CPT code 93241: Ambulatory ECG, more than 48 hours to 7 days2026 Medicare rate & RVUs in California
Reports continuous ambulatory ECG monitoring lasting more than 48 hours and up to seven days, including recording, data analysis, and physician interpretation.
Medicare pays $304.00–$396.01 for 93241 in the office in California, from Chico, CA to San Benito County, CA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 93241 covers
This service captures continuous electrocardiographic activity while a patient wears an ambulatory monitor for more than 48 hours and up to seven days. Cardiology practices and diagnostic monitoring services commonly use it to evaluate intermittent palpitations, dizziness, or suspected rhythm disturbances that may not appear during a brief office ECG. A wearable patch or other continuous recorder stores the rhythm data for later analysis.
Report 93241 for the complete service when recording, scanning analysis with a report, and review and interpretation are furnished together. When those services are divided, the related codes identify recording, scanning analysis, and professional interpretation separately. The record should support the monitoring duration, the clinical reason for extended monitoring, and the service components performed. When multiple cardiovascular diagnostic procedures are performed, the CMS multiple procedure reduction applies to the technical component.
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.
Where 93241 pays more and less in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 payment localities
$304.00 to $396.01
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | $304.13 | Unavailable |
| Chico, CA | $304.00 | Unavailable |
| El Centro, CA | $304.00 | Unavailable |
| Fresno, CA | $304.00 | Unavailable |
| Hanford, CA | $304.00 | Unavailable |
| Los Angeles, CA | $327.31 | Unavailable |
| Madera, CA | $304.00 | Unavailable |
| Marin County, CA | $387.29 | Unavailable |
| Merced, CA | $304.00 | Unavailable |
| Modesto, CA | $304.00 | Unavailable |
| Napa, CA | $362.77 | Unavailable |
| Oxnard, CA | $326.78 | Unavailable |
| Redding, CA | $304.00 | Unavailable |
| Rest of California | $304.00 | Unavailable |
| Riverside, CA | $304.44 | Unavailable |
| Sacramento, CA | $321.83 | Unavailable |
| Salinas, CA | $320.70 | Unavailable |
| San Benito County, CA | $396.01 | Unavailable |
| San Diego, CA | $330.37 | Unavailable |
| San Francisco, CA | $387.25 | Unavailable |
| San Luis Obispo, CA | $315.24 | Unavailable |
| Santa Clara County, CA | $395.82 | Unavailable |
| Santa Cruz, CA | $335.18 | Unavailable |
| Santa Maria, CA | $322.48 | Unavailable |
| Santa Rosa, CA | $338.73 | Unavailable |
| Stockton, CA | $304.00 | Unavailable |
| Vallejo, CA | $362.71 | Unavailable |
| Visalia, CA | $304.00 | Unavailable |
| Yuba City, CA | $304.00 | Unavailable |
How the 93241 rate is calculated
Each of 93241’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 · 93241
RVUs × geographic indexes × conversion factor
Work0.49
0.49 RVUs× 1.000 GPCI
Practice expense7.83
7.83 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
8.3600
Conversion factor
$33.4009
Medicare rate
$279.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93241
The CMS indicators that decide how 93241 is paid alongside other services.
CMS payment indicators · 93241
Ambulatory ECG, more than 48 hours to 7 days
| 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 | 4 | Global test only. |
93241 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93224Holter monitoringUp to 48 hours
- Use 93224 for external ECG recording of up to 48 hours; 93241 is for continuous recording beyond 48 hours and up to seven days.
- 93245Extended ECGMore than 7 days
- 93245 applies to continuous external ECG monitoring beyond seven days and up to 15 days, rather than the shorter interval covered by 93241.
- 93268ECG monitoringUp to 30 days
- 93268 describes external ECG event monitoring, a different monitoring approach from the continuous recording reported with 93241.
93241 billing questions
When should 93241 be chosen instead of 93224?
Use 93241 for continuous monitoring lasting more than 48 hours and up to seven days. Code 93224 describes external ECG recording of up to 48 hours.
Can recording, scanning, and interpretation be billed separately?
Yes. The related codes identify recording (93242), scanning analysis and report (93243), and review and interpretation (93244) when the work is divided.
Should modifier 26 or TC be appended to 93241?
93241 represents the complete service. For separately furnished components, use the dedicated component codes rather than splitting 93241 with 26 or TC.
What documentation supports reporting 93241?
Document the clinical reason for continuous monitoring, the monitoring interval, and that the complete recording, analysis and report, and interpretation services were performed.
How does the multiple procedure reduction affect this service?
When multiple cardiovascular diagnostic procedures are performed, the CMS reduction applies to the technical component. It does not apply to the professional interpretation component under this rule.
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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