CPT code 93246: Extended ECG, recording only, over 7 days2026 Medicare rate & RVUs

Medicare pays $11.69 for 93246 nationally in the office. Local office rates run $9.93–$16.55.

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

What 93246 covers

Code 93246 represents the technical work of recording an ambulatory ECG over more than 7 days and up to 15 days. A clinician may order this longer monitoring period when symptoms such as intermittent palpitations or suspected episodic arrhythmia are not captured on a brief office ECG or shorter monitor. A monitoring technician or other qualified staff member typically connects the device, supports the recording, and removes it when monitoring ends, often in an outpatient setting.

Select the code by the documented monitoring duration, not by the number of symptoms or events captured. Documentation should support the recording period and the monitoring service performed. This code covers recording only; scanning analysis with a report is represented by 93247, and review and interpretation by 93248. Medicare applies the cardiovascular diagnostic multiple procedure reduction to the technical component when multiple covered cardiovascular diagnostic procedures are billed. The reduction affects the technical component, not the interpretation 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 93246 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

93246 rates by state

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

How the 93246 rate is calculated

Each of 93246’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 93246

The CMS indicators that decide how 93246 is paid alongside other services.

93246 compared with similar codes

How to choose

93242Ambulatory ECG recordingMore than 48 hours, under 7 days

Both report recording only, but 93242 is for monitoring lasting more than 48 hours through 7 days; 93246 is for a longer period, more than 7 days and up to 15 days.

93245Extended ECGMore than 7 days

93245 represents the comprehensive service for the more-than-7-day-to-15-day duration band. Code 93246 reports only its recording component.

93247Extended ECG monitoringTechnical analysis, 8 to 15 days

93246 covers recording; 93247 covers scanning analysis with a report for the same duration band.

93248ECG monitoringMore than 7, less than 15 days

93246 is the technical recording service, while 93248 represents review and interpretation of the extended ECG.

Codes related to 93246

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