CPT code 93041: Rhythm ECG, tracing only, 1–3 leads2026 Medicare rate & RVUs in North Carolina
Reports acquisition of a limited-lead rhythm ECG tracing when the service captures a short rhythm strip without interpretation or a report.
In North Carolina, Medicare pays $7.38 for 93041 in the office.
Check a contract rate as a % of Medicare · 93041 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 93041 covers
This code covers acquisition of a short electrocardiographic rhythm tracing using one to three leads, without interpretation or a written report. It is typically used in an office or outpatient setting when a clinician needs a rhythm strip to evaluate a symptom such as palpitations or to document a rhythm finding. Clinical staff may obtain the tracing under the treating clinician’s direction; this code accounts for the technical service, not the clinician’s reading.
Select this service for a limited-lead rhythm tracing, rather than the tracing portion of a standard 12-lead ECG. The record should support the reason for the tracing and show that the rhythm strip was obtained. A separately performed and documented interpretation and report are represented by a separate code, 93042. Medicare applies the cardiovascular diagnostic multiple procedure reduction to the technical component when applicable, so the adjustment affects this tracing service’s technical payment.
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 North Carolina compares for 93041
Across 109 of 109 payment localities, the office rate for 93041 runs from $6.77 in Arkansas to $11.26 in San Benito County, CA. North Carolina pays $7.38. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$7.38
- Los Angeles, CA · California$9.31+$1.93
- Washington, DC area · District of Columbia$9.42+$2.04
- Miami, FL · Florida$8.84+$1.46
- Chicago, IL · Illinois$8.49+$1.11
- Manhattan, NY · New York$9.46+$2.08
- Alaska · Alaska$8.37+$0.99
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $6.91 | — |
| ArkansasArkansas | $6.77 | — |
| ArizonaArizona | $7.73 | — |
| Bakersfield, CACalifornia | $8.62 | — |
| Chico, CACalifornia | $8.60 | — |
| El Centro, CACalifornia | $8.60 | — |
| Fresno, CACalifornia | $8.60 | — |
| Hanford, CACalifornia | $8.60 | — |
| Madera, CACalifornia | $8.60 | — |
| Merced, CACalifornia | $8.60 | — |
| Modesto, CACalifornia | $8.60 | — |
| Napa, CACalifornia | $10.29 | — |
| Oxnard, CACalifornia | $9.29 | — |
| Redding, CACalifornia | $8.60 | — |
| Rest of CaliforniaCalifornia | $8.60 | — |
| Riverside, CACalifornia | $8.70 | — |
| Sacramento, CACalifornia | $9.11 | — |
| Salinas, CACalifornia | $9.08 | — |
| San Diego, CACalifornia | $9.37 | — |
| Marin County, CACalifornia | $10.99 | — |
| San Francisco, CACalifornia | $10.97 | — |
| San Benito County, CACalifornia | $11.26 | — |
| Santa Clara County, CACalifornia | $11.21 | — |
| San Luis Obispo, CACalifornia | $8.93 | — |
| Santa Cruz, CACalifornia | $9.51 | — |
| Santa Maria, CACalifornia | $9.14 | — |
| Santa Rosa, CACalifornia | $9.61 | — |
| Stockton, CACalifornia | $8.60 | — |
| Vallejo, CACalifornia | $10.28 | — |
| Visalia, CACalifornia | $8.60 | — |
| Yuba City, CACalifornia | $8.60 | — |
| ColoradoColorado | $8.43 | — |
| ConnecticutConnecticut | $8.68 | — |
| DelawareDelaware | $7.89 | — |
| Fort Lauderdale, FLFlorida | $8.39 | — |
| Rest of FloridaFlorida | $7.85 | — |
| Atlanta, GAGeorgia | $8.21 | — |
| Rest of GeorgiaGeorgia | $7.25 | — |
| Hawaii, Guam, HIHawaii | $8.93 | — |
| IowaIowa | $7.16 | — |
| IdahoIdaho | $7.23 | — |
| East St. Louis, ILIllinois | $7.74 | — |
| Rest of IllinoisIllinois | $7.54 | — |
| Suburban Chicago, ILIllinois | $8.48 | — |
| IndianaIndiana | $7.28 | — |
| KansasKansas | $7.11 | — |
| KentuckyKentucky | $7.14 | — |
| New Orleans, LALouisiana | $7.61 | — |
| Rest of LouisianaLouisiana | $7.12 | — |
| Metropolitan Boston, MAMassachusetts | $9.47 | — |
| Rest of MassachusettsMassachusetts | $8.36 | — |
