CPT code 93227: Holter interpretation, under 48 hours2026 Medicare rate & RVUs in Delaware
Reports a physician’s interpretation of ambulatory ECG data from a recording under 48 hours, commonly used to evaluate intermittent rhythm symptoms.
In Delaware, Medicare pays $17.68 for 93227 in the office and $17.68 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 93227 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 93227 covers
A physician reviews and interprets ambulatory electrocardiographic data collected during a short-term Holter recording, then documents the findings in a report. The test may be ordered for symptoms such as palpitations, dizziness, or suspected intermittent arrhythmia when a continuous ECG recording can help assess cardiac rhythm over the monitoring period. Cardiologists and other qualified practitioners who interpret ECG studies typically perform this professional service.
Report 93227 for the interpretation and report portion of the under-48-hour study, not for the recording or computerized scanning and analysis work. The record should support the monitoring period, the physician’s review of the tracing, relevant rhythm findings, and the resulting interpretation. CMS identifies 93227 as a professional-component-only code; the technical work is represented separately, including recording with 93225 and scanning analysis with 93226. Code 93224 represents the complete service when its components are reported together.
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 93227
Across 109 of 109 payment localities, the office rate for 93227 runs from $16.88 in Arkansas to $24.20 in Alaska. Delaware pays $17.68. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$17.68
- Los Angeles, CA · California$18.97+$1.29
- Washington, DC area · District of Columbia$19.26+$1.58
- Miami, FL · Florida$18.40+$0.72
- Chicago, IL · Illinois$18.25+$0.57
- Manhattan, NY · New York$19.47+$1.79
- Alaska · Alaska$24.20+$6.52
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $16.97 | $16.97 |
| ArkansasArkansas | $16.88 | $16.88 |
| ArizonaArizona | $17.51 | $17.51 |
| Bakersfield, CACalifornia | $18.26 | $18.26 |
| Chico, CACalifornia | $18.21 | $18.21 |
| El Centro, CACalifornia | $18.21 | $18.21 |
| Fresno, CACalifornia | $18.21 | $18.21 |
| Hanford, CACalifornia | $18.21 | $18.21 |
| Madera, CACalifornia | $18.21 | $18.21 |
| Merced, CACalifornia | $18.21 | $18.21 |
| Modesto, CACalifornia | $18.21 | $18.21 |
| Napa, CACalifornia | $19.82 | $19.82 |
| Oxnard, CACalifornia | $18.78 | $18.78 |
| Redding, CACalifornia | $18.21 | $18.21 |
| Rest of CaliforniaCalifornia | $18.21 | $18.21 |
| Riverside, CACalifornia | $18.33 | $18.33 |
| Sacramento, CACalifornia | $18.77 | $18.77 |
| Salinas, CACalifornia | $18.68 | $18.68 |
| San Diego, CACalifornia | $18.85 | $18.85 |
| Marin County, CACalifornia | $20.64 | $20.64 |
| San Francisco, CACalifornia | $20.63 | $20.63 |
| San Benito County, CACalifornia | $21.01 | $21.01 |
| Santa Clara County, CACalifornia | $20.96 | $20.96 |
| San Luis Obispo, CACalifornia | $18.41 | $18.41 |
| Santa Cruz, CACalifornia | $18.82 | $18.82 |
| Santa Maria, CACalifornia | $18.68 | $18.68 |
| Santa Rosa, CACalifornia | $18.99 | $18.99 |
| Stockton, CACalifornia | $18.21 | $18.21 |
| Vallejo, CACalifornia | $19.81 | $19.81 |
| Visalia, CACalifornia | $18.21 | $18.21 |
| Yuba City, CACalifornia | $18.21 | $18.21 |
| ColoradoColorado | $18.08 | $18.08 |
| ConnecticutConnecticut | $18.39 | $18.39 |
| Fort Lauderdale, FLFlorida | $18.03 | $18.03 |
| Rest of FloridaFlorida | $17.66 | $17.66 |
| Atlanta, GAGeorgia | $17.88 | $17.88 |
| Rest of GeorgiaGeorgia | $17.26 | $17.26 |
| Hawaii, Guam, HIHawaii | $18.20 | $18.20 |
| IowaIowa | $17.10 | $17.10 |
| IdahoIdaho | $17.15 | $17.15 |
| East St. Louis, ILIllinois | $17.67 | $17.67 |
| Rest of IllinoisIllinois | $17.48 | $17.48 |
| Suburban Chicago, ILIllinois | $18.18 | $18.18 |
| IndianaIndiana | $17.19 | $17.19 |
| KansasKansas | $17.09 | $17.09 |
| KentuckyKentucky | $17.16 | $17.16 |
| New Orleans, LALouisiana | $17.47 | $17.47 |
| Rest of LouisianaLouisiana | $17.15 | $17.15 |
| Metropolitan Boston, MAMassachusetts | $19.09 | $19.09 |
| Rest of MassachusettsMassachusetts | $18.09 | $18.09 |
| Baltimore area, MDMaryland | $18.33 | $18.33 |
| Rest of MarylandMaryland | $17.86 | $17.86 |
| Rest of MaineMaine | $17.20 | $17.20 |
| Southern Maine, MEMaine | $17.54 | $17.54 |
| Detroit, MIMichigan | $17.77 | $17.77 |
| Rest of MichiganMichigan | $17.34 | $17.34 |
| MinnesotaMinnesota | $17.60 | $17.60 |
| Metropolitan Kansas City, MOMissouri | $17.41 | $17.41 |
| Metropolitan St. Louis, MOMissouri | $17.48 | $17.48 |
| Rest of MissouriMissouri | $17.05 | $17.05 |
| MississippiMississippi | $16.97 | $16.97 |
| MontanaMontana | $17.70 | $17.70 |
| North CarolinaNorth Carolina | $17.27 | $17.27 |
| North DakotaNorth Dakota | $17.50 | $17.50 |
| NebraskaNebraska | $17.13 | $17.13 |
| New HampshireNew Hampshire | $17.85 | $17.85 |
| Northern New JerseyNew Jersey | $19.27 | $19.27 |
| Rest of New JerseyNew Jersey | $18.67 | $18.67 |
| New MexicoNew Mexico | $17.38 | $17.38 |
| NevadaNevada | $17.65 | $17.65 |
| NYC suburbs and Long Island, NYNew York | $19.68 | $19.68 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $18.79 | $18.79 |
| Queens, NYNew York | $19.51 | $19.51 |
| Rest of New YorkNew York | $17.37 | $17.37 |
| OhioOhio | $17.30 | $17.30 |
| OklahomaOklahoma | $17.13 | $17.13 |
| Portland, OROregon | $18.34 | $18.34 |
| Rest of OregonOregon | $17.58 | $17.58 |
| Metropolitan Philadelphia, PAPennsylvania | $18.19 | $18.19 |
| Rest of PennsylvaniaPennsylvania | $17.30 | $17.30 |
| Puerto RicoPuerto Rico | $17.75 | $17.75 |
| Rhode IslandRhode Island | $18.06 | $18.06 |
| South CarolinaSouth Carolina | $17.30 | $17.30 |
| South DakotaSouth Dakota | $17.48 | $17.48 |
| TennesseeTennessee | $17.12 | $17.12 |
| Austin, TXTexas | $17.96 | $17.96 |
| Beaumont, TXTexas | $17.26 | $17.26 |
| Brazoria, TXTexas | $17.69 | $17.69 |
| Dallas, TXTexas | $17.75 | $17.75 |
| Fort Worth, TXTexas | $17.71 | $17.71 |
| Galveston, TXTexas | $17.71 | $17.71 |
| Houston, TXTexas | $17.90 | $17.90 |
| Rest of TexasTexas | $17.43 | $17.43 |
| UtahUtah | $17.39 | $17.39 |
| VirginiaVirginia | $17.52 | $17.52 |
| Virgin Islands, VIUnited States Virgin Islands | $17.75 | $17.75 |
| VermontVermont | $17.49 | $17.49 |
| Rest of WashingtonWashington | $18.04 | $18.04 |
| King County, WAWashington | $19.34 | $19.34 |
| WisconsinWisconsin | $17.27 | $17.27 |
| West VirginiaWest Virginia | $17.23 | $17.23 |
| WyomingWyoming | $17.62 | $17.62 |
93227 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.
