CPT code 93247: Extended ECG monitoring, technical analysis, 8 to 15 days2026 Medicare rate & RVUs in Delaware
Technical analysis of ambulatory ECG data collected over more than 7 through 15 days, reported when monitoring includes scanning, analysis, and a technical report.
In Delaware, Medicare pays $250.11 for 93247 in the office.
Check a contract rate as a % of Medicare · 93247 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 93247 covers
This service covers the technical review of ambulatory ECG data from a monitoring period longer than 7 days and up to 15 days. A monitoring company, cardiac diagnostic service, or other qualified technical staff scan the recorded tracings, analyze rhythm data, and prepare the technical report. Cardiologists and other clinicians may order this extended monitoring when intermittent symptoms, such as palpitations or episodic lightheadedness, are not captured during shorter monitoring.
Select 93247 for the scanning, analysis, and report portion of a service in this duration range; it does not represent the recording or physician interpretation. The record should support the monitoring interval and the technical analysis performed. A separate code covers physician review and interpretation. CMS identifies 93247 as technical-component-only, so it represents the technical service rather than a professional component split by modifier. The cardiovascular diagnostic multiple procedure reduction applies to its technical component when the reduction rule is triggered.
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 Delaware compares for 93247
Across 109 of 109 payment localities, the office rate for 93247 runs from $217.37 in Arkansas to $364.78 in San Benito County, CA. Delaware pays $250.11. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$250.11
- Los Angeles, CA · California$299.34+$49.23
- Washington, DC area · District of Columbia$298.22+$48.11
- Miami, FL · Florida$264.06+$13.95
- Chicago, IL · Illinois$254.88+$4.77
- Manhattan, NY · New York$294.34+$44.23
- Alaska · Alaska$269.46+$19.35
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $221.43 | — |
| ArkansasArkansas | $217.37 | — |
| ArizonaArizona | $245.29 | — |
| Bakersfield, CACalifornia | $277.32 | — |
| Chico, CACalifornia | $277.30 | — |
| El Centro, CACalifornia | $277.30 | — |
| Fresno, CACalifornia | $277.30 | — |
| Hanford, CACalifornia | $277.30 | — |
| Madera, CACalifornia | $277.30 | — |
| Merced, CACalifornia | $277.30 | — |
| Modesto, CACalifornia | $277.30 | — |
| Napa, CACalifornia | $333.42 | — |
| Oxnard, CACalifornia | $299.07 | — |
| Redding, CACalifornia | $277.30 | — |
| Rest of CaliforniaCalifornia | $277.30 | — |
| Riverside, CACalifornia | $277.40 | — |
| Sacramento, CACalifornia | $294.24 | — |
| Salinas, CACalifornia | $293.23 | — |
| San Diego, CACalifornia | $302.58 | — |
| Marin County, CACalifornia | $356.66 | — |
| San Francisco, CACalifornia | $356.65 | — |
| San Benito County, CACalifornia | $364.78 | — |
| Santa Clara County, CACalifornia | $364.73 | — |
| San Luis Obispo, CACalifornia | $288.17 | — |
| Santa Cruz, CACalifornia | $307.39 | — |
| Santa Maria, CACalifornia | $295.00 | — |
| Santa Rosa, CACalifornia | $310.67 | — |
| Stockton, CACalifornia | $277.30 | — |
| Vallejo, CACalifornia | $333.40 | — |
| Visalia, CACalifornia | $277.30 | — |
| Yuba City, CACalifornia | $277.30 | — |
| ColoradoColorado | $269.29 | — |
| ConnecticutConnecticut | $272.72 | — |
| Fort Lauderdale, FLFlorida | $256.74 | — |
| Rest of FloridaFlorida | $242.22 | — |
| Atlanta, GAGeorgia | $257.29 | — |
| Rest of GeorgiaGeorgia | $225.94 | — |
| Hawaii, Guam, HIHawaii | $287.68 | — |
| IowaIowa | $231.49 | — |
| IdahoIdaho | $232.78 | — |
| East St. Louis, ILIllinois | $233.29 | — |
| Rest of IllinoisIllinois | $231.37 | — |
| Suburban Chicago, ILIllinois | $260.26 | — |
| IndianaIndiana | $234.55 | — |
| KansasKansas | $228.74 | — |
| KentuckyKentucky | $225.08 | — |
| New Orleans, LALouisiana | $238.31 | — |
| Rest of LouisianaLouisiana | $224.09 | — |
| Metropolitan Boston, MAMassachusetts | $302.19 | — |
| Rest of MassachusettsMassachusetts | $266.51 | — |
| Baltimore area, MDMaryland | $271.72 | — |
| Rest of MarylandMaryland | $256.19 | — |
| Rest of MaineMaine | $232.82 | — |
| Southern Maine, MEMaine | $250.78 | — |
| Detroit, MIMichigan | $244.56 | — |
| Rest of MichiganMichigan | $231.22 | — |
| MinnesotaMinnesota | $260.28 | — |
| Metropolitan Kansas City, MOMissouri | $237.75 | — |
| Metropolitan St. Louis, MOMissouri | $241.04 | — |
| Rest of MissouriMissouri | $218.28 | — |
| MississippiMississippi | $217.95 | — |
| MontanaMontana | $253.18 | — |
| North CarolinaNorth Carolina | $236.12 | — |
| North DakotaNorth Dakota | $252.98 | — |
| NebraskaNebraska | $233.50 | — |
| New HampshireNew Hampshire | $263.50 | — |
| Northern New JerseyNew Jersey | $293.66 | — |
| Rest of New JerseyNew Jersey | $276.47 | — |
| New MexicoNew Mexico | $232.26 | — |
| NevadaNevada | $253.38 | — |
| NYC suburbs and Long Island, NYNew York | $301.25 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $277.27 | — |
| Queens, NYNew York | $299.34 | — |
| Rest of New YorkNew York | $240.44 | — |
| OhioOhio | $231.18 | — |
| OklahomaOklahoma | $226.05 | — |
| Portland, OROregon | $281.16 | — |
| Rest of OregonOregon | $252.07 | — |
| Metropolitan Philadelphia, PAPennsylvania | $263.61 | — |
| Rest of PennsylvaniaPennsylvania | $232.43 | — |
| Puerto RicoPuerto Rico | $255.96 | — |
| Rhode IslandRhode Island | $261.49 | — |
| South CarolinaSouth Carolina | $233.91 | — |
| South DakotaSouth Dakota | $252.96 | — |
| TennesseeTennessee | $230.02 | — |
| Austin, TXTexas | $267.81 | — |
| Beaumont, TXTexas | $230.40 | — |
| Brazoria, TXTexas | $250.83 | — |
| Dallas, TXTexas | $252.12 | — |
| Fort Worth, TXTexas | $249.60 | — |
| Galveston, TXTexas | $251.35 | — |
| Houston, TXTexas | $251.53 | — |
| Rest of TexasTexas | $240.25 | — |
| UtahUtah | $237.97 | — |
| VirginiaVirginia | $248.78 | — |
| Virgin Islands, VIUnited States Virgin Islands | $255.96 | — |
| VermontVermont | $250.49 | — |
| Rest of WashingtonWashington | $266.50 | — |
| King County, WAWashington | $310.51 | — |
| WisconsinWisconsin | $242.33 | — |
| West VirginiaWest Virginia | $220.20 | — |
| WyomingWyoming | $253.09 | — |
93247 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.
$217.37
$321.04
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 | $269.46 | 1 |
| AL | $221.43 | 1 |
| AR | $217.37 | 1 |
| AZ | $245.29 | 1 |
| CA | $277.30–$364.78 | 29 |
| CO | $269.29 | 1 |
| CT | $272.72 | 1 |
| DC | $298.22 | 1 |
| DE | $250.11 | 1 |
| FL | $242.22–$264.06 | 3 |
| GA | $225.94–$257.29 | 2 |
| GU | $287.68 | 1 |
| HI | $287.68 | 1 |
| IA | $231.49 | 1 |
| ID | $232.78 | 1 |
| IL | $231.37–$260.26 | 4 |
| IN | $234.55 | 1 |
| KS | $228.74 | 1 |
| KY | $225.08 | 1 |
| LA | $224.09–$238.31 | 2 |
| MA | $266.51–$302.19 | 2 |
| MD | $256.19–$298.22 | 3 |
| ME | $232.82–$250.78 | 2 |
| MI | $231.22–$244.56 | 2 |
| MN | $260.28 | 1 |
| MO | $218.28–$241.04 | 3 |
| MS | $217.95 | 1 |
| MT | $253.18 | 1 |
| NC | $236.12 | 1 |
| ND | $252.98 | 1 |
| NE | $233.50 | 1 |
| NH | $263.50 | 1 |
| NJ | $276.47–$293.66 | 2 |
| NM | $232.26 | 1 |
| NV | $253.38 | 1 |
| NY | $240.44–$301.25 | 5 |
| OH | $231.18 | 1 |
| OK | $226.05 | 1 |
| OR | $252.07–$281.16 | 2 |
| PA | $232.43–$263.61 | 2 |
| PR | $255.96 | 1 |
| RI | $261.49 | 1 |
| SC | $233.91 | 1 |
| SD | $252.96 | 1 |
| TN | $230.02 | 1 |
| TX | $230.40–$267.81 | 8 |
| UT | $237.97 | 1 |
| VA | $248.78–$298.22 | 2 |
| VI | $255.96 | 1 |
| VT | $250.49 | 1 |
| WA | $266.50–$310.51 | 2 |
| WI | $242.33 | 1 |
| WV | $220.20 | 1 |
| WY | $253.09 | 1 |
How the 93247 rate is calculated
Each of 93247’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 · 93247
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense7.57
7.57 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
7.5800
Conversion factor
$33.4009
Medicare rate
$253.18
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,970
- Code
- 93247
- Physician work
- 0.00
- Practice expense
- 7.57
- Malpractice
- 0.01
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.005 | 0.0000 |
| Practice expense | 7.57 | × 0.988 | 7.4792 |
| Malpractice | 0.01 | × 0.899 | 0.0090 |
| Total RVUs | 7.4882 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Delaware$250.11
Office: (0 × 1.005 + 7.57 × 0.988 + 0.01 × 0.899) × $33.4009 = $250.11
Payment rules and modifiers for 93247
The CMS indicators that decide how 93247 is paid alongside other services.
CMS payment indicators · 93247
Extended ECG monitoring, technical analysis, 8 to 15 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 93247 has changed in Delaware
93247 · Office / nonfacility
$250.11
Effective 2026-10-01
The base rate is $17.17 higher than on 2025-10-01, moving from $232.94 to $250.11 (7.4%).
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
$232.94changed to$250.11
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 7.25 changed to 7.57
- Work GPCI 1.009 changed to 1.005
- Practice expense GPCI 0.992 changed to 0.988
- Malpractice GPCI 0.949 changed to 0.899
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$232.45changed to$232.94
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 7.03 changed to 7.25
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$228.66changed to$232.45
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$245.33changed to$228.66
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 7.18 changed to 7.03
- Work GPCI 1.007 changed to 1.009
- Practice expense GPCI 1.007 changed to 0.992
- Malpractice GPCI 0.938 changed to 0.949
January 1, 2023
RVU23A
No ratechanged to$245.33
Held through RVU23B, RVU23C, RVU23D.
January 1, 2021
RVU21A
No ratechanged toNo rate
Held through RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D.
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 | $250.11 | Not available in this setting | RVU26D |
| 2026-07-01 | $250.11 | Not available in this setting | RVU26C |
| 2026-04-01 | $250.11 | Not available in this setting | RVU26B |
| 2026-01-01 | $250.11 | Not available in this setting | RVU26A |
| 2025-10-01 | $232.94 | Not available in this setting | RVU25D |
| 2025-07-01 | $232.94 | Not available in this setting | RVU25C |
| 2025-04-01 | $232.94 | Not available in this setting | RVU25B |
| 2025-01-01 | $232.94 | Not available in this setting | RVU25A |
| 2024-10-01 | $232.45 | Not available in this setting | RVU24D |
| 2024-07-01 | $232.45 | Not available in this setting | RVU24C |
| 2024-04-01 | $232.45 | Not available in this setting | RVU24B |
| 2024-03-09 | $232.45 | Not available in this setting | RVU24AR |
| 2024-01-01 | $228.66 | Not available in this setting | RVU24A |
| 2023-10-01 | $245.33 | Not available in this setting | RVU23D |
| 2023-07-01 | $245.33 | Not available in this setting | RVU23C |
| 2023-04-01 | $245.33 | Not available in this setting | RVU23B |
| 2023-01-01 | $245.33 | Not available in this setting | RVU23A |
| 2022-10-01 | Contractor-priced | Contractor-priced | RVU22D |
| 2022-07-01 | Contractor-priced | Contractor-priced | RVU22C |
| 2022-04-01 | Contractor-priced | Contractor-priced | RVU22B |
| 2022-01-01 | Contractor-priced | Contractor-priced | RVU22A |
| 2021-10-01 | Contractor-priced | Contractor-priced | RVU21D |
| 2021-07-01 | Contractor-priced | Contractor-priced | RVU21C |
| 2021-04-01 | Contractor-priced | Contractor-priced | RVU21B |
| 2021-01-01 | Contractor-priced | Contractor-priced | 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 Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
93247 billing questions
How does 93247 differ from 93246?
93246 covers recording for the same monitoring duration. 93247 covers scanning, analysis, and the technical report.
Is the physician's interpretation included?
No. Physician review and interpretation are reported separately with 93248 when performed.
Should modifier 26 or TC be used?
No component modifier is needed to split this service. 93247 is the technical analysis service; the physician interpretation has a separate code.
How many units are reported for the monitoring period?
Report the service for the monitoring interval, not a unit for each monitored day.
When does the cardiovascular diagnostic multiple procedure reduction affect 93247?
CMS applies the reduction to the technical component when the cardiovascular diagnostic multiple procedure rule is triggered.
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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