CPT code 93797: Cardiac rehab, without ECG monitoring2026 Medicare rate & RVUs in Bakersfield, CA

Report this service for a physician- or qualified-health-care-professional-directed outpatient cardiac rehabilitation session conducted without ECG monitoring.

CMS RVU26DEffective Oct 1, 2026One payment locality12.5K Medicare services in 2024

In Bakersfield, CA, Medicare pays $18.78 for 93797 in the office and $7.79 when it’s performed in a hospital or facility.

$18.78Office (non-facility)
$7.79Hospital or facility
+6.1%vs the national office rate ($17.70)

Check a contract rate as a % of Medicare · 93797 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 93797 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Bakersfield, CA
  2. What 93797 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 93797 covers

This code represents an outpatient cardiac rehabilitation session without ECG monitoring. A physician or other qualified health care professional directs the service, which may include exercise-based recovery, risk-factor education, and counseling. Patients may be referred for rehabilitation after events or procedures such as myocardial infarction, coronary artery bypass surgery, or coronary intervention. The service is furnished in an outpatient rehabilitation program or another appropriate outpatient setting.

Report one unit for each session, selecting this code when the session is performed without ECG monitoring; use the monitoring distinction to separate it from 93798. Documentation should support the session provided and whether ECG monitoring was used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Bilateral adjustment is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.

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 Bakersfield, CA compares for 93797

Across 109 of 109 payment localities, the office rate for 93797 runs from $15.94 in Arkansas to $23.23 in San Benito County, CA. Bakersfield, CA pays $18.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

93797 in Bakersfield, CA vs other payment areas
  1. Bakersfield, CA · this page$18.78
  2. Chico, CA · California$18.74−$0.04
  3. El Centro, CA · California$18.74−$0.04
  4. Fresno, CA · California$18.74−$0.04
  5. Hanford, CA · California$18.74−$0.04
  6. Los Angeles, CA · California$19.91+$1.13
  7. Madera, CA · California$18.74−$0.04

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

93797 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$18.74$7.76
Modesto, CACalifornia$18.74$7.76
Napa, CACalifornia$21.53$8.32
Oxnard, CACalifornia$19.81$7.97
Redding, CACalifornia$18.74$7.76
Rest of CaliforniaCalifornia$18.74$7.76
Riverside, CACalifornia$18.85$7.87
Sacramento, CACalifornia$19.62$7.96

93797 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$15.94

$21.30

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

View every state and territory as a table
93797 office rate range by state
State / territoryOffice rate rangeLocalities
AK$21.301
AL$16.141
AR$15.941
AZ$17.301
CA$18.74–$23.2329
CO$18.431
CT$18.771
DC$20.091
DE$17.561
FL$17.37–$18.683
GA$16.54–$17.972
GU$19.121
HI$19.121
IA$16.541
ID$16.621
IL$16.90–$18.314
IN$16.701
KS$16.451
KY$16.411
LA$16.38–$17.082
MA$18.33–$20.122
MD$17.87–$20.093
ME$16.67–$17.482
MI$16.76–$17.532
MN$17.801
MO$16.13–$17.163
MS$16.041
MT$17.701
NC$16.821
ND$17.501
NE$16.621
NH$18.131
NJ$19.02–$19.922
NM$16.831
NV$17.661
NY$17.04–$20.525
OH$16.721
OK$16.411
OR$17.56–$18.972
PA$16.75–$18.342
PR$17.821
RI$18.161
SC$16.791
SD$17.481
TN$16.511
TX$16.66–$18.348
UT$16.991
VA$17.41–$20.092
VI$17.821
VT$17.421
WA$18.30–$20.522
WI$16.991
WV$16.361
WY$17.621

See 93797 in every payment locality

How the 93797 rate is calculated

Each of 93797’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 · 93797

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.18

0.18 RVUs× 1.000 GPCI

Practice expense0.34

0.34 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.5300

Conversion factor

$33.4009

Medicare rate

$17.70

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

The exact Bakersfield, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,270

Code
93797
Physician work
0.18
Practice expense
0.34
Malpractice
0.01

GPCI2026.csv

8

Locality
Bakersfield, CA
Physician work
1.019
Practice expense
1.096
Malpractice
0.609
Office calculation for 93797 in Bakersfield, CA
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0190.1834
Practice expense0.34× 1.0960.3726
Malpractice0.01× 0.6090.0061
Total RVUs0.5622
Conversion factor× 33.4009

Office rate, Bakersfield, CA$18.78

Office: (0.18 × 1.019 + 0.34 × 1.096 + 0.01 × 0.609) × $33.4009 = $18.78

Facility: (0.18 × 1.019 + 0.04 × 1.096 + 0.01 × 0.609) × $33.4009 = $7.79

Open 93797 in the RVU calculator

Payment rules and modifiers for 93797

The CMS indicators that decide how 93797 is paid alongside other services.

CMS payment indicators · 93797

Cardiac rehab, without ECG monitoring

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
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/technical0Physician service: no professional/technical split.

How 93797 has changed in Bakersfield, CA

93797 · Office / nonfacility

$18.78

Effective 2026-10-01

The base rate is $1.33 higher than on 2025-10-01, moving from $17.45 to $18.78 (7.6%).

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

    $17.45changed to$18.78

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.32 changed to 0.34
    • Work GPCI 1.017 changed to 1.019
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.662 changed to 0.609

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $17.96changed to$17.45

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $17.66changed to$17.96

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $17.83changed to$17.66

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.31 changed to 0.32
    • Work GPCI 1.027 changed to 1.017
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.694 changed to 0.662
  5. January 1, 2023

    RVU23A

    $17.64changed to$17.83

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 0.29 changed to 0.31
    • Malpractice RVU 0.02 changed to 0.01
    • Work GPCI 1.036 changed to 1.027
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.726 changed to 0.694

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $17.77changed to$17.64

    • Conversion factor 34.8931 changed to 34.6062
    • Work GPCI 1.035 changed to 1.036
    • Malpractice GPCI 0.704 changed to 0.726

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $17.37changed to$17.77

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.27 changed to 0.29
    • Malpractice RVU 0.01 changed to 0.02
    • Work GPCI 1.032 changed to 1.035
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.677 changed to 0.704

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $17.29changed to$17.37

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.020 changed to 1.032
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.618 changed to 0.677

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $17.26changed to$17.29

    • Conversion factor 35.9996 changed to 36.0391
    • Malpractice GPCI 0.599 changed to 0.618

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $17.29changed to$17.26

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.599

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$17.29

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$18.78$7.79RVU26D
2026-07-01$18.78$7.79RVU26C
2026-04-01$18.78$7.79RVU26B
2026-01-01$18.78$7.79RVU26A
2025-10-01$17.45$8.26RVU25D
2025-07-01$17.45$8.26RVU25C
2025-04-01$17.45$8.26RVU25B
2025-01-01$17.45$8.26RVU25A
2024-10-01$17.96$8.86RVU24D
2024-07-01$17.96$8.86RVU24C
2024-04-01$17.96$8.86RVU24B
2024-03-09$17.96$8.86RVU24AR
2024-01-01$17.66$8.72RVU24A
2023-10-01$17.83$9.06RVU23D
2023-07-01$17.83$9.06RVU23C
2023-04-01$17.83$9.06RVU23B
2023-01-01$17.83$9.06RVU23A
2022-10-01$17.64$9.54RVU22D
2022-07-01$17.64$9.54RVU22C
2022-04-01$17.64$9.54RVU22B
2022-01-01$17.64$9.54RVU22A
2021-10-01$17.77$9.59RVU21D
2021-07-01$17.77$9.59RVU21C
2021-04-01$17.77$9.59RVU21B
2021-01-01$17.77$9.59RVU21A
2020-10-01$17.37$9.27RVU20D
2020-07-01$17.37$9.27RVU20C
2020-04-01$17.37$9.27RVU20B
2020-01-01$17.37$9.27RVU20A
2019-10-01$17.29$9.16RVU19D
2019-07-01$17.29$9.16RVU19C
2019-04-01$17.29$9.16RVU19B
2019-01-01$17.29$9.16RVU19A
2018-10-01$17.26$9.14RVU18D
2018-07-01$17.26$9.14RVU18C
2018-04-01$17.26$9.14RVU18B
2018-01-01$17.26$9.14RVU18AR1
2017-10-01$17.29$9.16RVU17D
2017-07-01$17.29$9.16RVU17C
2017-04-01$17.29$9.16RVU17B
2017-01-01$17.29$9.16RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 93797 for an earlier date of service

Where the Bakersfield, CA rate applies

Bakersfield, CA is a Medicare payment area, not a city. Our Census mapping connects it to 88 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Bakersfield
  • Alta Sierra
  • Arvin
  • Bakersfield Country Club
  • Bear Valley Springs
  • Benton Park
  • Bodfish
  • Boron

Browse all communities in California

93797 billing questions

When should 93797 be chosen instead of 93798?

Choose 93797 for an outpatient cardiac rehabilitation session without ECG monitoring. Report 93798 when ECG monitoring is part of the session.

How many units are reported for a session?

Report one unit for each cardiac rehabilitation session. The documentation should identify the session and whether ECG monitoring was used.

Can 93797 and 93798 both be reported for the same session?

The codes distinguish sessions without and with ECG monitoring. Do not use both to describe the same session.

Does modifier 50 apply?

No. CMS identifies bilateral adjustment as inappropriate for this service.

What does the 0-day global period mean?

Same-day preoperative and postoperative care is included in the global service. The code does not carry a multi-day postoperative global period.

What documentation supports reporting 93797?

Record the outpatient cardiac rehabilitation session and the services furnished, including that ECG monitoring was not used. The record should support the physician- or qualified-health-care-professional-directed 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 93797PPRRVU2026_Oct_nonQPP.csv, line 12,270 (RVU26D)
Geographic factors for Bakersfield, CAGPCI2026.csv, line 8 (RVU26D)

Open CMS sourceHow we calculate rates

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