CPT code 93228: ECG interpretation, remote monitoring, up to 30 days2026 Medicare rate & RVUs in North Dakota
Professional interpretation and reporting for remote external ECG monitoring lasting more than 24 hours and up to 30 days, typically used to evaluate intermittent cardiac symptoms.
In North Dakota, Medicare pays $24.46 for 93228 in the office and $24.46 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 93228 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 93228 covers
This service covers a physician’s or other qualified health care professional’s review and interpretation of ECG information from remote external monitoring lasting more than 24 hours and up to 30 days, with a report. It is commonly used to evaluate intermittent symptoms such as palpitations or syncope when a standard office ECG may not capture an episode. Cardiologists and other clinicians experienced in ECG interpretation typically provide the professional service for outpatient monitoring.
Select the code for the professional interpretation and report, not for device connection, recording, or technical analysis. The record should support the monitoring period, the ECG information reviewed, the interpretation, and the resulting report. CMS treats 93228 as a professional-component-only code; the technical portion is separately represented by 93229. The professional service is not a substitute for the technical service when both were furnished.
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 Dakota compares for 93228
Across 109 of 109 payment localities, the office rate for 93228 runs from $23.39 in Arkansas to $32.99 in Alaska. North Dakota pays $24.46. The RVUs are the same everywhere; the geographic indexes change the dollars.
- North Dakota · this page$24.46
- Los Angeles, CA · California$26.89+$2.43
- Washington, DC area · District of Columbia$27.50+$3.04
- Miami, FL · Florida$26.93+$2.47
- Chicago, IL · Illinois$26.50+$2.04
- Manhattan, NY · New York$28.00+$3.54
- Alaska · Alaska$32.99+$8.53
Other areas in North Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $23.57 | $23.57 |
| ArkansasArkansas | $23.39 | $23.39 |
| ArizonaArizona | $24.65 | $24.65 |
| Bakersfield, CACalifornia | $25.76 | $25.76 |
| Chico, CACalifornia | $25.65 | $25.65 |
| El Centro, CACalifornia | $25.66 | $25.66 |
| Fresno, CACalifornia | $25.65 | $25.65 |
| Hanford, CACalifornia | $25.65 | $25.65 |
| Madera, CACalifornia | $25.65 | $25.65 |
| Merced, CACalifornia | $25.65 | $25.65 |
| Modesto, CACalifornia | $25.65 | $25.65 |
| Napa, CACalifornia | $28.20 | $28.20 |
| Oxnard, CACalifornia | $26.63 | $26.63 |
| Redding, CACalifornia | $25.65 | $25.65 |
| Rest of CaliforniaCalifornia | $25.65 | $25.65 |
| Riverside, CACalifornia | $25.99 | $25.99 |
| Sacramento, CACalifornia | $26.51 | $26.51 |
| Salinas, CACalifornia | $26.40 | $26.40 |
| San Diego, CACalifornia | $26.70 | $26.70 |
| Marin County, CACalifornia | $29.42 | $29.42 |
| San Francisco, CACalifornia | $29.39 | $29.39 |
| San Benito County, CACalifornia | $30.00 | $30.00 |
| Santa Clara County, CACalifornia | $29.86 | $29.86 |
| San Luis Obispo, CACalifornia | $26.01 | $26.01 |
| Santa Cruz, CACalifornia | $26.71 | $26.71 |
| Santa Maria, CACalifornia | $26.41 | $26.41 |
| Santa Rosa, CACalifornia | $26.96 | $26.96 |
| Stockton, CACalifornia | $25.65 | $25.65 |
| Vallejo, CACalifornia | $28.15 | $28.15 |
| Visalia, CACalifornia | $25.65 | $25.65 |
| Yuba City, CACalifornia | $25.65 | $25.65 |
| ColoradoColorado | $25.55 | $25.55 |
| ConnecticutConnecticut | $26.22 | $26.22 |
| DelawareDelaware | $24.93 | $24.93 |
| Fort Lauderdale, FLFlorida | $25.97 | $25.97 |
| Rest of FloridaFlorida | $25.19 | $25.19 |
| Atlanta, GAGeorgia | $25.43 | $25.43 |
| Rest of GeorgiaGeorgia | $24.34 | $24.34 |
| Hawaii, Guam, HIHawaii | $25.77 | $25.77 |
| IowaIowa | $23.74 | $23.74 |
| IdahoIdaho | $23.85 | $23.85 |
| East St. Louis, ILIllinois | $25.40 | $25.40 |
| Rest of IllinoisIllinois | $24.89 | $24.89 |
| Suburban Chicago, ILIllinois | $26.16 | $26.16 |
| IndianaIndiana | $23.93 | $23.93 |
| KansasKansas | $23.75 | $23.75 |
| KentuckyKentucky | $24.04 | $24.04 |
| New Orleans, LALouisiana | $24.69 | $24.69 |
| Rest of LouisianaLouisiana | $24.05 | $24.05 |
| Metropolitan Boston, MAMassachusetts | $27.20 | $27.20 |
| Rest of MassachusettsMassachusetts | $25.54 | $25.54 |
| Baltimore area, MDMaryland | $26.15 | $26.15 |
| Rest of MarylandMaryland | $25.23 | $25.23 |
| Rest of MaineMaine | $24.00 | $24.00 |
| Southern Maine, MEMaine | $24.61 | $24.61 |
| Detroit, MIMichigan | $25.45 | $25.45 |
| Rest of MichiganMichigan | $24.45 | $24.45 |
| MinnesotaMinnesota | $24.59 | $24.59 |
| Metropolitan Kansas City, MOMissouri | $24.52 | $24.52 |
| Metropolitan St. Louis, MOMissouri | $24.65 | $24.65 |
| Rest of MissouriMissouri | $23.87 | $23.87 |
| MississippiMississippi | $23.63 | $23.63 |
| MontanaMontana | $25.05 | $25.05 |
| North CarolinaNorth Carolina | $24.13 | $24.13 |
| NebraskaNebraska | $23.78 | $23.78 |
| New HampshireNew Hampshire | $25.27 | $25.27 |
| Northern New JerseyNew Jersey | $27.44 | $27.44 |
| Rest of New JerseyNew Jersey | $26.54 | $26.54 |
| New MexicoNew Mexico | $24.56 | $24.56 |
| NevadaNevada | $24.89 | $24.89 |
| NYC suburbs and Long Island, NYNew York | $28.49 | $28.49 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $26.76 | $26.76 |
| Queens, NYNew York | $28.02 | $28.02 |
| Rest of New YorkNew York | $24.34 | $24.34 |
| OhioOhio | $24.33 | $24.33 |
| OklahomaOklahoma | $23.93 | $23.93 |
| Portland, OROregon | $25.97 | $25.97 |
| Rest of OregonOregon | $24.72 | $24.72 |
| Metropolitan Philadelphia, PAPennsylvania | $25.87 | $25.87 |
| Rest of PennsylvaniaPennsylvania | $24.31 | $24.31 |
| Puerto RicoPuerto Rico | $25.13 | $25.13 |
| Rhode IslandRhode Island | $25.52 | $25.52 |
| South CarolinaSouth Carolina | $24.27 | $24.27 |
| South DakotaSouth Dakota | $24.39 | $24.39 |
| TennesseeTennessee | $23.83 | $23.83 |
| Austin, TXTexas | $25.45 | $25.45 |
| Beaumont, TXTexas | $24.23 | $24.23 |
| Brazoria, TXTexas | $24.88 | $24.88 |
| Dallas, TXTexas | $25.02 | $25.02 |
| Fort Worth, TXTexas | $24.95 | $24.95 |
| Galveston, TXTexas | $24.95 | $24.95 |
| Houston, TXTexas | $25.49 | $25.49 |
| Rest of TexasTexas | $24.53 | $24.53 |
| UtahUtah | $24.45 | $24.45 |
| VirginiaVirginia | $24.61 | $24.61 |
| Virgin Islands, VIUnited States Virgin Islands | $25.13 | $25.13 |
| VermontVermont | $24.47 | $24.47 |
| Rest of WashingtonWashington | $25.46 | $25.46 |
| King County, WAWashington | $27.55 | $27.55 |
| WisconsinWisconsin | $24.01 | $24.01 |
| West VirginiaWest Virginia | $24.39 | $24.39 |
| WyomingWyoming | $24.79 | $24.79 |
93228 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.
$23.39
$32.99
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 | $32.99 | 1 |
| AL | $23.57 | 1 |
| AR | $23.39 | 1 |
| AZ | $24.65 | 1 |
| CA | $25.65–$30.00 | 29 |
| CO | $25.55 | 1 |
| CT | $26.22 | 1 |
| DC | $27.50 | 1 |
| DE | $24.93 | 1 |
| FL | $25.19–$26.93 | 3 |
| GA | $24.34–$25.43 | 2 |
| GU | $25.77 | 1 |
| HI | $25.77 | 1 |
| IA | $23.74 | 1 |
| ID | $23.85 | 1 |
| IL | $24.89–$26.50 | 4 |
| IN | $23.93 | 1 |
| KS | $23.75 | 1 |
| KY | $24.04 | 1 |
| LA | $24.05–$24.69 | 2 |
| MA | $25.54–$27.20 | 2 |
| MD | $25.23–$27.50 | 3 |
| ME | $24.00–$24.61 | 2 |
| MI | $24.45–$25.45 | 2 |
| MN | $24.59 | 1 |
| MO | $23.87–$24.65 | 3 |
| MS | $23.63 | 1 |
| MT | $25.05 | 1 |
| NC | $24.13 | 1 |
| ND | $24.46 | 1 |
| NE | $23.78 | 1 |
| NH | $25.27 | 1 |
| NJ | $26.54–$27.44 | 2 |
| NM | $24.56 | 1 |
| NV | $24.89 | 1 |
| NY | $24.34–$28.49 | 5 |
| OH | $24.33 | 1 |
| OK | $23.93 | 1 |
| OR | $24.72–$25.97 | 2 |
| PA | $24.31–$25.87 | 2 |
| PR | $25.13 | 1 |
| RI | $25.52 | 1 |
| SC | $24.27 | 1 |
| SD | $24.39 | 1 |
| TN | $23.83 | 1 |
| TX | $24.23–$25.49 | 8 |
| UT | $24.45 | 1 |
| VA | $24.61–$27.50 | 2 |
| VI | $25.13 | 1 |
| VT | $24.47 | 1 |
| WA | $25.46–$27.55 | 2 |
| WI | $24.01 | 1 |
| WV | $24.39 | 1 |
| WY | $24.79 | 1 |
How the 93228 rate is calculated
Each of 93228’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 · 93228
RVUs × geographic indexes × conversion factor
Work0.47
0.47 RVUs× 1.000 GPCI
Practice expense0.25
0.25 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
0.7500
Conversion factor
$33.4009
Medicare rate
$25.05
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact North Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,962
- Code
- 93228
- Physician work
- 0.47
- Practice expense
- 0.25
- Malpractice
- 0.03
GPCI2026.csv
84
- Locality
- North Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.406
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.47 | × 1.000 | 0.4700 |
| Practice expense | 0.25 | × 1.000 | 0.2500 |
| Malpractice | 0.03 | × 0.406 | 0.0122 |
| Total RVUs | 0.7322 | ||
| Conversion factor | × 33.4009 | ||
Office rate, North Dakota$24.46
Office: (0.47 × 1 + 0.25 × 1 + 0.03 × 0.406) × $33.4009 = $24.46
Facility: (0.47 × 1 + 0.25 × 1 + 0.03 × 0.406) × $33.4009 = $24.46
Payment rules and modifiers for 93228
The CMS indicators that decide how 93228 is paid alongside other services.
CMS payment indicators · 93228
ECG interpretation, remote monitoring, up to 30 days
| 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 93228 has changed in North Dakota
93228 · Office / nonfacility
$24.46
Effective 2026-10-01
The base rate is $0.67 higher than on 2025-10-01, moving from $23.79 to $24.46 (2.8%).
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
$23.79changed to$24.46
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.48 changed to 0.47
- Practice expense RVU 0.24 changed to 0.25
- Malpractice GPCI 0.517 changed to 0.406
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$24.15changed to$23.79
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.23 changed to 0.24
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$23.76changed to$24.15
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$24.70changed to$23.76
- Conversion factor 33.8872 changed to 32.7442
- Malpractice RVU 0.04 changed to 0.03
- Malpractice GPCI 0.474 changed to 0.517
January 1, 2023
RVU23A
$25.17changed to$24.70
- Conversion factor 34.6062 changed to 33.8872
- Malpractice GPCI 0.431 changed to 0.474
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$25.38changed to$25.17
- Conversion factor 34.8931 changed to 34.6062
- Work RVU 0.52 changed to 0.48
- Practice expense RVU 0.19 changed to 0.23
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$26.50changed to$25.38
- Conversion factor 36.0896 changed to 34.8931
- Malpractice RVU 0.05 changed to 0.04
- Malpractice GPCI 0.485 changed to 0.431
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$26.17changed to$26.50
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.03 changed to 0.05
- Malpractice GPCI 0.540 changed to 0.485
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$26.14changed to$26.17
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$26.07changed to$26.14
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.547 changed to 0.540
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$26.02changed to$26.07
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.554 changed to 0.547
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$26.11changed to$26.02
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$25.98changed to$26.11
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$26.01changed to$25.98
- Conversion factor 35.8228 changed to 35.7547
- Malpractice GPCI 0.536 changed to 0.554
Held through RVU15B.
January 1, 2014
RVU14A
$24.68changed to$26.01
- Conversion factor 34.0230 changed to 35.8228
- Malpractice GPCI 0.517 changed to 0.536
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $24.68
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $24.46 | $24.46 | RVU26D |
| 2026-07-01 | $24.46 | $24.46 | RVU26C |
| 2026-04-01 | $24.46 | $24.46 | RVU26B |
| 2026-01-01 | $24.46 | $24.46 | RVU26A |
| 2025-10-01 | $23.79 | $23.79 | RVU25D |
| 2025-07-01 | $23.79 | $23.79 | RVU25C |
| 2025-04-01 | $23.79 | $23.79 | RVU25B |
| 2025-01-01 | $23.79 | $23.79 | RVU25A |
| 2024-10-01 | $24.15 | $24.15 | RVU24D |
| 2024-07-01 | $24.15 | $24.15 | RVU24C |
| 2024-04-01 | $24.15 | $24.15 | RVU24B |
| 2024-03-09 | $24.15 | $24.15 | RVU24AR |
| 2024-01-01 | $23.76 | $23.76 | RVU24A |
| 2023-10-01 | $24.70 | $24.70 | RVU23D |
| 2023-07-01 | $24.70 | $24.70 | RVU23C |
| 2023-04-01 | $24.70 | $24.70 | RVU23B |
| 2023-01-01 | $24.70 | $24.70 | RVU23A |
| 2022-10-01 | $25.17 | $25.17 | RVU22D |
| 2022-07-01 | $25.17 | $25.17 | RVU22C |
| 2022-04-01 | $25.17 | $25.17 | RVU22B |
| 2022-01-01 | $25.17 | $25.17 | RVU22A |
| 2021-10-01 | $25.38 | $25.38 | RVU21D |
| 2021-07-01 | $25.38 | $25.38 | RVU21C |
| 2021-04-01 | $25.38 | $25.38 | RVU21B |
| 2021-01-01 | $25.38 | $25.38 | RVU21A |
| 2020-10-01 | $26.50 | $26.50 | RVU20D |
| 2020-07-01 | $26.50 | $26.50 | RVU20C |
| 2020-04-01 | $26.50 | $26.50 | RVU20B |
| 2020-01-01 | $26.50 | $26.50 | RVU20A |
| 2019-10-01 | $26.17 | $26.17 | RVU19D |
| 2019-07-01 | $26.17 | $26.17 | RVU19C |
| 2019-04-01 | $26.17 | $26.17 | RVU19B |
| 2019-01-01 | $26.17 | $26.17 | RVU19A |
| 2018-10-01 | $26.14 | $26.14 | RVU18D |
| 2018-07-01 | $26.14 | $26.14 | RVU18C |
| 2018-04-01 | $26.14 | $26.14 | RVU18B |
| 2018-01-01 | $26.14 | $26.14 | RVU18AR1 |
| 2017-10-01 | $26.07 | $26.07 | RVU17D |
| 2017-07-01 | $26.07 | $26.07 | RVU17C |
| 2017-04-01 | $26.07 | $26.07 | RVU17B |
| 2017-01-01 | $26.07 | $26.07 | RVU17A |
| 2016-10-01 | $26.02 | $26.02 | RVU16D |
| 2016-07-01 | $26.02 | $26.02 | RVU16C |
| 2016-04-01 | $26.02 | $26.02 | RVU16B |
| 2016-01-01 | $26.02 | $26.02 | RVU16A |
| 2015-10-01 | $26.11 | $26.11 | RVU15D |
| 2015-07-01 | $26.11 | $26.11 | RVU15C |
| 2015-04-01 | $25.98 | $25.98 | RVU15B |
| 2015-01-01 | $25.98 | $25.98 | RVU15A |
| 2014-10-01 | $26.01 | $26.01 | RVU14D |
| 2014-07-01 | $26.01 | $26.01 | RVU14C |
| 2014-04-01 | $26.01 | $26.01 | RVU14B |
| 2014-01-01 | $26.01 | $26.01 | RVU14A |
| 2013-10-01 | $24.68 | $24.68 | RVU13D |
| 2013-07-01 | $24.68 | $24.68 | RVU13C |
| 2013-04-01 | $24.68 | $24.68 | RVU13B |
| 2013-01-01 | $24.68 | $24.68 | RVU13AR |
Where the North Dakota rate applies
North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.
- Abercrombie
- Adams
- Alamo
- Alexander
- Alice
- Almont
- Alsen
- Ambrose
93228 billing questions
When should 93228 be chosen instead of 93272?
Use 93228 for professional review and reporting associated with remote extended ECG monitoring. Code 93272 is associated with physician review and interpretation for an external event-monitor service.
Can 93228 and 93229 be reported for the same monitoring episode?
Yes, when the professional interpretation and the technical service are both furnished. Code 93228 represents the interpretation and report; 93229 represents the technical portion.
Does 93228 include device connection or ECG recording?
No. It covers the professional interpretation and report. The technical portion is reported separately with 93229 when furnished.
Is 93228 reported for each transmission or tracing?
The code represents the professional interpretation and report for remote monitoring, not a separate charge for each transmission or tracing.
What documentation supports reporting 93228?
Document the remote monitoring period, the ECG data reviewed, the clinician’s interpretation, and the report. The record should make clear that the professional service was performed.
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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