CPT code 93243: ECG analysis, more than 48 hours, under 7 days2026 Medicare rate & RVUs in New Mexico
Reports technical scanning, analysis, and a report for ambulatory ECG monitoring lasting more than 48 hours but less than seven days.
In New Mexico, Medicare pays $224.60 for 93243 in the office.
Check a contract rate as a % of Medicare · 93243 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 93243 covers
This code covers the technical processing of ambulatory ECG data collected over more than 48 hours but less than seven days. After the monitoring device is returned or its data are transmitted, technical staff or a monitoring service scan and analyze the recorded rhythm and prepare a report. Extended monitoring can help evaluate intermittent palpitations, fainting, or suspected arrhythmias that may not appear during a brief office ECG. The service is commonly performed through an outpatient cardiology practice or an ECG monitoring vendor.
Report 93243 for the scanning, analysis, and report portion; it does not include the physician’s review and interpretation, which is separately represented by 93244. The complete service may instead be reported with 93241, while 93242 represents recording only. Documentation should support the monitoring duration and the technical analysis and report provided. CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component, including this code, when the reduction is triggered by multiple procedures.
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 New Mexico compares for 93243
Across 109 of 109 payment localities, the office rate for 93243 runs from $210.19 in Arkansas to $352.74 in San Benito County, CA. New Mexico pays $224.60. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$224.60
- Los Angeles, CA · California$289.46+$64.86
- Washington, DC area · District of Columbia$288.39+$63.79
- Miami, FL · Florida$255.36+$30.76
- Chicago, IL · Illinois$246.48+$21.88
- Manhattan, NY · New York$284.63+$60.03
- Alaska · Alaska$260.57+$35.97
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $214.12 | — |
| ArkansasArkansas | $210.19 | — |
| ArizonaArizona | $237.20 | — |
| Bakersfield, CACalifornia | $268.17 | — |
| Chico, CACalifornia | $268.15 | — |
| El Centro, CACalifornia | $268.15 | — |
| Fresno, CACalifornia | $268.15 | — |
| Hanford, CACalifornia | $268.15 | — |
| Madera, CACalifornia | $268.15 | — |
| Merced, CACalifornia | $268.15 | — |
| Modesto, CACalifornia | $268.15 | — |
| Napa, CACalifornia | $322.41 | — |
| Oxnard, CACalifornia | $289.20 | — |
| Redding, CACalifornia | $268.15 | — |
| Rest of CaliforniaCalifornia | $268.15 | — |
| Riverside, CACalifornia | $268.25 | — |
| Sacramento, CACalifornia | $284.53 | — |
| Salinas, CACalifornia | $283.55 | — |
| San Diego, CACalifornia | $292.60 | — |
| Marin County, CACalifornia | $344.89 | — |
| San Francisco, CACalifornia | $344.88 | — |
| San Benito County, CACalifornia | $352.74 | — |
| Santa Clara County, CACalifornia | $352.69 | — |
| San Luis Obispo, CACalifornia | $278.66 | — |
| Santa Cruz, CACalifornia | $297.24 | — |
| Santa Maria, CACalifornia | $285.26 | — |
| Santa Rosa, CACalifornia | $300.42 | — |
