CPT code 93244: Extended ECG, review and interpretation2026 Medicare rate & RVUs in Guam
Reports a physician or qualified health care professional’s review and interpretation of external ECG monitoring performed for more than 48 hours and less than 7 days.
Medicare pays $23.21 for 93244 in the office in Guam (Hawaii, Guam, HI). 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 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.
93244 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | $23.21 | $23.21 |
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.
How the rate is built · 93244
RVUs × geographic indexes × conversion factor
Work0.49
0.49 RVUs× 1.000 GPCI
Practice expense0.17
0.17 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.6800
Conversion factor
$33.4009
Medicare rate
$22.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93244
The CMS indicators that decide how 93244 is paid alongside other services.
CMS payment indicators · 93244
Extended ECG, review and interpretation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 2 | Professional component only. |
93244 compared with similar codes
Compare codes · National
5 codes, side by side
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.
93244 billing questions
How is 93244 different from 93243?
93244 reports the professional review and interpretation. 93243 covers the scanning analysis and report, a technical service.
Can 93244 be reported with a technical code?
Yes. CMS identifies 93244 as professional-component-only, with a separate code covering the technical portion. Report the technical service that was actually performed and documented.
When should the 9324x family be selected?
Use this family for external ECG monitoring lasting more than 48 hours and less than 7 days. The monitoring duration distinguishes it from shorter and longer-duration families.
Does 93244 include the ECG recording?
No. It represents review and interpretation; a separate code covers the technical portion, including the recording service.
What documentation supports 93244?
Document the professional’s review of the monitoring data, the interpreted rhythm findings, and the resulting report or clinical conclusions.
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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