CPT code 93244: Extended ECG, review and interpretation2026 Medicare rate & RVUs

Medicare pays $22.71 for 93244 nationally in the office and $22.71 in a hospital or facility. Local office rates run $21.59–$30.96.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 93244 covers

Code 93244 covers the professional review and interpretation of data from an external ECG monitor worn for more than 48 hours and less than 7 days. A cardiologist or other qualified professional may interpret the recording when evaluating intermittent palpitations, suspected arrhythmia, or episodes such as unexplained syncope. The interpretation considers the recorded rhythm and may relate findings to the patient’s reported symptoms. This code represents the interpretive service, not the monitor placement or technical handling of the data.

Report 93244 when the professional interpretation and report are performed and documented. The record should support the monitoring period, the findings reviewed, and the clinician’s conclusions. CMS identifies this as a professional-component-only code; a separate code covers the technical portion, such as recording and analysis. Select the code family according to the monitoring duration, not simply the number of rhythm events or the time spent interpreting the results. The interpretation code does not by itself represent the complete technical 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.

Where 93244 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93244 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 93244 rate is calculated

Each of 93244’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.

Payment rules and modifiers for 93244

The CMS indicators that decide how 93244 is paid alongside other services.

93244 compared with similar codes

How to choose

93243ECG analysisMore than 48 hours, under 7 days

93243 covers scanning analysis and reporting of the monitoring data. 93244 covers the clinician’s professional review and interpretation.

93227Holter interpretationUnder 48 hours

93227 is the interpretation code for external ECG monitoring lasting less than 48 hours. Use 93244 when monitoring exceeds 48 hours and is less than 7 days.

93248ECG monitoringMore than 7, less than 15 days

93248 is for professional interpretation in the more-than-7-day monitoring family; 93244 is for monitoring more than 48 hours and less than 7 days.

93241Ambulatory ECGMore than 48 hours to 7 days

93241 represents the complete extended ECG service. Code 93244 reports only the professional interpretation when the service is billed by component.

Codes related to 93244

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates