CPT code 93242: Ambulatory ECG recording, more than 48 hours, under 7 days2026 Medicare rate & RVUs in Puerto Rico
Technical recording service for ambulatory ECG monitoring lasting more than 48 hours but less than seven days, before separate analysis and physician interpretation.
In Puerto Rico, Medicare pays $11.81 for 93242 in the office.
Check a contract rate as a % of Medicare · 93242 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 93242 covers
Code 93242 covers the technical recording portion of ambulatory electrocardiographic monitoring that runs longer than 48 hours but less than seven days. A patient wears an external monitor during usual activities so the recording can capture intermittent rhythm abnormalities that a brief office ECG may miss, such as episodic palpitations or unexplained fainting. Cardiology practices and other qualified monitoring providers commonly furnish the recording service in outpatient care.
Report 93242 for recording only, selecting it by the monitoring duration rather than symptoms or number of tracings. Documentation should support the device used and the recording period. Scanning analysis with a report and physician review and interpretation are separate services represented by 93243 and 93244, not work included in 93242. CMS classifies 93242 as technical-component-only, and a cardiovascular diagnostic multiple-procedure reduction applies to its 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 Puerto Rico compares for 93242
Across 109 of 109 payment localities, the office rate for 93242 runs from $9.93 in Arkansas to $16.55 in San Benito County, CA. Puerto Rico pays $11.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$11.81
- Los Angeles, CA · California$13.66+$1.85
- Washington, DC area · District of Columbia$13.75+$1.94
- Miami, FL · Florida$12.67+$0.86
- Chicago, IL · Illinois$12.18+$0.37
- Manhattan, NY · New York$13.73+$1.92
- Alaska · Alaska$12.28+$0.47
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $10.13 | — |
| ArkansasArkansas | $9.93 | — |
| ArizonaArizona | $11.29 | — |
| Bakersfield, CACalifornia | $12.65 | — |
| Chico, CACalifornia | $12.63 | — |
| El Centro, CACalifornia | $12.63 | — |
| Fresno, CACalifornia | $12.63 | — |
| Hanford, CACalifornia | $12.63 | — |
| Madera, CACalifornia | $12.63 | — |
| Merced, CACalifornia | $12.63 | — |
| Modesto, CACalifornia | $12.63 | — |
| Napa, CACalifornia | $15.14 | — |
| Oxnard, CACalifornia | $13.63 | — |
| Redding, CACalifornia | $12.63 | — |
| Rest of CaliforniaCalifornia | $12.63 | — |
| Riverside, CACalifornia | $12.73 | — |
| Sacramento, CACalifornia | $13.39 | — |
| Salinas, CACalifornia | $13.34 | — |
| San Diego, CACalifornia | $13.76 | — |
| Marin County, CACalifornia | $16.17 | — |
| San Francisco, CACalifornia | $16.15 | — |
| San Benito County, CACalifornia | $16.55 | — |
| Santa Clara County, CACalifornia | $16.51 | — |
| San Luis Obispo, CACalifornia | $13.11 | — |
| Santa Cruz, CACalifornia | $13.98 | — |
| Santa Maria, CACalifornia | $13.42 | — |
| Santa Rosa, CACalifornia | $14.12 | — |
| Stockton, CACalifornia | $12.63 | — |
| Vallejo, CACalifornia | $15.12 | — |
| Visalia, CACalifornia | $12.63 | — |
| Yuba City, CACalifornia | $12.63 | — |
| ColoradoColorado | $12.34 | — |
| ConnecticutConnecticut | $12.63 | — |
| DelawareDelaware | $11.52 | — |
| Fort Lauderdale, FLFlorida | $12.11 | — |
| Rest of FloridaFlorida | $11.36 | — |
| Atlanta, GAGeorgia | $11.94 | — |
| Rest of GeorgiaGeorgia | $10.53 | — |
| Hawaii, Guam, HIHawaii | $13.11 | — |
| IowaIowa | $10.52 | — |
| IdahoIdaho | $10.61 | — |
| East St. Louis, ILIllinois | $11.12 | — |
| Rest of IllinoisIllinois | $10.89 | — |
| Suburban Chicago, ILIllinois | $12.25 | — |
| IndianaIndiana | $10.69 | — |
| KansasKansas | $10.43 | — |
| KentuckyKentucky | $10.40 | — |
| New Orleans, LALouisiana | $11.07 | — |
| Rest of LouisianaLouisiana | $10.37 | — |
| Metropolitan Boston, MAMassachusetts | $13.86 | — |
| Rest of MassachusettsMassachusetts | $12.22 | — |
| Baltimore area, MDMaryland | $12.60 | — |
| Rest of MarylandMaryland | $11.80 | — |
| Rest of MaineMaine | $10.66 | — |
| Southern Maine, MEMaine | $11.46 | — |
| Detroit, MIMichigan | $11.52 | — |
| Rest of MichiganMichigan | $10.75 | — |
| MinnesotaMinnesota | $11.78 | — |
| Metropolitan Kansas City, MOMissouri | $10.99 | — |
| Metropolitan St. Louis, MOMissouri | $11.15 | — |
| Rest of MissouriMissouri | $10.11 | — |
| MississippiMississippi | $10.02 | — |
| MontanaMontana | $11.69 | — |
| North CarolinaNorth Carolina | $10.81 | — |
| North DakotaNorth Dakota | $11.49 | — |
| NebraskaNebraska | $10.61 | — |
| New HampshireNew Hampshire | $12.11 | — |
| Northern New JerseyNew Jersey | $13.53 | — |
| Rest of New JerseyNew Jersey | $12.77 | — |
| New MexicoNew Mexico | $10.81 | — |
| NevadaNevada | $11.65 | — |
| NYC suburbs and Long Island, NYNew York | $14.12 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $12.84 | — |
| Queens, NYNew York | $13.90 | — |
| Rest of New YorkNew York | $11.02 | — |
| OhioOhio | $10.70 | — |
| OklahomaOklahoma | $10.40 | — |
| Portland, OROregon | $12.87 | — |
| Rest of OregonOregon | $11.55 | — |
| Metropolitan Philadelphia, PAPennsylvania | $12.22 | — |
| Rest of PennsylvaniaPennsylvania | $10.74 | — |
| Rhode IslandRhode Island | $12.03 | — |
| South CarolinaSouth Carolina | $10.78 | — |
| South DakotaSouth Dakota | $11.47 | — |
| TennesseeTennessee | $10.50 | — |
| Austin, TXTexas | $12.31 | — |
| Beaumont, TXTexas | $10.64 | — |
| Brazoria, TXTexas | $11.51 | — |
| Dallas, TXTexas | $11.60 | — |
| Fort Worth, TXTexas | $11.49 | — |
| Galveston, TXTexas | $11.55 | — |
| Houston, TXTexas | $11.74 | — |
| Rest of TexasTexas | $11.08 | — |
| UtahUtah | $10.97 | — |
| VirginiaVirginia | $11.40 | — |
| Virgin Islands, VIUnited States Virgin Islands | $11.81 | — |
| VermontVermont | $11.41 | — |
| Rest of WashingtonWashington | $12.21 | — |
| King County, WAWashington | $14.21 | — |
| WisconsinWisconsin | $10.98 | — |
| West VirginiaWest Virginia | $10.35 | — |
| WyomingWyoming | $11.60 | — |
93242 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.
$9.93
$14.59
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 | $12.28 | 1 |
| AL | $10.13 | 1 |
| AR | $9.93 | 1 |
| AZ | $11.29 | 1 |
| CA | $12.63–$16.55 | 29 |
| CO | $12.34 | 1 |
| CT | $12.63 | 1 |
| DC | $13.75 | 1 |
| DE | $11.52 | 1 |
| FL | $11.36–$12.67 | 3 |
| GA | $10.53–$11.94 | 2 |
| GU | $13.11 | 1 |
| HI | $13.11 | 1 |
| IA | $10.52 | 1 |
| ID | $10.61 | 1 |
| IL | $10.89–$12.25 | 4 |
| IN | $10.69 | 1 |
| KS | $10.43 | 1 |
| KY | $10.40 | 1 |
| LA | $10.37–$11.07 | 2 |
| MA | $12.22–$13.86 | 2 |
| MD | $11.80–$13.75 | 3 |
| ME | $10.66–$11.46 | 2 |
| MI | $10.75–$11.52 | 2 |
| MN | $11.78 | 1 |
| MO | $10.11–$11.15 | 3 |
| MS | $10.02 | 1 |
| MT | $11.69 | 1 |
| NC | $10.81 | 1 |
| ND | $11.49 | 1 |
| NE | $10.61 | 1 |
| NH | $12.11 | 1 |
| NJ | $12.77–$13.53 | 2 |
| NM | $10.81 | 1 |
| NV | $11.65 | 1 |
| NY | $11.02–$14.12 | 5 |
| OH | $10.70 | 1 |
| OK | $10.40 | 1 |
| OR | $11.55–$12.87 | 2 |
| PA | $10.74–$12.22 | 2 |
| PR | $11.81 | 1 |
| RI | $12.03 | 1 |
| SC | $10.78 | 1 |
| SD | $11.47 | 1 |
| TN | $10.50 | 1 |
| TX | $10.64–$12.31 | 8 |
| UT | $10.97 | 1 |
| VA | $11.40–$13.75 | 2 |
| VI | $11.81 | 1 |
| VT | $11.41 | 1 |
| WA | $12.21–$14.21 | 2 |
| WI | $10.98 | 1 |
| WV | $10.35 | 1 |
| WY | $11.60 | 1 |
How the 93242 rate is calculated
Each of 93242’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 · 93242
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.34
0.34 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.3500
Conversion factor
$33.4009
Medicare rate
$11.69
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
11,965
- Code
- 93242
- Physician work
- 0.00
- Practice expense
- 0.34
- Malpractice
- 0.01
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 | 0.34 | × 1.011 | 0.3437 |
| Malpractice | 0.01 | × 0.985 | 0.0098 |
| Total RVUs | 0.3536 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$11.81
Office: (0 × 1 + 0.34 × 1.011 + 0.01 × 0.985) × $33.4009 = $11.81
Payment rules and modifiers for 93242
The CMS indicators that decide how 93242 is paid alongside other services.
CMS payment indicators · 93242
Ambulatory ECG recording, more than 48 hours, under 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 | 3 | Technical component only. |
How 93242 has changed in Puerto Rico
93242 · Office / nonfacility
$11.81
Effective 2026-10-01
The base rate is $0.42 higher than on 2025-10-01, moving from $11.39 to $11.81 (3.7%).
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
$11.39changed to$11.81
- Conversion factor 32.3465 changed to 33.4009
- 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
$12.06changed to$11.39
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.35 changed to 0.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$11.86changed to$12.06
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$12.29changed to$11.86
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$12.20changed to$12.29
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$14.64changed to$12.20
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.41 changed to 0.35
- 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
$15.47changed to$14.64
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.43 changed to 0.41
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
No ratechanged to$15.47
Held through RVU21B, RVU21C, RVU21D.
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 | $11.81 | Not available in this setting | RVU26D |
| 2026-07-01 | $11.81 | Not available in this setting | RVU26C |
| 2026-04-01 | $11.81 | Not available in this setting | RVU26B |
| 2026-01-01 | $11.81 | Not available in this setting | RVU26A |
| 2025-10-01 | $11.39 | Not available in this setting | RVU25D |
| 2025-07-01 | $11.39 | Not available in this setting | RVU25C |
| 2025-04-01 | $11.39 | Not available in this setting | RVU25B |
| 2025-01-01 | $11.39 | Not available in this setting | RVU25A |
| 2024-10-01 | $12.06 | Not available in this setting | RVU24D |
| 2024-07-01 | $12.06 | Not available in this setting | RVU24C |
| 2024-04-01 | $12.06 | Not available in this setting | RVU24B |
| 2024-03-09 | $12.06 | Not available in this setting | RVU24AR |
| 2024-01-01 | $11.86 | Not available in this setting | RVU24A |
| 2023-10-01 | $12.29 | Not available in this setting | RVU23D |
| 2023-07-01 | $12.20 | Not available in this setting | RVU23C |
| 2023-04-01 | $12.20 | Not available in this setting | RVU23B |
| 2023-01-01 | $12.20 | Not available in this setting | RVU23A |
| 2022-10-01 | $14.64 | Not available in this setting | RVU22D |
| 2022-07-01 | $14.64 | Not available in this setting | RVU22C |
| 2022-04-01 | $14.64 | Not available in this setting | RVU22B |
| 2022-01-01 | $14.64 | Not available in this setting | RVU22A |
| 2021-10-01 | $15.47 | Not available in this setting | RVU21D |
| 2021-07-01 | $15.47 | Not available in this setting | RVU21C |
| 2021-04-01 | $15.47 | Not available in this setting | RVU21B |
| 2021-01-01 | $15.47 | Not available in this setting | 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 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
93242 billing questions
How does 93242 differ from 93241?
93242 covers only the technical recording portion. Code 93241 represents the broader service that includes recording, scanning analysis with a report, and physician review and interpretation.
Does 93242 include scanning or physician interpretation?
No. Scanning analysis with a report is represented by 93243, and physician review and interpretation by 93244.
What monitoring duration supports 93242?
Use it for an external ECG recording lasting more than 48 hours but less than seven days. Select the code based on the recording duration, not the number of symptoms or tracings.
What documentation supports the recording service?
Keep documentation identifying the monitor and supporting the recording period and duration. The separate analysis and interpretation services require their own supporting records.
What Medicare payment rule affects 93242?
CMS identifies 93242 as technical-component-only. A cardiovascular diagnostic multiple-procedure reduction applies to its technical component.
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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