| Stockton, CACalifornia | $268.15 | — |
| Vallejo, CACalifornia | $322.40 | — |
| Visalia, CACalifornia | $268.15 | — |
| Yuba City, CACalifornia | $268.15 | — |
| ColoradoColorado | $260.40 | — |
| ConnecticutConnecticut | $263.72 | — |
| DelawareDelaware | $241.86 | — |
| Fort Lauderdale, FLFlorida | $248.28 | — |
| Rest of FloridaFlorida | $234.24 | — |
| Atlanta, GAGeorgia | $248.81 | — |
| Rest of GeorgiaGeorgia | $218.49 | — |
| Hawaii, Guam, HIHawaii | $278.18 | — |
| IowaIowa | $223.85 | — |
| IdahoIdaho | $225.09 | — |
| East St. Louis, ILIllinois | $225.61 | — |
| Rest of IllinoisIllinois | $223.75 | — |
| Suburban Chicago, ILIllinois | $251.69 | — |
| IndianaIndiana | $226.81 | — |
| KansasKansas | $221.19 | — |
| KentuckyKentucky | $217.66 | — |
| New Orleans, LALouisiana | $230.45 | — |
| Rest of LouisianaLouisiana | $216.70 | — |
| Metropolitan Boston, MAMassachusetts | $292.22 | — |
| Rest of MassachusettsMassachusetts | $257.72 | — |
| Baltimore area, MDMaryland | $262.76 | — |
| Rest of MarylandMaryland | $247.74 | — |
| Rest of MaineMaine | $225.14 | — |
| Southern Maine, MEMaine | $242.50 | — |
| Detroit, MIMichigan | $236.50 | — |
| Rest of MichiganMichigan | $223.60 | — |
| MinnesotaMinnesota | $251.68 | — |
| Metropolitan Kansas City, MOMissouri | $229.91 | — |
| Metropolitan St. Louis, MOMissouri | $233.09 | — |
| Rest of MissouriMissouri | $211.08 | — |
| MississippiMississippi | $210.76 | — |
| MontanaMontana | $244.83 | — |
| North CarolinaNorth Carolina | $228.33 | — |
| North DakotaNorth Dakota | $244.63 | — |
| NebraskaNebraska | $225.79 | — |
| New HampshireNew Hampshire | $254.81 | — |
| Northern New JerseyNew Jersey | $283.97 | — |
| Rest of New JerseyNew Jersey | $267.35 | — |
| NevadaNevada | $245.02 | — |
| NYC suburbs and Long Island, NYNew York | $291.32 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $268.13 | — |
| Queens, NYNew York | $289.47 | — |
| Rest of New YorkNew York | $232.50 | — |
| OhioOhio | $223.56 | — |
| OklahomaOklahoma | $218.59 | — |
| Portland, OROregon | $271.88 | — |
| Rest of OregonOregon | $243.75 | — |
| Metropolitan Philadelphia, PAPennsylvania | $254.92 | — |
| Rest of PennsylvaniaPennsylvania | $224.76 | — |
| Puerto RicoPuerto Rico | $247.51 | — |
| Rhode IslandRhode Island | $252.86 | — |
| South CarolinaSouth Carolina | $226.20 | — |
| South DakotaSouth Dakota | $244.61 | — |
| TennesseeTennessee | $222.42 | — |
| Austin, TXTexas | $258.97 | — |
| Beaumont, TXTexas | $222.80 | — |
| Brazoria, TXTexas | $242.55 | — |
| Dallas, TXTexas | $243.80 | — |
| Fort Worth, TXTexas | $241.36 | — |
| Galveston, TXTexas | $243.06 | — |
| Houston, TXTexas | $243.24 | — |
| Rest of TexasTexas | $232.33 | — |
| UtahUtah | $230.12 | — |
| VirginiaVirginia | $240.57 | — |
| Virgin Islands, VIUnited States Virgin Islands | $247.51 | — |
| VermontVermont | $242.22 | — |
| Rest of WashingtonWashington | $257.71 | — |
| King County, WAWashington | $300.27 | — |
| WisconsinWisconsin | $234.33 | — |
| West VirginiaWest Virginia | $212.94 | — |
| WyomingWyoming | $244.74 | — |
93243 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.
