CPT code 93351: Stress echocardiogram, ECG monitoring included2026 Medicare rate & RVUs in New Mexico
Reports a complete transthoracic echocardiogram performed at rest and during exercise or pharmacologic stress, with ECG monitoring and physician supervision.
In New Mexico, Medicare pays $219.78 for 93351 in the office.
Check a contract rate as a % of Medicare · 93351 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 93351 covers
A stress echocardiogram captures cardiac ultrasound images at rest and during treadmill or bicycle exercise, or after pharmacologic stress, so the interpreting physician can assess how cardiac function changes under stress. A sonographer commonly acquires the images in a cardiology office, hospital, or outpatient imaging department; the physician supervises the stress portion and interprets the study. Continuous ECG monitoring is part of this service.
Report one unit for the complete study, supported by documentation of the stress method, image acquisition, ECG monitoring, supervision, and interpretation. The code includes the resting and stress imaging; do not separately report a resting echocardiogram or a stress ECG service for those same components. Billing without a component modifier represents the global service. Modifier 26 identifies the interpretation, while modifier TC identifies the equipment and staff. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to this code’s 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 New Mexico compares for 93351
Across 109 of 109 payment localities, the office rate for 93351 runs from $207.46 in Arkansas to $314.68 in San Benito County, CA. New Mexico pays $219.78. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$219.78
- Los Angeles, CA · California$266.35+$46.57
- Washington, DC area · District of Columbia$267.73+$47.95
- Miami, FL · Florida$245.67+$25.89
- Chicago, IL · Illinois$239.06+$19.28
- Manhattan, NY · New York$267.11+$47.33
- Alaska · Alaska$271.78+$52.00
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $210.40 | — |
| ArkansasArkansas | $207.46 | — |
| ArizonaArizona | $227.63 | — |
| Bakersfield, CACalifornia | $249.86 | — |
| Chico, CACalifornia | $249.50 | — |
| El Centro, CACalifornia | $249.52 | — |
| Fresno, CACalifornia | $249.50 | — |
| Hanford, CACalifornia | $249.50 | — |
| Madera, CACalifornia | $249.50 | — |
| Merced, CACalifornia | $249.50 | — |
| Modesto, CACalifornia | $249.50 | — |
| Napa, CACalifornia | $290.45 | — |
| Oxnard, CACalifornia | $265.30 | — |
| Redding, CACalifornia | $249.50 | — |
| Rest of CaliforniaCalifornia | $249.50 | — |
| Riverside, CACalifornia | $250.62 | — |
| Sacramento, CACalifornia | $262.18 | — |
| Salinas, CACalifornia | $261.20 | — |
| San Diego, CACalifornia | $267.57 | — |
| Marin County, CACalifornia | $308.03 | — |
| San Francisco, CACalifornia | $307.91 | — |
| San Benito County, CACalifornia | $314.68 | — |
| Santa Clara County, CACalifornia | $314.21 | — |
| San Luis Obispo, CACalifornia | $256.94 | — |
| Santa Cruz, CACalifornia | $270.32 | — |
| Santa Maria, CACalifornia | $262.24 | — |
| Santa Rosa, CACalifornia | $273.08 | — |
| Stockton, CACalifornia | $249.50 | — |
| Vallejo, CACalifornia | $290.28 | — |
| Visalia, CACalifornia | $249.50 | — |
| Yuba City, CACalifornia | $249.50 | — |
| ColoradoColorado | $244.50 | — |
| ConnecticutConnecticut | $248.64 | — |
| DelawareDelaware | $231.34 | — |
| Fort Lauderdale, FLFlorida | $238.42 | — |
| Rest of FloridaFlorida | $227.54 | — |
| Atlanta, GAGeorgia | $237.08 | — |
| Rest of GeorgiaGeorgia | $215.43 | — |
| Hawaii, Guam, HIHawaii | $255.77 | — |
| IowaIowa | $216.75 | — |
| IdahoIdaho | $217.87 | — |
| East St. Louis, ILIllinois | $223.02 | — |
| Rest of IllinoisIllinois | $220.30 | — |
| Suburban Chicago, ILIllinois | $241.12 | — |
| IndianaIndiana | $219.13 | — |
| KansasKansas | $215.21 | — |
| KentuckyKentucky | $213.98 | — |
| New Orleans, LALouisiana | $223.72 | — |
| Rest of LouisianaLouisiana | $213.44 | — |
| Metropolitan Boston, MAMassachusetts | $269.01 | — |
| Rest of MassachusettsMassachusetts | $242.88 | — |
| Baltimore area, MDMaryland | $247.81 | — |
| Rest of MarylandMaryland | $235.85 | — |
| Rest of MaineMaine | $218.37 | — |
| Southern Maine, MEMaine | $230.68 | — |
| Detroit, MIMichigan | $229.71 | — |
| Rest of MichiganMichigan | $218.85 | — |
| MinnesotaMinnesota | $236.14 | — |
| Metropolitan Kansas City, MOMissouri | $222.84 | — |
| Metropolitan St. Louis, MOMissouri | $225.17 | — |
| Rest of MissouriMissouri | $209.51 | — |
| MississippiMississippi | $208.55 | — |
| MontanaMontana | $233.47 | — |
| North CarolinaNorth Carolina | $220.67 | — |
| North DakotaNorth Dakota | $231.49 | — |
| NebraskaNebraska | $218.07 | — |
| New HampshireNew Hampshire | $240.15 | — |
| Northern New JerseyNew Jersey | $264.98 | — |
| Rest of New JerseyNew Jersey | $252.00 | — |
| NevadaNevada | $233.09 | — |
| NYC suburbs and Long Island, NYNew York | $272.69 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $253.18 | — |
| Queens, NYNew York | $270.09 | — |
| Rest of New YorkNew York | $223.83 | — |
| OhioOhio | $218.45 | — |
| OklahomaOklahoma | $214.21 | — |
| Portland, OROregon | $252.74 | — |
| Rest of OregonOregon | $231.79 | — |
| Metropolitan Philadelphia, PAPennsylvania | $242.24 | — |
| Rest of PennsylvaniaPennsylvania | $219.10 | — |
| Puerto RicoPuerto Rico | $235.33 | — |
| Rhode IslandRhode Island | $239.91 | — |
| South CarolinaSouth Carolina | $219.82 | — |
| South DakotaSouth Dakota | $231.25 | — |
| TennesseeTennessee | $216.18 | — |
| Austin, TXTexas | $243.24 | — |
| Beaumont, TXTexas | $217.66 | — |
| Brazoria, TXTexas | $231.64 | — |
| Dallas, TXTexas | $232.82 | — |
| Fort Worth, TXTexas | $231.13 | — |
| Galveston, TXTexas | $232.14 | — |
| Houston, TXTexas | $233.97 | — |
| Rest of TexasTexas | $224.32 | — |
| UtahUtah | $222.75 | — |
| VirginiaVirginia | $229.55 | — |
| Virgin Islands, VIUnited States Virgin Islands | $235.33 | — |
| VermontVermont | $230.09 | — |
| Rest of WashingtonWashington | $242.59 | — |
| King County, WAWashington | $274.99 | — |
| WisconsinWisconsin | $223.89 | — |
| West VirginiaWest Virginia | $212.25 | — |
| WyomingWyoming | $232.60 | — |
93351 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.
$207.46
$282.09
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 | $271.78 | 1 |
| AL | $210.40 | 1 |
| AR | $207.46 | 1 |
| AZ | $227.63 | 1 |
| CA | $249.50–$314.68 | 29 |
| CO | $244.50 | 1 |
| CT | $248.64 | 1 |
| DC | $267.73 | 1 |
| DE | $231.34 | 1 |
| FL | $227.54–$245.67 | 3 |
| GA | $215.43–$237.08 | 2 |
| GU | $255.77 | 1 |
| HI | $255.77 | 1 |
| IA | $216.75 | 1 |
| ID | $217.87 | 1 |
| IL | $220.30–$241.12 | 4 |
| IN | $219.13 | 1 |
| KS | $215.21 | 1 |
| KY | $213.98 | 1 |
| LA | $213.44–$223.72 | 2 |
| MA | $242.88–$269.01 | 2 |
| MD | $235.85–$267.73 | 3 |
| ME | $218.37–$230.68 | 2 |
| MI | $218.85–$229.71 | 2 |
| MN | $236.14 | 1 |
| MO | $209.51–$225.17 | 3 |
| MS | $208.55 | 1 |
| MT | $233.47 | 1 |
| NC | $220.67 | 1 |
| ND | $231.49 | 1 |
| NE | $218.07 | 1 |
| NH | $240.15 | 1 |
| NJ | $252.00–$264.98 | 2 |
| NM | $219.78 | 1 |
| NV | $233.09 | 1 |
| NY | $223.83–$272.69 | 5 |
| OH | $218.45 | 1 |
| OK | $214.21 | 1 |
| OR | $231.79–$252.74 | 2 |
| PA | $219.10–$242.24 | 2 |
| PR | $235.33 | 1 |
| RI | $239.91 | 1 |
| SC | $219.82 | 1 |
| SD | $231.25 | 1 |
| TN | $216.18 | 1 |
| TX | $217.66–$243.24 | 8 |
| UT | $222.75 | 1 |
| VA | $229.55–$267.73 | 2 |
| VI | $235.33 | 1 |
| VT | $230.09 | 1 |
| WA | $242.59–$274.99 | 2 |
| WI | $223.89 | 1 |
| WV | $212.25 | 1 |
| WY | $232.60 | 1 |
How the 93351 rate is calculated
Each of 93351’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 · 93351
RVUs × geographic indexes × conversion factor
Work1.71
1.71 RVUs× 1.000 GPCI
Practice expense5.18
5.18 RVUs× 1.000 GPCI
Malpractice0.10
0.10 RVUs× 1.000 GPCI
Adjusted RVUs
6.9900
Conversion factor
$33.4009
Medicare rate
$233.47
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,085
- Code
- 93351
- Physician work
- 1.71
- Practice expense
- 5.18
- Malpractice
- 0.10
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.71 | × 1.000 | 1.7100 |
| Practice expense | 5.18 | × 0.917 | 4.7501 |
| Malpractice | 0.10 | × 1.201 | 0.1201 |
| Total RVUs | 6.5802 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$219.78
Office: (1.71 × 1 + 5.18 × 0.917 + 0.1 × 1.201) × $33.4009 = $219.78
Payment rules and modifiers for 93351
The CMS indicators that decide how 93351 is paid alongside other services.
CMS payment indicators · 93351
Stress echocardiogram, ECG monitoring included
| 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) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93351 without 26 · national office
$233.47
Stress echocardiogram, ECG monitoring included
93351-26 · Professional component
$81.16
Pays only the interpretation and report.
How 93351 has changed in New Mexico
93351 · Office / nonfacility
$219.78
Effective 2026-10-01
The base rate is $11.73 higher than on 2025-10-01, moving from $208.05 to $219.78 (5.6%).
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
$208.05changed to$219.78
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.75 changed to 1.71
- Practice expense RVU 5.04 changed to 5.18
- Malpractice RVU 0.09 changed to 0.10
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$216.60changed to$208.05
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 5.11 changed to 5.04
- Malpractice RVU 0.10 changed to 0.09
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$213.07changed to$216.60
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$218.54changed to$213.07
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 5.08 changed to 5.11
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$223.76changed to$218.54
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 5.12 changed to 5.08
- Malpractice RVU 0.11 changed to 0.10
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$225.11changed to$223.76
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 5.13 changed to 5.12
- Malpractice RVU 0.09 changed to 0.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$224.04changed to$225.11
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 4.79 changed to 5.13
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$223.99changed to$224.04
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.74 changed to 4.79
- Malpractice RVU 0.08 changed to 0.09
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$226.19changed to$223.99
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.80 changed to 4.74
- Malpractice RVU 0.09 changed to 0.08
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$258.86changed to$226.19
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.82 changed to 4.80
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$257.57changed to$258.86
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.81 changed to 5.82
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$257.42changed to$257.57
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.79 changed to 5.81
- Malpractice RVU 0.08 changed to 0.09
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$256.14changed to$257.42
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$264.08changed to$256.14
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 6.03 changed to 5.79
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$219.95changed to$264.08
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 5.06 changed to 6.03
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $219.95
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $219.78 | Not available in this setting | RVU26D |
| 2026-07-01 | $219.78 | Not available in this setting | RVU26C |
| 2026-04-01 | $219.78 | Not available in this setting | RVU26B |
| 2026-01-01 | $219.78 | Not available in this setting | RVU26A |
| 2025-10-01 | $208.05 | Not available in this setting | RVU25D |
| 2025-07-01 | $208.05 | Not available in this setting | RVU25C |
| 2025-04-01 | $208.05 | Not available in this setting | RVU25B |
| 2025-01-01 | $208.05 | Not available in this setting | RVU25A |
| 2024-10-01 | $216.60 | Not available in this setting | RVU24D |
| 2024-07-01 | $216.60 | Not available in this setting | RVU24C |
| 2024-04-01 | $216.60 | Not available in this setting | RVU24B |
| 2024-03-09 | $216.60 | Not available in this setting | RVU24AR |
| 2024-01-01 | $213.07 | Not available in this setting | RVU24A |
| 2023-10-01 | $218.54 | Not available in this setting | RVU23D |
| 2023-07-01 | $218.54 | Not available in this setting | RVU23C |
| 2023-04-01 | $218.54 | Not available in this setting | RVU23B |
| 2023-01-01 | $218.54 | Not available in this setting | RVU23A |
| 2022-10-01 | $223.76 | Not available in this setting | RVU22D |
| 2022-07-01 | $223.76 | Not available in this setting | RVU22C |
| 2022-04-01 | $223.76 | Not available in this setting | RVU22B |
| 2022-01-01 | $223.76 | Not available in this setting | RVU22A |
| 2021-10-01 | $225.11 | Not available in this setting | RVU21D |
| 2021-07-01 | $225.11 | Not available in this setting | RVU21C |
| 2021-04-01 | $225.11 | Not available in this setting | RVU21B |
| 2021-01-01 | $225.11 | Not available in this setting | RVU21A |
| 2020-10-01 | $224.04 | Not available in this setting | RVU20D |
| 2020-07-01 | $224.04 | Not available in this setting | RVU20C |
| 2020-04-01 | $224.04 | Not available in this setting | RVU20B |
| 2020-01-01 | $224.04 | Not available in this setting | RVU20A |
| 2019-10-01 | $223.99 | Not available in this setting | RVU19D |
| 2019-07-01 | $223.99 | Not available in this setting | RVU19C |
| 2019-04-01 | $223.99 | Not available in this setting | RVU19B |
| 2019-01-01 | $223.99 | Not available in this setting | RVU19A |
| 2018-10-01 | $226.19 | Not available in this setting | RVU18D |
| 2018-07-01 | $226.19 | Not available in this setting | RVU18C |
| 2018-04-01 | $226.19 | Not available in this setting | RVU18B |
| 2018-01-01 | $226.19 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $258.86 | Not available in this setting | RVU17D |
| 2017-07-01 | $258.86 | Not available in this setting | RVU17C |
| 2017-04-01 | $258.86 | Not available in this setting | RVU17B |
| 2017-01-01 | $258.86 | Not available in this setting | RVU17A |
| 2016-10-01 | $257.57 | Not available in this setting | RVU16D |
| 2016-07-01 | $257.57 | Not available in this setting | RVU16C |
| 2016-04-01 | $257.57 | Not available in this setting | RVU16B |
| 2016-01-01 | $257.57 | Not available in this setting | RVU16A |
| 2015-10-01 | $257.42 | Not available in this setting | RVU15D |
| 2015-07-01 | $257.42 | Not available in this setting | RVU15C |
| 2015-04-01 | $256.14 | Not available in this setting | RVU15B |
| 2015-01-01 | $256.14 | Not available in this setting | RVU15A |
| 2014-10-01 | $264.08 | Not available in this setting | RVU14D |
| 2014-07-01 | $264.08 | Not available in this setting | RVU14C |
| 2014-04-01 | $264.08 | Not available in this setting | RVU14B |
| 2014-01-01 | $264.08 | Not available in this setting | RVU14A |
| 2013-10-01 | $219.95 | Not available in this setting | RVU13D |
| 2013-07-01 | $219.95 | Not available in this setting | RVU13C |
| 2013-04-01 | $219.95 | Not available in this setting | RVU13B |
| 2013-01-01 | $219.95 | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
93351 billing questions
How does 93351 differ from 93350?
93351 includes continuous ECG monitoring and physician supervision along with the stress echocardiography. 93350 reports the stress echo without those ECG stress-test services included.
Can a resting echocardiogram be billed separately on the same study?
The resting images are part of the complete stress echocardiogram. Do not separately report a resting echo for those images.
Should a separate cardiovascular stress test code be reported with 93351?
The ECG monitoring and physician supervision for the stress test are included in 93351. Do not report another stress-test service for those same components.
When should modifier 26 or TC be used?
Use modifier 26 for the physician’s interpretation and report, or modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports 93351?
Document the stress method, rest and stress image acquisition, continuous ECG monitoring, physician supervision, and the interpretation and report.
How does the multiple procedure reduction affect 93351?
When the cardiovascular diagnostic multiple procedure reduction applies, it affects the technical component of 93351.
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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