CPT code 93228: ECG interpretation, remote monitoring, up to 30 days2026 Medicare rate & RVUs in Dallas, TX

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.

CMS RVU26DEffective Oct 1, 2026One payment locality310.4K Medicare services in 2024

In Dallas, TX, Medicare pays $25.02 for 93228 in the office and $25.02 when it’s performed in a hospital or facility.

$25.02Office (non-facility)
$25.02Hospital or facility
−0.1%vs the national office rate ($25.05)

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.

We’ll open 93228 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Dallas, TX
  2. What 93228 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 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 Dallas, TX 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. Dallas, TX pays $25.02. The RVUs are the same everywhere; the geographic indexes change the dollars.

93228 in Dallas, TX vs other payment areas
  1. Dallas, TX · this page$25.02
  2. Austin, TX · Texas$25.45+$0.43
  3. Beaumont, TX · Texas$24.23−$0.79
  4. Brazoria, TX · Texas$24.88−$0.14
  5. Fort Worth, TX · Texas$24.95−$0.07
  6. Galveston, TX · Texas$24.95−$0.07
  7. Houston, TX · Texas$25.49+$0.47

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

Every other payment area

93228 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$24.53$24.53
Los Angeles, CACalifornia$26.89$26.89
Washington, DC areaDistrict of Columbia$27.50$27.50
Miami, FLFlorida$26.93$26.93
Chicago, ILIllinois$26.50$26.50
Manhattan, NYNew York$28.00$28.00
AlaskaAlaska$32.99$32.99
AlabamaAlabama$23.57$23.57

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
93228 office rate range by state
State / territoryOffice rate rangeLocalities
AK$32.991
AL$23.571
AR$23.391
AZ$24.651
CA$25.65–$30.0029
CO$25.551
CT$26.221
DC$27.501
DE$24.931
FL$25.19–$26.933
GA$24.34–$25.432
GU$25.771
HI$25.771
IA$23.741
ID$23.851
IL$24.89–$26.504
IN$23.931
KS$23.751
KY$24.041
LA$24.05–$24.692
MA$25.54–$27.202
MD$25.23–$27.503
ME$24.00–$24.612
MI$24.45–$25.452
MN$24.591
MO$23.87–$24.653
MS$23.631
MT$25.051
NC$24.131
ND$24.461
NE$23.781
NH$25.271
NJ$26.54–$27.442
NM$24.561
NV$24.891
NY$24.34–$28.495
OH$24.331
OK$23.931
OR$24.72–$25.972
PA$24.31–$25.872
PR$25.131
RI$25.521
SC$24.271
SD$24.391
TN$23.831
TX$24.23–$25.498
UT$24.451
VA$24.61–$27.502
VI$25.131
VT$24.471
WA$25.46–$27.552
WI$24.011
WV$24.391
WY$24.791

See 93228 in every payment locality

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

Office or facility?

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 Dallas, TX 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

99

Locality
Dallas, TX
Physician work
1.009
Practice expense
0.996
Malpractice
0.858
Office calculation for 93228 in Dallas, TX
ComponentRVULocality factorAdjusted
Physician work0.47× 1.0090.4742
Practice expense0.25× 0.9960.2490
Malpractice0.03× 0.8580.0257
Total RVUs0.7490
Conversion factor× 33.4009

Office rate, Dallas, TX$25.02

Office: (0.47 × 1.009 + 0.25 × 0.996 + 0.03 × 0.858) × $33.4009 = $25.02

Facility: (0.47 × 1.009 + 0.25 × 0.996 + 0.03 × 0.858) × $33.4009 = $25.02

Open 93228 in the RVU calculator

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

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 93228 has changed in Dallas, TX

93228 · Office / nonfacility

$25.02

Effective 2026-10-01

The base rate is $0.65 higher than on 2025-10-01, moving from $24.37 to $25.02 (2.7%).

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

    $24.37changed to$25.02

    • 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
    • Work GPCI 1.011 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.996
    • Malpractice GPCI 0.877 changed to 0.858

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $24.74changed to$24.37

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.23 changed to 0.24

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $24.34changed to$24.74

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $25.43changed to$24.34

    • Conversion factor 33.8872 changed to 32.7442
    • Malpractice RVU 0.04 changed to 0.03
    • Work GPCI 1.017 changed to 1.011
    • Practice expense GPCI 1.017 changed to 1.007
    • Malpractice GPCI 0.711 changed to 0.877
  5. January 1, 2023

    RVU23A

    $25.92changed to$25.43

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.023 changed to 1.017
    • Practice expense GPCI 1.026 changed to 1.017
    • Malpractice GPCI 0.546 changed to 0.711

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $26.13changed to$25.92

    • 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.

  7. January 1, 2021

    RVU21A

    $27.28changed to$26.13

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.018 changed to 1.023
    • Practice expense GPCI 1.020 changed to 1.026
    • Malpractice GPCI 0.657 changed to 0.546

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $26.74changed to$27.28

    • Conversion factor 36.0391 changed to 36.0896
    • Malpractice RVU 0.03 changed to 0.05
    • Work GPCI 1.012 changed to 1.018
    • Practice expense GPCI 1.014 changed to 1.020
    • Malpractice GPCI 0.768 changed to 0.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $26.71changed to$26.74

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $26.67changed to$26.71

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.015 changed to 1.012
    • Practice expense GPCI 1.012 changed to 1.014
    • Malpractice GPCI 0.770 changed to 0.768

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $26.65changed to$26.67

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.018 changed to 1.015
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.772 changed to 0.770

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $26.74changed to$26.65

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $26.61changed to$26.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $26.65changed to$26.61

    • Conversion factor 35.8228 changed to 35.7547
    • Work GPCI 1.014 changed to 1.018
    • Practice expense GPCI 1.013 changed to 1.009
    • Malpractice GPCI 0.803 changed to 0.772

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $25.28changed to$26.65

    • Conversion factor 34.0230 changed to 35.8228
    • Work GPCI 1.009 changed to 1.014
    • Practice expense GPCI 1.017 changed to 1.013
    • Malpractice GPCI 0.834 changed to 0.803

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $25.28

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$25.02$25.02RVU26D
2026-07-01$25.02$25.02RVU26C
2026-04-01$25.02$25.02RVU26B
2026-01-01$25.02$25.02RVU26A
2025-10-01$24.37$24.37RVU25D
2025-07-01$24.37$24.37RVU25C
2025-04-01$24.37$24.37RVU25B
2025-01-01$24.37$24.37RVU25A
2024-10-01$24.74$24.74RVU24D
2024-07-01$24.74$24.74RVU24C
2024-04-01$24.74$24.74RVU24B
2024-03-09$24.74$24.74RVU24AR
2024-01-01$24.34$24.34RVU24A
2023-10-01$25.43$25.43RVU23D
2023-07-01$25.43$25.43RVU23C
2023-04-01$25.43$25.43RVU23B
2023-01-01$25.43$25.43RVU23A
2022-10-01$25.92$25.92RVU22D
2022-07-01$25.92$25.92RVU22C
2022-04-01$25.92$25.92RVU22B
2022-01-01$25.92$25.92RVU22A
2021-10-01$26.13$26.13RVU21D
2021-07-01$26.13$26.13RVU21C
2021-04-01$26.13$26.13RVU21B
2021-01-01$26.13$26.13RVU21A
2020-10-01$27.28$27.28RVU20D
2020-07-01$27.28$27.28RVU20C
2020-04-01$27.28$27.28RVU20B
2020-01-01$27.28$27.28RVU20A
2019-10-01$26.74$26.74RVU19D
2019-07-01$26.74$26.74RVU19C
2019-04-01$26.74$26.74RVU19B
2019-01-01$26.74$26.74RVU19A
2018-10-01$26.71$26.71RVU18D
2018-07-01$26.71$26.71RVU18C
2018-04-01$26.71$26.71RVU18B
2018-01-01$26.71$26.71RVU18AR1
2017-10-01$26.67$26.67RVU17D
2017-07-01$26.67$26.67RVU17C
2017-04-01$26.67$26.67RVU17B
2017-01-01$26.67$26.67RVU17A
2016-10-01$26.65$26.65RVU16D
2016-07-01$26.65$26.65RVU16C
2016-04-01$26.65$26.65RVU16B
2016-01-01$26.65$26.65RVU16A
2015-10-01$26.74$26.74RVU15D
2015-07-01$26.74$26.74RVU15C
2015-04-01$26.61$26.61RVU15B
2015-01-01$26.61$26.61RVU15A
2014-10-01$26.65$26.65RVU14D
2014-07-01$26.65$26.65RVU14C
2014-04-01$26.65$26.65RVU14B
2014-01-01$26.65$26.65RVU14A
2013-10-01$25.28$25.28RVU13D
2013-07-01$25.28$25.28RVU13C
2013-04-01$25.28$25.28RVU13B
2013-01-01$25.28$25.28RVU13AR

Price 93228 for an earlier date of service

Where the Dallas, TX rate applies

Dallas, TX is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

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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
RVUs for 93228PPRRVU2026_Oct_nonQPP.csv, line 11,962 (RVU26D)
Geographic factors for Dallas, TXGPCI2026.csv, line 99 (RVU26D)

Open CMS sourceHow we calculate rates

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