$210.19
$310.45
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 | $260.57 | 1 |
| AL | $214.12 | 1 |
| AR | $210.19 | 1 |
| AZ | $237.20 | 1 |
| CA | $268.15–$352.74 | 29 |
| CO | $260.40 | 1 |
| CT | $263.72 | 1 |
| DC | $288.39 | 1 |
| DE | $241.86 | 1 |
| FL | $234.24–$255.36 | 3 |
| GA | $218.49–$248.81 | 2 |
| GU | $278.18 | 1 |
| HI | $278.18 | 1 |
| IA | $223.85 | 1 |
| ID | $225.09 | 1 |
| IL | $223.75–$251.69 | 4 |
| IN | $226.81 | 1 |
| KS | $221.19 | 1 |
| KY | $217.66 | 1 |
| LA | $216.70–$230.45 | 2 |
| MA | $257.72–$292.22 | 2 |
| MD | $247.74–$288.39 | 3 |
| ME | $225.14–$242.50 | 2 |
| MI | $223.60–$236.50 | 2 |
| MN | $251.68 | 1 |
| MO | $211.08–$233.09 | 3 |
| MS | $210.76 | 1 |
| MT | $244.83 | 1 |
| NC | $228.33 | 1 |
| ND | $244.63 | 1 |
| NE | $225.79 | 1 |
| NH | $254.81 | 1 |
| NJ | $267.35–$283.97 | 2 |
| NM | $224.60 | 1 |
| NV | $245.02 | 1 |
| NY | $232.50–$291.32 | 5 |
| OH | $223.56 | 1 |
| OK | $218.59 | 1 |
| OR | $243.75–$271.88 | 2 |
| PA | $224.76–$254.92 | 2 |
| PR | $247.51 | 1 |
| RI | $252.86 | 1 |
| SC | $226.20 | 1 |
| SD | $244.61 | 1 |
| TN | $222.42 | 1 |
| TX | $222.80–$258.97 | 8 |
| UT | $230.12 | 1 |
| VA | $240.57–$288.39 | 2 |
| VI | $247.51 | 1 |
| VT | $242.22 | 1 |
| WA | $257.71–$300.27 | 2 |
| WI | $234.33 | 1 |
| WV | $212.94 | 1 |
| WY | $244.74 | 1 |
How the 93243 rate is calculated
Each of 93243’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 · 93243
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense7.32
7.32 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
7.3300
Conversion factor
$33.4009
Medicare rate
$244.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,966
- Code
- 93243
- Physician work
- 0.00
- Practice expense
- 7.32
- Malpractice
- 0.01
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 7.32 | × 0.917 | 6.7124 |
| Malpractice | 0.01 | × 1.201 | 0.0120 |
| Total RVUs | 6.7245 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$224.60
Office: (0 × 1 + 7.32 × 0.917 + 0.01 × 1.201) × $33.4009 = $224.60
Payment rules and modifiers for 93243
The CMS indicators that decide how 93243 is paid alongside other services.
CMS payment indicators · 93243
ECG analysis, 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 93243 has changed in New Mexico
93243 · Office / nonfacility
$224.60
Effective 2026-10-01
The base rate is $18.92 higher than on 2025-10-01, moving from $205.68 to $224.60 (9.2%).
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
$205.68changed to$224.60
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 6.99 changed to 7.32
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$202.90changed to$205.68
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 6.70 changed to 6.99
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$199.59changed to$202.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$209.16changed to$199.59
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.83 changed to 6.70
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
No ratechanged to$209.16
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 | $224.60 | Not available in this setting | RVU26D |
| 2026-07-01 | $224.60 | Not available in this setting | RVU26C |
| 2026-04-01 | $224.60 | Not available in this setting | RVU26B |
| 2026-01-01 | $224.60 | Not available in this setting | RVU26A |
| 2025-10-01 | $205.68 | Not available in this setting | RVU25D |
| 2025-07-01 | $205.68 | Not available in this setting | RVU25C |
| 2025-04-01 | $205.68 | Not available in this setting | RVU25B |
| 2025-01-01 | $205.68 | Not available in this setting | RVU25A |
| 2024-10-01 | $202.90 | Not available in this setting | RVU24D |
| 2024-07-01 | $202.90 | Not available in this setting | RVU24C |
| 2024-04-01 | $202.90 | Not available in this setting | RVU24B |
| 2024-03-09 | $202.90 | Not available in this setting | RVU24AR |
| 2024-01-01 | $199.59 | Not available in this setting | RVU24A |
| 2023-10-01 | $209.16 | Not available in this setting | RVU23D |
| 2023-07-01 | $209.16 | Not available in this setting | RVU23C |
| 2023-04-01 | $209.16 | Not available in this setting | RVU23B |
| 2023-01-01 | $209.16 | 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 New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
93243 billing questions
How does 93243 differ from 93242?
93242 represents recording only. 93243 represents the subsequent technical scanning, analysis, and report.
Is physician interpretation included in 93243?
No. The physician review and interpretation are represented separately by 93244.
Can 93243 be reported with 93242 and 93244?
Those codes represent the recording, technical analysis and report, and physician interpretation portions of the extended monitoring service. The complete service may instead be reported with 93241.
Should modifier 26 be used with 93243?
No. 93243 is the technical-component-only code; physician interpretation is reported separately with 93244.
What documentation supports 93243?
Keep documentation of the monitoring duration and the scanning, analysis, and report performed. The recorded period must be more than 48 hours and less than seven days.
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 93243 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet