CPT code 93245: Extended ECG, more than 7 days2026 Medicare rate & RVUs in Minnesota

Reports a complete extended external ECG monitoring service when rhythm evaluation requires more than 7 days and up to 15 days of recording.

CMS RVU26DEffective Oct 1, 2026One payment locality11.8K Medicare services in 2024

In Minnesota, Medicare pays $296.48 for 93245 in the office.

$296.48Office (non-facility)
Not available in this settingHospital or facility
+2.4%vs the national office rate ($289.59)

Check a contract rate as a % of Medicare · 93245 nationwide

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

We’ll open 93245 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 93245 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 93245 covers

This code represents the complete service for extended external ECG monitoring over more than 7 days and up to 15 days. A patient may wear a patch or other ambulatory monitor while going about daily activities when symptoms such as intermittent palpitations, dizziness, or suspected arrhythmia have not been captured during a brief ECG or shorter monitoring period. The service includes recording, technical analysis, and physician review and interpretation. Cardiology practices and other clinicians managing rhythm evaluation commonly use these monitors in outpatient care.

Select this code based on the documented monitoring duration and report it when the complete service is billed together. CMS identifies 93245 as a global-test-only code; separate codes describe the recording, analysis, and interpretation components when those services are billed separately. Keep the monitoring dates and duration, recorded data and analysis, and interpreting clinician’s findings in the record. The cardiovascular diagnostic multiple procedure reduction applies to the technical component, so it affects the technical portion when applicable rather than the professional interpretation.

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 Minnesota compares for 93245

Across 109 of 109 payment localities, the office rate for 93245 runs from $250.84 in Arkansas to $410.38 in San Benito County, CA. Minnesota pays $296.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

93245 in Minnesota vs other payment areas
  1. Minnesota · this page$296.48
  2. Los Angeles, CA · California$339.33+$42.85
  3. Washington, DC area · District of Columbia$338.81+$42.33
  4. Miami, FL · Florida$302.71+$6.23
  5. Chicago, IL · Illinois$292.79−$3.69
  6. Manhattan, NY · New York$335.30+$38.82
  7. Alaska · Alaska$315.57+$19.09

Other areas in Minnesota first, then benchmark localities. Bars start at $0.

Every other payment area

93245 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$255.23—
ArkansasArkansas$250.84—
ArizonaArizona$281.02—
Bakersfield, CACalifornia$315.35—
Chico, CACalifornia$315.21—
El Centro, CACalifornia$315.22—
Fresno, CACalifornia$315.21—
Hanford, CACalifornia$315.21—

93245 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.

$250.84

$362.79

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
93245 office rate range by state
State / territoryOffice rate rangeLocalities
AK$315.571
AL$255.231
AR$250.841
AZ$281.021
CA$315.21–$410.3829
CO$306.801
CT$311.031
DC$338.811
DE$286.301
FL$278.37–$302.713
GA$260.66–$294.232
GU$326.041
HI$326.041
IA$265.811
ID$267.261
IL$266.83–$298.044
IN$269.171
KS$262.981
KY$259.481
LA$258.46–$273.822
MA$303.92–$342.602
MD$292.90–$338.813
ME$267.46–$286.662
MI$266.25–$281.042
MN$296.481
MO$252.26–$276.623
MS$251.681
MT$289.581
NC$271.001
ND$288.791
NE$267.951
NH$300.501
NJ$315.30–$334.052
NM$267.431
NV$289.631
NY$275.68–$342.965
OH$266.091
OK$260.381
OR$288.11–$319.532
PA$267.35–$301.252
PR$292.541
RI$298.701
SC$268.851
SD$288.701
TN$264.381
TX$265.17–$305.148
UT$273.241
VA$284.60–$338.812
VI$292.541
VT$286.221
WA$303.82–$351.582
WI$277.311
WV$254.761
WY$289.241

See 93245 in every payment locality

How the 93245 rate is calculated

Each of 93245’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 · 93245

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.54

0.54 RVUs× 1.000 GPCI

Practice expense8.09

8.09 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

8.6700

Conversion factor

$33.4009

Medicare rate

$289.59

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,968

Code
93245
Physician work
0.54
Practice expense
8.09
Malpractice
0.04

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 93245 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.54× 1.0000.5400
Practice expense8.09× 1.0298.3246
Malpractice0.04× 0.2960.0118
Total RVUs8.8764
Conversion factor× 33.4009

Office rate, Minnesota$296.48

Office: (0.54 × 1 + 8.09 × 1.029 + 0.04 × 0.296) × $33.4009 = $296.48

Open 93245 in the RVU calculator

Payment rules and modifiers for 93245

The CMS indicators that decide how 93245 is paid alongside other services.

CMS payment indicators · 93245

Extended ECG, more than 7 days

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical4Global test only.

How 93245 has changed in Minnesota

93245 · Office / nonfacility

$296.48

Effective 2026-10-01

The base rate is $20.69 higher than on 2025-10-01, moving from $275.79 to $296.48 (7.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $275.79changed to$296.48

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.55 changed to 0.54
    • Practice expense RVU 7.77 changed to 8.09
    • Practice expense GPCI 1.025 changed to 1.029
    • Malpractice GPCI 0.300 changed to 0.296

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $276.65changed to$275.79

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 7.56 changed to 7.77

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $272.14changed to$276.65

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $285.66changed to$272.14

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 7.72 changed to 7.56
    • Practice expense GPCI 1.019 changed to 1.025
    • Malpractice GPCI 0.326 changed to 0.300
  5. January 1, 2023

    RVU23A

    No ratechanged to$285.66

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2021

    RVU21A

    No ratechanged toNo rate

    Held through RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.

  7. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$296.48Not available in this settingRVU26D
2026-07-01$296.48Not available in this settingRVU26C
2026-04-01$296.48Not available in this settingRVU26B
2026-01-01$296.48Not available in this settingRVU26A
2025-10-01$275.79Not available in this settingRVU25D
2025-07-01$275.79Not available in this settingRVU25C
2025-04-01$275.79Not available in this settingRVU25B
2025-01-01$275.79Not available in this settingRVU25A
2024-10-01$276.65Not available in this settingRVU24D
2024-07-01$276.65Not available in this settingRVU24C
2024-04-01$276.65Not available in this settingRVU24B
2024-03-09$276.65Not available in this settingRVU24AR
2024-01-01$272.14Not available in this settingRVU24A
2023-10-01$285.66Not available in this settingRVU23D
2023-07-01$285.66Not available in this settingRVU23C
2023-04-01$285.66Not available in this settingRVU23B
2023-01-01$285.66Not available in this settingRVU23A
2022-10-01Contractor-pricedContractor-pricedRVU22D
2022-07-01Contractor-pricedContractor-pricedRVU22C
2022-04-01Contractor-pricedContractor-pricedRVU22B
2022-01-01Contractor-pricedContractor-pricedRVU22A
2021-10-01Contractor-pricedContractor-pricedRVU21D
2021-07-01Contractor-pricedContractor-pricedRVU21C
2021-04-01Contractor-pricedContractor-pricedRVU21B
2021-01-01Contractor-pricedContractor-pricedRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 93245 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

93245 billing questions

When should 93245 be used instead of 93241?

Use 93245 for extended monitoring lasting more than 7 days and up to 15 days. Code 93241 describes the shorter monitoring interval of more than 48 hours through 7 days.

Can the component codes also be reported with 93245?

93245 represents the complete service. If the recording, technical analysis, and physician interpretation are billed separately, use the applicable component codes instead of reporting the same work again under 93245.

Which codes describe the separate components?

93246 describes recording, 93247 describes scanning and analysis, and 93248 describes physician review and interpretation for this monitoring duration.

Does the multiple procedure reduction affect the whole service?

The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component. It affects the technical portion when applicable, not the professional interpretation.

What monitoring documentation supports 93245?

Document the monitoring start and end dates, total duration, recorded ECG data and analysis, and the physician’s interpretation. The record should support a monitoring period longer than 7 days and no longer than 15 days.

Should modifier 26 or TC be appended to 93245?

93245 is the global-test-only code, not the separately identified professional or technical component line. The component services have their own codes.

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
RVUs for 93245PPRRVU2026_Oct_nonQPP.csv, line 11,968 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 93245 pays in Minnesota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 93245 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet