CPT code 93225: ECG recording, recording only, up to 48 hours2026 Medicare rate & RVUs

Medicare pays $18.04 for 93225 nationally in the office. Local office rates run $15.38–$25.71.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 93225 covers

This code covers the technical work of capturing an ambulatory electrocardiogram for up to 48 hours, commonly with a Holter monitor worn during usual daily activities. Clinical teams use this type of recording to document intermittent symptoms such as palpitations or suspected rhythm disturbances that may not appear on a brief in-office ECG. Technical staff typically place the electrodes and monitor, provide instructions, and collect the recording in an outpatient setting.

Report 93225 for recording only; it does not include scanning and analysis or physician review, interpretation, and report. Those services have separate codes, 93226 and 93227, or the complete service may be reported with 93224 when the same billing entity furnishes all components. Documentation should support the clinical reason for monitoring and the recording period. This is a technical-component-only code, and the separate interpretation code represents the professional service. Medicare’s cardiovascular diagnostic multiple procedure reduction applies 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 93225 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93225 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 93225 rate is calculated

Each of 93225’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.

Payment rules and modifiers for 93225

The CMS indicators that decide how 93225 is paid alongside other services.

93225 compared with similar codes

How to choose

93224Holter monitoringUp to 48 hours

93224 covers the complete recording, scanning and analysis, and interpretation service. Use 93225 when reporting the recording component alone.

93226Holter analysisLess than 48 hours

93226 represents scanning and analysis of the recording; 93225 represents capturing the ECG data.

93227Holter interpretationUnder 48 hours

93227 represents physician review, interpretation, and report. It is distinct from the technical recording service reported with 93225.

93242Ambulatory ECG recordingMore than 48 hours, under 7 days

93242 is the recording component for monitoring longer than 48 hours and up to 7 days; 93225 is for recording up to 48 hours.

Codes related to 93225

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates