CPT code 93246: Extended ECG, recording only, over 7 days2026 Medicare rate & RVUs in Nebraska
Reports the recording component of extended ambulatory ECG monitoring lasting more than 7 days and up to 15 days, without interpretation.
In Nebraska, Medicare pays $10.61 for 93246 in the office.
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.
On this page 11 sections
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 Nebraska 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. Nebraska pays $10.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nebraska · this page$10.61
- Los Angeles, CA · California$13.66+$3.05
- Washington, DC area · District of Columbia$13.75+$3.14
- Miami, FL · Florida$12.67+$2.06
- Chicago, IL · Illinois$12.18+$1.57
- Manhattan, NY · New York$13.73+$3.12
- Alaska · Alaska$12.28+$1.67
Other areas in Nebraska first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $12.63 | — |
| Merced, CACalifornia | $12.63 | — |
| Modesto, CACalifornia | $12.63 | — |
| Napa, CACalifornia | $15.14 | — |
| Oxnard, CACalifornia | $13.63 | — |
| Redding, CACalifornia | $12.63 | — |
| Rest of CaliforniaCalifornia | $12.63 | — |
| Riverside, CACalifornia | $12.73 | — |
| Sacramento, CACalifornia | $13.39 | — |
| Salinas, CACalifornia | $13.34 | — |
| San Diego, CACalifornia | $13.76 | — |
| Marin County, CACalifornia | $16.17 | — |
| San Francisco, CACalifornia | $16.15 | — |
| San Benito County, CACalifornia | $16.55 | — |
| Santa Clara County, CACalifornia | $16.51 | — |
| San Luis Obispo, CACalifornia | $13.11 | — |
| Santa Cruz, CACalifornia | $13.98 | — |
| Santa Maria, CACalifornia | $13.42 | — |
| Santa Rosa, CACalifornia | $14.12 | — |
| Stockton, CACalifornia | $12.63 | — |
| Vallejo, CACalifornia | $15.12 | — |
| Visalia, CACalifornia | $12.63 | — |
| Yuba City, CACalifornia | $12.63 | — |
| ColoradoColorado | $12.34 | — |
| ConnecticutConnecticut | $12.63 | — |
| DelawareDelaware | $11.52 | — |
| Fort Lauderdale, FLFlorida | $12.11 | — |
| Rest of FloridaFlorida | $11.36 | — |
| Atlanta, GAGeorgia | $11.94 | — |
| Rest of GeorgiaGeorgia | $10.53 | — |
| Hawaii, Guam, HIHawaii | $13.11 | — |
| IowaIowa | $10.52 | — |
| IdahoIdaho | $10.61 | — |
| East St. Louis, ILIllinois | $11.12 | — |
| Rest of IllinoisIllinois | $10.89 | — |
| Suburban Chicago, ILIllinois | $12.25 | — |
| IndianaIndiana | $10.69 | — |
| KansasKansas | $10.43 | — |
| KentuckyKentucky | $10.40 | — |
| New Orleans, LALouisiana | $11.07 | — |
| Rest of LouisianaLouisiana | $10.37 | — |
| Metropolitan Boston, MAMassachusetts | $13.86 | — |
| Rest of MassachusettsMassachusetts | $12.22 | — |
| Baltimore area, MDMaryland | $12.60 | — |
| Rest of MarylandMaryland | $11.80 | — |
| Rest of MaineMaine | $10.66 | — |
| Southern Maine, MEMaine | $11.46 | — |
| Detroit, MIMichigan | $11.52 | — |
| Rest of MichiganMichigan | $10.75 | — |
| MinnesotaMinnesota | $11.78 | — |
| Metropolitan Kansas City, MOMissouri | $10.99 | — |
| Metropolitan St. Louis, MOMissouri | $11.15 | — |
| Rest of MissouriMissouri | $10.11 | — |
| MississippiMississippi | $10.02 | — |
| MontanaMontana | $11.69 | — |
| North CarolinaNorth Carolina | $10.81 | — |
| North DakotaNorth Dakota | $11.49 | — |
| New HampshireNew Hampshire | $12.11 | — |
| Northern New JerseyNew Jersey | $13.53 | — |
| Rest of New JerseyNew Jersey | $12.77 | — |
| New MexicoNew Mexico | $10.81 | — |
| NevadaNevada | $11.65 | — |
| NYC suburbs and Long Island, NYNew York | $14.12 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $12.84 | — |
| Queens, NYNew York | $13.90 | — |
| Rest of New YorkNew York | $11.02 | — |
| OhioOhio | $10.70 | — |
| OklahomaOklahoma | $10.40 | — |
| Portland, OROregon | $12.87 | — |
| Rest of OregonOregon | $11.55 | — |
| Metropolitan Philadelphia, PAPennsylvania | $12.22 | — |
| Rest of PennsylvaniaPennsylvania | $10.74 | — |
| Puerto RicoPuerto Rico | $11.81 | — |
| Rhode IslandRhode Island | $12.03 | — |
| South CarolinaSouth Carolina | $10.78 | — |
| South DakotaSouth Dakota | $11.47 | — |
| TennesseeTennessee | $10.50 | — |
| Austin, TXTexas | $12.31 | — |
| Beaumont, TXTexas | $10.64 | — |
| Brazoria, TXTexas | $11.51 | — |
| Dallas, TXTexas | $11.60 | — |
| Fort Worth, TXTexas | $11.49 | — |
| Galveston, TXTexas | $11.55 | — |
| Houston, TXTexas | $11.74 | — |
| Rest of TexasTexas | $11.08 | — |
| UtahUtah | $10.97 | — |
| VirginiaVirginia | $11.40 | — |
| Virgin Islands, VIUnited States Virgin Islands | $11.81 | — |
| VermontVermont | $11.41 | — |
| Rest of WashingtonWashington | $12.21 | — |
| King County, WAWashington | $14.21 | — |
| WisconsinWisconsin | $10.98 | — |
| West VirginiaWest Virginia | $10.35 | — |
| WyomingWyoming | $11.60 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $12.28 | 1 |
| AL | $10.13 | 1 |
| AR | $9.93 | 1 |
| AZ | $11.29 | 1 |
| CA | $12.63–$16.55 | 29 |
| CO | $12.34 | 1 |
| CT | $12.63 | 1 |
| DC | $13.75 | 1 |
| DE | $11.52 | 1 |
| FL | $11.36–$12.67 | 3 |
| GA | $10.53–$11.94 | 2 |
| GU | $13.11 | 1 |
| HI | $13.11 | 1 |
| IA | $10.52 | 1 |
| ID | $10.61 | 1 |
| IL | $10.89–$12.25 | 4 |
| IN | $10.69 | 1 |
| KS | $10.43 | 1 |
| KY | $10.40 | 1 |
| LA | $10.37–$11.07 | 2 |
| MA | $12.22–$13.86 | 2 |
| MD | $11.80–$13.75 | 3 |
| ME | $10.66–$11.46 | 2 |
| MI | $10.75–$11.52 | 2 |
| MN | $11.78 | 1 |
| MO | $10.11–$11.15 | 3 |
| MS | $10.02 | 1 |
| MT | $11.69 | 1 |
| NC | $10.81 | 1 |
| ND | $11.49 | 1 |
| NE | $10.61 | 1 |
| NH | $12.11 | 1 |
| NJ | $12.77–$13.53 | 2 |
| NM | $10.81 | 1 |
| NV | $11.65 | 1 |
| NY | $11.02–$14.12 | 5 |
| OH | $10.70 | 1 |
| OK | $10.40 | 1 |
| OR | $11.55–$12.87 | 2 |
| PA | $10.74–$12.22 | 2 |
| PR | $11.81 | 1 |
| RI | $12.03 | 1 |
| SC | $10.78 | 1 |
| SD | $11.47 | 1 |
| TN | $10.50 | 1 |
| TX | $10.64–$12.31 | 8 |
| UT | $10.97 | 1 |
| VA | $11.40–$13.75 | 2 |
| VI | $11.81 | 1 |
| VT | $11.41 | 1 |
| WA | $12.21–$14.21 | 2 |
| WI | $10.98 | 1 |
| WV | $10.35 | 1 |
| WY | $11.60 | 1 |
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
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 Nebraska 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
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.34 | × 0.923 | 0.3138 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 0.3176 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Nebraska$10.61
Office: (0 × 1 + 0.34 × 0.923 + 0.01 × 0.378) × $33.4009 = $10.61
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| 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 | 3 | Technical component only. |
How 93246 has changed in Nebraska
93246 · Office / nonfacility
$10.61
Effective 2026-10-01
The base rate is $0.43 higher than on 2025-10-01, moving from $10.18 to $10.61 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$10.18changed to$10.61
- Conversion factor 32.3465 changed to 33.4009
- Practice expense GPCI 0.917 changed to 0.923
- Malpractice GPCI 0.304 changed to 0.378
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$10.78changed to$10.18
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.35 changed to 0.34
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$10.61changed to$10.78
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$10.92changed to$10.61
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.913 changed to 0.917
- Malpractice GPCI 0.269 changed to 0.304
January 1, 2023
RVU23A
$12.96changed to$10.92
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.41 changed to 0.35
- Practice expense GPCI 0.908 changed to 0.913
- Malpractice GPCI 0.235 changed to 0.269
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$13.71changed to$12.96
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.43 changed to 0.41
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
No ratechanged to$13.71
Held through RVU21B, RVU21C, RVU21D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $10.61 | Not available in this setting | RVU26D |
| 2026-07-01 | $10.61 | Not available in this setting | RVU26C |
| 2026-04-01 | $10.61 | Not available in this setting | RVU26B |
| 2026-01-01 | $10.61 | Not available in this setting | RVU26A |
| 2025-10-01 | $10.18 | Not available in this setting | RVU25D |
| 2025-07-01 | $10.18 | Not available in this setting | RVU25C |
| 2025-04-01 | $10.18 | Not available in this setting | RVU25B |
| 2025-01-01 | $10.18 | Not available in this setting | RVU25A |
| 2024-10-01 | $10.78 | Not available in this setting | RVU24D |
| 2024-07-01 | $10.78 | Not available in this setting | RVU24C |
| 2024-04-01 | $10.78 | Not available in this setting | RVU24B |
| 2024-03-09 | $10.78 | Not available in this setting | RVU24AR |
| 2024-01-01 | $10.61 | Not available in this setting | RVU24A |
| 2023-10-01 | $10.92 | Not available in this setting | RVU23D |
| 2023-07-01 | $10.92 | Not available in this setting | RVU23C |
| 2023-04-01 | $10.92 | Not available in this setting | RVU23B |
| 2023-01-01 | $10.92 | Not available in this setting | RVU23A |
| 2022-10-01 | $12.96 | Not available in this setting | RVU22D |
| 2022-07-01 | $12.96 | Not available in this setting | RVU22C |
| 2022-04-01 | $12.96 | Not available in this setting | RVU22B |
| 2022-01-01 | $12.96 | Not available in this setting | RVU22A |
| 2021-10-01 | $13.71 | Not available in this setting | RVU21D |
| 2021-07-01 | $13.71 | Not available in this setting | RVU21C |
| 2021-04-01 | $13.71 | Not available in this setting | RVU21B |
| 2021-01-01 | $13.71 | Not available in this setting | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Nebraska rate applies
Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.
- Abie
- Adams
- Agnew
- Ainsworth
- Albion
- Alda
- Alexandria
- Allen
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
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