CPT code 93000: Electrocardiogram (ECG), complete: tracing plus interpretation2026 Medicare rate & RVUs in New York
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.
Medicare pays $14.72–$18.00 for 93000 in the office in New York, from Rest of New York to NYC suburbs and Long Island, NY. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 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.
Where 93000 pays more and less in New York
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
5 payment localities
$14.72 to $18.00
| Payment locality | Office | Facility |
|---|---|---|
| Manhattan, NY | $17.58 | Unavailable |
| NYC suburbs and Long Island, NY | $18.00 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $16.62 | Unavailable |
| Queens, NY | $17.66 | Unavailable |
| Rest of New York | $14.72 | Unavailable |
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.
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. |
93000 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93010ECG interpretationInterpretation and report only
- 93010 covers interpretation and report only, as when a physician interprets an ECG traced by a hospital. Use 93000 when the same billing entity furnishes both components.
- 93005ECG tracingTracing only
- 93005 covers recording the tracing only. Use 93000 when the same billing entity also furnishes the interpretation and report.
- 93040Rhythm ECGOne to three leads
- 93040 describes a limited rhythm ECG using one to three leads with a report. A complete resting 12-lead tracing with interpretation is 93000.
- G0403Preventive ECGInitial preventive examination
- G0403 describes a screening ECG associated with the Medicare Initial Preventive Physical Examination. Use 93000 for a diagnostic resting 12-lead ECG when the same billing entity furnishes the tracing and interpretation.
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
Show the CMS file lines behind this rate
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