CPT code 93270: ECG monitoring, recording and connection2026 Medicare rate & RVUs in Washington, DC area
Reports the setup, recording period, and disconnection for external ECG monitoring lasting more than 48 hours and up to 30 days.
In Washington, DC area, Medicare pays $9.81 for 93270 in the office.
Check a contract rate as a % of Medicare · 93270 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 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.
How Washington, DC area compares for 93270
Across 109 of 109 payment localities, the office rate for 93270 runs from $7.06 in Arkansas to $11.74 in San Benito County, CA. Washington, DC area pays $9.81. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$9.81
- Los Angeles, CA · California$9.70−$0.11
- Miami, FL · Florida$9.19−$0.62
- Chicago, IL · Illinois$8.82−$0.99
- Manhattan, NY · New York$9.84+$0.03
- Alaska · Alaska$8.72−$1.09
- Alabama · Alabama$7.20−$2.61
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | $7.06 | — |
| ArizonaArizona | $8.05 | — |
| Bakersfield, CACalifornia | $8.99 | — |
| Chico, CACalifornia | $8.96 | — |
| El Centro, CACalifornia | $8.97 | — |
| Fresno, CACalifornia | $8.96 | — |
| Hanford, CACalifornia | $8.96 | — |
| Madera, CACalifornia | $8.96 | — |
| Merced, CACalifornia | $8.96 | — |
| Modesto, CACalifornia | $8.96 | — |
| Napa, CACalifornia | $10.74 | — |
| Oxnard, CACalifornia | $9.68 | — |
| Redding, CACalifornia | $8.96 | — |
| Rest of CaliforniaCalifornia | $8.96 | — |
| Riverside, CACalifornia | $9.07 | — |
| Sacramento, CACalifornia | $9.50 | — |
| Salinas, CACalifornia | $9.47 | — |
| San Diego, CACalifornia | $9.77 | — |
| Marin County, CACalifornia | $11.46 | — |
| San Francisco, CACalifornia | $11.44 | — |
| San Benito County, CACalifornia | $11.74 | — |
| Santa Clara County, CACalifornia | $11.69 | — |
| San Luis Obispo, CACalifornia | $9.31 | — |
| Santa Cruz, CACalifornia | $9.92 | — |
| Santa Maria, CACalifornia | $9.53 | — |
| Santa Rosa, CACalifornia | $10.02 | — |
| Stockton, CACalifornia | $8.96 | — |
| Vallejo, CACalifornia | $10.72 | — |
| Visalia, CACalifornia | $8.96 | — |
| Yuba City, CACalifornia | $8.96 | — |
| ColoradoColorado | $8.79 | — |
| ConnecticutConnecticut | $9.04 | — |
| DelawareDelaware | $8.22 | — |
| Fort Lauderdale, FLFlorida | $8.72 | — |
| Rest of FloridaFlorida | $8.17 | — |
| Atlanta, GAGeorgia | $8.55 | — |
| Rest of GeorgiaGeorgia | $7.55 | — |
| Hawaii, Guam, HIHawaii | $9.31 | — |
| IowaIowa | $7.47 | — |
| IdahoIdaho | $7.53 | — |
| East St. Louis, ILIllinois | $8.05 | — |
| Rest of IllinoisIllinois | $7.84 | — |
| Suburban Chicago, ILIllinois | $8.82 | — |
| IndianaIndiana | $7.59 | — |
| KansasKansas | $7.41 | — |
| KentuckyKentucky | $7.43 | — |
| New Orleans, LALouisiana | $7.92 | — |
| Rest of LouisianaLouisiana | $7.41 | — |
| Metropolitan Boston, MAMassachusetts | $9.87 | — |
| Rest of MassachusettsMassachusetts | $8.71 | — |
| Baltimore area, MDMaryland | $9.01 | — |
| Rest of MarylandMaryland | $8.42 | — |
| Rest of MaineMaine | $7.58 | — |
| Southern Maine, MEMaine | $8.15 | — |
| Detroit, MIMichigan | $8.30 | — |
| Rest of MichiganMichigan | $7.70 | — |
| MinnesotaMinnesota | $8.35 | — |
| Metropolitan Kansas City, MOMissouri | $7.85 | — |
| Metropolitan St. Louis, MOMissouri | $7.97 | — |
| Rest of MissouriMissouri | $7.24 | — |
| MississippiMississippi | $7.15 | — |
| MontanaMontana | $8.35 | — |
| North CarolinaNorth Carolina | $7.69 | — |
| North DakotaNorth Dakota | $8.15 | — |
| NebraskaNebraska | $7.53 | — |
| New HampshireNew Hampshire | $8.64 | — |
| Northern New JerseyNew Jersey | $9.66 | — |
| Rest of New JerseyNew Jersey | $9.12 | — |
| New MexicoNew Mexico | $7.75 | — |
| NevadaNevada | $8.30 | — |
| NYC suburbs and Long Island, NYNew York | $10.15 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $9.18 | — |
| Queens, NYNew York | $9.96 | — |
| Rest of New YorkNew York | $7.85 | — |
| OhioOhio | $7.66 | — |
| OklahomaOklahoma | $7.42 | — |
| Portland, OROregon | $9.15 | — |
| Rest of OregonOregon | $8.22 | — |
| Metropolitan Philadelphia, PAPennsylvania | $8.74 | — |
| Rest of PennsylvaniaPennsylvania | $7.67 | — |
| Puerto RicoPuerto Rico | $8.43 | — |
| Rhode IslandRhode Island | $8.58 | — |
| South CarolinaSouth Carolina | $7.69 | — |
| South DakotaSouth Dakota | $8.13 | — |
| TennesseeTennessee | $7.47 | — |
| Austin, TXTexas | $8.78 | — |
| Beaumont, TXTexas | $7.61 | — |
| Brazoria, TXTexas | $8.20 | — |
| Dallas, TXTexas | $8.27 | — |
| Fort Worth, TXTexas | $8.19 | — |
| Galveston, TXTexas | $8.24 | — |
| Houston, TXTexas | $8.42 | — |
| Rest of TexasTexas | $7.91 | — |
| UtahUtah | $7.84 | — |
| VirginiaVirginia | $8.12 | — |
| Virgin Islands, VIUnited States Virgin Islands | $8.43 | — |
| VermontVermont | $8.11 | — |
| Rest of WashingtonWashington | $8.70 | — |
| King County, WAWashington | $10.11 | — |
| WisconsinWisconsin | $7.78 | — |
| West VirginiaWest Virginia | $7.44 | — |
| WyomingWyoming | $8.26 | — |
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.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,980
- Code
- 93270
- Physician work
- 0.00
- Practice expense
- 0.24
- Malpractice
- 0.01
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.054 | 0.0000 |
| Practice expense | 0.24 | × 1.178 | 0.2827 |
| Malpractice | 0.01 | × 1.113 | 0.0111 |
| Total RVUs | 0.2938 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Washington, DC area$9.81
Office: (0 × 1.054 + 0.24 × 1.178 + 0.01 × 1.113) × $33.4009 = $9.81
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. |
How 93270 has changed in Washington, DC area
93270 · Office / nonfacility
$9.81
Effective 2026-10-01
The base rate is $0.56 higher than on 2025-10-01, moving from $9.25 to $9.81 (6.1%).
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
$9.25changed to$9.81
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.23 changed to 0.24
- 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.
January 1, 2025
RVU25A
$9.91changed to$9.25
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 0.24 changed to 0.23
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$9.75changed to$9.91
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$10.29changed to$9.75
- Conversion factor 33.8872 changed to 32.7442
- 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
January 1, 2023
RVU23A
$10.71changed to$10.29
- Conversion factor 34.6062 changed to 33.8872
- 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.
January 1, 2022
RVU22A
$11.23changed to$10.71
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.25 changed to 0.24
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$11.04changed to$11.23
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.24 changed to 0.25
- 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.
January 1, 2020
RVU20A
$11.31changed to$11.04
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.25 changed to 0.24
- 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.
January 1, 2019
RVU19A
$11.30changed to$11.31
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$11.27changed to$11.30
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.048 changed to 1.045
- Malpractice GPCI 1.271 changed to 1.261
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$11.24changed to$11.27
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.051 changed to 1.048
- Malpractice GPCI 1.280 changed to 1.271
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$11.28changed to$11.24
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$11.23changed to$11.28
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$11.20changed to$11.23
- Conversion factor 35.8228 changed to 35.7547
- 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.
January 1, 2014
RVU14A
$11.39changed to$11.20
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.27 changed to 0.25
- 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.
January 1, 2013
RVU13AR
Earliest loaded release: $11.39
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $9.81 | Not available in this setting | RVU26D |
| 2026-07-01 | $9.81 | Not available in this setting | RVU26C |
| 2026-04-01 | $9.81 | Not available in this setting | RVU26B |
| 2026-01-01 | $9.81 | Not available in this setting | RVU26A |
| 2025-10-01 | $9.25 | Not available in this setting | RVU25D |
| 2025-07-01 | $9.25 | Not available in this setting | RVU25C |
| 2025-04-01 | $9.25 | Not available in this setting | RVU25B |
| 2025-01-01 | $9.25 | Not available in this setting | RVU25A |
| 2024-10-01 | $9.91 | Not available in this setting | RVU24D |
| 2024-07-01 | $9.91 | Not available in this setting | RVU24C |
| 2024-04-01 | $9.91 | Not available in this setting | RVU24B |
| 2024-03-09 | $9.91 | Not available in this setting | RVU24AR |
| 2024-01-01 | $9.75 | Not available in this setting | RVU24A |
| 2023-10-01 | $10.29 | Not available in this setting | RVU23D |
| 2023-07-01 | $10.29 | Not available in this setting | RVU23C |
| 2023-04-01 | $10.29 | Not available in this setting | RVU23B |
| 2023-01-01 | $10.29 | Not available in this setting | RVU23A |
| 2022-10-01 | $10.71 | Not available in this setting | RVU22D |
| 2022-07-01 | $10.71 | Not available in this setting | RVU22C |
| 2022-04-01 | $10.71 | Not available in this setting | RVU22B |
| 2022-01-01 | $10.71 | Not available in this setting | RVU22A |
| 2021-10-01 | $11.23 | Not available in this setting | RVU21D |
| 2021-07-01 | $11.23 | Not available in this setting | RVU21C |
| 2021-04-01 | $11.23 | Not available in this setting | RVU21B |
| 2021-01-01 | $11.23 | Not available in this setting | RVU21A |
| 2020-10-01 | $11.04 | Not available in this setting | RVU20D |
| 2020-07-01 | $11.04 | Not available in this setting | RVU20C |
| 2020-04-01 | $11.04 | Not available in this setting | RVU20B |
| 2020-01-01 | $11.04 | Not available in this setting | RVU20A |
| 2019-10-01 | $11.31 | Not available in this setting | RVU19D |
| 2019-07-01 | $11.31 | Not available in this setting | RVU19C |
| 2019-04-01 | $11.31 | Not available in this setting | RVU19B |
| 2019-01-01 | $11.31 | Not available in this setting | RVU19A |
| 2018-10-01 | $11.30 | Not available in this setting | RVU18D |
| 2018-07-01 | $11.30 | Not available in this setting | RVU18C |
| 2018-04-01 | $11.30 | Not available in this setting | RVU18B |
| 2018-01-01 | $11.30 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $11.27 | Not available in this setting | RVU17D |
| 2017-07-01 | $11.27 | Not available in this setting | RVU17C |
| 2017-04-01 | $11.27 | Not available in this setting | RVU17B |
| 2017-01-01 | $11.27 | Not available in this setting | RVU17A |
| 2016-10-01 | $11.24 | Not available in this setting | RVU16D |
| 2016-07-01 | $11.24 | Not available in this setting | RVU16C |
| 2016-04-01 | $11.24 | Not available in this setting | RVU16B |
| 2016-01-01 | $11.24 | Not available in this setting | RVU16A |
| 2015-10-01 | $11.28 | Not available in this setting | RVU15D |
| 2015-07-01 | $11.28 | Not available in this setting | RVU15C |
| 2015-04-01 | $11.23 | Not available in this setting | RVU15B |
| 2015-01-01 | $11.23 | Not available in this setting | RVU15A |
| 2014-10-01 | $11.20 | Not available in this setting | RVU14D |
| 2014-07-01 | $11.20 | Not available in this setting | RVU14C |
| 2014-04-01 | $11.20 | Not available in this setting | RVU14B |
| 2014-01-01 | $11.20 | Not available in this setting | RVU14A |
| 2013-10-01 | $11.39 | Not available in this setting | RVU13D |
| 2013-07-01 | $11.39 | Not available in this setting | RVU13C |
| 2013-04-01 | $11.39 | Not available in this setting | RVU13B |
| 2013-01-01 | $11.39 | Not available in this setting | RVU13AR |
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
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.
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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