CPT code 93270: ECG monitoring, recording and connection2026 Medicare rate & RVUs
Reports the setup, recording period, and disconnection for external ECG monitoring lasting more than 48 hours and up to 30 days.
Medicare pays $8.35 for 93270 nationally in the office. Local office rates run $7.06–$11.74.
Medicare rate · 93270
ECG monitoring, recording and connection
- Work RVUs
- 0
- Total RVUs
- 0.25
- Global days
- XXX
National rate · 2026
$8.35
Office setting, before claim adjustments.
See every locality for 93270 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 93270 covers
This code covers the technical work of connecting an external ECG recorder, capturing the rhythm during the monitoring period, and disconnecting the equipment. It is used when intermittent symptoms such as palpitations or unexplained fainting call for ambulatory rhythm recording beyond a short office ECG. Clinical staff typically handle the device setup and retrieval; the patient wears the recorder during the prescribed monitoring period.
Report this code for the recording portion of the service, not for analysis or physician interpretation. Code 93271 represents transmission, analysis, and reporting, while 93272 represents review and interpretation. Documentation should support the monitoring period, device connection and disconnection, and the service performed. CMS classifies 93270 as technical-component-only, with a separate code for interpretation. The cardiovascular diagnostic multiple procedure reduction applies to its 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.
Where 93270 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$7.06 to $11.74
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $7.20 | Unavailable |
| Alaska | $8.72 | Unavailable |
| Arizona | $8.05 | Unavailable |
| Arkansas | $7.06 | Unavailable |
| Atlanta, GA | $8.55 | Unavailable |
| Austin, TX | $8.78 | Unavailable |
| Bakersfield, CA | $8.99 | Unavailable |
| Baltimore area, MD | $9.01 | Unavailable |
| Beaumont, TX | $7.61 | Unavailable |
| Brazoria, TX | $8.20 | Unavailable |
| Chicago, IL | $8.82 | Unavailable |
| Chico, CA | $8.96 | Unavailable |
| Colorado | $8.79 | Unavailable |
| Connecticut | $9.04 | Unavailable |
| Dallas, TX | $8.27 | Unavailable |
| Delaware | $8.22 | Unavailable |
| Detroit, MI | $8.30 | Unavailable |
| East St. Louis, IL | $8.05 | Unavailable |
| El Centro, CA | $8.97 | Unavailable |
| Fort Lauderdale, FL | $8.72 | Unavailable |
| Fort Worth, TX | $8.19 | Unavailable |
| Fresno, CA | $8.96 | Unavailable |
| Galveston, TX | $8.24 | Unavailable |
| Hanford, CA | $8.96 | Unavailable |
| Hawaii, Guam, HI | $9.31 | Unavailable |
| Houston, TX | $8.42 | Unavailable |
| Idaho | $7.53 | Unavailable |
| Indiana | $7.59 | Unavailable |
| Iowa | $7.47 | Unavailable |
| Kansas | $7.41 | Unavailable |
| Kentucky | $7.43 | Unavailable |
| King County, WA | $10.11 | Unavailable |
| Los Angeles, CA | $9.70 | Unavailable |
| Madera, CA | $8.96 | Unavailable |
| Manhattan, NY | $9.84 | Unavailable |
| Marin County, CA | $11.46 | Unavailable |
| Merced, CA | $8.96 | Unavailable |
| Metropolitan Boston, MA | $9.87 | Unavailable |
| Metropolitan Kansas City, MO | $7.85 | Unavailable |
| Metropolitan Philadelphia, PA | $8.74 | Unavailable |
| Metropolitan St. Louis, MO | $7.97 | Unavailable |
| Miami, FL | $9.19 | Unavailable |
| Minnesota | $8.35 | Unavailable |
| Mississippi | $7.15 | Unavailable |
| Modesto, CA | $8.96 | Unavailable |
| Montana | $8.35 | Unavailable |
| Napa, CA | $10.74 | Unavailable |
| Nebraska | $7.53 | Unavailable |
| Nevada | $8.30 | Unavailable |
| New Hampshire | $8.64 | Unavailable |
| New Mexico | $7.75 | Unavailable |
| New Orleans, LA | $7.92 | Unavailable |
| North Carolina | $7.69 | Unavailable |
| North Dakota | $8.15 | Unavailable |
| Northern New Jersey | $9.66 | Unavailable |
| NYC suburbs and Long Island, NY | $10.15 | Unavailable |
| Ohio | $7.66 | Unavailable |
| Oklahoma | $7.42 | Unavailable |
| Oxnard, CA | $9.68 | Unavailable |
| Portland, OR | $9.15 | Unavailable |
| Poughkeepsie and northern NYC suburbs, NY | $9.18 | Unavailable |
| Puerto Rico | $8.43 | Unavailable |
| Queens, NY | $9.96 | Unavailable |
| Redding, CA | $8.96 | Unavailable |
| Rest of California | $8.96 | Unavailable |
| Rest of Florida | $8.17 | Unavailable |
| Rest of Georgia | $7.55 | Unavailable |
| Rest of Illinois | $7.84 | Unavailable |
| Rest of Louisiana | $7.41 | Unavailable |
| Rest of Maine | $7.58 | Unavailable |
| Rest of Maryland | $8.42 | Unavailable |
| Rest of Massachusetts | $8.71 | Unavailable |
| Rest of Michigan | $7.70 | Unavailable |
| Rest of Missouri | $7.24 | Unavailable |
| Rest of New Jersey | $9.12 | Unavailable |
| Rest of New York | $7.85 | Unavailable |
| Rest of Oregon | $8.22 | Unavailable |
| Rest of Pennsylvania | $7.67 | Unavailable |
| Rest of Texas | $7.91 | Unavailable |
| Rest of Washington | $8.70 | Unavailable |
| Rhode Island | $8.58 | Unavailable |
| Riverside, CA | $9.07 | Unavailable |
| Sacramento, CA | $9.50 | Unavailable |
| Salinas, CA | $9.47 | Unavailable |
| San Benito County, CA | $11.74 | Unavailable |
| San Diego, CA | $9.77 | Unavailable |
| San Francisco, CA | $11.44 | Unavailable |
| San Luis Obispo, CA | $9.31 | Unavailable |
| Santa Clara County, CA | $11.69 | Unavailable |
| Santa Cruz, CA | $9.92 | Unavailable |
| Santa Maria, CA | $9.53 | Unavailable |
| Santa Rosa, CA | $10.02 | Unavailable |
| South Carolina | $7.69 | Unavailable |
| South Dakota | $8.13 | Unavailable |
| Southern Maine, ME | $8.15 | Unavailable |
| Stockton, CA | $8.96 | Unavailable |
| Suburban Chicago, IL | $8.82 | Unavailable |
| Tennessee | $7.47 | Unavailable |
| Utah | $7.84 | Unavailable |
| Vallejo, CA | $10.72 | Unavailable |
| Vermont | $8.11 | Unavailable |
| Virgin Islands, VI | $8.43 | Unavailable |
| Virginia | $8.12 | Unavailable |
| Visalia, CA | $8.96 | Unavailable |
| Washington, DC area | $9.81 | Unavailable |
| West Virginia | $7.44 | Unavailable |
| Wisconsin | $7.78 | Unavailable |
| Wyoming | $8.26 | Unavailable |
| Yuba City, CA | $8.96 | Unavailable |
93270 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.
$7.06
$10.35
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 | $8.72 | 1 |
| AL | $7.20 | 1 |
| AR | $7.06 | 1 |
| AZ | $8.05 | 1 |
| CA | $8.96–$11.74 | 29 |
| CO | $8.79 | 1 |
| CT | $9.04 | 1 |
| DC | $9.81 | 1 |
| DE | $8.22 | 1 |
| FL | $8.17–$9.19 | 3 |
| GA | $7.55–$8.55 | 2 |
| GU | $9.31 | 1 |
| HI | $9.31 | 1 |
| IA | $7.47 | 1 |
| ID | $7.53 | 1 |
| IL | $7.84–$8.82 | 4 |
| IN | $7.59 | 1 |
| KS | $7.41 | 1 |
| KY | $7.43 | 1 |
| LA | $7.41–$7.92 | 2 |
| MA | $8.71–$9.87 | 2 |
| MD | $8.42–$9.81 | 3 |
| ME | $7.58–$8.15 | 2 |
| MI | $7.70–$8.30 | 2 |
| MN | $8.35 | 1 |
| MO | $7.24–$7.97 | 3 |
| MS | $7.15 | 1 |
| MT | $8.35 | 1 |
| NC | $7.69 | 1 |
| ND | $8.15 | 1 |
| NE | $7.53 | 1 |
| NH | $8.64 | 1 |
| NJ | $9.12–$9.66 | 2 |
| NM | $7.75 | 1 |
| NV | $8.30 | 1 |
| NY | $7.85–$10.15 | 5 |
| OH | $7.66 | 1 |
| OK | $7.42 | 1 |
| OR | $8.22–$9.15 | 2 |
| PA | $7.67–$8.74 | 2 |
| PR | $8.43 | 1 |
| RI | $8.58 | 1 |
| SC | $7.69 | 1 |
| SD | $8.13 | 1 |
| TN | $7.47 | 1 |
| TX | $7.61–$8.78 | 8 |
| UT | $7.84 | 1 |
| VA | $8.12–$9.81 | 2 |
| VI | $8.43 | 1 |
| VT | $8.11 | 1 |
| WA | $8.70–$10.11 | 2 |
| WI | $7.78 | 1 |
| WV | $7.44 | 1 |
| WY | $8.26 | 1 |
How the 93270 rate is calculated
Each of 93270’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 · 93270
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.24
0.24 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.2500
Conversion factor
$33.4009
Medicare rate
$8.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93270
The CMS indicators that decide how 93270 is paid alongside other services.
CMS payment indicators · 93270
ECG monitoring, recording and connection
| 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. |
93270 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93271ECG analysisExternal event monitoring
- 93270 covers connection, recording, and disconnection. Use 93271 for transmission, analysis, and reporting of the recorded data.
- 93272Event monitorInterpretation only
- 93270 is the recording service; 93272 is the professional review and interpretation service.
- 93247Extended ECG monitoringTechnical analysis, 8 to 15 days
- 93247 describes extended ECG scanning and analysis for a different monitoring-duration range. Code 93270 covers recording work for monitoring lasting more than 48 hours and up to 30 days.
93270 billing questions
When should 93270 be chosen instead of 93247?
Use 93270 for the connection, recording, and disconnection portion of external ECG monitoring lasting more than 48 hours and up to 30 days. Codes 93247 and 93248 describe a different extended ECG monitoring service lasting more than 7 days but less than 15 days.
Does 93270 include ECG analysis or physician interpretation?
No. Code 93270 covers the recording portion. Code 93271 represents transmission, analysis, and reporting; code 93272 represents review and interpretation.
Can 93270 be reported with 93271 and 93272?
These codes represent distinct portions of the external ECG service: recording, analysis and reporting, and interpretation. Report the portions performed and supported by the documentation.
Should modifier 26 be appended to 93270?
No. This is the technical-component-only code; physician or qualified professional interpretation is reported separately with 93272.
What documentation supports reporting 93270?
Document the external ECG recorder connection, the monitoring period, and disconnection. The record should distinguish this recording work from analysis, reporting, and interpretation.
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.
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