| Baltimore area, MDMaryland | $8.66 | — |
| Rest of MarylandMaryland | $8.08 | — |
| Rest of MaineMaine | $7.28 | — |
| Southern Maine, MEMaine | $7.82 | — |
| Detroit, MIMichigan | $7.98 | — |
| Rest of MichiganMichigan | $7.39 | — |
| MinnesotaMinnesota | $8.00 | — |
| Metropolitan Kansas City, MOMissouri | $7.54 | — |
| Metropolitan St. Louis, MOMissouri | $7.65 | — |
| Rest of MissouriMissouri | $6.95 | — |
| MississippiMississippi | $6.86 | — |
| MontanaMontana | $8.02 | — |
| North DakotaNorth Dakota | $7.82 | — |
| NebraskaNebraska | $7.22 | — |
| New HampshireNew Hampshire | $8.29 | — |
| Northern New JerseyNew Jersey | $9.27 | — |
| Rest of New JerseyNew Jersey | $8.76 | — |
| New MexicoNew Mexico | $7.45 | — |
| NevadaNevada | $7.97 | — |
| NYC suburbs and Long Island, NYNew York | $9.75 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $8.82 | — |
| Queens, NYNew York | $9.56 | — |
| Rest of New YorkNew York | $7.53 | — |
| OhioOhio | $7.35 | — |
| OklahomaOklahoma | $7.12 | — |
| Portland, OROregon | $8.78 | — |
| Rest of OregonOregon | $7.89 | — |
| Metropolitan Philadelphia, PAPennsylvania | $8.40 | — |
| Rest of PennsylvaniaPennsylvania | $7.37 | — |
| Puerto RicoPuerto Rico | $8.10 | — |
| Rhode IslandRhode Island | $8.23 | — |
| South CarolinaSouth Carolina | $7.38 | — |
| South DakotaSouth Dakota | $7.79 | — |
| TennesseeTennessee | $7.16 | — |
| Austin, TXTexas | $8.42 | — |
| Beaumont, TXTexas | $7.30 | — |
| Brazoria, TXTexas | $7.87 | — |
| Dallas, TXTexas | $7.94 | — |
| Fort Worth, TXTexas | $7.87 | — |
| Galveston, TXTexas | $7.90 | — |
| Houston, TXTexas | $8.09 | — |
| Rest of TexasTexas | $7.59 | — |
| UtahUtah | $7.52 | — |
| VirginiaVirginia | $7.79 | — |
| Virgin Islands, VIUnited States Virgin Islands | $8.10 | — |
| VermontVermont | $7.77 | — |
| Rest of WashingtonWashington | $8.34 | — |
| King County, WAWashington | $9.70 | — |
| WisconsinWisconsin | $7.46 | — |
| West VirginiaWest Virginia | $7.15 | — |
| WyomingWyoming | $7.93 | — |
93041 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.
$6.77
$9.93
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 | $8.37 | 1 |
| AL | $6.91 | 1 |
| AR | $6.77 | 1 |
| AZ | $7.73 | 1 |
| CA | $8.60–$11.26 | 29 |
| CO | $8.43 | 1 |
| CT | $8.68 | 1 |
| DC | $9.42 | 1 |
| DE | $7.89 | 1 |
| FL | $7.85–$8.84 | 3 |
| GA | $7.25–$8.21 | 2 |
| GU | $8.93 | 1 |
| HI | $8.93 | 1 |
| IA | $7.16 | 1 |
| ID | $7.23 | 1 |
| IL | $7.54–$8.49 | 4 |
| IN | $7.28 | 1 |
| KS | $7.11 | 1 |
| KY | $7.14 | 1 |
| LA | $7.12–$7.61 | 2 |
| MA | $8.36–$9.47 | 2 |
| MD | $8.08–$9.42 | 3 |
| ME | $7.28–$7.82 | 2 |
| MI | $7.39–$7.98 | 2 |
| MN | $8.00 | 1 |
| MO | $6.95–$7.65 | 3 |
| MS | $6.86 | 1 |
| MT | $8.02 | 1 |
| NC | $7.38 | 1 |
| ND | $7.82 | 1 |
| NE | $7.22 | 1 |
| NH | $8.29 | 1 |
| NJ | $8.76–$9.27 | 2 |
| NM | $7.45 | 1 |
| NV | $7.97 | 1 |
| NY | $7.53–$9.75 | 5 |
| OH | $7.35 | 1 |
| OK | $7.12 | 1 |
| OR | $7.89–$8.78 | 2 |
| PA | $7.37–$8.40 | 2 |
| PR | $8.10 | 1 |
| RI | $8.23 | 1 |
| SC | $7.38 | 1 |
| SD | $7.79 | 1 |
| TN | $7.16 | 1 |
| TX | $7.30–$8.42 | 8 |
| UT | $7.52 | 1 |
| VA | $7.79–$9.42 | 2 |
| VI | $8.10 | 1 |
| VT | $7.77 | 1 |
| WA | $8.34–$9.70 | 2 |
| WI | $7.46 | 1 |
| WV | $7.15 | 1 |
| WY | $7.93 | 1 |
How the 93041 rate is calculated
Each of 93041’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 · 93041
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.23
0.23 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.2400
Conversion factor
$33.4009
Medicare rate
$8.02
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Carolina inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,947
- Code
- 93041
- Physician work
- 0.00
- Practice expense
- 0.23
- Malpractice
- 0.01
GPCI2026.csv
83
- Locality
- North Carolina
- Physician work
- 1.000
- Practice expense
- 0.933
- Malpractice
- 0.639
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.23 | × 0.933 | 0.2146 |
| Malpractice | 0.01 | × 0.639 | 0.0064 |
| Total RVUs | 0.2210 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$7.38
Office: (0 × 1 + 0.23 × 0.933 + 0.01 × 0.639) × $33.4009 = $7.38
Payment rules and modifiers for 93041
The CMS indicators that decide how 93041 is paid alongside other services.
CMS payment indicators · 93041
Rhythm ECG, tracing only, 1–3 leads
| 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 93041 has changed in North Carolina
93041 · Office / nonfacility
$7.38
Effective 2026-10-01
The base rate is $1.47 higher than on 2025-10-01, moving from $5.91 to $7.38 (24.9%).
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
$5.91changed to$7.38
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.19 changed to 0.23
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.665 changed to 0.639
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$5.77changed to$5.91
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.18 changed to 0.19
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$5.68changed to$5.77
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$5.59changed to$5.68
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.17 changed to 0.18
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$5.42changed to$5.59
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.16 changed to 0.17
- Practice expense GPCI 0.928 changed to 0.927
- Malpractice GPCI 0.819 changed to 0.742
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$5.47changed to$5.42
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$5.31changed to$5.47
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.15 changed to 0.16
- Practice expense GPCI 0.930 changed to 0.928
- Malpractice GPCI 0.757 changed to 0.819
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$5.28changed to$5.31
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.931 changed to 0.930
- Malpractice GPCI 0.695 changed to 0.757
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$5.28changed to$5.28
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$5.27changed to$5.28
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.732 changed to 0.695
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$5.27changed to$5.27
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.930 changed to 0.931
- Malpractice GPCI 0.768 changed to 0.732
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$5.29changed to$5.27
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$5.26changed to$5.29
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$5.25changed to$5.26
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$5.60changed to$5.25
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.17 changed to 0.15
- Practice expense GPCI 0.927 changed to 0.929
- Malpractice GPCI 0.695 changed to 0.732
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $5.60
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $7.38 | Not available in this setting | RVU26D |
| 2026-07-01 | $7.38 | Not available in this setting | RVU26C |
| 2026-04-01 | $7.38 | Not available in this setting | RVU26B |
| 2026-01-01 | $7.38 | Not available in this setting | RVU26A |
| 2025-10-01 | $5.91 | Not available in this setting | RVU25D |
| 2025-07-01 | $5.91 | Not available in this setting | RVU25C |
| 2025-04-01 | $5.91 | Not available in this setting | RVU25B |
| 2025-01-01 | $5.91 | Not available in this setting | RVU25A |
| 2024-10-01 | $5.77 | Not available in this setting | RVU24D |
| 2024-07-01 | $5.77 | Not available in this setting | RVU24C |
| 2024-04-01 | $5.77 | Not available in this setting | RVU24B |
| 2024-03-09 | $5.77 | Not available in this setting | RVU24AR |
| 2024-01-01 | $5.68 | Not available in this setting | RVU24A |
| 2023-10-01 | $5.59 | Not available in this setting | RVU23D |
| 2023-07-01 | $5.59 | Not available in this setting | RVU23C |
| 2023-04-01 | $5.59 | Not available in this setting | RVU23B |
