16.02 | — |
| Modesto, CACalifornia | $16.02 | — |
| Napa, CACalifornia | $18.26 | — |
| Oxnard, CACalifornia | $16.91 | — |
| Redding, CACalifornia | $16.02 | — |
| Rest of CaliforniaCalifornia | $16.02 | — |
| Riverside, CACalifornia | $16.23 | — |
| Sacramento, CACalifornia | $16.73 | — |
| Salinas, CACalifornia | $16.66 | — |
| San Diego, CACalifornia | $17.00 | — |
| Marin County, CACalifornia | $19.24 | — |
| San Francisco, CACalifornia | $19.22 | — |
| San Benito County, CACalifornia | $19.67 | — |
| Santa Clara County, CACalifornia | $19.57 | — |
| San Luis Obispo, CACalifornia | $16.40 | — |
| Santa Cruz, CACalifornia | $17.11 | — |
| Santa Maria, CACalifornia | $16.71 | — |
| Santa Rosa, CACalifornia | $17.28 | — |
| Stockton, CACalifornia | $16.02 | — |
| Vallejo, CACalifornia | $18.23 | — |
| Visalia, CACalifornia | $16.02 | — |
| Yuba City, CACalifornia | $16.02 | — |
| ColoradoColorado | $15.86 | — |
| ConnecticutConnecticut | $16.31 | — |
| DelawareDelaware | $15.22 | — |
| Fort Lauderdale, FLFlorida | $16.02 | — |
| Rest of FloridaFlorida | $15.30 | — |
| Atlanta, GAGeorgia | $15.66 | — |
| Rest of GeorgiaGeorgia | $14.52 | — |
| Hawaii, Guam, HIHawaii | $16.32 | — |
| IdahoIdaho | $14.29 | — |
| East St. Louis, ILIllinois | $15.32 | — |
| Rest of IllinoisIllinois | $14.96 | — |
| Suburban Chicago, ILIllinois | $16.16 | — |
| IndianaIndiana | $14.36 | — |
| KansasKansas | $14.17 | — |
| KentuckyKentucky | $14.31 | — |
| New Orleans, LALouisiana | $14.92 | — |
| Rest of LouisianaLouisiana | $14.30 | — |
| Metropolitan Boston, MAMassachusetts | $17.27 | — |
| Rest of MassachusettsMassachusetts | $15.80 | — |
| Baltimore area, MDMaryland | $16.27 | — |
| Rest of MarylandMaryland | $15.47 | — |
| Rest of MaineMaine | $14.39 | — |
| Southern Maine, MEMaine | $15.04 | — |
| Detroit, MIMichigan | $15.51 | — |
| Rest of MichiganMichigan | $14.67 | — |
| MinnesotaMinnesota | $15.16 | — |
| Metropolitan Kansas City, MOMissouri | $14.80 | — |
| Metropolitan St. Louis, MOMissouri | $14.93 | — |
| Rest of MissouriMissouri | $14.10 | — |
| MississippiMississippi | $13.94 | — |
| MontanaMontana | $15.36 | — |
| North CarolinaNorth Carolina | $14.52 | — |
| North DakotaNorth Dakota | $14.97 | — |
| NebraskaNebraska | $14.25 | — |
| New HampshireNew Hampshire | $15.65 | — |
| Northern New JerseyNew Jersey | $17.21 | — |
| Rest of New JerseyNew Jersey | $16.49 | — |
| New MexicoNew Mexico | $14.75 | — |
| NevadaNevada | $15.26 | — |
| NYC suburbs and Long Island, NYNew York | $18.00 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $16.62 | — |
| Queens, NYNew York | $17.66 | — |
| Rest of New YorkNew York | $14.72 | — |
| OhioOhio | $14.59 | — |
| OklahomaOklahoma | $14.25 | — |
| Portland, OROregon | $16.29 | — |
| Rest of OregonOregon | $15.13 | — |
| Metropolitan Philadelphia, PAPennsylvania | $15.97 | — |
| Rest of PennsylvaniaPennsylvania | $14.59 | — |
| Puerto RicoPuerto Rico | $15.45 | — |
| Rhode IslandRhode Island | $15.70 | — |
| South CarolinaSouth Carolina | $14.58 | — |
| South DakotaSouth Dakota | $14.92 | — |
| TennesseeTennessee | $14.23 | — |
| Austin, TXTexas | $15.82 | — |
| Beaumont, TXTexas | $14.51 | — |
| Brazoria, TXTexas | $15.18 | — |
| Dallas, TXTexas | $15.28 | — |
| Fort Worth, TXTexas | $15.20 | — |
| Galveston, TXTexas | $15.23 | — |
| Houston, TXTexas | $15.60 | — |
| Rest of TexasTexas | $14.84 | — |
| UtahUtah | $14.76 | — |
| VirginiaVirginia | $15.01 | — |
| Virgin Islands, VIUnited States Virgin Islands | $15.45 | — |
| VermontVermont | $14.94 | — |
| Rest of WashingtonWashington | $15.76 | — |
| King County, WAWashington | $17.57 | — |
| WisconsinWisconsin | $14.52 | — |
| West VirginiaWest Virginia | $14.47 | — |
| WyomingWyoming | $15.19 | — |
93000 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$13.77
$18.49
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $18.49 | 1 |
| AL | $13.95 | 1 |
| AR | $13.77 | 1 |
| AZ | $14.99 | 1 |
| CA | $16.02–$19.67 | 29 |
| CO | $15.86 | 1 |
| CT | $16.31 | 1 |
| DC | $17.35 | 1 |
| DE | $15.22 | 1 |
| FL | $15.30–$16.76 | 3 |
| GA | $14.52–$15.66 | 2 |
| GU | $16.32 | 1 |
| HI | $16.32 | 1 |
| IA | $14.20 | 1 |
| ID | $14.29 | 1 |
| IL | $14.96–$16.31 | 4 |
| IN | $14.36 | 1 |
| KS | $14.17 | 1 |
| KY | $14.31 | 1 |
| LA | $14.30–$14.92 | 2 |
| MA | $15.80–$17.27 | 2 |
| MD | $15.47–$17.35 | 3 |
| ME | $14.39–$15.04 | 2 |
| MI | $14.67–$15.51 | 2 |
| MN | $15.16 | 1 |
| MO | $14.10–$14.93 | 3 |
| MS | $13.94 | 1 |
| MT | $15.36 | 1 |
| NC | $14.52 | 1 |
| ND | $14.97 | 1 |
| NE | $14.25 | 1 |
| NH | $15.65 | 1 |
| NJ | $16.49–$17.21 | 2 |
| NM | $14.75 | 1 |
| NV | $15.26 | 1 |
| NY | $14.72–$18.00 | 5 |
| OH | $14.59 | 1 |
| OK | $14.25 | 1 |
| OR | $15.13–$16.29 | 2 |
| PA | $14.59–$15.97 | 2 |
| PR | $15.45 | 1 |
| RI | $15.70 | 1 |
| SC | $14.58 | 1 |
| SD | $14.92 | 1 |
| TN | $14.23 | 1 |
| TX | $14.51–$15.82 | 8 |
| UT | $14.76 | 1 |
| VA | $15.01–$17.35 | 2 |
| VI | $15.45 | 1 |
| VT | $14.94 | 1 |
| WA | $15.76–$17.57 | 2 |
| WI | $14.52 | 1 |
| WV | $14.47 | 1 |
| WY | $15.19 | 1 |
How the 93000 rate is calculated
Each of 93000’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93000
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.27
0.27 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.4600
Conversion factor
$33.4009
Medicare rate
$15.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,933
- Code
- 93000
- Physician work
- 0.17
- Practice expense
- 0.27
- Malpractice
- 0.02
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.27 | × 0.915 | 0.2471 |
| Malpractice | 0.02 | × 0.397 | 0.0079 |
| Total RVUs | 0.4250 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$14.20
Office: (0.17 × 1 + 0.27 × 0.915 + 0.02 × 0.397) × $33.4009 = $14.20
Payment rules and modifiers for 93000
The CMS indicators that decide how 93000 is paid alongside other services.
CMS payment indicators · 93000
Electrocardiogram (ECG), complete: tracing plus interpretation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 4 | Global test only. |
How 93000 has changed in Iowa
93000 · Office / nonfacility
$14.20
Effective 2026-10-01
The base rate is $1.32 higher than on 2025-10-01, moving from $12.88 to $14.20 (10.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$12.88changed to$14.20
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.24 changed to 0.27
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$13.26changed to$12.88
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$13.04changed to$13.26
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$13.46changed to$13.04
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$13.40changed to$13.46
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.23 changed to 0.24
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$13.82changed to$13.40
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.24 changed to 0.23
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$15.93changed to$13.82
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.29 changed to 0.24
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$15.91changed to$15.93
- Conversion factor 36.0391 changed to 36.0896
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$15.89changed to$15.91
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$15.82changed to$15.89
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$15.74changed to$15.82
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 0.493 changed to 0.458
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$15.80changed to$15.74
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$15.72changed to$15.80
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$15.38changed to$15.72
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.28 changed to 0.29
- Practice expense GPCI 0.892 changed to 0.896
- Malpractice GPCI 0.475 changed to 0.493
Held through RVU15B.
January 1, 2014
RVU14A
$16.66changed to$15.38
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.35 changed to 0.28
- Practice expense GPCI 0.887 changed to 0.892
- Malpractice GPCI 0.456 changed to 0.475
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $16.66
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $14.20 | Not available in this setting | RVU26D |
| 2026-07-01 | $14.20 | Not available in this setting | RVU26C |
| 2026-04-01 | $14.20 | Not available in this setting | RVU26B |
| 2026-01-01 | $14.20 | Not available in this setting | RVU26A |
| 2025-10-01 | $12.88 | Not available in this setting | RVU25D |
| 2025-07-01 | $12.88 | Not available in this setting | RVU25C |
| 2025-04-01 | $12.88 | Not available in this setting | RVU25B |
| 2025-01-01 | $12.88 | Not available in this setting | RVU25A |
| 2024-10-01 | $13.26 | Not available in this setting | RVU24D |
| 2024-07-01 | $13.26 | Not available in this setting | RVU24C |
| 2024-04-01 | $13.26 | Not available in this setting | RVU24B |
| 2024-03-09 | $13.26 | Not available in this setting | RVU24AR |
| 2024-01-01 | $13.04 | Not available in this setting | RVU24A |
| 2023-10-01 | $13.46 | Not available in this setting | RVU23D |
| 2023-07-01 | $13.46 | Not available in this setting | RVU23C |
| 2023-04-01 | $13.46 | Not available in this setting | RVU23B |
| 2023-01-01 | $13.46 | Not available in this setting | RVU23A |
| 2022-10-01 | $13.40 | Not available in this setting | RVU22D |
| 2022-07-01 | $13.40 | Not available in this setting | RVU22C |
| 2022-04-01 | $13.40 | Not available in this setting | RVU22B |
| 2022-01-01 | $13.40 | Not available in this setting | RVU22A |
| 2021-10-01 | $13.82 | Not available in this setting | RVU21D |
| 2021-07-01 | $13.82 | Not available in this setting | RVU21C |
| 2021-04-01 | $13.82 | Not available in this setting | RVU21B |
| 2021-01-01 | $13.82 | Not available in this setting | RVU21A |
| 2020-10-01 | $15.93 | Not available in this setting | RVU20D |
| 2020-07-01 | $15.93 | Not available in this setting | RVU20C |
| 2020-04-01 | $15.93 | Not available in this setting | RVU20B |
| 2020-01-01 | $15.93 | Not available in this setting | RVU20A |
| 2019-10-01 | $15.91 | Not available in this setting | RVU19D |
| 2019-07-01 | $15.91 | Not available in this setting | RVU19C |
| 2019-04-01 | $15.91 | Not available in this setting | RVU19B |
| 2019-01-01 | $15.91 | Not available in this setting | RVU19A |
| 2018-10-01 | $15.89 | Not available in this setting | RVU18D |
| 2018-07-01 | $15.89 | Not available in this setting | RVU18C |
| 2018-04-01 | $15.89 | Not available in this setting | RVU18B |
| 2018-01-01 | $15.89 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $15.82 | Not available in this setting | RVU17D |
| 2017-07-01 | $15.82 | Not available in this setting | RVU17C |
| 2017-04-01 | $15.82 | Not available in this setting | RVU17B |
| 2017-01-01 | $15.82 | Not available in this setting | RVU17A |
| 2016-10-01 | $15.74 | Not available in this setting | RVU16D |
| 2016-07-01 | $15.74 | Not available in this setting | RVU16C |
| 2016-04-01 | $15.74 | Not available in this setting | RVU16B |
| 2016-01-01 | $15.74 | Not available in this setting | RVU16A |
| 2015-10-01 | $15.80 | Not available in this setting | RVU15D |
| 2015-07-01 | $15.80 | Not available in this setting | RVU15C |
| 2015-04-01 | $15.72 | Not available in this setting | RVU15B |
| 2015-01-01 | $15.72 | Not available in this setting | RVU15A |
| 2014-10-01 | $15.38 | Not available in this setting | RVU14D |
| 2014-07-01 | $15.38 | Not available in this setting | RVU14C |
| 2014-04-01 | $15.38 | Not available in this setting | RVU14B |
| 2014-01-01 | $15.38 | Not available in this setting | RVU14A |
| 2013-10-01 | $16.66 | Not available in this setting | RVU13D |
| 2013-07-01 | $16.66 | Not available in this setting | RVU13C |
| 2013-04-01 | $16.66 | Not available in this setting | RVU13B |
| 2013-01-01 | $16.66 | Not available in this setting | RVU13AR |
Where the Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
93000 billing questions
When should 93005 or 93010 be reported instead of 93000?
Report 93005 when the billing entity furnishes only the tracing and 93010 when it furnishes only the interpretation and report, as a physician may do for a hospital ECG. Report 93000 when the same billing entity furnishes both components.
Can modifier 26 or TC be appended to 93000?
No. CMS designates 93000 as a global-test-only code; report the professional portion with 93010 or the technical portion with 93005.
Is an ECG separately billable with an office visit on the same day?
A medically indicated ECG may be reported alongside an office E/M visit. If the clinician separately reports the ECG interpretation, that interpretation cannot also be counted as an independent interpretation in the E/M data element.
What documentation supports 93000?
Document the clinical indication, retain the 12-lead tracing, and include a signed interpretation with pertinent findings. An automated computer reading without review and interpretation by a physician or other qualified practitioner does not support the interpretation portion.
Should 93000 be billed for a rhythm strip?
No. A rhythm ECG using one to three leads with a report is described by 93040, rather than the complete 12-lead ECG code.
Is ECG monitoring during an exercise stress test billed with 93000?
Generally no. ECG monitoring is part of the cardiovascular stress test described by 93015 or its component codes. A distinct resting ECG requires its own clinical indication.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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