CPT code 93226: Holter analysis, less than 48 hours2026 Medicare rate & RVUs in North Carolina
Report this technical service for scanning and analysis of continuous ambulatory ECG data recorded for less than 48 hours, with a prepared report.
In North Carolina, Medicare pays $32.31 for 93226 in the office.
Check a contract rate as a % of Medicare · 93226 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 93226 covers
This service covers the technical analysis of continuous ambulatory ECG data from a short-term monitor, including scanning the recording and preparing an analysis report. Cardiac monitoring staff or other qualified technical personnel commonly perform the work in a cardiology practice or diagnostic testing facility. The data may be reviewed for rhythm events such as pauses or suspected arrhythmias; this code covers the scan and report, not the physician’s separate interpretation.
Select this code for the scanning-and-report portion when the continuous recording lasts less than 48 hours. Keep documentation of the recording period, analysis performed, and resulting report. Code 93225 represents recording, while 93227 represents physician review and interpretation; 93224 combines the service components. This is a technical-component-only code, and CMS applies the cardiovascular diagnostic multiple procedure reduction to its technical component when applicable.
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 93226
Across 109 of 109 payment localities, the office rate for 93226 runs from $29.72 in Arkansas to $49.79 in San Benito County, CA. North Carolina pays $32.31. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Carolina · this page$32.31
- Los Angeles, CA · California$40.92+$8.61
- Washington, DC area · District of Columbia$40.90+$8.59
- Miami, FL · Florida$36.66+$4.35
- Chicago, IL · Illinois$35.34+$3.03
- Manhattan, NY · New York$40.51+$8.20
- Alaska · Alaska$36.82+$4.51
Other areas in North Carolina first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $30.29 | — |
| ArkansasArkansas | $29.72 | — |
| ArizonaArizona | $33.62 | — |
| Bakersfield, CACalifornia | $37.91 | — |
| Chico, CACalifornia | $37.88 | — |
| El Centro, CACalifornia | $37.89 | — |
| Fresno, CACalifornia | $37.88 | — |
| Hanford, CACalifornia | $37.88 | — |
| Madera, CACalifornia | $37.88 | — |
| Merced, CACalifornia | $37.88 | — |
| Modesto, CACalifornia | $37.88 | — |
| Napa, CACalifornia | $45.51 | — |
| Oxnard, CACalifornia | $40.87 | — |
| Redding, CACalifornia | $37.88 | — |
| Rest of CaliforniaCalifornia | $37.88 | — |
| Riverside, CACalifornia | $37.99 | — |
| Sacramento, CACalifornia | $40.19 | — |
| Salinas, CACalifornia | $40.05 | — |
| San Diego, CACalifornia | $41.33 | — |
| Marin County, CACalifornia | $48.66 | — |
| San Francisco, CACalifornia | $48.65 | — |
| San Benito County, CACalifornia | $49.79 | — |
| Santa Clara County, CACalifornia | $49.74 | — |
| San Luis Obispo, CACalifornia | $39.36 | — |
| Santa Cruz, CACalifornia | $41.98 | — |
| Santa Maria, CACalifornia | $40.29 | — |
| Santa Rosa, CACalifornia | $42.43 | — |
| Stockton, CACalifornia | $37.88 | — |
| Vallejo, CACalifornia | $45.50 | — |
| Visalia, CACalifornia | $37.88 | — |
| Yuba City, CACalifornia | $37.88 | — |
| ColoradoColorado | $36.87 | — |
| ConnecticutConnecticut | $37.46 | — |
| DelawareDelaware | $34.29 | — |
| Fort Lauderdale, FLFlorida | $35.45 | — |
| Rest of FloridaFlorida | $33.39 | — |
| Atlanta, GAGeorgia | $35.35 | — |
| Rest of GeorgiaGeorgia | $31.09 | — |
| Hawaii, Guam, HIHawaii | $39.31 | — |
| IowaIowa | $31.61 | — |
| IdahoIdaho | $31.81 | — |
| East St. Louis, ILIllinois | $32.32 | — |
| Rest of IllinoisIllinois | $31.93 | — |
| Suburban Chicago, ILIllinois | $35.92 | — |
| IndianaIndiana | $32.05 | — |
| KansasKansas | $31.27 | — |
| KentuckyKentucky | $30.89 | — |
| New Orleans, LALouisiana | $32.75 | — |
| Rest of LouisianaLouisiana | $30.77 | — |
| Metropolitan Boston, MAMassachusetts | $41.37 | — |
| Rest of MassachusettsMassachusetts | $36.49 | — |
| Baltimore area, MDMaryland | $37.33 | — |
| Rest of MarylandMaryland | $35.12 | — |
| Rest of MaineMaine | $31.86 | — |
| Southern Maine, MEMaine | $34.30 | — |
| Detroit, MIMichigan | $33.76 | — |
| Rest of MichiganMichigan | $31.79 | — |
| MinnesotaMinnesota | $35.50 | — |
| Metropolitan Kansas City, MOMissouri | $32.63 | — |
| Metropolitan St. Louis, MOMissouri | $33.09 | — |
| Rest of MissouriMissouri | $29.98 | — |
| MississippiMississippi | $29.87 | — |
| MontanaMontana | $34.74 | — |
| North DakotaNorth Dakota | $34.54 | — |
| NebraskaNebraska | $31.88 | — |
| New HampshireNew Hampshire | $36.11 | — |
| Northern New JerseyNew Jersey | $40.26 | — |
| Rest of New JerseyNew Jersey | $37.93 | — |
| New MexicoNew Mexico | $31.95 | — |
| NevadaNevada | $34.72 | — |
| NYC suburbs and Long Island, NYNew York | $41.53 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $38.08 | — |
| Queens, NYNew York | $41.15 | — |
| Rest of New YorkNew York | $32.92 | — |
| OhioOhio | $31.75 | — |
| OklahomaOklahoma | $30.98 | — |
| Portland, OROregon | $38.47 | — |
| Rest of OregonOregon | $34.50 | — |
| Metropolitan Philadelphia, PAPennsylvania | $36.21 | — |
| Rest of PennsylvaniaPennsylvania | $31.90 | — |
| Puerto RicoPuerto Rico | $35.11 | — |
| Rhode IslandRhode Island | $35.84 | — |
| South CarolinaSouth Carolina | $32.07 | — |
| South DakotaSouth Dakota | $34.52 | — |
| TennesseeTennessee | $31.45 | — |
| Austin, TXTexas | $36.69 | — |
| Beaumont, TXTexas | $31.62 | — |
| Brazoria, TXTexas | $34.35 | — |
| Dallas, TXTexas | $34.55 | — |
| Fort Worth, TXTexas | $34.21 | — |
| Galveston, TXTexas | $34.44 | — |
| Houston, TXTexas | $34.62 | — |
| Rest of TexasTexas | $32.95 | — |
| UtahUtah | $32.64 | — |
| VirginiaVirginia | $34.05 | — |
| Virgin Islands, VIUnited States Virgin Islands | $35.11 | — |
| VermontVermont | $34.23 | — |
| Rest of WashingtonWashington | $36.48 | — |
| King County, WAWashington | $42.49 | — |
| WisconsinWisconsin | $33.06 | — |
| West VirginiaWest Virginia | $30.37 | — |
| WyomingWyoming | $34.65 | — |
93226 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.
$29.72
$43.84
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 | $36.82 | 1 |
| AL | $30.29 | 1 |
| AR | $29.72 | 1 |
| AZ | $33.62 | 1 |
| CA | $37.88–$49.79 | 29 |
| CO | $36.87 | 1 |
| CT | $37.46 | 1 |
| DC | $40.90 | 1 |
| DE | $34.29 | 1 |
| FL | $33.39–$36.66 | 3 |
| GA | $31.09–$35.35 | 2 |
| GU | $39.31 | 1 |
| HI | $39.31 | 1 |
| IA | $31.61 | 1 |
| ID | $31.81 | 1 |
| IL | $31.93–$35.92 | 4 |
| IN | $32.05 | 1 |
| KS | $31.27 | 1 |
| KY | $30.89 | 1 |
| LA | $30.77–$32.75 | 2 |
| MA | $36.49–$41.37 | 2 |
| MD | $35.12–$40.90 | 3 |
| ME | $31.86–$34.30 | 2 |
| MI | $31.79–$33.76 | 2 |
| MN | $35.50 | 1 |
| MO | $29.98–$33.09 | 3 |
| MS | $29.87 | 1 |
| MT | $34.74 | 1 |
| NC | $32.31 | 1 |
| ND | $34.54 | 1 |
| NE | $31.88 | 1 |
| NH | $36.11 | 1 |
| NJ | $37.93–$40.26 | 2 |
| NM | $31.95 | 1 |
| NV | $34.72 | 1 |
| NY | $32.92–$41.53 | 5 |
| OH | $31.75 | 1 |
| OK | $30.98 | 1 |
| OR | $34.50–$38.47 | 2 |
| PA | $31.90–$36.21 | 2 |
| PR | $35.11 | 1 |
| RI | $35.84 | 1 |
| SC | $32.07 | 1 |
| SD | $34.52 | 1 |
| TN | $31.45 | 1 |
| TX | $31.62–$36.69 | 8 |
| UT | $32.64 | 1 |
| VA | $34.05–$40.90 | 2 |
| VI | $35.11 | 1 |
| VT | $34.23 | 1 |
| WA | $36.48–$42.49 | 2 |
| WI | $33.06 | 1 |
| WV | $30.37 | 1 |
| WY | $34.65 | 1 |
How the 93226 rate is calculated
Each of 93226’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 · 93226
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense1.03
1.03 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
1.0400
Conversion factor
$33.4009
Medicare rate
$34.74
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
11,960
- Code
- 93226
- Physician work
- 0.00
- Practice expense
- 1.03
- 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 | 1.03 | × 0.933 | 0.9610 |
| Malpractice | 0.01 | × 0.639 | 0.0064 |
| Total RVUs | 0.9674 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Carolina$32.31
Office: (0 × 1 + 1.03 × 0.933 + 0.01 × 0.639) × $33.4009 = $32.31
Payment rules and modifiers for 93226
The CMS indicators that decide how 93226 is paid alongside other services.
CMS payment indicators · 93226
Holter analysis, less than 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 93226 has changed in North Carolina
93226 · Office / nonfacility
$32.31
Effective 2026-10-01
The base rate is $1.54 higher than on 2025-10-01, moving from $30.77 to $32.31 (5.0%).
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
$30.77changed to$32.31
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.02 changed to 1.03
- 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
$32.90changed to$30.77
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.06 changed to 1.02
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$32.36changed to$32.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$33.86changed to$32.36
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.07 changed to 1.06
- Practice expense GPCI 0.927 changed to 0.926
- Malpractice GPCI 0.742 changed to 0.665
January 1, 2023
RVU23A
$35.93changed to$33.86
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.11 changed to 1.07
- 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
$38.50changed to$35.93
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.18 changed to 1.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$34.17changed to$38.50
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.01 changed to 1.18
- 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
$34.47changed to$34.17
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.02 changed to 1.01
- 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
$35.78changed to$34.47
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.06 changed to 1.02
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$35.68changed to$35.78
- 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
$35.57changed to$35.68
- 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
$35.70changed to$35.57
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$35.52changed to$35.70
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$35.21changed to$35.52
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.05 changed to 1.06
- Practice expense GPCI 0.929 changed to 0.930
- Malpractice GPCI 0.732 changed to 0.768
Held through RVU15B.
January 1, 2014
RVU14A
$36.82changed to$35.21
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.16 changed to 1.05
- 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: $36.82
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $32.31 | Not available in this setting | RVU26D |
| 2026-07-01 | $32.31 | Not available in this setting | RVU26C |
| 2026-04-01 | $32.31 | Not available in this setting | RVU26B |
| 2026-01-01 | $32.31 | Not available in this setting | RVU26A |
| 2025-10-01 | $30.77 | Not available in this setting | RVU25D |
| 2025-07-01 | $30.77 | Not available in this setting | RVU25C |
| 2025-04-01 | $30.77 | Not available in this setting | RVU25B |
| 2025-01-01 | $30.77 | Not available in this setting | RVU25A |
| 2024-10-01 | $32.90 | Not available in this setting | RVU24D |
| 2024-07-01 | $32.90 | Not available in this setting | RVU24C |
| 2024-04-01 | $32.90 | Not available in this setting | RVU24B |
| 2024-03-09 | $32.90 | Not available in this setting | RVU24AR |
| 2024-01-01 | $32.36 | Not available in this setting | RVU24A |
| 2023-10-01 | $33.86 | Not available in this setting | RVU23D |
| 2023-07-01 | $33.86 | Not available in this setting | RVU23C |
| 2023-04-01 | $33.86 | Not available in this setting | RVU23B |
| 2023-01-01 | $33.86 | Not available in this setting | RVU23A |
| 2022-10-01 | $35.93 | Not available in this setting | RVU22D |
| 2022-07-01 | $35.93 | Not available in this setting | RVU22C |
| 2022-04-01 | $35.93 | Not available in this setting | RVU22B |
| 2022-01-01 | $35.93 | Not available in this setting | RVU22A |
| 2021-10-01 | $38.50 | Not available in this setting | RVU21D |
| 2021-07-01 | $38.50 | Not available in this setting | RVU21C |
| 2021-04-01 | $38.50 | Not available in this setting | RVU21B |
| 2021-01-01 | $38.50 | Not available in this setting | RVU21A |
| 2020-10-01 | $34.17 | Not available in this setting | RVU20D |
| 2020-07-01 | $34.17 | Not available in this setting | RVU20C |
| 2020-04-01 | $34.17 | Not available in this setting | RVU20B |
| 2020-01-01 | $34.17 | Not available in this setting | RVU20A |
| 2019-10-01 | $34.47 | Not available in this setting | RVU19D |
| 2019-07-01 | $34.47 | Not available in this setting | RVU19C |
| 2019-04-01 | $34.47 | Not available in this setting | RVU19B |
| 2019-01-01 | $34.47 | Not available in this setting | RVU19A |
| 2018-10-01 | $35.78 | Not available in this setting | RVU18D |
| 2018-07-01 | $35.78 | Not available in this setting | RVU18C |
| 2018-04-01 | $35.78 | Not available in this setting | RVU18B |
| 2018-01-01 | $35.78 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $35.68 | Not available in this setting | RVU17D |
| 2017-07-01 | $35.68 | Not available in this setting | RVU17C |
| 2017-04-01 | $35.68 | Not available in this setting | RVU17B |
| 2017-01-01 | $35.68 | Not available in this setting | RVU17A |
| 2016-10-01 | $35.57 | Not available in this setting | RVU16D |
| 2016-07-01 | $35.57 | Not available in this setting | RVU16C |
| 2016-04-01 | $35.57 | Not available in this setting | RVU16B |
| 2016-01-01 | $35.57 | Not available in this setting | RVU16A |
| 2015-10-01 | $35.70 | Not available in this setting | RVU15D |
| 2015-07-01 | $35.70 | Not available in this setting | RVU15C |
| 2015-04-01 | $35.52 | Not available in this setting | RVU15B |
| 2015-01-01 | $35.52 | Not available in this setting | RVU15A |
| 2014-10-01 | $35.21 | Not available in this setting | RVU14D |
| 2014-07-01 | $35.21 | Not available in this setting | RVU14C |
| 2014-04-01 | $35.21 | Not available in this setting | RVU14B |
| 2014-01-01 | $35.21 | Not available in this setting | RVU14A |
| 2013-10-01 | $36.82 | Not available in this setting | RVU13D |
| 2013-07-01 | $36.82 | Not available in this setting | RVU13C |
| 2013-04-01 | $36.82 | Not available in this setting | RVU13B |
| 2013-01-01 | $36.82 | 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
93226 billing questions
How does 93226 differ from 93225?
93226 covers scanning and analysis of the recorded data with a report. 93225 covers obtaining the ECG recording itself.
Does 93226 include a physician interpretation?
No. It is the technical analysis portion; physician review and interpretation are represented separately by 93227.
Can 93226 be reported with 93225 and 93227?
These codes represent separate parts of short-term continuous ECG monitoring. When reporting components separately, document the work performed for each part; 93224 represents the combined service.
What documentation supports 93226?
Retain the monitoring period, evidence that the recording was scanned and analyzed, and the resulting analysis report.
How does CMS apply the multiple procedure reduction?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component of 93226.
Which scanning code applies when monitoring lasts longer?
For recordings longer than 48 hours and less than 7 days, the corresponding scanning code is 93243. For recordings longer than 7 days and less than 15 days, it is 93247.
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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