CPT code 93270: ECG monitoring, recording and connection2026 Medicare rate & RVUs in South Dakota
Reports the setup, recording period, and disconnection for external ECG monitoring lasting more than 48 hours and up to 30 days.
In South Dakota, Medicare pays $8.13 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 South Dakota 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. South Dakota pays $8.13. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$8.13
- Los Angeles, CA · California$9.70+$1.57
- Washington, DC area · District of Columbia$9.81+$1.68
- Miami, FL · Florida$9.19+$1.06
- Chicago, IL · Illinois$8.82+$0.69
- Manhattan, NY · New York$9.84+$1.71
- Alaska · Alaska$8.72+$0.59
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $7.20 | — |
| 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 | — |
| 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 South Dakota 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
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.24 | × 1.000 | 0.2400 |
| Malpractice | 0.01 | × 0.336 | 0.0034 |
| Total RVUs | 0.2434 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$8.13
Office: (0 × 1 + 0.24 × 1 + 0.01 × 0.336) × $33.4009 = $8.13
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 South Dakota
93270 · Office / nonfacility
$8.13
Effective 2026-10-01
The base rate is $0.57 higher than on 2025-10-01, moving from $7.56 to $8.13 (7.5%).
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
$7.56changed to$8.13
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.23 changed to 0.24
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$8.12changed to$7.56
- 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
$7.98changed to$8.12
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$8.26changed to$7.98
- Conversion factor 33.8872 changed to 32.7442
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$8.43changed to$8.26
- Conversion factor 34.6062 changed to 33.8872
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$8.84changed to$8.43
- 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
$8.79changed to$8.84
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.24 changed to 0.25
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$9.15changed to$8.79
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.25 changed to 0.24
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$9.14changed to$9.15
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$9.11changed to$9.14
- Conversion factor 35.8887 changed to 35.9996
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$9.09changed to$9.11
- Conversion factor 35.8043 changed to 35.8887
- Malpractice GPCI 0.400 changed to 0.395
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$9.13changed to$9.09
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$9.08changed to$9.13
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$9.10changed to$9.08
- Conversion factor 35.8228 changed to 35.7547
- Malpractice GPCI 0.416 changed to 0.400
Held through RVU15B.
January 1, 2014
RVU14A
$9.33changed to$9.10
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.27 changed to 0.25
- Malpractice GPCI 0.432 changed to 0.416
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $9.33
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $8.13 | Not available in this setting | RVU26D |
| 2026-07-01 | $8.13 | Not available in this setting | RVU26C |
| 2026-04-01 | $8.13 | Not available in this setting | RVU26B |
| 2026-01-01 | $8.13 | Not available in this setting | RVU26A |
| 2025-10-01 | $7.56 | Not available in this setting | RVU25D |
| 2025-07-01 | $7.56 | Not available in this setting | RVU25C |
| 2025-04-01 | $7.56 | Not available in this setting | RVU25B |
| 2025-01-01 | $7.56 | Not available in this setting | RVU25A |
| 2024-10-01 | $8.12 | Not available in this setting | RVU24D |
| 2024-07-01 | $8.12 | Not available in this setting | RVU24C |
| 2024-04-01 | $8.12 | Not available in this setting | RVU24B |
| 2024-03-09 | $8.12 | Not available in this setting | RVU24AR |
| 2024-01-01 | $7.98 | Not available in this setting | RVU24A |
| 2023-10-01 | $8.26 | Not available in this setting | RVU23D |
| 2023-07-01 | $8.26 | Not available in this setting | RVU23C |
| 2023-04-01 | $8.26 | Not available in this setting | RVU23B |
| 2023-01-01 | $8.26 | Not available in this setting | RVU23A |
| 2022-10-01 | $8.43 | Not available in this setting | RVU22D |
| 2022-07-01 | $8.43 | Not available in this setting | RVU22C |
| 2022-04-01 | $8.43 | Not available in this setting | RVU22B |
| 2022-01-01 | $8.43 | Not available in this setting | RVU22A |
| 2021-10-01 | $8.84 | Not available in this setting | RVU21D |
| 2021-07-01 | $8.84 | Not available in this setting | RVU21C |
| 2021-04-01 | $8.84 | Not available in this setting | RVU21B |
| 2021-01-01 | $8.84 | Not available in this setting | RVU21A |
| 2020-10-01 | $8.79 | Not available in this setting | RVU20D |
| 2020-07-01 | $8.79 | Not available in this setting | RVU20C |
| 2020-04-01 | $8.79 | Not available in this setting | RVU20B |
| 2020-01-01 | $8.79 | Not available in this setting | RVU20A |
| 2019-10-01 | $9.15 | Not available in this setting | RVU19D |
| 2019-07-01 | $9.15 | Not available in this setting | RVU19C |
| 2019-04-01 | $9.15 | Not available in this setting | RVU19B |
| 2019-01-01 | $9.15 | Not available in this setting | RVU19A |
| 2018-10-01 | $9.14 | Not available in this setting | RVU18D |
| 2018-07-01 | $9.14 | Not available in this setting | RVU18C |
| 2018-04-01 | $9.14 | Not available in this setting | RVU18B |
| 2018-01-01 | $9.14 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $9.11 | Not available in this setting | RVU17D |
| 2017-07-01 | $9.11 | Not available in this setting | RVU17C |
| 2017-04-01 | $9.11 | Not available in this setting | RVU17B |
| 2017-01-01 | $9.11 | Not available in this setting | RVU17A |
| 2016-10-01 | $9.09 | Not available in this setting | RVU16D |
| 2016-07-01 | $9.09 | Not available in this setting | RVU16C |
| 2016-04-01 | $9.09 | Not available in this setting | RVU16B |
| 2016-01-01 | $9.09 | Not available in this setting | RVU16A |
| 2015-10-01 | $9.13 | Not available in this setting | RVU15D |
| 2015-07-01 | $9.13 | Not available in this setting | RVU15C |
| 2015-04-01 | $9.08 | Not available in this setting | RVU15B |
| 2015-01-01 | $9.08 | Not available in this setting | RVU15A |
| 2014-10-01 | $9.10 | Not available in this setting | RVU14D |
| 2014-07-01 | $9.10 | Not available in this setting | RVU14C |
| 2014-04-01 | $9.10 | Not available in this setting | RVU14B |
| 2014-01-01 | $9.10 | Not available in this setting | RVU14A |
| 2013-10-01 | $9.33 | Not available in this setting | RVU13D |
| 2013-07-01 | $9.33 | Not available in this setting | RVU13C |
| 2013-04-01 | $9.33 | Not available in this setting | RVU13B |
| 2013-01-01 | $9.33 | Not available in this setting | RVU13AR |
Where the South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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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