$16.88
$24.20
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 | $24.20 | 1 |
| AL | $16.97 | 1 |
| AR | $16.88 | 1 |
| AZ | $17.51 | 1 |
| CA | $18.21–$21.01 | 29 |
| CO | $18.08 | 1 |
| CT | $18.39 | 1 |
| DC | $19.26 | 1 |
| DE | $17.68 | 1 |
| FL | $17.66–$18.40 | 3 |
| GA | $17.26–$17.88 | 2 |
| GU | $18.20 | 1 |
| HI | $18.20 | 1 |
| IA | $17.10 | 1 |
| ID | $17.15 | 1 |
| IL | $17.48–$18.25 | 4 |
| IN | $17.19 | 1 |
| KS | $17.09 | 1 |
| KY | $17.16 | 1 |
| LA | $17.15–$17.47 | 2 |
| MA | $18.09–$19.09 | 2 |
| MD | $17.86–$19.26 | 3 |
| ME | $17.20–$17.54 | 2 |
| MI | $17.34–$17.77 | 2 |
| MN | $17.60 | 1 |
| MO | $17.05–$17.48 | 3 |
| MS | $16.97 | 1 |
| MT | $17.70 | 1 |
| NC | $17.27 | 1 |
| ND | $17.50 | 1 |
| NE | $17.13 | 1 |
| NH | $17.85 | 1 |
| NJ | $18.67–$19.27 | 2 |
| NM | $17.38 | 1 |
| NV | $17.65 | 1 |
| NY | $17.37–$19.68 | 5 |
| OH | $17.30 | 1 |
| OK | $17.13 | 1 |
| OR | $17.58–$18.34 | 2 |
| PA | $17.30–$18.19 | 2 |
| PR | $17.75 | 1 |
| RI | $18.06 | 1 |
| SC | $17.30 | 1 |
| SD | $17.48 | 1 |
| TN | $17.12 | 1 |
| TX | $17.26–$17.96 | 8 |
| UT | $17.39 | 1 |
| VA | $17.52–$19.26 | 2 |
| VI | $17.75 | 1 |
| VT | $17.49 | 1 |
| WA | $18.04–$19.34 | 2 |
| WI | $17.27 | 1 |
| WV | $17.23 | 1 |
| WY | $17.62 | 1 |
How the 93227 rate is calculated
Each of 93227’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 · 93227
RVUs × geographic indexes × conversion factor
Work0.38
0.38 RVUs× 1.000 GPCI
Practice expense0.14
0.14 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.5300
Conversion factor
$33.4009
Medicare rate
$17.70
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
11,961
- Code
- 93227
- Physician work
- 0.38
- Practice expense
- 0.14
- 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 | 0.38 | × 1.005 | 0.3819 |
| Practice expense | 0.14 | × 0.988 | 0.1383 |
| Malpractice | 0.01 | × 0.899 | 0.0090 |
| Total RVUs | 0.5292 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Delaware$17.68
Office: (0.38 × 1.005 + 0.14 × 0.988 + 0.01 × 0.899) × $33.4009 = $17.68
Facility: (0.38 × 1.005 + 0.14 × 0.988 + 0.01 × 0.899) × $33.4009 = $17.68
Payment rules and modifiers for 93227
The CMS indicators that decide how 93227 is paid alongside other services.
CMS payment indicators · 93227
Holter interpretation, under 48 hours
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 2 | Professional component only. |
How 93227 has changed in Delaware
93227 · Office / nonfacility
$17.68
Effective 2026-10-01
The base rate is $0.15 higher than on 2025-10-01, moving from $17.53 to $17.68 (0.9%).
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
$17.53changed to$17.68
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.39 changed to 0.38
- 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
$18.04changed to$17.53
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$17.74changed to$18.04
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$18.40changed to$17.74
- 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
$18.84changed to$18.40
- Conversion factor 34.6062 changed to 33.8872
- 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
$18.99changed to$18.84
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$27.36changed to$18.99
- Conversion factor 36.0896 changed to 34.8931
- Work RVU 0.52 changed to 0.39
- Practice expense RVU 0.21 changed to 0.14
- Malpractice RVU 0.02 changed to 0.01
- 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
$27.39changed to$27.36
- Conversion factor 36.0391 changed to 36.0896
- 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
$27.73changed to$27.39
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.22 changed to 0.21
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$27.73changed to$27.73
- 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
$27.37changed to$27.73
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.21 changed to 0.22
- 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
$27.84changed to$27.37
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.22 changed to 0.21
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$27.70changed to$27.84
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$27.35changed to$27.70
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.01 changed to 0.02
- Practice expense GPCI 1.038 changed to 1.031
- Malpractice GPCI 0.878 changed to 1.083
Held through RVU15B.
January 1, 2014
RVU14A
$26.30changed to$27.35
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.23 changed to 0.22
- 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: $26.30
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $17.68 | $17.68 | RVU26D |
| 2026-07-01 | $17.68 | $17.68 | RVU26C |
| 2026-04-01 | $17.68 | $17.68 | RVU26B |
| 2026-01-01 | $17.68 | $17.68 | RVU26A |
| 2025-10-01 | $17.53 | $17.53 | RVU25D |
| 2025-07-01 | $17.53 | $17.53 | RVU25C |
| 2025-04-01 | $17.53 | $17.53 | RVU25B |
| 2025-01-01 | $17.53 | $17.53 | RVU25A |
| 2024-10-01 | $18.04 | $18.04 | RVU24D |
| 2024-07-01 | $18.04 | $18.04 | RVU24C |
| 2024-04-01 | $18.04 | $18.04 | RVU24B |
| 2024-03-09 | $18.04 | $18.04 | RVU24AR |
| 2024-01-01 | $17.74 | $17.74 | RVU24A |
| 2023-10-01 | $18.40 | $18.40 | RVU23D |
| 2023-07-01 | $18.40 | $18.40 | RVU23C |
| 2023-04-01 | $18.40 | $18.40 | RVU23B |
| 2023-01-01 | $18.40 | $18.40 | RVU23A |
| 2022-10-01 | $18.84 | $18.84 | RVU22D |
| 2022-07-01 | $18.84 | $18.84 | RVU22C |
| 2022-04-01 | $18.84 | $18.84 | RVU22B |
| 2022-01-01 | $18.84 | $18.84 | RVU22A |
| 2021-10-01 | $18.99 | $18.99 | RVU21D |
| 2021-07-01 | $18.99 | $18.99 | RVU21C |
| 2021-04-01 | $18.99 | $18.99 | RVU21B |
| 2021-01-01 | $18.99 | $18.99 | RVU21A |
| 2020-10-01 | $27.36 | $27.36 | RVU20D |
| 2020-07-01 | $27.36 | $27.36 | RVU20C |
| 2020-04-01 | $27.36 | $27.36 | RVU20B |
| 2020-01-01 | $27.36 | $27.36 | RVU20A |
| 2019-10-01 | $27.39 | $27.39 | RVU19D |
| 2019-07-01 | $27.39 | $27.39 | RVU19C |
| 2019-04-01 | $27.39 | $27.39 | RVU19B |
| 2019-01-01 | $27.39 | $27.39 | RVU19A |
| 2018-10-01 | $27.73 | $27.73 | RVU18D |
| 2018-07-01 | $27.73 | $27.73 | RVU18C |
| 2018-04-01 | $27.73 | $27.73 | RVU18B |
| 2018-01-01 | $27.73 | $27.73 | RVU18AR1 |
| 2017-10-01 | $27.73 | $27.73 | RVU17D |
| 2017-07-01 | $27.73 | $27.73 | RVU17C |
| 2017-04-01 | $27.73 | $27.73 | RVU17B |
| 2017-01-01 | $27.73 | $27.73 | RVU17A |
| 2016-10-01 | $27.37 | $27.37 | RVU16D |
| 2016-07-01 | $27.37 | $27.37 | RVU16C |
| 2016-04-01 | $27.37 | $27.37 | RVU16B |
| 2016-01-01 | $27.37 | $27.37 | RVU16A |
| 2015-10-01 | $27.84 | $27.84 | RVU15D |
| 2015-07-01 | $27.84 | $27.84 | RVU15C |
| 2015-04-01 | $27.70 | $27.70 | RVU15B |
| 2015-01-01 | $27.70 | $27.70 | RVU15A |
| 2014-10-01 | $27.35 | $27.35 | RVU14D |
| 2014-07-01 | $27.35 | $27.35 | RVU14C |
| 2014-04-01 | $27.35 | $27.35 | RVU14B |
| 2014-01-01 | $27.35 | $27.35 | RVU14A |
| 2013-10-01 | $26.30 | $26.30 | RVU13D |
| 2013-07-01 | $26.30 | $26.30 | RVU13C |
| 2013-04-01 | $26.30 | $26.30 | RVU13B |
| 2013-01-01 | $26.30 | $26.30 | 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
93227 billing questions
How does 93227 differ from 93224?
93227 covers only the physician’s interpretation and report. 93224 represents the complete under-48-hour service, including the technical work.
Should modifier 26 be appended to 93227?
No. 93227 is already designated as a professional-component-only code for interpretation and reporting.
Which codes represent the technical work?
93225 represents recording, and 93226 represents scanning analysis. These technical services are distinct from the interpretation reported with 93227.
When is 93244 a better fit?
Use 93244 for the interpretation and report of an extended ECG recording lasting more than 48 hours and up to seven days. 93227 is for the shorter monitoring service.
Is 93227 appropriate for a 30-day event monitor?
No. A 30-day event-monitor service uses a different code family, including 93272 for review and interpretation, rather than the short-term Holter interpretation code.
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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