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

In Colorado, Medicare pays $18.43 for 93797 in the office and $7.77 when it’s performed in a hospital or facility.

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.

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 Colorado 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. Colorado pays $18.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

93797 rates by state

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

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.

Payment rules and modifiers for 93797

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

Codes related to 93797

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 93797 has changed in Colorado

Price 93797 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

• Acres Green
• Aetna Estates
• Aguilar
• Air Force Academy
• Akron
• Alamosa
• Alamosa East
• Allenspark

Browse all communities in Colorado

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

Open CMS sourceHow we calculate rates