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

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 Austin, TX, Medicare pays $18.34 for 93797 in the office and $7.73 when it’s performed in a hospital or facility.

$18.34Office (non-facility)
$7.73Hospital or facility
+3.6%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 Austin, TX
  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 Austin, TX 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. Austin, TX pays $18.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

93797 in Austin, TX vs other payment areas
  1. Austin, TX · this page$18.34
  2. Beaumont, TX · Texas$16.66−$1.68
  3. Brazoria, TX · Texas$17.57−$0.77
  4. Dallas, TX · Texas$17.66−$0.68
  5. Fort Worth, TX · Texas$17.55−$0.79
  6. Galveston, TX · Texas$17.61−$0.73
  7. Houston, TX · Texas$17.80−$0.54

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

Every other payment area

93797 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$17.09$7.58
Los Angeles, CACalifornia$19.91$8.06
Washington, DC areaDistrict of Columbia$20.09$8.28
Miami, FLFlorida$18.68$8.25
Chicago, ILIllinois$18.23$8.16
Manhattan, NYNew York$20.12$8.48
AlaskaAlaska$21.30$10.63
AlabamaAlabama$16.14$7.37

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 Austin, TX 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

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office calculation for 93797 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0020.1804
Practice expense0.34× 1.0580.3597
Malpractice0.01× 0.8860.0089
Total RVUs0.5489
Conversion factor× 33.4009

Office rate, Austin, TX$18.34

Office: (0.18 × 1.002 + 0.34 × 1.058 + 0.01 × 0.886) × $33.4009 = $18.34

Facility: (0.18 × 1.002 + 0.04 × 1.058 + 0.01 × 0.886) × $33.4009 = $7.73

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 Austin, TX

93797 · Office / nonfacility

$18.34

Effective 2026-10-01

The base rate is $1.39 higher than on 2025-10-01, moving from $16.95 to $18.34 (8.2%).

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

    $16.95changed to$18.34

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.32 changed to 0.34
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $17.44changed to$16.95

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $17.15changed to$17.44

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $17.41changed to$17.15

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.31 changed to 0.32
    • Practice expense GPCI 1.053 changed to 1.046
    • Malpractice GPCI 0.727 changed to 0.914
  5. January 1, 2023

    RVU23A

    $17.23changed to$17.41

    • 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
    • Practice expense GPCI 1.059 changed to 1.053
    • Malpractice GPCI 0.539 changed to 0.727

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $17.37changed to$17.23

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $16.86changed to$17.37

    • 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
    • Practice expense GPCI 1.040 changed to 1.059
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $16.69changed to$16.86

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.021 changed to 1.040
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $16.67changed to$16.69

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $16.62changed to$16.67

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.020 changed to 1.021
    • Malpractice GPCI 0.757 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $16.57changed to$16.62

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.019 changed to 1.020
    • Malpractice GPCI 0.766 changed to 0.757

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $16.63changed to$16.57

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $16.55changed to$16.63

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $16.53changed to$16.55

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.014 changed to 1.019
    • Malpractice GPCI 0.759 changed to 0.766

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $16.68changed to$16.53

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.30 changed to 0.27
    • Practice expense GPCI 1.009 changed to 1.014
    • Malpractice GPCI 0.751 changed to 0.759

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $16.68

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$18.34$7.73RVU26D
2026-07-01$18.34$7.73RVU26C
2026-04-01$18.34$7.73RVU26B
2026-01-01$18.34$7.73RVU26A
2025-10-01$16.95$8.15RVU25D
2025-07-01$16.95$8.15RVU25C
2025-04-01$16.95$8.15RVU25B
2025-01-01$16.95$8.15RVU25A
2024-10-01$17.44$8.73RVU24D
2024-07-01$17.44$8.73RVU24C
2024-04-01$17.44$8.73RVU24B
2024-03-09$17.44$8.73RVU24AR
2024-01-01$17.15$8.59RVU24A
2023-10-01$17.41$8.84RVU23D
2023-07-01$17.41$8.84RVU23C
2023-04-01$17.41$8.84RVU23B
2023-01-01$17.41$8.84RVU23A
2022-10-01$17.23$9.17RVU22D
2022-07-01$17.23$9.17RVU22C
2022-04-01$17.23$9.17RVU22B
2022-01-01$17.23$9.17RVU22A
2021-10-01$17.37$9.24RVU21D
2021-07-01$17.37$9.24RVU21C
2021-04-01$17.37$9.24RVU21B
2021-01-01$17.37$9.24RVU21A
2020-10-01$16.86$8.98RVU20D
2020-07-01$16.86$8.98RVU20C
2020-04-01$16.86$8.98RVU20B
2020-01-01$16.86$8.98RVU20A
2019-10-01$16.69$8.96RVU19D
2019-07-01$16.69$8.96RVU19C
2019-04-01$16.69$8.96RVU19B
2019-01-01$16.69$8.96RVU19A
2018-10-01$16.67$8.95RVU18D
2018-07-01$16.67$8.95RVU18C
2018-04-01$16.67$8.95RVU18B
2018-01-01$16.67$8.95RVU18AR1
2017-10-01$16.62$8.93RVU17D
2017-07-01$16.62$8.93RVU17C
2017-04-01$16.62$8.93RVU17B
2017-01-01$16.62$8.93RVU17A
2016-10-01$16.57$8.91RVU16D
2016-07-01$16.57$8.91RVU16C
2016-04-01$16.57$8.91RVU16B
2016-01-01$16.57$8.91RVU16A
2015-10-01$16.63$8.94RVU15D
2015-07-01$16.63$8.94RVU15C
2015-04-01$16.55$8.90RVU15B
2015-01-01$16.55$8.90RVU15A
2014-10-01$16.53$8.90RVU14D
2014-07-01$16.53$8.90RVU14C
2014-04-01$16.53$8.90RVU14B
2014-01-01$16.53$8.90RVU14A
2013-10-01$16.68$8.78RVU13D
2013-07-01$16.68$8.78RVU13C
2013-04-01$16.68$8.78RVU13B
2013-01-01$16.68$8.78RVU13AR

Price 93797 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Texas

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 Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 93797 pays in Austin, TX?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 93797 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist