CPT code 93227: Holter interpretation, under 48 hours2026 Medicare rate & RVUs in Fort Worth, TX

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 Fort Worth, TX, Medicare pays $17.71 for 93227 in the office and $17.71 when it’s performed in a hospital or facility.

$17.71Office (non-facility)
$17.71Hospital or facility
+0.1%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 Fort Worth, TX
  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 Fort Worth, TX 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. Fort Worth, TX pays $17.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

93227 in Fort Worth, TX vs other payment areas
  1. Fort Worth, TX · this page$17.71
  2. Austin, TX · Texas$17.96+$0.25
  3. Beaumont, TX · Texas$17.26−$0.45
  4. Brazoria, TX · Texas$17.69−$0.02
  5. Dallas, TX · Texas$17.75+$0.04
  6. Galveston, TX · Texas$17.71
  7. Houston, TX · Texas$17.90+$0.19

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

Every other payment area

93227 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$17.43$17.43
Los Angeles, CACalifornia$18.97$18.97
Washington, DC areaDistrict of Columbia$19.26$19.26
Miami, FLFlorida$18.40$18.40
Chicago, ILIllinois$18.25$18.25
Manhattan, NYNew York$19.47$19.47
AlaskaAlaska$24.20$24.20
AlabamaAlabama$16.97$16.97

93227 rates by state

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

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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 Fort Worth, TX 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

100

Locality
Fort Worth, TX
Physician work
1.009
Practice expense
0.986
Malpractice
0.871
Office calculation for 93227 in Fort Worth, TX
ComponentRVULocality factorAdjusted
Physician work0.38× 1.0090.3834
Practice expense0.14× 0.9860.1380
Malpractice0.01× 0.8710.0087
Total RVUs0.5302
Conversion factor× 33.4009

Office rate, Fort Worth, TX$17.71

Office: (0.38 × 1.009 + 0.14 × 0.986 + 0.01 × 0.871) × $33.4009 = $17.71

Facility: (0.38 × 1.009 + 0.14 × 0.986 + 0.01 × 0.871) × $33.4009 = $17.71

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.

How 93227 has changed in Fort Worth, TX

93227 · Office / nonfacility

$17.71

Effective 2026-10-01

The base rate is $0.14 higher than on 2025-10-01, moving from $17.57 to $17.71 (0.8%).

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

    $17.57changed to$17.71

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.39 changed to 0.38
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 0.998 changed to 0.986
    • Malpractice GPCI 0.902 changed to 0.871

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $18.08changed to$17.57

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $17.78changed to$18.08

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $18.36changed to$17.78

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.013 changed to 1.011
    • Practice expense GPCI 0.996 changed to 0.998
    • Malpractice GPCI 0.721 changed to 0.902
  5. January 1, 2023

    RVU23A

    $18.72changed to$18.36

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.016 changed to 1.013
    • Practice expense GPCI 0.995 changed to 0.996
    • Malpractice GPCI 0.539 changed to 0.721

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $18.87changed to$18.72

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $26.95changed to$18.87

    • 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 1.011 changed to 1.016
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $26.87changed to$26.95

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.007 changed to 1.011
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $27.20changed to$26.87

    • 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

    $27.14changed to$27.20

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.006 changed to 1.007
    • Practice expense GPCI 0.991 changed to 0.986
    • Malpractice GPCI 0.760 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $26.75changed to$27.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.21 changed to 0.22
    • Work GPCI 1.005 changed to 1.006
    • Practice expense GPCI 0.995 changed to 0.991
    • Malpractice GPCI 0.772 changed to 0.760

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $27.20changed to$26.75

    • 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

    $27.06changed to$27.20

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $26.73changed to$27.06

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.01 changed to 0.02
    • Work GPCI 1.002 changed to 1.005
    • Practice expense GPCI 0.987 changed to 0.995
    • Malpractice GPCI 0.799 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $25.63changed to$26.73

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.23 changed to 0.22
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.979 changed to 0.987
    • Malpractice GPCI 0.826 changed to 0.799

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $25.63

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$17.71$17.71RVU26D
2026-07-01$17.71$17.71RVU26C
2026-04-01$17.71$17.71RVU26B
2026-01-01$17.71$17.71RVU26A
2025-10-01$17.57$17.57RVU25D
2025-07-01$17.57$17.57RVU25C
2025-04-01$17.57$17.57RVU25B
2025-01-01$17.57$17.57RVU25A
2024-10-01$18.08$18.08RVU24D
2024-07-01$18.08$18.08RVU24C
2024-04-01$18.08$18.08RVU24B
2024-03-09$18.08$18.08RVU24AR
2024-01-01$17.78$17.78RVU24A
2023-10-01$18.36$18.36RVU23D
2023-07-01$18.36$18.36RVU23C
2023-04-01$18.36$18.36RVU23B
2023-01-01$18.36$18.36RVU23A
2022-10-01$18.72$18.72RVU22D
2022-07-01$18.72$18.72RVU22C
2022-04-01$18.72$18.72RVU22B
2022-01-01$18.72$18.72RVU22A
2021-10-01$18.87$18.87RVU21D
2021-07-01$18.87$18.87RVU21C
2021-04-01$18.87$18.87RVU21B
2021-01-01$18.87$18.87RVU21A
2020-10-01$26.95$26.95RVU20D
2020-07-01$26.95$26.95RVU20C
2020-04-01$26.95$26.95RVU20B
2020-01-01$26.95$26.95RVU20A
2019-10-01$26.87$26.87RVU19D
2019-07-01$26.87$26.87RVU19C
2019-04-01$26.87$26.87RVU19B
2019-01-01$26.87$26.87RVU19A
2018-10-01$27.20$27.20RVU18D
2018-07-01$27.20$27.20RVU18C
2018-04-01$27.20$27.20RVU18B
2018-01-01$27.20$27.20RVU18AR1
2017-10-01$27.14$27.14RVU17D
2017-07-01$27.14$27.14RVU17C
2017-04-01$27.14$27.14RVU17B
2017-01-01$27.14$27.14RVU17A
2016-10-01$26.75$26.75RVU16D
2016-07-01$26.75$26.75RVU16C
2016-04-01$26.75$26.75RVU16B
2016-01-01$26.75$26.75RVU16A
2015-10-01$27.20$27.20RVU15D
2015-07-01$27.20$27.20RVU15C
2015-04-01$27.06$27.06RVU15B
2015-01-01$27.06$27.06RVU15A
2014-10-01$26.73$26.73RVU14D
2014-07-01$26.73$26.73RVU14C
2014-04-01$26.73$26.73RVU14B
2014-01-01$26.73$26.73RVU14A
2013-10-01$25.63$25.63RVU13D
2013-07-01$25.63$25.63RVU13C
2013-04-01$25.63$25.63RVU13B
2013-01-01$25.63$25.63RVU13AR

Price 93227 for an earlier date of service

Where the Fort Worth, TX rate applies

Fort Worth, TX is a Medicare payment area, not a city. Our Census mapping connects it to 45 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

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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 Fort Worth, TXGPCI2026.csv, line 100 (RVU26D)

Open CMS sourceHow we calculate rates

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