CPT code 93005: ECG tracing, tracing only2026 Medicare rate & RVUs in Puerto Rico
Reports the technical recording of a routine electrocardiogram, without interpretation or report, when a clinician orders a tracing for evaluation or monitoring.
In Puerto Rico, Medicare pays $7.08 for 93005 in the office.
Check a contract rate as a % of Medicare · 93005 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 93005 covers
This code represents the recording of a routine electrocardiogram with at least 12 leads; it covers the tracing, not its interpretation or written report. Clinical staff or a technician commonly obtains the tracing in a physician office, clinic, emergency department, or hospital. Typical reasons include evaluation of chest discomfort, palpitations, dizziness, or a change in cardiac status, as well as preoperative assessment when an ECG is ordered.
Report 93005 when the tracing is furnished separately from the interpretation and report; when one clinician provides the complete ECG service, the complete-service code 93000 is the closer fit. Documentation should support the clinical reason for the ECG and show that the tracing was obtained and retained; a separately furnished interpretation should have its own report. CMS treats 93005 as a technical-component-only service, with no physician-work RVUs. The cardiovascular diagnostic multiple-procedure reduction applies to its technical component when the qualifying services are performed in the same session.
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 Puerto Rico compares for 93005
Across 109 of 109 payment localities, the office rate for 93005 runs from $5.91 in Arkansas to $9.81 in San Benito County, CA. Puerto Rico pays $7.08. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$7.08
- Los Angeles, CA · California$8.12+$1.04
- Washington, DC area · District of Columbia$8.24+$1.16
- Miami, FL · Florida$7.80+$0.72
- Chicago, IL · Illinois$7.48+$0.40
- Manhattan, NY · New York$8.29+$1.21
- Alaska · Alaska$7.30+$0.22
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $6.03 | — |
| ArkansasArkansas | $5.91 | — |
| ArizonaArizona | $6.76 | — |
| Bakersfield, CACalifornia | $7.52 | — |
| Chico, CACalifornia | $7.50 | — |
| El Centro, CACalifornia | $7.50 | — |
| Fresno, CACalifornia | $7.50 | — |
| Hanford, CACalifornia | $7.50 | — |
| Madera, CACalifornia | $7.50 | — |
| Merced, CACalifornia | $7.50 | — |
| Modesto, CACalifornia | $7.50 | — |
| Napa, CACalifornia | $8.97 | — |
| Oxnard, CACalifornia | $8.10 | — |
| Redding, CACalifornia | $7.50 | — |
| Rest of CaliforniaCalifornia | $7.50 | — |
| Riverside, CACalifornia | $7.61 | — |
| Sacramento, CACalifornia | $7.95 | — |
| Salinas, CACalifornia | $7.92 | — |
| San Diego, CACalifornia | $8.17 | — |
| Marin County, CACalifornia | $9.57 | — |
| San Francisco, CACalifornia | $9.56 | — |
| San Benito County, CACalifornia | $9.81 | — |
| Santa Clara County, CACalifornia | $9.77 | — |
| San Luis Obispo, CACalifornia | $7.79 | — |
| Santa Cruz, CACalifornia | $8.30 | — |
| Santa Maria, CACalifornia | $7.97 | — |
| Santa Rosa, CACalifornia | $8.38 | — |
| Stockton, CACalifornia | $7.50 | — |
| Vallejo, CACalifornia | $8.96 | — |
| Visalia, CACalifornia | $7.50 | — |
| Yuba City, CACalifornia | $7.50 | — |
| ColoradoColorado | $7.37 | — |
| ConnecticutConnecticut | $7.60 | — |
| DelawareDelaware | $6.90 | — |
| Fort Lauderdale, FLFlorida | $7.37 | — |
| Rest of FloridaFlorida | $6.89 | — |
| Atlanta, GAGeorgia | $7.19 | — |
| Rest of GeorgiaGeorgia | $6.36 | — |
| Hawaii, Guam, HIHawaii | $7.79 | — |
| IowaIowa | $6.24 | — |
| IdahoIdaho | $6.30 | — |
| East St. Louis, ILIllinois | $6.82 | — |
| Rest of IllinoisIllinois | $6.62 | — |
| Suburban Chicago, ILIllinois | $7.45 | — |
| IndianaIndiana | $6.35 | — |
| KansasKansas | $6.21 | — |
| KentuckyKentucky | $6.24 | — |
| New Orleans, LALouisiana | $6.67 | — |
| Rest of LouisianaLouisiana | $6.23 | — |
| Metropolitan Boston, MAMassachusetts | $8.27 | — |
| Rest of MassachusettsMassachusetts | $7.30 | — |
| Baltimore area, MDMaryland | $7.58 | — |
| Rest of MarylandMaryland | $7.07 | — |
| Rest of MaineMaine | $6.35 | — |
| Southern Maine, MEMaine | $6.83 | — |
| Detroit, MIMichigan | $7.01 | — |
| Rest of MichiganMichigan | $6.48 | — |
| MinnesotaMinnesota | $6.97 | — |
| Metropolitan Kansas City, MOMissouri | $6.60 | — |
| Metropolitan St. Louis, MOMissouri | $6.69 | — |
| Rest of MissouriMissouri | $6.08 | — |
| MississippiMississippi | $6.00 | — |
| MontanaMontana | $7.01 | — |
| North CarolinaNorth Carolina | $6.45 | — |
| North DakotaNorth Dakota | $6.82 | — |
| NebraskaNebraska | $6.29 | — |
| New HampshireNew Hampshire | $7.25 | — |
| Northern New JerseyNew Jersey | $8.11 | — |
| Rest of New JerseyNew Jersey | $7.66 | — |
| New MexicoNew Mexico | $6.53 | — |
| NevadaNevada | $6.97 | — |
| NYC suburbs and Long Island, NYNew York | $8.56 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $7.72 | — |
| Queens, NYNew York | $8.38 | — |
| Rest of New YorkNew York | $6.58 | — |
| OhioOhio | $6.44 | — |
| OklahomaOklahoma | $6.22 | — |
| Portland, OROregon | $7.67 | — |
| Rest of OregonOregon | $6.89 | — |
| Metropolitan Philadelphia, PAPennsylvania | $7.35 | — |
| Rest of PennsylvaniaPennsylvania | $6.45 | — |
| Rhode IslandRhode Island | $7.20 | — |
| South CarolinaSouth Carolina | $6.46 | — |
| South DakotaSouth Dakota | $6.79 | — |
| TennesseeTennessee | $6.25 | — |
| Austin, TXTexas | $7.36 | — |
| Beaumont, TXTexas | $6.39 | — |
| Brazoria, TXTexas | $6.88 | — |
| Dallas, TXTexas | $6.94 | — |
| Fort Worth, TXTexas | $6.88 | — |
| Galveston, TXTexas | $6.91 | — |
| Houston, TXTexas | $7.09 | — |
| Rest of TexasTexas | $6.64 | — |
| UtahUtah | $6.58 | — |
| VirginiaVirginia | $6.80 | — |
| Virgin Islands, VIUnited States Virgin Islands | $7.08 | — |
| VermontVermont | $6.78 | — |
| Rest of WashingtonWashington | $7.29 | — |
| King County, WAWashington | $8.47 | — |
| WisconsinWisconsin | $6.50 | — |
| West VirginiaWest Virginia | $6.28 | — |
| WyomingWyoming | $6.93 | — |
93005 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.
