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CPT code 93268: ECG monitoring, up to 30 days2026 Medicare rate & RVUs in Washington, DC area

Reports extended external ECG monitoring, including recording, rhythm analysis, and interpretation, for patients whose suspected arrhythmia may not appear on a brief ECG.

CMS RVU26DEffective Oct 1, 2026One payment locality10K Medicare services in 2024

In Washington, DC area, Medicare pays $197.68 for 93268 in the office.

$197.68Office (non-facility)
Not available in this settingHospital or facility
+16.5%vs the national office rate ($169.68)

Check a contract rate as a % of Medicare · 93268 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 93268 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 93268 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 93268 covers

This service uses an external electrocardiographic monitor to capture heart rhythm over an extended period, up to 30 days. It is commonly used for outpatient evaluation of intermittent palpitations, dizziness, or syncope when a standard ECG has not documented a suspected arrhythmia. Depending on the monitoring system and service arrangement, the work includes recording, analysis and reporting, and clinician review and interpretation.

Report 93268 for the complete service when the monitoring and interpretation work is furnished as a global service. Separate codes describe the recording, analysis, and interpretation portions when those services are furnished separately. Documentation should support the clinical reason for extended monitoring, the monitoring period, the recorded results, and the interpretation. CMS classifies 93268 as a global-test-only code. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.

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 Washington, DC area compares for 93268

Across 109 of 109 payment localities, the office rate for 93268 runs from $147.69 in Arkansas to $237.81 in San Benito County, CA. Washington, DC area pays $197.68. The RVUs are the same everywhere; the geographic indexes change the dollars.

93268 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$197.68
  2. Los Angeles, CA · California$197.62−$0.06
  3. Miami, FL · Florida$177.92−$19.76
  4. Chicago, IL · Illinois$172.28−$25.40
  5. Manhattan, NY · New York$196.06−$1.62
  6. Alaska · Alaska$187.43−$10.25
  7. Alabama · Alabama$150.18−$47.50

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

93268 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$147.69—
ArizonaArizona$164.79—
Bakersfield, CACalifornia$184.00—
Chico, CACalifornia$183.87—
El Centro, CACalifornia$183.88—
Fresno, CACalifornia$183.87—
Hanford, CACalifornia$183.87—
Madera, CACalifornia$183.87—

93268 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$147.69

$210.84

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

View every state and territory as a table
93268 office rate range by state
State / territoryOffice rate rangeLocalities
AK$187.431
AL$150.181
AR$147.691
AZ$164.791
CA$183.87–$237.8129
CO$179.271
CT$181.951
DC$197.681
DE$167.811
FL$163.69–$177.923
GA$153.59–$172.422
GU$189.841
HI$189.841
IA$156.011
ID$156.871
IL$157.27–$174.914
IN$157.941
KS$154.491
KY$152.771
LA$152.22–$160.932
MA$177.70–$199.582
MD$171.55–$197.683
ME$157.07–$167.822
MI$156.69–$165.302
MN$173.121
MO$148.76–$162.423
MS$148.301
MT$169.671
NC$159.061
ND$168.881
NE$157.191
NH$175.711
NJ$184.41–$195.052
NM$157.391
NV$169.601
NY$161.71–$200.515
OH$156.521
OK$153.191
OR$168.67–$186.402
PA$157.20–$176.442
PR$171.321
RI$174.851
SC$157.981
SD$168.791
TN$155.291
TX$155.96–$178.338
UT$160.461
VA$166.71–$197.682
VI$171.321
VT$167.501
WA$177.60–$204.632
WI$162.401
WV$150.431
WY$169.331

See 93268 in every payment locality

How the 93268 rate is calculated

Each of 93268’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 · 93268

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.51

0.51 RVUs× 1.000 GPCI

Practice expense4.53

4.53 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

5.0800

Conversion factor

$33.4009

Medicare rate

$169.68

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,979

Code
93268
Physician work
0.51
Practice expense
4.53
Malpractice
0.04

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 93268 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work0.51× 1.0540.5375
Practice expense4.53× 1.1785.3363
Malpractice0.04× 1.1130.0445
Total RVUs5.9184
Conversion factor× 33.4009

Office rate, Washington, DC area$197.68

Office: (0.51 × 1.054 + 4.53 × 1.178 + 0.04 × 1.113) × $33.4009 = $197.68

Open 93268 in the RVU calculator

Payment rules and modifiers for 93268

The CMS indicators that decide how 93268 is paid alongside other services.

CMS payment indicators · 93268

ECG monitoring, up to 30 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/technical4Global test only.

Codes related to 93268

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 93268
CodeHow it relatesOffice range, Washington, DC area
Includes component
93270ECG monitoring, recording and connectionDescribes the recording portion of the extended external ECG monitoring service.$9.81
93271ECG analysis, external event monitoringDescribes transmission and analysis work within the monitoring service.$162.08
93272Event monitor, interpretation onlyDescribes clinician review and interpretation of the monitoring results.$25.78
Used instead
93245Extended ECG, more than 7 daysA different extended ECG monitoring service for a monitoring period over 7 days and under 15 days.$338.81
93248ECG monitoring, more than 7, less than 15 daysDescribes review and interpretation for the shorter extended ECG monitoring service.$26.84

How 93268 has changed in Washington, DC area

93268 · Office / nonfacility

$197.68

Effective 2026-10-01

The base rate is $5.27 higher than on 2025-10-01, moving from $192.41 to $197.68 (2.7%).

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

    $192.41changed to$197.68

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.52 changed to 0.51
    • Practice expense RVU 4.49 changed to 4.53
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $205.94changed to$192.41

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.69 changed to 4.49

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $202.58changed to$205.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $216.51changed to$202.58

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.77 changed to 4.69
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $230.77changed to$216.51

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.91 changed to 4.77
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $246.06changed to$230.77

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.22 changed to 4.91

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $245.38changed to$246.06

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.08 changed to 5.22
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $244.62changed to$245.38

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.14 changed to 5.08
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $249.99changed to$244.62

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.27 changed to 5.14

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $246.26changed to$249.99

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 5.20 changed to 5.27
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $247.05changed to$246.26

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.23 changed to 5.20
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $247.53changed to$247.05

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.21 changed to 5.23
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $246.30changed to$247.53

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $243.90changed to$246.30

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.18 changed to 5.21
    • Malpractice RVU 0.03 changed to 0.05
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $262.23changed to$243.90

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 5.95 changed to 5.18
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $262.23

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$197.68Not available in this settingRVU26D
2026-07-01$197.68Not available in this settingRVU26C
2026-04-01$197.68Not available in this settingRVU26B
2026-01-01$197.68Not available in this settingRVU26A
2025-10-01$192.41Not available in this settingRVU25D
2025-07-01$192.41Not available in this settingRVU25C
2025-04-01$192.41Not available in this settingRVU25B
2025-01-01$192.41Not available in this settingRVU25A
2024-10-01$205.94Not available in this settingRVU24D
2024-07-01$205.94Not available in this settingRVU24C
2024-04-01$205.94Not available in this settingRVU24B
2024-03-09$205.94Not available in this settingRVU24AR
2024-01-01$202.58Not available in this settingRVU24A
2023-10-01$216.51Not available in this settingRVU23D
2023-07-01$216.51Not available in this settingRVU23C
2023-04-01$216.51Not available in this settingRVU23B
2023-01-01$216.51Not available in this settingRVU23A
2022-10-01$230.77Not available in this settingRVU22D
2022-07-01$230.77Not available in this settingRVU22C
2022-04-01$230.77Not available in this settingRVU22B
2022-01-01$230.77Not available in this settingRVU22A
2021-10-01$246.06Not available in this settingRVU21D
2021-07-01$246.06Not available in this settingRVU21C
2021-04-01$246.06Not available in this settingRVU21B
2021-01-01$246.06Not available in this settingRVU21A
2020-10-01$245.38Not available in this settingRVU20D
2020-07-01$245.38Not available in this settingRVU20C
2020-04-01$245.38Not available in this settingRVU20B
2020-01-01$245.38Not available in this settingRVU20A
2019-10-01$244.62Not available in this settingRVU19D
2019-07-01$244.62Not available in this settingRVU19C
2019-04-01$244.62Not available in this settingRVU19B
2019-01-01$244.62Not available in this settingRVU19A
2018-10-01$249.99Not available in this settingRVU18D
2018-07-01$249.99Not available in this settingRVU18C
2018-04-01$249.99Not available in this settingRVU18B
2018-01-01$249.99Not available in this settingRVU18AR1
2017-10-01$246.26Not available in this settingRVU17D
2017-07-01$246.26Not available in this settingRVU17C
2017-04-01$246.26Not available in this settingRVU17B
2017-01-01$246.26Not available in this settingRVU17A
2016-10-01$247.05Not available in this settingRVU16D
2016-07-01$247.05Not available in this settingRVU16C
2016-04-01$247.05Not available in this settingRVU16B
2016-01-01$247.05Not available in this settingRVU16A
2015-10-01$247.53Not available in this settingRVU15D
2015-07-01$247.53Not available in this settingRVU15C
2015-04-01$246.30Not available in this settingRVU15B
2015-01-01$246.30Not available in this settingRVU15A
2014-10-01$243.90Not available in this settingRVU14D
2014-07-01$243.90Not available in this settingRVU14C
2014-04-01$243.90Not available in this settingRVU14B
2014-01-01$243.90Not available in this settingRVU14A
2013-10-01$262.23Not available in this settingRVU13D
2013-07-01$262.23Not available in this settingRVU13C
2013-04-01$262.23Not available in this settingRVU13B
2013-01-01$262.23Not available in this settingRVU13AR

Price 93268 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

93268 billing questions

When should 93268 be reported instead of a shorter ECG monitoring code?

Use 93268 for the complete extended external monitoring service, which can cover up to 30 days. Shorter monitoring periods may belong to a different ECG monitoring code family.

Can the recording and interpretation services be billed separately?

Separate codes describe the recording, analysis, and interpretation portions of this monitoring service. Use 93268 when the complete service is furnished and reported globally.

What documentation supports 93268?

Document the clinical reason for extended monitoring, the monitoring period, the findings, and the clinician's review and interpretation.

Does the multiple-procedure reduction affect the entire service?

The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. CMS identifies 93268 as a global-test-only code, with separate codes available for component services.

How does 93268 differ from 93270?

93268 represents the complete monitoring service. 93270 describes the recording portion rather than the complete service.

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 93268PPRRVU2026_Oct_nonQPP.csv, line 11,979 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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