| 2023-01-01 | $5.59 | Not available in this setting | RVU23A |
| 2022-10-01 | $5.42 | Not available in this setting | RVU22D |
| 2022-07-01 | $5.42 | Not available in this setting | RVU22C |
| 2022-04-01 | $5.42 | Not available in this setting | RVU22B |
| 2022-01-01 | $5.42 | Not available in this setting | RVU22A |
| 2021-10-01 | $5.47 | Not available in this setting | RVU21D |
| 2021-07-01 | $5.47 | Not available in this setting | RVU21C |
| 2021-04-01 | $5.47 | Not available in this setting | RVU21B |
| 2021-01-01 | $5.47 | Not available in this setting | RVU21A |
| 2020-10-01 | $5.31 | Not available in this setting | RVU20D |
| 2020-07-01 | $5.31 | Not available in this setting | RVU20C |
| 2020-04-01 | $5.31 | Not available in this setting | RVU20B |
| 2020-01-01 | $5.31 | Not available in this setting | RVU20A |
| 2019-10-01 | $5.28 | Not available in this setting | RVU19D |
| 2019-07-01 | $5.28 | Not available in this setting | RVU19C |
| 2019-04-01 | $5.28 | Not available in this setting | RVU19B |
| 2019-01-01 | $5.28 | Not available in this setting | RVU19A |
| 2018-10-01 | $5.28 | Not available in this setting | RVU18D |
| 2018-07-01 | $5.28 | Not available in this setting | RVU18C |
| 2018-04-01 | $5.28 | Not available in this setting | RVU18B |
| 2018-01-01 | $5.28 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $5.27 | Not available in this setting | RVU17D |
| 2017-07-01 | $5.27 | Not available in this setting | RVU17C |
| 2017-04-01 | $5.27 | Not available in this setting | RVU17B |
| 2017-01-01 | $5.27 | Not available in this setting | RVU17A |
| 2016-10-01 | $5.27 | Not available in this setting | RVU16D |
| 2016-07-01 | $5.27 | Not available in this setting | RVU16C |
| 2016-04-01 | $5.27 | Not available in this setting | RVU16B |
| 2016-01-01 | $5.27 | Not available in this setting | RVU16A |
| 2015-10-01 | $5.29 | Not available in this setting | RVU15D |
| 2015-07-01 | $5.29 | Not available in this setting | RVU15C |
| 2015-04-01 | $5.26 | Not available in this setting | RVU15B |
| 2015-01-01 | $5.26 | Not available in this setting | RVU15A |
| 2014-10-01 | $5.25 | Not available in this setting | RVU14D |
| 2014-07-01 | $5.25 | Not available in this setting | RVU14C |
| 2014-04-01 | $5.25 | Not available in this setting | RVU14B |
| 2014-01-01 | $5.25 | Not available in this setting | RVU14A |
| 2013-10-01 | $5.60 | Not available in this setting | RVU13D |
| 2013-07-01 | $5.60 | Not available in this setting | RVU13C |
| 2013-04-01 | $5.60 | Not available in this setting | RVU13B |
| 2013-01-01 | $5.60 | Not available in this setting | RVU13AR |
Where the North Carolina rate applies
North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Advance
- Ahoskie
- Alamance
- Albemarle
- Alexis
- Alliance
- Altamahaw
93041 billing questions
How is 93041 different from 93005?
93041 is for a limited-lead rhythm strip using one to three leads. 93005 is the tracing-only service for a standard 12-lead ECG.
Does 93041 include interpretation?
No. It covers obtaining the tracing only; a separately performed and documented interpretation and report may be represented by 93042.
When would 93040 be used instead?
93040 represents a limited-lead rhythm ECG that includes interpretation and a report. It can be used instead of separately reporting the tracing and interpretation components when the complete service is performed.
What documentation supports reporting 93041?
Document the clinical reason for the rhythm strip and that a one-to-three-lead tracing was obtained. The code does not represent a reading or report.
Can the technical service be reduced when other cardiac tests are billed?
Medicare’s cardiovascular diagnostic multiple procedure reduction applies to the technical component. The adjustment therefore affects the technical payment for 93041 when the reduction applies.
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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