$5.91
$8.66
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 | $7.30 | 1 |
| AL | $6.03 | 1 |
| AR | $5.91 | 1 |
| AZ | $6.76 | 1 |
| CA | $7.50–$9.81 | 29 |
| CO | $7.37 | 1 |
| CT | $7.60 | 1 |
| DC | $8.24 | 1 |
| DE | $6.90 | 1 |
| FL | $6.89–$7.80 | 3 |
| GA | $6.36–$7.19 | 2 |
| GU | $7.79 | 1 |
| HI | $7.79 | 1 |
| IA | $6.24 | 1 |
| ID | $6.30 | 1 |
| IL | $6.62–$7.48 | 4 |
| IN | $6.35 | 1 |
| KS | $6.21 | 1 |
| KY | $6.24 | 1 |
| LA | $6.23–$6.67 | 2 |
| MA | $7.30–$8.27 | 2 |
| MD | $7.07–$8.24 | 3 |
| ME | $6.35–$6.83 | 2 |
| MI | $6.48–$7.01 | 2 |
| MN | $6.97 | 1 |
| MO | $6.08–$6.69 | 3 |
| MS | $6.00 | 1 |
| MT | $7.01 | 1 |
| NC | $6.45 | 1 |
| ND | $6.82 | 1 |
| NE | $6.29 | 1 |
| NH | $7.25 | 1 |
| NJ | $7.66–$8.11 | 2 |
| NM | $6.53 | 1 |
| NV | $6.97 | 1 |
| NY | $6.58–$8.56 | 5 |
| OH | $6.44 | 1 |
| OK | $6.22 | 1 |
| OR | $6.89–$7.67 | 2 |
| PA | $6.45–$7.35 | 2 |
| PR | $7.08 | 1 |
| RI | $7.20 | 1 |
| SC | $6.46 | 1 |
| SD | $6.79 | 1 |
| TN | $6.25 | 1 |
| TX | $6.39–$7.36 | 8 |
| UT | $6.58 | 1 |
| VA | $6.80–$8.24 | 2 |
| VI | $7.08 | 1 |
| VT | $6.78 | 1 |
| WA | $7.29–$8.47 | 2 |
| WI | $6.50 | 1 |
| WV | $6.28 | 1 |
| WY | $6.93 | 1 |
How the 93005 rate is calculated
Each of 93005’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 · 93005
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.20
0.20 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.2100
Conversion factor
$33.4009
Medicare rate
$7.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,934
- Code
- 93005
- Physician work
- 0.00
- Practice expense
- 0.20
- Malpractice
- 0.01
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.20 | × 1.011 | 0.2022 |
| Malpractice | 0.01 | × 0.985 | 0.0098 |
| Total RVUs | 0.2120 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$7.08
Office: (0 × 1 + 0.2 × 1.011 + 0.01 × 0.985) × $33.4009 = $7.08
Payment rules and modifiers for 93005
The CMS indicators that decide how 93005 is paid alongside other services.
CMS payment indicators · 93005
ECG tracing, tracing only
| 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 | 3 | Technical component only. |
How 93005 has changed in Puerto Rico
93005 · Office / nonfacility
$7.08
Effective 2026-10-01
The base rate is $0.90 higher than on 2025-10-01, moving from $6.18 to $7.08 (14.6%).
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
$6.18changed to$7.08
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.18 changed to 0.20
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$6.36changed to$6.18
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$6.26changed to$6.36
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$6.48changed to$6.26
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$6.44changed to$6.48
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$6.27changed to$6.44
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.17 changed to 0.18
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$6.68changed to$6.27
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.18 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$8.72changed to$6.68
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.23 changed to 0.18
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$8.70changed to$8.72
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$8.69changed to$8.70
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$7.30changed to$8.69
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$5.91changed to$7.30
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$5.93changed to$5.91
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$5.90changed to$5.93
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$5.55changed to$5.90
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.22 changed to 0.23
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$6.77changed to$5.55
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.29 changed to 0.22
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $6.77
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $7.08 | Not available in this setting | RVU26D |
| 2026-07-01 | $7.08 | Not available in this setting | RVU26C |
| 2026-04-01 | $7.08 | Not available in this setting | RVU26B |
| 2026-01-01 | $7.08 | Not available in this setting | RVU26A |
| 2025-10-01 | $6.18 | Not available in this setting | RVU25D |
| 2025-07-01 | $6.18 | Not available in this setting | RVU25C |
