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

Reports the recording component of extended ambulatory ECG monitoring lasting more than 7 days and up to 15 days, without interpretation.

CMS RVU26DEffective Oct 1, 2026One payment locality150.1K Medicare services in 2024

In Minnesota, Medicare pays $11.78 for 93246 in the office.

$11.78Office (non-facility)
Not available in this settingHospital or facility
+0.8%vs the national office rate ($11.69)

Check a contract rate as a % of Medicare · 93246 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 93246 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 93246 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 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.

How Minnesota compares for 93246

Across 109 of 109 payment localities, the office rate for 93246 runs from $9.93 in Arkansas to $16.55 in San Benito County, CA. Minnesota pays $11.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

93246 in Minnesota vs other payment areas
  1. Minnesota · this page$11.78
  2. Los Angeles, CA · California$13.66+$1.88
  3. Washington, DC area · District of Columbia$13.75+$1.97
  4. Miami, FL · Florida$12.67+$0.89
  5. Chicago, IL · Illinois$12.18+$0.40
  6. Manhattan, NY · New York$13.73+$1.95
  7. Alaska · Alaska$12.28+$0.50

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

Every other payment area

93246 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$10.13—
ArkansasArkansas$9.93—
ArizonaArizona$11.29—
Bakersfield, CACalifornia$12.65—
Chico, CACalifornia$12.63—
El Centro, CACalifornia$12.63—
Fresno, CACalifornia$12.63—
Hanford, CACalifornia$12.63—

93246 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.

$9.93

$14.59

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

View every state and territory as a table
93246 office rate range by state
State / territoryOffice rate rangeLocalities
AK$12.281
AL$10.131
AR$9.931
AZ$11.291
CA$12.63–$16.5529
CO$12.341
CT$12.631
DC$13.751
DE$11.521
FL$11.36–$12.673
GA$10.53–$11.942
GU$13.111
HI$13.111
IA$10.521
ID$10.611
IL$10.89–$12.254
IN$10.691
KS$10.431
KY$10.401
LA$10.37–$11.072
MA$12.22–$13.862
MD$11.80–$13.753
ME$10.66–$11.462
MI$10.75–$11.522
MN$11.781
MO$10.11–$11.153
MS$10.021
MT$11.691
NC$10.811
ND$11.491
NE$10.611
NH$12.111
NJ$12.77–$13.532
NM$10.811
NV$11.651
NY$11.02–$14.125
OH$10.701
OK$10.401
OR$11.55–$12.872
PA$10.74–$12.222
PR$11.811
RI$12.031
SC$10.781
SD$11.471
TN$10.501
TX$10.64–$12.318
UT$10.971
VA$11.40–$13.752
VI$11.811
VT$11.411
WA$12.21–$14.212
WI$10.981
WV$10.351
WY$11.601

See 93246 in every payment locality

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.

How the rate is built · 93246

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.34

0.34 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.3500

Conversion factor

$33.4009

Medicare rate

$11.69

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

11,969

Code
93246
Physician work
0.00
Practice expense
0.34
Malpractice
0.01

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Office calculation for 93246 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0000.0000
Practice expense0.34× 1.0290.3499
Malpractice0.01× 0.2960.0030
Total RVUs0.3528
Conversion factor× 33.4009

Office rate, Minnesota$11.78

Office: (0 × 1 + 0.34 × 1.029 + 0.01 × 0.296) × $33.4009 = $11.78

Open 93246 in the RVU calculator

Payment rules and modifiers for 93246

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

CMS payment indicators · 93246

Extended ECG, recording only, over 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/technical3Technical component only.

How 93246 has changed in Minnesota

93246 · Office / nonfacility

$11.78

Effective 2026-10-01

The base rate is $0.41 higher than on 2025-10-01, moving from $11.37 to $11.78 (3.6%).

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

    $11.37changed to$11.78

    • Conversion factor 32.3465 changed to 33.4009
    • 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

    $12.04changed to$11.37

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.35 changed to 0.34

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $11.85changed to$12.04

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $12.20changed to$11.85

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

    RVU23A

    $14.50changed to$12.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.41 changed to 0.35
    • Practice expense GPCI 1.013 changed to 1.019
    • Malpractice GPCI 0.353 changed to 0.326

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $15.32changed to$14.50

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.43 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    No ratechanged to$15.32

    Held through RVU21B, RVU21C, RVU21D.

  8. 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$11.78Not available in this settingRVU26D
2026-07-01$11.78Not available in this settingRVU26C
2026-04-01$11.78Not available in this settingRVU26B
2026-01-01$11.78Not available in this settingRVU26A
2025-10-01$11.37Not available in this settingRVU25D
2025-07-01$11.37Not available in this settingRVU25C
2025-04-01$11.37Not available in this settingRVU25B
2025-01-01$11.37Not available in this settingRVU25A
2024-10-01$12.04Not available in this settingRVU24D
2024-07-01$12.04Not available in this settingRVU24C
2024-04-01$12.04Not available in this settingRVU24B
2024-03-09$12.04Not available in this settingRVU24AR
2024-01-01$11.85Not available in this settingRVU24A
2023-10-01$12.20Not available in this settingRVU23D
2023-07-01$12.20Not available in this settingRVU23C
2023-04-01$12.20Not available in this settingRVU23B
2023-01-01$12.20Not available in this settingRVU23A
2022-10-01$14.50Not available in this settingRVU22D
2022-07-01$14.50Not available in this settingRVU22C
2022-04-01$14.50Not available in this settingRVU22B
2022-01-01$14.50Not available in this settingRVU22A
2021-10-01$15.32Not available in this settingRVU21D
2021-07-01$15.32Not available in this settingRVU21C
2021-04-01$15.32Not available in this settingRVU21B
2021-01-01$15.32Not available in this settingRVU21A
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 93246 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

93246 billing questions

When should 93246 be selected instead of 93242?

Use 93246 for recording lasting more than 7 days and up to 15 days. Code 93242 is the recording-only service for the shorter, more-than-48-hour-to-7-day duration.

Does 93246 include ECG analysis and interpretation?

No. It represents recording only; scanning analysis with a report is represented by 93247, and physician review and interpretation by 93248.

Should modifier 26 be appended for the interpreting clinician?

No. Code 93246 is the technical recording service, not a professional interpretation code. Report the interpretation under 93248 when performed.

What documentation supports reporting 93246?

Document the monitoring start and end or total recording duration, along with the recording service performed. The record should support a period longer than 7 days and no longer than 15 days.

How does the cardiovascular diagnostic multiple procedure reduction affect 93246?

When Medicare's cardiovascular diagnostic multiple procedure reduction applies, it reduces payment for the technical component. Code 93246 represents that technical recording component.

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 93246PPRRVU2026_Oct_nonQPP.csv, line 11,969 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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