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

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 Delaware, Medicare pays $17.56 for 93797 in the office and $7.66 when it’s performed in a hospital or facility.

$17.56Office (non-facility)
$7.66Hospital or facility
−0.8%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 Delaware
  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 Delaware 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. Delaware pays $17.56. The RVUs are the same everywhere; the geographic indexes change the dollars.

93797 in Delaware vs other payment areas
  1. Delaware · this page$17.56
  2. Los Angeles, CA · California$19.91+$2.35
  3. Washington, DC area · District of Columbia$20.09+$2.53
  4. Miami, FL · Florida$18.68+$1.12
  5. Chicago, IL · Illinois$18.23+$0.67
  6. Manhattan, NY · New York$20.12+$2.56
  7. Alaska · Alaska$21.30+$3.74

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

Every other payment area

93797 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$16.14$7.37
ArkansasArkansas$15.94$7.33
ArizonaArizona$17.30$7.59
Bakersfield, CACalifornia$18.78$7.79
Chico, CACalifornia$18.74$7.76
El Centro, CACalifornia$18.74$7.76
Fresno, CACalifornia$18.74$7.76
Hanford, CACalifornia$18.74$7.76

93797 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.

$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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 93797 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0050.1809
Practice expense0.34× 0.9880.3359
Malpractice0.01× 0.8990.0090
Total RVUs0.5258
Conversion factor× 33.4009

Office rate, Delaware$17.56

Office: (0.18 × 1.005 + 0.34 × 0.988 + 0.01 × 0.899) × $33.4009 = $17.56

Facility: (0.18 × 1.005 + 0.04 × 0.988 + 0.01 × 0.899) × $33.4009 = $7.66

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 Delaware

93797 · Office / nonfacility

$17.56

Effective 2026-10-01

The base rate is $1.11 higher than on 2025-10-01, moving from $16.45 to $17.56 (6.7%).

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

    $16.45changed to$17.56

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.32 changed to 0.34
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $16.93changed to$16.45

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $16.65changed to$16.93

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $17.04changed to$16.65

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.31 changed to 0.32
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949
  5. January 1, 2023

    RVU23A

    $17.16changed to$17.04

    • 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 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $17.30changed to$17.16

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $16.85changed to$17.30

    • 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 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $16.85changed to$16.85

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $16.83changed to$16.85

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $16.85changed to$16.83

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $16.88changed to$16.85

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $16.94changed to$16.88

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $16.85changed to$16.94

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $16.88changed to$16.85

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $17.08changed to$16.88

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.30 changed to 0.27
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $17.08

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$17.56$7.66RVU26D
2026-07-01$17.56$7.66RVU26C
2026-04-01$17.56$7.66RVU26B
2026-01-01$17.56$7.66RVU26A
2025-10-01$16.45$8.11RVU25D
2025-07-01$16.45$8.11RVU25C
2025-04-01$16.45$8.11RVU25B
2025-01-01$16.45$8.11RVU25A
2024-10-01$16.93$8.67RVU24D
2024-07-01$16.93$8.67RVU24C
2024-04-01$16.93$8.67RVU24B
2024-03-09$16.93$8.67RVU24AR
2024-01-01$16.65$8.53RVU24A
2023-10-01$17.04$8.85RVU23D
2023-07-01$17.04$8.85RVU23C
2023-04-01$17.04$8.85RVU23B
2023-01-01$17.04$8.85RVU23A
2022-10-01$17.16$9.38RVU22D
2022-07-01$17.16$9.38RVU22C
2022-04-01$17.16$9.38RVU22B
2022-01-01$17.16$9.38RVU22A
2021-10-01$17.30$9.46RVU21D
2021-07-01$17.30$9.46RVU21C
2021-04-01$17.30$9.46RVU21B
2021-01-01$17.30$9.46RVU21A
2020-10-01$16.85$9.12RVU20D
2020-07-01$16.85$9.12RVU20C
2020-04-01$16.85$9.12RVU20B
2020-01-01$16.85$9.12RVU20A
2019-10-01$16.85$9.14RVU19D
2019-07-01$16.85$9.14RVU19C
2019-04-01$16.85$9.14RVU19B
2019-01-01$16.85$9.14RVU19A
2018-10-01$16.83$9.13RVU18D
2018-07-01$16.83$9.13RVU18C
2018-04-01$16.83$9.13RVU18B
2018-01-01$16.83$9.13RVU18AR1
2017-10-01$16.85$9.13RVU17D
2017-07-01$16.85$9.13RVU17C
2017-04-01$16.85$9.13RVU17B
2017-01-01$16.85$9.13RVU17A
2016-10-01$16.88$9.12RVU16D
2016-07-01$16.88$9.12RVU16C
2016-04-01$16.88$9.12RVU16B
2016-01-01$16.88$9.12RVU16A
2015-10-01$16.94$9.16RVU15D
2015-07-01$16.94$9.16RVU15C
2015-04-01$16.85$9.11RVU15B
2015-01-01$16.85$9.11RVU15A
2014-10-01$16.88$9.07RVU14D
2014-07-01$16.88$9.07RVU14C
2014-04-01$16.88$9.07RVU14B
2014-01-01$16.88$9.07RVU14A
2013-10-01$17.08$8.91RVU13D
2013-07-01$17.08$8.91RVU13C
2013-04-01$17.08$8.91RVU13B
2013-01-01$17.08$8.91RVU13AR

Price 93797 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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