| 2025-04-01 | $6.18 | Not available in this setting | RVU25B |
| 2025-01-01 | $6.18 | Not available in this setting | RVU25A |
| 2024-10-01 | $6.36 | Not available in this setting | RVU24D |
| 2024-07-01 | $6.36 | Not available in this setting | RVU24C |
| 2024-04-01 | $6.36 | Not available in this setting | RVU24B |
| 2024-03-09 | $6.36 | Not available in this setting | RVU24AR |
| 2024-01-01 | $6.26 | Not available in this setting | RVU24A |
| 2023-10-01 | $6.48 | Not available in this setting | RVU23D |
| 2023-07-01 | $6.44 | Not available in this setting | RVU23C |
| 2023-04-01 | $6.44 | Not available in this setting | RVU23B |
| 2023-01-01 | $6.44 | Not available in this setting | RVU23A |
| 2022-10-01 | $6.27 | Not available in this setting | RVU22D |
| 2022-07-01 | $6.27 | Not available in this setting | RVU22C |
| 2022-04-01 | $6.27 | Not available in this setting | RVU22B |
| 2022-01-01 | $6.27 | Not available in this setting | RVU22A |
| 2021-10-01 | $6.68 | Not available in this setting | RVU21D |
| 2021-07-01 | $6.68 | Not available in this setting | RVU21C |
| 2021-04-01 | $6.68 | Not available in this setting | RVU21B |
| 2021-01-01 | $6.68 | Not available in this setting | RVU21A |
| 2020-10-01 | $8.72 | Not available in this setting | RVU20D |
| 2020-07-01 | $8.72 | Not available in this setting | RVU20C |
| 2020-04-01 | $8.72 | Not available in this setting | RVU20B |
| 2020-01-01 | $8.72 | Not available in this setting | RVU20A |
| 2019-10-01 | $8.70 | Not available in this setting | RVU19D |
| 2019-07-01 | $8.70 | Not available in this setting | RVU19C |
| 2019-04-01 | $8.70 | Not available in this setting | RVU19B |
| 2019-01-01 | $8.70 | Not available in this setting | RVU19A |
| 2018-10-01 | $8.69 | Not available in this setting | RVU18D |
| 2018-07-01 | $8.69 | Not available in this setting | RVU18C |
| 2018-04-01 | $8.69 | Not available in this setting | RVU18B |
| 2018-01-01 | $8.69 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $7.30 | Not available in this setting | RVU17D |
| 2017-07-01 | $7.30 | Not available in this setting | RVU17C |
| 2017-04-01 | $7.30 | Not available in this setting | RVU17B |
| 2017-01-01 | $7.30 | Not available in this setting | RVU17A |
| 2016-10-01 | $5.91 | Not available in this setting | RVU16D |
| 2016-07-01 | $5.91 | Not available in this setting | RVU16C |
| 2016-04-01 | $5.91 | Not available in this setting | RVU16B |
| 2016-01-01 | $5.91 | Not available in this setting | RVU16A |
| 2015-10-01 | $5.93 | Not available in this setting | RVU15D |
| 2015-07-01 | $5.93 | Not available in this setting | RVU15C |
| 2015-04-01 | $5.90 | Not available in this setting | RVU15B |
| 2015-01-01 | $5.90 | Not available in this setting | RVU15A |
| 2014-10-01 | $5.55 | Not available in this setting | RVU14D |
| 2014-07-01 | $5.55 | Not available in this setting | RVU14C |
| 2014-04-01 | $5.55 | Not available in this setting | RVU14B |
| 2014-01-01 | $5.55 | Not available in this setting | RVU14A |
| 2013-10-01 | $6.77 | Not available in this setting | RVU13D |
| 2013-07-01 | $6.77 | Not available in this setting | RVU13C |
| 2013-04-01 | $6.77 | Not available in this setting | RVU13B |
| 2013-01-01 | $6.77 | Not available in this setting | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
93005 billing questions
How does 93005 differ from 93000?
93005 reports the ECG tracing alone. Use 93000 when the same service includes the tracing, interpretation, and report.
Can the interpretation be billed separately?
Yes. Code 93010 represents a separately furnished ECG interpretation and report; the documentation should include the interpreting clinician’s report.
Should modifier 26 be appended to 93005?
No. 93005 is the tracing-only technical service; 93010 identifies the interpretation and report.
Can 93005 report a rhythm strip?
Use 93041 for a rhythm ECG tracing rather than the routine multi-lead tracing represented by 93005.
When does the multiple-procedure reduction affect 93005?
CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when qualifying cardiovascular diagnostic procedures are performed in the same session.
What documentation supports reporting 93005?
Keep the ECG tracing and document the clinical reason it was obtained. If interpretation is separately furnished, retain the separate interpretation and report.
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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