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CPT code 93227: Holter interpretation, under 48 hours2026 Medicare rate & RVUs in Miami, FL

Reports a physician’s interpretation of ambulatory ECG data from a recording under 48 hours, commonly used to evaluate intermittent rhythm symptoms.

CMS RVU26DEffective Oct 1, 2026One payment locality151.3K Medicare services in 2024

In Miami, FL, Medicare pays $18.40 for 93227 in the office and $18.40 when it’s performed in a hospital or facility.

$18.40Office (non-facility)
$18.40Hospital or facility
+4.0%vs the national office rate ($17.70)

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.

We’ll open 93227 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Miami, FL
  2. What 93227 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 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 Miami, FL 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. Miami, FL pays $18.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

93227 in Miami, FL vs other payment areas
  1. Miami, FL · this page$18.40
  2. Fort Lauderdale, FL · Florida$18.03−$0.37
  3. Rest of Florida · Florida$17.66−$0.74
  4. Los Angeles, CA · California$18.97+$0.57
  5. Washington, DC area · District of Columbia$19.26+$0.86
  6. Chicago, IL · Illinois$18.25−$0.15
  7. Manhattan, NY · New York$19.47+$1.07

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

Every other payment area

93227 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$24.20$24.20
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

93227 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
93227 office rate range by state
State / territoryOffice rate rangeLocalities
AK$24.201
AL$16.971
AR$16.881
AZ$17.511
CA$18.21–$21.0129
CO$18.081
CT$18.391
DC$19.261
DE$17.681
FL$17.66–$18.403
GA$17.26–$17.882
GU$18.201
HI$18.201
IA$17.101
ID$17.151
IL$17.48–$18.254
IN$17.191
KS$17.091
KY$17.161
LA$17.15–$17.472
MA$18.09–$19.092
MD$17.86–$19.263
ME$17.20–$17.542
MI$17.34–$17.772
MN$17.601
MO$17.05–$17.483
MS$16.971
MT$17.701
NC$17.271
ND$17.501
NE$17.131
NH$17.851
NJ$18.67–$19.272
NM$17.381
NV$17.651
NY$17.37–$19.685
OH$17.301
OK$17.131
OR$17.58–$18.342
PA$17.30–$18.192
PR$17.751
RI$18.061
SC$17.301
SD$17.481
TN$17.121
TX$17.26–$17.968
UT$17.391
VA$17.52–$19.262
VI$17.751
VT$17.491
WA$18.04–$19.342
WI$17.271
WV$17.231
WY$17.621

See 93227 in every payment locality

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

Office or facility?

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 Miami, FL 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

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 93227 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work0.38× 1.0000.3800
Practice expense0.14× 1.0410.1457
Malpractice0.01× 2.5290.0253
Total RVUs0.5510
Conversion factor× 33.4009

Office rate, Miami, FL$18.40

Office: (0.38 × 1 + 0.14 × 1.041 + 0.01 × 2.529) × $33.4009 = $18.40

Facility: (0.38 × 1 + 0.14 × 1.041 + 0.01 × 2.529) × $33.4009 = $18.40

Open 93227 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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/technical2Professional component only.

Codes related to 93227

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

Codes related to 93227
CodeHow it relatesOffice range, Miami, FL
Component of
93224Holter monitoring, up to 48 hoursComplete under-48-hour service that includes the professional interpretation and technical work.$74.34
Often billed with
93225ECG recording, recording only, up to 48 hoursRepresents recording for the same short-term ambulatory ECG service.$19.27
93226Holter analysis, less than 48 hoursRepresents scanning analysis for the same short-term ambulatory ECG service.$36.66
Used instead
93244Extended ECG, review and interpretationInterpretation code for extended ECG recording lasting more than 48 hours and up to seven days.$23.97
93272Event monitor, interpretation onlyReview and interpretation code for a remote event-monitor service rather than short-term Holter monitoring.$24.98

How 93227 has changed in Miami, FL

93227 · Office / nonfacility

$18.40

Effective 2026-10-01

The base rate is $0.33 higher than on 2025-10-01, moving from $18.07 to $18.40 (1.8%).

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

    $18.07changed to$18.40

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.39 changed to 0.38
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $18.60changed to$18.07

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $18.30changed to$18.60

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $18.95changed to$18.30

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500

  5. January 1, 2023

    RVU23A

    $19.36changed to$18.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $19.52changed to$19.36

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $28.42changed to$19.52

    • 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
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $28.38changed to$28.42

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $28.72changed to$28.38

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.22 changed to 0.21

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $28.62changed to$28.72

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $28.17changed to$28.62

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.21 changed to 0.22
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $28.64changed to$28.17

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 0.22 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $28.50changed to$28.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $27.81changed to$28.50

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.01 changed to 0.02
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $26.90changed to$27.81

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.23 changed to 0.22
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $26.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$18.40$18.40RVU26D
2026-07-01$18.40$18.40RVU26C
2026-04-01$18.40$18.40RVU26B
2026-01-01$18.40$18.40RVU26A
2025-10-01$18.07$18.07RVU25D
2025-07-01$18.07$18.07RVU25C
2025-04-01$18.07$18.07RVU25B
2025-01-01$18.07$18.07RVU25A
2024-10-01$18.60$18.60RVU24D
2024-07-01$18.60$18.60RVU24C
2024-04-01$18.60$18.60RVU24B
2024-03-09$18.60$18.60RVU24AR
2024-01-01$18.30$18.30RVU24A
2023-10-01$18.95$18.95RVU23D
2023-07-01$18.95$18.95RVU23C
2023-04-01$18.95$18.95RVU23B
2023-01-01$18.95$18.95RVU23A
2022-10-01$19.36$19.36RVU22D
2022-07-01$19.36$19.36RVU22C
2022-04-01$19.36$19.36RVU22B
2022-01-01$19.36$19.36RVU22A
2021-10-01$19.52$19.52RVU21D
2021-07-01$19.52$19.52RVU21C
2021-04-01$19.52$19.52RVU21B
2021-01-01$19.52$19.52RVU21A
2020-10-01$28.42$28.42RVU20D
2020-07-01$28.42$28.42RVU20C
2020-04-01$28.42$28.42RVU20B
2020-01-01$28.42$28.42RVU20A
2019-10-01$28.38$28.38RVU19D
2019-07-01$28.38$28.38RVU19C
2019-04-01$28.38$28.38RVU19B
2019-01-01$28.38$28.38RVU19A
2018-10-01$28.72$28.72RVU18D
2018-07-01$28.72$28.72RVU18C
2018-04-01$28.72$28.72RVU18B
2018-01-01$28.72$28.72RVU18AR1
2017-10-01$28.62$28.62RVU17D
2017-07-01$28.62$28.62RVU17C
2017-04-01$28.62$28.62RVU17B
2017-01-01$28.62$28.62RVU17A
2016-10-01$28.17$28.17RVU16D
2016-07-01$28.17$28.17RVU16C
2016-04-01$28.17$28.17RVU16B
2016-01-01$28.17$28.17RVU16A
2015-10-01$28.64$28.64RVU15D
2015-07-01$28.64$28.64RVU15C
2015-04-01$28.50$28.50RVU15B
2015-01-01$28.50$28.50RVU15A
2014-10-01$27.81$27.81RVU14D
2014-07-01$27.81$27.81RVU14C
2014-04-01$27.81$27.81RVU14B
2014-01-01$27.81$27.81RVU14A
2013-10-01$26.90$26.90RVU13D
2013-07-01$26.90$26.90RVU13C
2013-04-01$26.90$26.90RVU13B
2013-01-01$26.90$26.90RVU13AR

Price 93227 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

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
RVUs for 93227PPRRVU2026_Oct_nonQPP.csv, line 11,961 (RVU26D)
Geographic factors for Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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