CPT code 93229: Remote ECG monitoring, 30-day technical service2026 Medicare rate & RVUs in Puerto Rico
Reports the technical support for a 30-day remote mobile cardiac telemetry service, including setup, patient instruction, and ECG data handling.
In Puerto Rico, Medicare pays $766.82 for 93229 in the office.
Check a contract rate as a % of Medicare · 93229 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 93229 covers
This code represents the technical work for a 30-day mobile cardiac telemetry service ordered to evaluate suspected intermittent arrhythmias, such as palpitations, dizziness, or fainting. Monitoring staff support device setup and patient instruction, receive transmitted ECG data, and analyze it for events that may require notification to the treating clinician. Cardiology practices commonly arrange the service for patients monitoring at home; the clinician’s review and interpretation are reported separately.
Report the technical service for the 30-day monitoring episode, not separately for each transmission or detected event. Documentation should support the monitoring period and the technical services furnished, including setup, instruction, data receipt and analysis, and any relevant event communications. Code 93228 represents the separate professional review and interpretation. CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component when multiple cardiovascular diagnostic procedures are billed; that reduction can affect payment for this service.
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 Puerto Rico compares for 93229
Across 109 of 109 payment localities, the office rate for 93229 runs from $650.78 in Arkansas to $1,091.69 in San Benito County, CA. Puerto Rico pays $766.82. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$766.82
- Los Angeles, CA · California$896.13+$129.31
- Washington, DC area · District of Columbia$893.40+$126.58
- Miami, FL · Florida$793.11+$26.29
- Chicago, IL · Illinois$765.34−$1.48
- Manhattan, NY · New York$882.41+$115.59
- Alaska · Alaska$806.64+$39.82
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $663.00 | — |
| ArkansasArkansas | $650.78 | — |
| ArizonaArizona | $734.76 | — |
| Bakersfield, CACalifornia | $830.22 | — |
| Chico, CACalifornia | $830.04 | — |
| El Centro, CACalifornia | $830.06 | — |
| Fresno, CACalifornia | $830.04 | — |
| Hanford, CACalifornia | $830.04 | — |
| Madera, CACalifornia | $830.04 | — |
| Merced, CACalifornia | $830.04 | — |
| Modesto, CACalifornia | $830.04 | — |
| Napa, CACalifornia | $997.85 | — |
| Oxnard, CACalifornia | $895.28 | — |
| Redding, CACalifornia | $830.04 | — |
| Rest of CaliforniaCalifornia | $830.04 | — |
| Riverside, CACalifornia | $830.79 | — |
| Sacramento, CACalifornia | $880.71 | — |
| Salinas, CACalifornia | $877.68 | — |
| San Diego, CACalifornia | $905.68 | — |
| Marin County, CACalifornia | $1,067.31 | — |
| San Francisco, CACalifornia | $1,067.23 | — |
| San Benito County, CACalifornia | $1,091.69 | — |
| Santa Clara County, CACalifornia | $1,091.36 | — |
| San Luis Obispo, CACalifornia | $862.56 | — |
| Santa Cruz, CACalifornia | $920.03 | — |
| Santa Maria, CACalifornia | $882.98 | — |
| Santa Rosa, CACalifornia | $929.86 | — |
| Stockton, CACalifornia | $830.04 | — |
| Vallejo, CACalifornia | $997.74 | — |
| Visalia, CACalifornia | $830.04 | — |
| Yuba City, CACalifornia | $830.04 | — |
| ColoradoColorado | $806.42 | — |
| ConnecticutConnecticut | $817.25 | — |
| DelawareDelaware | $749.22 | — |
| Fort Lauderdale, FLFlorida | $770.25 | — |
| Rest of FloridaFlorida | $726.44 | — |
| Atlanta, GAGeorgia | $771.10 | — |
| Rest of GeorgiaGeorgia | $677.31 | — |
| Hawaii, Guam, HIHawaii | $861.15 | — |
| IowaIowa | $692.85 | — |
| IdahoIdaho | $696.81 | — |
| East St. Louis, ILIllinois | $700.41 | — |
| Rest of IllinoisIllinois | $694.06 | — |
| Suburban Chicago, ILIllinois | $780.76 | — |
| IndianaIndiana | $702.13 | — |
| KansasKansas | $684.78 | — |
| KentuckyKentucky | $674.40 | — |
| New Orleans, LALouisiana | $714.24 | — |
| Rest of LouisianaLouisiana | $671.47 | — |
| Metropolitan Boston, MAMassachusetts | $904.98 | — |
| Rest of MassachusettsMassachusetts | $798.14 | — |
| Baltimore area, MDMaryland | $814.29 | — |
| Rest of MarylandMaryland | $767.42 | — |
| Rest of MaineMaine | $697.15 | — |
| Southern Maine, MEMaine | $750.87 | — |
| Detroit, MIMichigan | $733.67 | — |
| Rest of MichiganMichigan | $693.05 | — |
| MinnesotaMinnesota | $778.82 | — |
| Metropolitan Kansas City, MOMissouri | $712.35 | — |
| Metropolitan St. Louis, MOMissouri | $722.24 | — |
| Rest of MissouriMissouri | $654.12 | — |
| MississippiMississippi | $652.81 | — |
| MontanaMontana | $758.53 | — |
| North CarolinaNorth Carolina | $707.03 | — |
| North DakotaNorth Dakota | $757.15 | — |
| NebraskaNebraska | $698.85 | — |
| New HampshireNew Hampshire | $789.25 | — |
| Northern New JerseyNew Jersey | $879.68 | — |
| Rest of New JerseyNew Jersey | $828.33 | — |
| New MexicoNew Mexico | $696.24 | — |
| NevadaNevada | $758.90 | — |
| NYC suburbs and Long Island, NYNew York | $903.46 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $830.86 | — |
| Queens, NYNew York | $897.20 | — |
| Rest of New YorkNew York | $720.03 | — |
| OhioOhio | $692.76 | — |
| OklahomaOklahoma | $677.10 | — |
| Portland, OROregon | $841.87 | — |
| Rest of OregonOregon | $754.82 | — |
| Metropolitan Philadelphia, PAPennsylvania | $789.99 | — |
| Rest of PennsylvaniaPennsylvania | $696.40 | — |
| Rhode IslandRhode Island | $783.24 | — |
| South CarolinaSouth Carolina | $700.71 | — |
| South DakotaSouth Dakota | $756.98 | — |
| TennesseeTennessee | $688.64 | — |
| Austin, TXTexas | $802.13 | — |
| Beaumont, TXTexas | $690.31 | — |
| Brazoria, TXTexas | $751.21 | — |
| Dallas, TXTexas | $755.18 | — |
| Fort Worth, TXTexas | $747.65 | — |
| Galveston, TXTexas | $752.84 | — |
| Houston, TXTexas | $754.12 | — |
| Rest of TexasTexas | $719.74 | — |
| UtahUtah | $712.92 | — |
| VirginiaVirginia | $744.99 | — |
| Virgin Islands, VIUnited States Virgin Islands | $766.82 | — |
| VermontVermont | $749.82 | — |
| Rest of WashingtonWashington | $798.05 | — |
| King County, WAWashington | $929.76 | — |
| WisconsinWisconsin | $725.16 | — |
| West VirginiaWest Virginia | $660.48 | — |
| WyomingWyoming | $757.93 | — |
93229 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.
$650.78
$960.87
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 | $806.64 | 1 |
| AL | $663.00 | 1 |
| AR | $650.78 | 1 |
| AZ | $734.76 | 1 |
| CA | $830.04–$1,091.69 | 29 |
| CO | $806.42 | 1 |
| CT | $817.25 | 1 |
| DC | $893.40 | 1 |
| DE | $749.22 | 1 |
| FL | $726.44–$793.11 | 3 |
| GA | $677.31–$771.10 | 2 |
| GU | $861.15 | 1 |
| HI | $861.15 | 1 |
| IA | $692.85 | 1 |
| ID | $696.81 | 1 |
| IL | $694.06–$780.76 | 4 |
| IN | $702.13 | 1 |
| KS | $684.78 | 1 |
| KY | $674.40 | 1 |
| LA | $671.47–$714.24 | 2 |
| MA | $798.14–$904.98 | 2 |
| MD | $767.42–$893.40 | 3 |
| ME | $697.15–$750.87 | 2 |
| MI | $693.05–$733.67 | 2 |
| MN | $778.82 | 1 |
| MO | $654.12–$722.24 | 3 |
| MS | $652.81 | 1 |
| MT | $758.53 | 1 |
| NC | $707.03 | 1 |
| ND | $757.15 | 1 |
| NE | $698.85 | 1 |
| NH | $789.25 | 1 |
| NJ | $828.33–$879.68 | 2 |
| NM | $696.24 | 1 |
| NV | $758.90 | 1 |
| NY | $720.03–$903.46 | 5 |
| OH | $692.76 | 1 |
| OK | $677.10 | 1 |
| OR | $754.82–$841.87 | 2 |
| PA | $696.40–$789.99 | 2 |
| PR | $766.82 | 1 |
| RI | $783.24 | 1 |
| SC | $700.71 | 1 |
| SD | $756.98 | 1 |
| TN | $688.64 | 1 |
| TX | $690.31–$802.13 | 8 |
| UT | $712.92 | 1 |
| VA | $744.99–$893.40 | 2 |
| VI | $766.82 | 1 |
| VT | $749.82 | 1 |
| WA | $798.05–$929.76 | 2 |
| WI | $725.16 | 1 |
| WV | $660.48 | 1 |
| WY | $757.93 | 1 |
How the 93229 rate is calculated
Each of 93229’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 · 93229
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense22.64
22.64 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
22.7100
Conversion factor
$33.4009
Medicare rate
$758.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,963
- Code
- 93229
- Physician work
- 0.00
- Practice expense
- 22.64
- Malpractice
- 0.07
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 22.64 | × 1.011 | 22.8890 |
| Malpractice | 0.07 | × 0.985 | 0.0690 |
| Total RVUs | 22.9580 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$766.82
Office: (0 × 1 + 22.64 × 1.011 + 0.07 × 0.985) × $33.4009 = $766.82
Payment rules and modifiers for 93229
The CMS indicators that decide how 93229 is paid alongside other services.
CMS payment indicators · 93229
Remote ECG monitoring, 30-day technical service
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| 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 | 3 | Technical component only. |
How 93229 has changed in Puerto Rico
93229 · Office / nonfacility
$766.82
Effective 2026-10-01
The base rate is $17.06 higher than on 2025-10-01, moving from $749.76 to $766.82 (2.3%).
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
$749.76changed to$766.82
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 22.94 changed to 22.64
- Malpractice RVU 0.08 changed to 0.07
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$818.50changed to$749.76
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 24.33 changed to 22.94
- Malpractice RVU 0.09 changed to 0.08
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$805.14changed to$818.50
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$856.27changed to$805.14
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 24.97 changed to 24.33
- Malpractice RVU 0.10 changed to 0.09
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$849.55changed to$856.27
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$919.09changed to$849.55
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 26.25 changed to 24.97
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$722.72changed to$919.09
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 20.46 changed to 26.25
- Malpractice RVU 0.09 changed to 0.10
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$721.32changed to$722.72
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 19.75 changed to 20.46
- Malpractice RVU 0.08 changed to 0.09
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$723.98changed to$721.32
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 19.89 changed to 19.75
- Malpractice RVU 0.06 changed to 0.08
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$748.56changed to$723.98
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 20.59 changed to 19.89
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$623.48changed to$748.56
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 20.25 changed to 20.59
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$516.58changed to$623.48
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 20.44 changed to 20.25
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$481.10changed to$516.58
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 18.97 changed to 20.44
- Malpractice RVU 0.05 changed to 0.06
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$478.70changed to$481.10
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$462.91changed to$478.70
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 18.67 changed to 18.97
- Malpractice RVU 0.01 changed to 0.05
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$498.81changed to$462.91
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 21.62 changed to 18.67
