CPT code 93225: ECG recording, recording only, up to 48 hours2026 Medicare rate & RVUs in Delaware
Reports technical recording of a continuous ambulatory ECG for up to 48 hours, such as when evaluating intermittent palpitations or other suspected rhythm abnormalities.
In Delaware, Medicare pays $17.79 for 93225 in the office.
Check a contract rate as a % of Medicare · 93225 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 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.
How Delaware compares for 93225
Across 109 of 109 payment localities, the office rate for 93225 runs from $15.38 in Arkansas to $25.71 in San Benito County, CA. Delaware pays $17.79. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$17.79
- Los Angeles, CA · California$21.16+$3.37
- Washington, DC area · District of Columbia$21.23+$3.44
- Miami, FL · Florida$19.27+$1.48
- Chicago, IL · Illinois$18.56+$0.77
- Manhattan, NY · New York$21.10+$3.31
- Alaska · Alaska$19.04+$1.25
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $15.68 | — |
| ArkansasArkansas | $15.38 | — |
| ArizonaArizona | $17.44 | — |
| Bakersfield, CACalifornia | $19.61 | — |
| Chico, CACalifornia | $19.58 | — |
| El Centro, CACalifornia | $19.58 | — |
| Fresno, CACalifornia | $19.58 | — |
| Hanford, CACalifornia | $19.58 | — |
| Madera, CACalifornia | $19.58 | — |
| Merced, CACalifornia | $19.58 | — |
| Modesto, CACalifornia | $19.58 | — |
| Napa, CACalifornia | $23.50 | — |
| Oxnard, CACalifornia | $21.13 | — |
| Redding, CACalifornia | $19.58 | — |
| Rest of CaliforniaCalifornia | $19.58 | — |
| Riverside, CACalifornia | $19.69 | — |
| Sacramento, CACalifornia | $20.77 | — |
| Salinas, CACalifornia | $20.70 | — |
| San Diego, CACalifornia | $21.35 | — |
| Marin County, CACalifornia | $25.11 | — |
| San Francisco, CACalifornia | $25.10 | — |
| San Benito County, CACalifornia | $25.71 | — |
| Santa Clara County, CACalifornia | $25.66 | — |
| San Luis Obispo, CACalifornia | $20.34 | — |
| Santa Cruz, CACalifornia | $21.69 | — |
| Santa Maria, CACalifornia | $20.82 | — |
| Santa Rosa, CACalifornia | $21.92 | — |
| Stockton, CACalifornia | $19.58 | — |
| Vallejo, CACalifornia | $23.49 | — |
| Visalia, CACalifornia | $19.58 | — |
| Yuba City, CACalifornia | $19.58 | — |
| ColoradoColorado | $19.10 | — |
| ConnecticutConnecticut | $19.47 | — |
| Fort Lauderdale, FLFlorida | $18.54 | — |
| Rest of FloridaFlorida | $17.43 | — |
| Atlanta, GAGeorgia | $18.39 | — |
| Rest of GeorgiaGeorgia | $16.19 | — |
| Hawaii, Guam, HIHawaii | $20.32 | — |
| IowaIowa | $16.33 | — |
| IdahoIdaho | $16.44 | — |
| East St. Louis, ILIllinois | $16.96 | — |
| Rest of IllinoisIllinois | $16.68 | — |
| Suburban Chicago, ILIllinois | $18.77 | — |
| IndianaIndiana | $16.57 | — |
| KansasKansas | $16.17 | — |
| KentuckyKentucky | $16.04 | — |
| New Orleans, LALouisiana | $17.04 | — |
| Rest of LouisianaLouisiana | $15.99 | — |
| Metropolitan Boston, MAMassachusetts | $21.43 | — |
| Rest of MassachusettsMassachusetts | $18.91 | — |
| Baltimore area, MDMaryland | $19.41 | — |
| Rest of MarylandMaryland | $18.22 | — |
| Rest of MaineMaine | $16.49 | — |
| Southern Maine, MEMaine | $17.75 | — |
| Detroit, MIMichigan | $17.65 | — |
| Rest of MichiganMichigan | $16.54 | — |
| MinnesotaMinnesota | $18.31 | — |
| Metropolitan Kansas City, MOMissouri | $16.95 | — |
| Metropolitan St. Louis, MOMissouri | $17.19 | — |
| Rest of MissouriMissouri | $15.58 | — |
| MississippiMississippi | $15.49 | — |
| MontanaMontana | $18.04 | — |
| North CarolinaNorth Carolina | $16.73 | — |
| North DakotaNorth Dakota | $17.84 | — |
| NebraskaNebraska | $16.47 | — |
| New HampshireNew Hampshire | $18.72 | — |
| Northern New JerseyNew Jersey | $20.89 | — |
| Rest of New JerseyNew Jersey | $19.70 | — |
| New MexicoNew Mexico | $16.63 | — |
| NevadaNevada | $18.00 | — |
| NYC suburbs and Long Island, NYNew York | $21.67 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $19.79 | — |
| Queens, NYNew York | $21.41 | — |
| Rest of New YorkNew York | $17.05 | — |
| OhioOhio | $16.50 | — |
| OklahomaOklahoma | $16.07 | — |
| Portland, OROregon | $19.92 | — |
| Rest of OregonOregon | $17.87 | — |
| Metropolitan Philadelphia, PAPennsylvania | $18.83 | — |
| Rest of PennsylvaniaPennsylvania | $16.57 | — |
| Puerto RicoPuerto Rico | $18.23 | — |
| Rhode IslandRhode Island | $18.58 | — |
| South CarolinaSouth Carolina | $16.64 | — |
| South DakotaSouth Dakota | $17.81 | — |
| TennesseeTennessee | $16.27 | — |
| Austin, TXTexas | $19.03 | — |
| Beaumont, TXTexas | $16.42 | — |
| Brazoria, TXTexas | $17.80 | — |
| Dallas, TXTexas | $17.92 | — |
| Fort Worth, TXTexas | $17.75 | — |
| Galveston, TXTexas | $17.86 | — |
| Houston, TXTexas | $18.04 | — |
| Rest of TexasTexas | $17.10 | — |
| UtahUtah | $16.94 | — |
| VirginiaVirginia | $17.64 | — |
| Virgin Islands, VIUnited States Virgin Islands | $18.23 | — |
| VermontVermont | $17.69 | — |
| Rest of WashingtonWashington | $18.89 | — |
| King County, WAWashington | $21.99 | — |
| WisconsinWisconsin | $17.06 | — |
| West VirginiaWest Virginia | $15.86 | — |
| WyomingWyoming | $17.95 | — |
93225 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.
$15.38
$22.65
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 | $19.04 | 1 |
| AL | $15.68 | 1 |
| AR | $15.38 | 1 |
| AZ | $17.44 | 1 |
| CA | $19.58–$25.71 | 29 |
| CO | $19.10 | 1 |
| CT | $19.47 | 1 |
| DC | $21.23 | 1 |
| DE | $17.79 | 1 |
| FL | $17.43–$19.27 | 3 |
| GA | $16.19–$18.39 | 2 |
| GU | $20.32 | 1 |
| HI | $20.32 | 1 |
| IA | $16.33 | 1 |
| ID | $16.44 | 1 |
| IL | $16.68–$18.77 | 4 |
| IN | $16.57 | 1 |
| KS | $16.17 | 1 |
| KY | $16.04 | 1 |
| LA | $15.99–$17.04 | 2 |
| MA | $18.91–$21.43 | 2 |
| MD | $18.22–$21.23 | 3 |
| ME | $16.49–$17.75 | 2 |
| MI | $16.54–$17.65 | 2 |
| MN | $18.31 | 1 |
| MO | $15.58–$17.19 | 3 |
| MS | $15.49 | 1 |
| MT | $18.04 | 1 |
| NC | $16.73 | 1 |
| ND | $17.84 | 1 |
| NE | $16.47 | 1 |
| NH | $18.72 | 1 |
| NJ | $19.70–$20.89 | 2 |
| NM | $16.63 | 1 |
| NV | $18.00 | 1 |
| NY | $17.05–$21.67 | 5 |
| OH | $16.50 | 1 |
| OK | $16.07 | 1 |
| OR | $17.87–$19.92 | 2 |
| PA | $16.57–$18.83 | 2 |
| PR | $18.23 | 1 |
| RI | $18.58 | 1 |
| SC | $16.64 | 1 |
| SD | $17.81 | 1 |
| TN | $16.27 | 1 |
| TX | $16.42–$19.03 | 8 |
| UT | $16.94 | 1 |
| VA | $17.64–$21.23 | 2 |
| VI | $18.23 | 1 |
| VT | $17.69 | 1 |
| WA | $18.89–$21.99 | 2 |
| WI | $17.06 | 1 |
| WV | $15.86 | 1 |
| WY | $17.95 | 1 |
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.
How the rate is built · 93225
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.53
0.53 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.5400
Conversion factor
$33.4009
Medicare rate
$18.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,959
- Code
- 93225
- Physician work
- 0.00
- Practice expense
- 0.53
- Malpractice
- 0.01
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.005 | 0.0000 |
| Practice expense | 0.53 | × 0.988 | 0.5236 |
| Malpractice | 0.01 | × 0.899 | 0.0090 |
| Total RVUs | 0.5326 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Delaware$17.79
Office: (0 × 1.005 + 0.53 × 0.988 + 0.01 × 0.899) × $33.4009 = $17.79
Payment rules and modifiers for 93225
The CMS indicators that decide how 93225 is paid alongside other services.
CMS payment indicators · 93225
ECG recording, recording only, up to 48 hours
| 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 93225 has changed in Delaware
93225 · Office / nonfacility
$17.79
Effective 2026-10-01
The base rate is $0.48 higher than on 2025-10-01, moving from $17.31 to $17.79 (2.8%).
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
$17.31changed to$17.79
- Conversion factor 32.3465 changed to 33.4009
- Work GPCI 1.009 changed to 1.005
- Practice expense GPCI 0.992 changed to 0.988
- Malpractice GPCI 0.949 changed to 0.899
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$18.15changed to$17.31
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.54 changed to 0.53
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$17.85changed to$18.15
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$18.75changed to$17.85
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.007 changed to 1.009
- Practice expense GPCI 1.007 changed to 0.992
- Malpractice GPCI 0.938 changed to 0.949
January 1, 2023
RVU23A
$20.13changed to$18.75
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.56 changed to 0.54
- Work GPCI 1.005 changed to 1.007
- Practice expense GPCI 1.022 changed to 1.007
- Malpractice GPCI 0.927 changed to 0.938
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$20.65changed to$20.13
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.57 changed to 0.56
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$26.53changed to$20.65
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.71 changed to 0.57
- Work GPCI 1.006 changed to 1.005
- Practice expense GPCI 1.021 changed to 1.022
- Malpractice GPCI 1.023 changed to 0.927
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$26.84changed to$26.53
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.72 changed to 0.71
- Work GPCI 1.007 changed to 1.006
- Practice expense GPCI 1.019 changed to 1.021
- Malpractice GPCI 1.119 changed to 1.023
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$27.55changed to$26.84
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.74 changed to 0.72
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$27.62changed to$27.55
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.010 changed to 1.007
- Practice expense GPCI 1.025 changed to 1.019
- Malpractice GPCI 1.101 changed to 1.119
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$27.70changed to$27.62
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.012 changed to 1.010
- Practice expense GPCI 1.031 changed to 1.025
- Malpractice GPCI 1.083 changed to 1.101
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$28.17changed to$27.70
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.75 changed to 0.74
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$28.03changed to$28.17
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$27.83changed to$28.03
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.74 changed to 0.75
- Practice expense GPCI 1.038 changed to 1.031
- Malpractice GPCI 0.878 changed to 1.083
Held through RVU15B.
January 1, 2014
RVU14A
$29.36changed to$27.83
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.82 changed to 0.74
- Practice expense GPCI 1.044 changed to 1.038
- Malpractice GPCI 0.672 changed to 0.878
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $29.36
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $17.79 | Not available in this setting | RVU26D |
| 2026-07-01 | $17.79 | Not available in this setting | RVU26C |
| 2026-04-01 | $17.79 | Not available in this setting | RVU26B |
| 2026-01-01 | $17.79 | Not available in this setting | RVU26A |
| 2025-10-01 | $17.31 | Not available in this setting | RVU25D |
| 2025-07-01 | $17.31 | Not available in this setting | RVU25C |
| 2025-04-01 | $17.31 | Not available in this setting | RVU25B |
| 2025-01-01 | $17.31 | Not available in this setting | RVU25A |
| 2024-10-01 | $18.15 | Not available in this setting | RVU24D |
| 2024-07-01 | $18.15 | Not available in this setting | RVU24C |
| 2024-04-01 | $18.15 | Not available in this setting | RVU24B |
| 2024-03-09 | $18.15 | Not available in this setting | RVU24AR |
| 2024-01-01 | $17.85 | Not available in this setting | RVU24A |
| 2023-10-01 | $18.75 | Not available in this setting | RVU23D |
| 2023-07-01 | $18.75 | Not available in this setting | RVU23C |
| 2023-04-01 | $18.75 | Not available in this setting | RVU23B |
| 2023-01-01 | $18.75 | Not available in this setting | RVU23A |
| 2022-10-01 | $20.13 | Not available in this setting | RVU22D |
| 2022-07-01 | $20.13 | Not available in this setting | RVU22C |
| 2022-04-01 | $20.13 | Not available in this setting | RVU22B |
| 2022-01-01 | $20.13 | Not available in this setting | RVU22A |
| 2021-10-01 | $20.65 | Not available in this setting | RVU21D |
| 2021-07-01 | $20.65 | Not available in this setting | RVU21C |
| 2021-04-01 | $20.65 | Not available in this setting | RVU21B |
| 2021-01-01 | $20.65 | Not available in this setting | RVU21A |
| 2020-10-01 | $26.53 | Not available in this setting | RVU20D |
| 2020-07-01 | $26.53 | Not available in this setting | RVU20C |
| 2020-04-01 | $26.53 | Not available in this setting | RVU20B |
| 2020-01-01 | $26.53 | Not available in this setting | RVU20A |
| 2019-10-01 | $26.84 | Not available in this setting | RVU19D |
| 2019-07-01 | $26.84 | Not available in this setting | RVU19C |
| 2019-04-01 | $26.84 | Not available in this setting | RVU19B |
| 2019-01-01 | $26.84 | Not available in this setting | RVU19A |
| 2018-10-01 | $27.55 | Not available in this setting | RVU18D |
| 2018-07-01 | $27.55 | Not available in this setting | RVU18C |
| 2018-04-01 | $27.55 | Not available in this setting | RVU18B |
| 2018-01-01 | $27.55 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $27.62 | Not available in this setting | RVU17D |
| 2017-07-01 | $27.62 | Not available in this setting | RVU17C |
| 2017-04-01 | $27.62 | Not available in this setting | RVU17B |
| 2017-01-01 | $27.62 | Not available in this setting | RVU17A |
| 2016-10-01 | $27.70 | Not available in this setting | RVU16D |
| 2016-07-01 | $27.70 | Not available in this setting | RVU16C |
| 2016-04-01 | $27.70 | Not available in this setting | RVU16B |
| 2016-01-01 | $27.70 | Not available in this setting | RVU16A |
| 2015-10-01 | $28.17 | Not available in this setting | RVU15D |
| 2015-07-01 | $28.17 | Not available in this setting | RVU15C |
| 2015-04-01 | $28.03 | Not available in this setting | RVU15B |
| 2015-01-01 | $28.03 | Not available in this setting | RVU15A |
| 2014-10-01 | $27.83 | Not available in this setting | RVU14D |
| 2014-07-01 | $27.83 | Not available in this setting | RVU14C |
| 2014-04-01 | $27.83 | Not available in this setting | RVU14B |
| 2014-01-01 | $27.83 | Not available in this setting | RVU14A |
| 2013-10-01 | $29.36 | Not available in this setting | RVU13D |
| 2013-07-01 | $29.36 | Not available in this setting | RVU13C |
| 2013-04-01 | $29.36 | Not available in this setting | RVU13B |
| 2013-01-01 | $29.36 | Not available in this setting | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
93225 billing questions
When should 93225 be used instead of 93224?
Use 93225 when reporting the recording component alone. Code 93224 represents the complete service, including recording, scanning and analysis, and interpretation.
Does 93225 include scanning or interpretation?
No. Scanning and analysis are separately represented by 93226, and physician review, interpretation, and report by 93227.
Can 93225 be billed with 93226 and 93227?
The component codes may be reported separately when the corresponding recording, scanning, and interpretation services are furnished and billed as separate components. Do not also report 93224 for the same complete service.
Should modifier 26 or TC be appended?
93225 represents the technical recording service; a separate code covers interpretation. It is not the professional interpretation portion of the study.
What if the ECG recording lasts longer than 48 hours?
For recording longer than 48 hours and up to 7 days, compare the service with the longer-duration code set, including recording code 93242.
How does Medicare's multiple procedure reduction affect 93225?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component, which is the service represented by 93225.
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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