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

Reports technical recording of a continuous ambulatory ECG for up to 48 hours, such as when evaluating intermittent palpitations or other suspected rhythm abnormalities.

CMS RVU26DEffective Oct 1, 2026One payment locality44K Medicare services in 2024

In Queens, NY, Medicare pays $21.41 for 93225 in the office.

$21.41Office (non-facility)
Not available in this settingHospital or facility
+18.7%vs the national office rate ($18.04)

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.

We’ll open 93225 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Queens, NY
  2. What 93225 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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 Queens, NY 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. Queens, NY pays $21.41. The RVUs are the same everywhere; the geographic indexes change the dollars.

93225 in Queens, NY vs other payment areas
  1. Queens, NY · this page$21.41
  2. Manhattan, NY · New York$21.10−$0.31
  3. NYC suburbs and Long Island, NY · New York$21.67+$0.26
  4. Rest of New York · New York$17.05−$4.36
  5. Los Angeles, CA · California$21.16−$0.25
  6. Washington, DC area · District of Columbia$21.23−$0.18

Other areas in New York first, then benchmark localities. Bars start at $0.

Every other payment area

93225 in every other Medicare payment locality
Payment localityOfficeFacility
Miami, FLFlorida$19.27—
Chicago, ILIllinois$18.56—
AlaskaAlaska$19.04—
AlabamaAlabama$15.68—
ArkansasArkansas$15.38—
ArizonaArizona$17.44—
Bakersfield, CACalifornia$19.61—
Chico, CACalifornia$19.58—

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
93225 office rate range by state
State / territoryOffice rate rangeLocalities
AK$19.041
AL$15.681
AR$15.381
AZ$17.441
CA$19.58–$25.7129
CO$19.101
CT$19.471
DC$21.231
DE$17.791
FL$17.43–$19.273
GA$16.19–$18.392
GU$20.321
HI$20.321
IA$16.331
ID$16.441
IL$16.68–$18.774
IN$16.571
KS$16.171
KY$16.041
LA$15.99–$17.042
MA$18.91–$21.432
MD$18.22–$21.233
ME$16.49–$17.752
MI$16.54–$17.652
MN$18.311
MO$15.58–$17.193
MS$15.491
MT$18.041
NC$16.731
ND$17.841
NE$16.471
NH$18.721
NJ$19.70–$20.892
NM$16.631
NV$18.001
NY$17.05–$21.675
OH$16.501
OK$16.071
OR$17.87–$19.922
PA$16.57–$18.832
PR$18.231
RI$18.581
SC$16.641
SD$17.811
TN$16.271
TX$16.42–$19.038
UT$16.941
VA$17.64–$21.232
VI$18.231
VT$17.691
WA$18.89–$21.992
WI$17.061
WV$15.861
WY$17.951

See 93225 in every payment locality

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

Office or facility?

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 Queens, NY 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

81

Locality
Queens, NY
Physician work
1.064
Practice expense
1.182
Malpractice
1.442
Office calculation for 93225 in Queens, NY
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0640.0000
Practice expense0.53× 1.1820.6265
Malpractice0.01× 1.4420.0144
Total RVUs0.6409
Conversion factor× 33.4009

Office rate, Queens, NY$21.41

Office: (0 × 1.064 + 0.53 × 1.182 + 0.01 × 1.442) × $33.4009 = $21.41

Open 93225 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

How 93225 has changed in Queens, NY

93225 · Office / nonfacility

$21.41

Effective 2026-10-01

The base rate is $0.45 higher than on 2025-10-01, moving from $20.96 to $21.41 (2.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $20.96changed to$21.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work GPCI 1.065 changed to 1.064
    • Practice expense GPCI 1.195 changed to 1.182
    • Malpractice GPCI 1.462 changed to 1.442

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $21.97changed to$20.96

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.54 changed to 0.53

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $21.61changed to$21.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $22.88changed to$21.61

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.061 changed to 1.065
    • Practice expense GPCI 1.212 changed to 1.195
    • Malpractice GPCI 2.061 changed to 1.462
  5. January 1, 2023

    RVU23A

    $24.72changed to$22.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.56 changed to 0.54
    • Work GPCI 1.056 changed to 1.061
    • Practice expense GPCI 1.228 changed to 1.212
    • Malpractice GPCI 2.661 changed to 2.061

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $25.35changed to$24.72

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.57 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $31.97changed to$25.35

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.71 changed to 0.57
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.214 changed to 1.228
    • Malpractice GPCI 2.391 changed to 2.661

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $31.90changed to$31.97

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.72 changed to 0.71
    • Work GPCI 1.052 changed to 1.054
    • Practice expense GPCI 1.200 changed to 1.214
    • Malpractice GPCI 2.121 changed to 2.391

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $32.73changed to$31.90

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.74 changed to 0.72

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $32.64changed to$32.73

    • Conversion factor 35.8887 changed to 35.9996
    • Malpractice GPCI 2.151 changed to 2.121

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $32.55changed to$32.64

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.199 changed to 1.200
    • Malpractice GPCI 2.181 changed to 2.151

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $33.10changed to$32.55

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.75 changed to 0.74

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $32.93changed to$33.10

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $32.39changed to$32.93

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.74 changed to 0.75
    • Work GPCI 1.057 changed to 1.052
    • Practice expense GPCI 1.197 changed to 1.199
    • Malpractice GPCI 1.836 changed to 2.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $33.85changed to$32.39

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.82 changed to 0.74
    • Work GPCI 1.062 changed to 1.057
    • Practice expense GPCI 1.195 changed to 1.197
    • Malpractice GPCI 1.491 changed to 1.836

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $33.85

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$21.41Not available in this settingRVU26D
2026-07-01$21.41Not available in this settingRVU26C
2026-04-01$21.41Not available in this settingRVU26B
2026-01-01$21.41Not available in this settingRVU26A
2025-10-01$20.96Not available in this settingRVU25D
2025-07-01$20.96Not available in this settingRVU25C
2025-04-01$20.96Not available in this settingRVU25B
2025-01-01$20.96Not available in this settingRVU25A
2024-10-01$21.97Not available in this settingRVU24D
2024-07-01$21.97Not available in this settingRVU24C
2024-04-01$21.97Not available in this settingRVU24B
2024-03-09$21.97Not available in this settingRVU24AR
2024-01-01$21.61Not available in this settingRVU24A
2023-10-01$22.88Not available in this settingRVU23D
2023-07-01$22.88Not available in this settingRVU23C
2023-04-01$22.88Not available in this settingRVU23B
2023-01-01$22.88Not available in this settingRVU23A
2022-10-01$24.72Not available in this settingRVU22D
2022-07-01$24.72Not available in this settingRVU22C
2022-04-01$24.72Not available in this settingRVU22B
2022-01-01$24.72Not available in this settingRVU22A
2021-10-01$25.35Not available in this settingRVU21D
2021-07-01$25.35Not available in this settingRVU21C
2021-04-01$25.35Not available in this settingRVU21B
2021-01-01$25.35Not available in this settingRVU21A
2020-10-01$31.97Not available in this settingRVU20D
2020-07-01$31.97Not available in this settingRVU20C
2020-04-01$31.97Not available in this settingRVU20B
2020-01-01$31.97Not available in this settingRVU20A
2019-10-01$31.90Not available in this settingRVU19D
2019-07-01$31.90Not available in this settingRVU19C
2019-04-01$31.90Not available in this settingRVU19B
2019-01-01$31.90Not available in this settingRVU19A
2018-10-01$32.73Not available in this settingRVU18D
2018-07-01$32.73Not available in this settingRVU18C
2018-04-01$32.73Not available in this settingRVU18B
2018-01-01$32.73Not available in this settingRVU18AR1
2017-10-01$32.64Not available in this settingRVU17D
2017-07-01$32.64Not available in this settingRVU17C
2017-04-01$32.64Not available in this settingRVU17B
2017-01-01$32.64Not available in this settingRVU17A
2016-10-01$32.55Not available in this settingRVU16D
2016-07-01$32.55Not available in this settingRVU16C
2016-04-01$32.55Not available in this settingRVU16B
2016-01-01$32.55Not available in this settingRVU16A
2015-10-01$33.10Not available in this settingRVU15D
2015-07-01$33.10Not available in this settingRVU15C
2015-04-01$32.93Not available in this settingRVU15B
2015-01-01$32.93Not available in this settingRVU15A
2014-10-01$32.39Not available in this settingRVU14D
2014-07-01$32.39Not available in this settingRVU14C
2014-04-01$32.39Not available in this settingRVU14B
2014-01-01$32.39Not available in this settingRVU14A
2013-10-01$33.85Not available in this settingRVU13D
2013-07-01$33.85Not available in this settingRVU13C
2013-04-01$33.85Not available in this settingRVU13B
2013-01-01$33.85Not available in this settingRVU13AR

Price 93225 for an earlier date of service

Where the Queens, NY rate applies

Queens, NY is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in New York. Some span more than one payment area; confirm with the service ZIP.

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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
RVUs for 93225PPRRVU2026_Oct_nonQPP.csv, line 11,959 (RVU26D)
Geographic factors for Queens, NYGPCI2026.csv, line 81 (RVU26D)

Open CMS sourceHow we calculate rates

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