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $498.81
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $766.82 | Not available in this setting | RVU26D |
| 2026-07-01 | $766.82 | Not available in this setting | RVU26C |
| 2026-04-01 | $766.82 | Not available in this setting | RVU26B |
| 2026-01-01 | $766.82 | Not available in this setting | RVU26A |
| 2025-10-01 | $749.76 | Not available in this setting | RVU25D |
| 2025-07-01 | $749.76 | Not available in this setting | RVU25C |
| 2025-04-01 | $749.76 | Not available in this setting | RVU25B |
| 2025-01-01 | $749.76 | Not available in this setting | RVU25A |
| 2024-10-01 | $818.50 | Not available in this setting | RVU24D |
| 2024-07-01 | $818.50 | Not available in this setting | RVU24C |
| 2024-04-01 | $818.50 | Not available in this setting | RVU24B |
| 2024-03-09 | $818.50 | Not available in this setting | RVU24AR |
| 2024-01-01 | $805.14 | Not available in this setting | RVU24A |
| 2023-10-01 | $856.27 | Not available in this setting | RVU23D |
| 2023-07-01 | $849.55 | Not available in this setting | RVU23C |
| 2023-04-01 | $849.55 | Not available in this setting | RVU23B |
| 2023-01-01 | $849.55 | Not available in this setting | RVU23A |
| 2022-10-01 | $919.09 | Not available in this setting | RVU22D |
| 2022-07-01 | $919.09 | Not available in this setting | RVU22C |
| 2022-04-01 | $919.09 | Not available in this setting | RVU22B |
| 2022-01-01 | $919.09 | Not available in this setting | RVU22A |
| 2021-10-01 | $722.72 | Not available in this setting | RVU21D |
| 2021-07-01 | $722.72 | Not available in this setting | RVU21C |
| 2021-04-01 | $722.72 | Not available in this setting | RVU21B |
| 2021-01-01 | $722.72 | Not available in this setting | RVU21A |
| 2020-10-01 | $721.32 | Not available in this setting | RVU20D |
| 2020-07-01 | $721.32 | Not available in this setting | RVU20C |
| 2020-04-01 | $721.32 | Not available in this setting | RVU20B |
| 2020-01-01 | $721.32 | Not available in this setting | RVU20A |
| 2019-10-01 | $723.98 | Not available in this setting | RVU19D |
| 2019-07-01 | $723.98 | Not available in this setting | RVU19C |
| 2019-04-01 | $723.98 | Not available in this setting | RVU19B |
| 2019-01-01 | $723.98 | Not available in this setting | RVU19A |
| 2018-10-01 | $748.56 | Not available in this setting | RVU18D |
| 2018-07-01 | $748.56 | Not available in this setting | RVU18C |
| 2018-04-01 | $748.56 | Not available in this setting | RVU18B |
| 2018-01-01 | $748.56 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $623.48 | Not available in this setting | RVU17D |
| 2017-07-01 | $623.48 | Not available in this setting | RVU17C |
| 2017-04-01 | $623.48 | Not available in this setting | RVU17B |
| 2017-01-01 | $623.48 | Not available in this setting | RVU17A |
| 2016-10-01 | $516.58 | Not available in this setting | RVU16D |
| 2016-07-01 | $516.58 | Not available in this setting | RVU16C |
| 2016-04-01 | $516.58 | Not available in this setting | RVU16B |
| 2016-01-01 | $516.58 | Not available in this setting | RVU16A |
| 2015-10-01 | $481.10 | Not available in this setting | RVU15D |
| 2015-07-01 | $481.10 | Not available in this setting | RVU15C |
| 2015-04-01 | $478.70 | Not available in this setting | RVU15B |
| 2015-01-01 | $478.70 | Not available in this setting | RVU15A |
| 2014-10-01 | $462.91 | Not available in this setting | RVU14D |
| 2014-07-01 | $462.91 | Not available in this setting | RVU14C |
| 2014-04-01 | $462.91 | Not available in this setting | RVU14B |
| 2014-01-01 | $462.91 | Not available in this setting | RVU14A |
| 2013-10-01 | $498.81 | Not available in this setting | RVU13D |
| 2013-07-01 | $498.81 | Not available in this setting | RVU13C |
| 2013-04-01 | $498.81 | Not available in this setting | RVU13B |
| 2013-01-01 | $498.81 | Not available in this setting | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
93229 billing questions
How does 93229 differ from 93228?
93229 represents the technical services supporting the 30-day telemetry episode. Code 93228 is for the separate professional review and interpretation.
Can the technical service and interpretation both be reported?
Yes. The technical service is reported with 93229, while the physician or other qualified health care professional’s review and interpretation are reported with 93228 when performed.
Is 93229 reported for each alert or ECG transmission?
No. It represents technical support for the 30-day monitoring service, rather than a separate charge for each transmitted tracing or event.
What documentation supports 93229?
Document the monitoring period and the technical work furnished, such as equipment setup, patient instruction, receipt and analysis of ECG data, and relevant event communications.
Can another cardiovascular diagnostic service affect payment?
Yes. CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component when multiple cardiovascular diagnostic procedures are billed.
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
Fee sheets · Coming soon
Put 93229 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist