CPT code 93241: Ambulatory ECG, more than 48 hours to 7 days2026 Medicare rate & RVUs in Montana
Reports continuous ambulatory ECG monitoring lasting more than 48 hours and up to seven days, including recording, data analysis, and physician interpretation.
In Montana, Medicare pays $279.23 for 93241 in the office.
Check a contract rate as a % of Medicare · 93241 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 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.
How Montana compares for 93241
Across 109 of 109 payment localities, the office rate for 93241 runs from $241.71 in Arkansas to $396.01 in San Benito County, CA. Montana pays $279.23. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$279.23
- Los Angeles, CA · California$327.31+$48.08
- Washington, DC area · District of Columbia$326.82+$47.59
- Miami, FL · Florida$292.00+$12.77
- Chicago, IL · Illinois$282.38+$3.15
- Manhattan, NY · New York$323.43+$44.20
- Alaska · Alaska$303.81+$24.58
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $245.96 | — |
| ArkansasArkansas | $241.71 | — |
| ArizonaArizona | $270.93 | — |
| Bakersfield, CACalifornia | $304.13 | — |
| Chico, CACalifornia | $304.00 | — |
| El Centro, CACalifornia | $304.00 | — |
| Fresno, CACalifornia | $304.00 | — |
| Hanford, CACalifornia | $304.00 | — |
| Madera, CACalifornia | $304.00 | — |
| Merced, CACalifornia | $304.00 | — |
| Modesto, CACalifornia | $304.00 | — |
| Napa, CACalifornia | $362.77 | — |
| Oxnard, CACalifornia | $326.78 | — |
| Redding, CACalifornia | $304.00 | — |
| Rest of CaliforniaCalifornia | $304.00 | — |
| Riverside, CACalifornia | $304.44 | — |
| Sacramento, CACalifornia | $321.83 | — |
| Salinas, CACalifornia | $320.70 | — |
| San Diego, CACalifornia | $330.37 | — |
| Marin County, CACalifornia | $387.29 | — |
| San Francisco, CACalifornia | $387.25 | — |
| San Benito County, CACalifornia | $396.01 | — |
| Santa Clara County, CACalifornia | $395.82 | — |
| San Luis Obispo, CACalifornia | $315.24 | — |
| Santa Cruz, CACalifornia | $335.18 | — |
| Santa Maria, CACalifornia | $322.48 | — |
| Santa Rosa, CACalifornia | $338.73 | — |
| Stockton, CACalifornia | $304.00 | — |
| Vallejo, CACalifornia | $362.71 | — |
| Visalia, CACalifornia | $304.00 | — |
| Yuba City, CACalifornia | $304.00 | — |
| ColoradoColorado | $295.87 | — |
| ConnecticutConnecticut | $299.98 | — |
| DelawareDelaware | $276.04 | — |
| Fort Lauderdale, FLFlorida | $283.71 | — |
| Rest of FloridaFlorida | $268.40 | — |
| Atlanta, GAGeorgia | $283.73 | — |
| Rest of GeorgiaGeorgia | $251.24 | — |
| Hawaii, Guam, HIHawaii | $314.50 | — |
| IowaIowa | $256.20 | — |
| IdahoIdaho | $257.61 | — |
| East St. Louis, ILIllinois | $259.66 | — |
| Rest of IllinoisIllinois | $257.23 | — |
| Suburban Chicago, ILIllinois | $287.44 | — |
| IndianaIndiana | $259.45 | — |
| KansasKansas | $253.46 | — |
| KentuckyKentucky | $250.09 | — |
| New Orleans, LALouisiana | $263.98 | — |
| Rest of LouisianaLouisiana | $249.10 | — |
| Metropolitan Boston, MAMassachusetts | $330.49 | — |
| Rest of MassachusettsMassachusetts | $293.08 | — |
| Baltimore area, MDMaryland | $298.90 | — |
| Rest of MarylandMaryland | $282.42 | — |
| Rest of MaineMaine | $257.80 | — |
| Southern Maine, MEMaine | $276.38 | — |
| Detroit, MIMichigan | $270.99 | — |
| Rest of MichiganMichigan | $256.65 | — |
| MinnesotaMinnesota | $285.88 | — |
| Metropolitan Kansas City, MOMissouri | $263.25 | — |
| Metropolitan St. Louis, MOMissouri | $266.68 | — |
| Rest of MissouriMissouri | $243.11 | — |
| MississippiMississippi | $242.53 | — |
| North CarolinaNorth Carolina | $261.23 | — |
| North DakotaNorth Dakota | $278.44 | — |
| NebraskaNebraska | $258.26 | — |
| New HampshireNew Hampshire | $289.79 | — |
| Northern New JerseyNew Jersey | $322.20 | — |
| Rest of New JerseyNew Jersey | $304.08 | — |
| New MexicoNew Mexico | $257.79 | — |
| NevadaNevada | $279.27 | — |
| NYC suburbs and Long Island, NYNew York | $330.85 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $305.09 | — |
| Queens, NYNew York | $328.47 | — |
| Rest of New YorkNew York | $265.76 | — |
| OhioOhio | $256.49 | — |
| OklahomaOklahoma | $250.95 | — |
| Portland, OROregon | $308.18 | — |
| Rest of OregonOregon | $277.79 | — |
| Metropolitan Philadelphia, PAPennsylvania | $290.51 | — |
| Rest of PennsylvaniaPennsylvania | $257.71 | — |
| Puerto RicoPuerto Rico | $282.09 | — |
| Rhode IslandRhode Island | $288.03 | — |
| South CarolinaSouth Carolina | $259.15 | — |
| South DakotaSouth Dakota | $278.34 | — |
| TennesseeTennessee | $254.81 | — |
| Austin, TXTexas | $294.28 | — |
| Beaumont, TXTexas | $255.60 | — |
| Brazoria, TXTexas | $276.71 | — |
| Dallas, TXTexas | $278.14 | — |
| Fort Worth, TXTexas | $275.55 | — |
| Galveston, TXTexas | $277.30 | — |
| Houston, TXTexas | $278.03 | — |
| Rest of TexasTexas | $265.76 | — |
| UtahUtah | $263.40 | — |
| VirginiaVirginia | $274.39 | — |
| Virgin Islands, VIUnited States Virgin Islands | $282.09 | — |
| VermontVermont | $275.96 | — |
| Rest of WashingtonWashington | $292.99 | — |
| King County, WAWashington | $339.17 | — |
| WisconsinWisconsin | $267.32 | — |
| West VirginiaWest Virginia | $245.55 | — |
| WyomingWyoming | $278.88 | — |
93241 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.
$241.71
$350.01
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 | $303.81 | 1 |
| AL | $245.96 | 1 |
| AR | $241.71 | 1 |
| AZ | $270.93 | 1 |
| CA | $304.00–$396.01 | 29 |
| CO | $295.87 | 1 |
| CT | $299.98 | 1 |
| DC | $326.82 | 1 |
| DE | $276.04 | 1 |
| FL | $268.40–$292.00 | 3 |
| GA | $251.24–$283.73 | 2 |
| GU | $314.50 | 1 |
| HI | $314.50 | 1 |
| IA | $256.20 | 1 |
| ID | $257.61 | 1 |
| IL | $257.23–$287.44 | 4 |
| IN | $259.45 | 1 |
| KS | $253.46 | 1 |
| KY | $250.09 | 1 |
| LA | $249.10–$263.98 | 2 |
| MA | $293.08–$330.49 | 2 |
| MD | $282.42–$326.82 | 3 |
| ME | $257.80–$276.38 | 2 |
| MI | $256.65–$270.99 | 2 |
| MN | $285.88 | 1 |
| MO | $243.11–$266.68 | 3 |
| MS | $242.53 | 1 |
| MT | $279.23 | 1 |
| NC | $261.23 | 1 |
| ND | $278.44 | 1 |
| NE | $258.26 | 1 |
| NH | $289.79 | 1 |
| NJ | $304.08–$322.20 | 2 |
| NM | $257.79 | 1 |
| NV | $279.27 | 1 |
| NY | $265.76–$330.85 | 5 |
| OH | $256.49 | 1 |
| OK | $250.95 | 1 |
| OR | $277.79–$308.18 | 2 |
| PA | $257.71–$290.51 | 2 |
| PR | $282.09 | 1 |
| RI | $288.03 | 1 |
| SC | $259.15 | 1 |
| SD | $278.34 | 1 |
| TN | $254.81 | 1 |
| TX | $255.60–$294.28 | 8 |
| UT | $263.40 | 1 |
| VA | $274.39–$326.82 | 2 |
| VI | $282.09 | 1 |
| VT | $275.96 | 1 |
| WA | $292.99–$339.17 | 2 |
| WI | $267.32 | 1 |
| WV | $245.55 | 1 |
| WY | $278.88 | 1 |
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.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,964
- Code
- 93241
- Physician work
- 0.49
- Practice expense
- 7.83
- Malpractice
- 0.04
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 7.83 | × 1.000 | 7.8300 |
| Malpractice | 0.04 | × 0.998 | 0.0399 |
| Total RVUs | 8.3599 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Montana$279.23
Office: (0.49 × 1 + 7.83 × 1 + 0.04 × 0.998) × $33.4009 = $279.23
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. |
How 93241 has changed in Montana
93241 · Office / nonfacility
$279.23
Effective 2026-10-01
The base rate is $19.52 higher than on 2025-10-01, moving from $259.71 to $279.23 (7.5%).
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
$259.71changed to$279.23
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.50 changed to 0.49
- Practice expense RVU 7.49 changed to 7.83
- Malpractice GPCI 0.978 changed to 0.998
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$257.95changed to$259.71
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.21 changed to 7.49
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$253.74changed to$257.95
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$267.34changed to$253.74
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.35 changed to 7.21
January 1, 2023
RVU23A
No ratechanged to$267.34
Held through RVU23B, RVU23C, RVU23D.
January 1, 2021
RVU21A
No ratechanged toNo rate
Held through RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $279.23 | Not available in this setting | RVU26D |
| 2026-07-01 | $279.23 | Not available in this setting | RVU26C |
| 2026-04-01 | $279.23 | Not available in this setting | RVU26B |
| 2026-01-01 | $279.23 | Not available in this setting | RVU26A |
| 2025-10-01 | $259.71 | Not available in this setting | RVU25D |
| 2025-07-01 | $259.71 | Not available in this setting | RVU25C |
| 2025-04-01 | $259.71 | Not available in this setting | RVU25B |
| 2025-01-01 | $259.71 | Not available in this setting | RVU25A |
| 2024-10-01 | $257.95 | Not available in this setting | RVU24D |
| 2024-07-01 | $257.95 | Not available in this setting | RVU24C |
| 2024-04-01 | $257.95 | Not available in this setting | RVU24B |
| 2024-03-09 | $257.95 | Not available in this setting | RVU24AR |
| 2024-01-01 | $253.74 | Not available in this setting | RVU24A |
| 2023-10-01 | $267.34 | Not available in this setting | RVU23D |
| 2023-07-01 | $267.34 | Not available in this setting | RVU23C |
| 2023-04-01 | $267.34 | Not available in this setting | RVU23B |
| 2023-01-01 | $267.34 | Not available in this setting | RVU23A |
| 2022-10-01 | Contractor-priced | Contractor-priced | RVU22D |
| 2022-07-01 | Contractor-priced | Contractor-priced | RVU22C |
| 2022-04-01 | Contractor-priced | Contractor-priced | RVU22B |
| 2022-01-01 | Contractor-priced | Contractor-priced | RVU22A |
| 2021-10-01 | Contractor-priced | Contractor-priced | RVU21D |
| 2021-07-01 | Contractor-priced | Contractor-priced | RVU21C |
| 2021-04-01 | Contractor-priced | Contractor-priced | RVU21B |
| 2021-01-01 | Contractor-priced | Contractor-priced | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
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
Fee sheets
Put 93241 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet