CPT code 93247: Extended ECG monitoring, technical analysis, 8 to 15 days2026 Medicare rate & RVUs in Illinois

Technical analysis of ambulatory ECG data collected over more than 7 through 15 days, reported when monitoring includes scanning, analysis, and a technical report.

CMS RVU26DEffective Oct 1, 20264 payment localities379.4K Medicare services in 2024

Medicare pays $231.37–$260.26 for 93247 in the office in Illinois, from Rest of Illinois to Suburban Chicago, IL. Which amount applies depends on the service address.

$231.37–$260.26Office (non-facility)
—Hospital or facility

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 9 sections
  1. Rate in Illinois
  2. What 93247 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

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.

Where 93247 pays more and less in Illinois

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

4 payment localities

$231.37 to $260.26

$231.37$245.81$260.26
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.
93247 office and facility rates by payment locality
Payment localityOfficeFacility
Chicago, IL$254.88Unavailable
East St. Louis, IL$233.29Unavailable
Rest of Illinois$231.37Unavailable
Suburban Chicago, IL$260.26Unavailable

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

Office or facility?

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.

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

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.

93247 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 93247

    Extended ECG monitoring, technical analysis, 8 to 15 days0 wRVU

    $253.18

  • 93245

    Extended ECG, more than 7 days0.54 wRVU

    $289.59+$36.41

  • 93246

    Extended ECG, recording only, over 7 days0 wRVU

    $11.69−$241.49

  • 93248

    ECG monitoring, more than 7, less than 15 days0.54 wRVU

    $24.72−$228.46

  • 93243

    ECG analysis, more than 48 hours, under 7 days0 wRVU

    $244.83−$8.35

How to choose

93245Extended ECGMore than 7 days
93245 represents the combined service for the same duration, including recording and physician interpretation. Use 93247 for the technical scanning, analysis, and report portion alone.
93246Extended ECGRecording only, over 7 days
93246 covers recording over the same duration; it does not represent the scanning, analysis, and technical report covered by 93247.
93248ECG monitoringMore than 7, less than 15 days
93248 is the physician review and interpretation for this monitoring duration. 93247 is the technical analysis and report.
93243ECG analysisMore than 48 hours, under 7 days
93243 covers technical scanning, analysis, and reporting for monitoring longer than 48 hours through 7 days. 93247 is for the longer monitoring interval.

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
RVUs for 93247PPRRVU2026_Oct_nonQPP.csv, line 11,970 (RVU26D)

Open CMS sourceHow we calculate rates

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