CPT code 93797: Cardiac rehab, without ECG monitoring2026 Medicare rate & RVUs in King County, WA
Report this service for a physician- or qualified-health-care-professional-directed outpatient cardiac rehabilitation session conducted without ECG monitoring.
In King County, WA, Medicare pays $20.52 for 93797 in the office and $8.22 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.
On this page 11 sections
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 King County, WA 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. King County, WA pays $20.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- King County, WA · this page$20.52
- Rest of Washington · Washington$18.30−$2.22
- Los Angeles, CA · California$19.91−$0.61
- Washington, DC area · District of Columbia$20.09−$0.43
- Miami, FL · Florida$18.68−$1.84
- Chicago, IL · Illinois$18.23−$2.29
- Manhattan, NY · New York$20.12−$0.40
Other areas in Washington first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlaskaAlaska | $21.30 | $10.63 |
| 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 |
| Madera, CACalifornia | $18.74 | $7.76 |
| 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 |
| Salinas, CACalifornia | $19.54 | $7.93 |
| San Diego, CACalifornia | $19.96 | $7.97 |
| Marin County, CACalifornia | $22.75 | $8.62 |
| San Francisco, CACalifornia | $22.74 | $8.61 |
| San Benito County, CACalifornia | $23.23 | $8.78 |
| Santa Clara County, CACalifornia | $23.18 | $8.73 |
| San Luis Obispo, CACalifornia | $19.23 | $7.82 |
| Santa Cruz, CACalifornia | $20.12 | $7.94 |
| Santa Maria, CACalifornia | $19.60 | $7.92 |
| Santa Rosa, CACalifornia | $20.32 | $8.01 |
| Stockton, CACalifornia | $18.74 | $7.76 |
| Vallejo, CACalifornia | $21.51 | $8.31 |
| Visalia, CACalifornia | $18.74 | $7.76 |
| Yuba City, CACalifornia | $18.74 | $7.76 |
| ColoradoColorado | $18.43 | $7.77 |
| ConnecticutConnecticut | $18.77 | $7.98 |
| DelawareDelaware | $17.56 | $7.66 |
| Fort Lauderdale, FLFlorida | $18.12 | $7.97 |
| Rest of FloridaFlorida | $17.37 | $7.79 |
| Atlanta, GAGeorgia | $17.97 | $7.79 |
| Rest of GeorgiaGeorgia | $16.54 | $7.60 |
| Hawaii, Guam, HIHawaii | $19.12 | $7.72 |
| IowaIowa | $16.54 | $7.37 |
| IdahoIdaho | $16.62 | $7.40 |
| East St. Louis, ILIllinois | $17.13 | $7.91 |
| Rest of IllinoisIllinois | $16.90 | $7.75 |
| Suburban Chicago, ILIllinois | $18.31 | $8.02 |
| IndianaIndiana | $16.70 | $7.41 |
| KansasKansas | $16.45 | $7.39 |
| KentuckyKentucky | $16.41 | $7.51 |
| New Orleans, LALouisiana | $17.08 | $7.65 |
| Rest of LouisianaLouisiana | $16.38 | $7.51 |
| Metropolitan Boston, MAMassachusetts | $20.12 | $8.15 |
| Rest of MassachusettsMassachusetts | $18.33 | $7.78 |
| Baltimore area, MDMaryland | $18.71 | $7.96 |
| Rest of MarylandMaryland | $17.87 | $7.73 |
| Rest of MaineMaine | $16.67 | $7.45 |
| Southern Maine, MEMaine | $17.48 | $7.55 |
| Detroit, MIMichigan | $17.53 | $7.86 |
| Rest of MichiganMichigan | $16.76 | $7.61 |
| MinnesotaMinnesota | $17.80 | $7.49 |
| Metropolitan Kansas City, MOMissouri | $17.00 | $7.59 |
| Metropolitan St. Louis, MOMissouri | $17.16 | $7.62 |
| Rest of MissouriMissouri | $16.13 | $7.49 |
| MississippiMississippi | $16.04 | $7.41 |
| MontanaMontana | $17.70 | $7.68 |
| North CarolinaNorth Carolina | $16.82 | $7.47 |
| North DakotaNorth Dakota | $17.50 | $7.48 |
| NebraskaNebraska | $16.62 | $7.37 |
| New HampshireNew Hampshire | $18.13 | $7.70 |
| Northern New JerseyNew Jersey | $19.92 | $8.30 |
| Rest of New JerseyNew Jersey | $19.02 | $8.08 |
| New MexicoNew Mexico | $16.83 | $7.64 |
| NevadaNevada | $17.66 | $7.63 |
| NYC suburbs and Long Island, NYNew York | $20.52 | $8.61 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $19.12 | $8.15 |
| Queens, NYNew York | $20.30 | $8.46 |
| Rest of New YorkNew York | $17.04 | $7.52 |
| OhioOhio | $16.72 | $7.57 |
| OklahomaOklahoma | $16.41 | $7.46 |
| Portland, OROregon | $18.97 | $7.84 |
| Rest of OregonOregon | $17.56 | $7.58 |
| Metropolitan Philadelphia, PAPennsylvania | $18.34 | $7.91 |
| Rest of PennsylvaniaPennsylvania | $16.75 | $7.55 |
| Puerto RicoPuerto Rico | $17.82 | $7.69 |
| Rhode IslandRhode Island | $18.16 | $7.80 |
| South CarolinaSouth Carolina | $16.79 | $7.53 |
| South DakotaSouth Dakota | $17.48 | $7.46 |
| TennesseeTennessee | $16.51 | $7.41 |
| Austin, TXTexas | $18.34 | $7.73 |
| Beaumont, TXTexas | $16.66 | $7.54 |
| Brazoria, TXTexas | $17.57 | $7.64 |
| Dallas, TXTexas | $17.66 | $7.68 |
| Fort Worth, TXTexas | $17.55 | $7.67 |
| Galveston, TXTexas | $17.61 | $7.66 |
| Houston, TXTexas | $17.80 | $7.85 |
| Rest of TexasTexas | $17.09 | $7.58 |
| UtahUtah | $16.99 | $7.57 |
| VirginiaVirginia | $17.41 | $7.56 |
| Virgin Islands, VIUnited States Virgin Islands | $17.82 | $7.69 |
| VermontVermont | $17.42 | $7.50 |
| WisconsinWisconsin | $16.99 | $7.39 |
| West VirginiaWest Virginia | $16.36 | $7.65 |
| WyomingWyoming | $17.62 | $7.60 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $21.30 | 1 |
| AL | $16.14 | 1 |
| AR | $15.94 | 1 |
| AZ | $17.30 | 1 |
| CA | $18.74–$23.23 | 29 |
| CO | $18.43 | 1 |
| CT | $18.77 | 1 |
| DC | $20.09 | 1 |
| DE | $17.56 | 1 |
| FL | $17.37–$18.68 | 3 |
| GA | $16.54–$17.97 | 2 |
| GU | $19.12 | 1 |
| HI | $19.12 | 1 |
| IA | $16.54 | 1 |
| ID | $16.62 | 1 |
| IL | $16.90–$18.31 | 4 |
| IN | $16.70 | 1 |
| KS | $16.45 | 1 |
| KY | $16.41 | 1 |
| LA | $16.38–$17.08 | 2 |
| MA | $18.33–$20.12 | 2 |
| MD | $17.87–$20.09 | 3 |
| ME | $16.67–$17.48 | 2 |
| MI | $16.76–$17.53 | 2 |
| MN | $17.80 | 1 |
| MO | $16.13–$17.16 | 3 |
| MS | $16.04 | 1 |
| MT | $17.70 | 1 |
| NC | $16.82 | 1 |
| ND | $17.50 | 1 |
| NE | $16.62 | 1 |
| NH | $18.13 | 1 |
| NJ | $19.02–$19.92 | 2 |
| NM | $16.83 | 1 |
| NV | $17.66 | 1 |
| NY | $17.04–$20.52 | 5 |
| OH | $16.72 | 1 |
| OK | $16.41 | 1 |
| OR | $17.56–$18.97 | 2 |
| PA | $16.75–$18.34 | 2 |
| PR | $17.82 | 1 |
| RI | $18.16 | 1 |
| SC | $16.79 | 1 |
| SD | $17.48 | 1 |
| TN | $16.51 | 1 |
| TX | $16.66–$18.34 | 8 |
| UT | $16.99 | 1 |
| VA | $17.41–$20.09 | 2 |
| VI | $17.82 | 1 |
| VT | $17.42 | 1 |
| WA | $18.30–$20.52 | 2 |
| WI | $16.99 | 1 |
| WV | $16.36 | 1 |
| WY | $17.62 | 1 |
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
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 King County, WA 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
108
- Locality
- King County, WA
- Physician work
- 1.050
- Practice expense
- 1.227
- Malpractice
- 0.817
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.18 | × 1.050 | 0.1890 |
| Practice expense | 0.34 | × 1.227 | 0.4172 |
| Malpractice | 0.01 | × 0.817 | 0.0082 |
| Total RVUs | 0.6144 | ||
| Conversion factor | × 33.4009 | ||
Office rate, King County, WA$20.52
Office: (0.18 × 1.05 + 0.34 × 1.227 + 0.01 × 0.817) × $33.4009 = $20.52
Facility: (0.18 × 1.05 + 0.04 × 1.227 + 0.01 × 0.817) × $33.4009 = $8.22
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 93797 has changed in King County, WA
93797 · Office / nonfacility
$20.52
Effective 2026-10-01
The base rate is $1.54 higher than on 2025-10-01, moving from $18.98 to $20.52 (8.1%).
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
$18.98changed to$20.52
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.32 changed to 0.34
- Work GPCI 1.043 changed to 1.050
- Practice expense GPCI 1.220 changed to 1.227
- Malpractice GPCI 0.853 changed to 0.817
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$19.53changed to$18.98
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$19.21changed to$19.53
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$19.29changed to$19.21
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.31 changed to 0.32
- Work GPCI 1.039 changed to 1.043
- Practice expense GPCI 1.207 changed to 1.220
- Malpractice GPCI 0.815 changed to 0.853
January 1, 2023
RVU23A
$18.97changed to$19.29
- 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 1.039
- Practice expense GPCI 1.194 changed to 1.207
- Malpractice GPCI 0.776 changed to 0.815
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$19.13changed to$18.97
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$18.41changed to$19.13
- 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 1.031 changed to 1.036
- Practice expense GPCI 1.170 changed to 1.194
- Malpractice GPCI 0.854 changed to 0.776
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$18.15changed to$18.41
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.027 changed to 1.031
- Practice expense GPCI 1.146 changed to 1.170
- Malpractice GPCI 0.931 changed to 0.854
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$18.13changed to$18.15
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$18.04changed to$18.13
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.026 changed to 1.027
- Practice expense GPCI 1.151 changed to 1.146
- Malpractice GPCI 0.713 changed to 0.931
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$17.95changed to$18.04
- Conversion factor 35.8043 changed to 35.8887
- Work GPCI 1.025 changed to 1.026
- Practice expense GPCI 1.155 changed to 1.151
- Malpractice GPCI 0.495 changed to 0.713
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$18.01changed to$17.95
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$17.92changed to$18.01
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$17.98changed to$17.92
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 1.150 changed to 1.155
- Malpractice GPCI 0.688 changed to 0.495
Held through RVU15B.
January 1, 2014
RVU14A
$18.25changed to$17.98
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.30 changed to 0.27
- Practice expense GPCI 1.144 changed to 1.150
- Malpractice GPCI 0.881 changed to 0.688
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $18.25
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $20.52 | $8.22 | RVU26D |
| 2026-07-01 | $20.52 | $8.22 | RVU26C |
| 2026-04-01 | $20.52 | $8.22 | RVU26B |
| 2026-01-01 | $20.52 | $8.22 | RVU26A |
| 2025-10-01 | $18.98 | $8.72 | RVU25D |
| 2025-07-01 | $18.98 | $8.72 | RVU25C |
| 2025-04-01 | $18.98 | $8.72 | RVU25B |
| 2025-01-01 | $18.98 | $8.72 | RVU25A |
| 2024-10-01 | $19.53 | $9.38 | RVU24D |
| 2024-07-01 | $19.53 | $9.38 | RVU24C |
| 2024-04-01 | $19.53 | $9.38 | RVU24B |
| 2024-03-09 | $19.53 | $9.38 | RVU24AR |
| 2024-01-01 | $19.21 | $9.22 | RVU24A |
| 2023-10-01 | $19.29 | $9.48 | RVU23D |
| 2023-07-01 | $19.29 | $9.48 | RVU23C |
| 2023-04-01 | $19.29 | $9.48 | RVU23B |
| 2023-01-01 | $19.29 | $9.48 | RVU23A |
| 2022-10-01 | $18.97 | $9.88 | RVU22D |
| 2022-07-01 | $18.97 | $9.88 | RVU22C |
| 2022-04-01 | $18.97 | $9.88 | RVU22B |
| 2022-01-01 | $18.97 | $9.88 | RVU22A |
| 2021-10-01 | $19.13 | $9.96 | RVU21D |
| 2021-07-01 | $19.13 | $9.96 | RVU21C |
| 2021-04-01 | $19.13 | $9.96 | RVU21B |
| 2021-01-01 | $19.13 | $9.96 | RVU21A |
| 2020-10-01 | $18.41 | $9.54 | RVU20D |
| 2020-07-01 | $18.41 | $9.54 | RVU20C |
| 2020-04-01 | $18.41 | $9.54 | RVU20B |
| 2020-01-01 | $18.41 | $9.54 | RVU20A |
| 2019-10-01 | $18.15 | $9.48 | RVU19D |
| 2019-07-01 | $18.15 | $9.48 | RVU19C |
| 2019-04-01 | $18.15 | $9.48 | RVU19B |
| 2019-01-01 | $18.15 | $9.48 | RVU19A |
| 2018-10-01 | $18.13 | $9.47 | RVU18D |
| 2018-07-01 | $18.13 | $9.47 | RVU18C |
| 2018-04-01 | $18.13 | $9.47 | RVU18B |
| 2018-01-01 | $18.13 | $9.47 | RVU18AR1 |
| 2017-10-01 | $18.04 | $9.36 | RVU17D |
| 2017-07-01 | $18.04 | $9.36 | RVU17C |
| 2017-04-01 | $18.04 | $9.36 | RVU17B |
| 2017-01-01 | $18.04 | $9.36 | RVU17A |
| 2016-10-01 | $17.95 | $9.26 | RVU16D |
| 2016-07-01 | $17.95 | $9.26 | RVU16C |
| 2016-04-01 | $17.95 | $9.26 | RVU16B |
| 2016-01-01 | $17.95 | $9.26 | RVU16A |
| 2015-10-01 | $18.01 | $9.30 | RVU15D |
| 2015-07-01 | $18.01 | $9.30 | RVU15C |
| 2015-04-01 | $17.92 | $9.25 | RVU15B |
| 2015-01-01 | $17.92 | $9.25 | RVU15A |
| 2014-10-01 | $17.98 | $9.33 | RVU14D |
| 2014-07-01 | $17.98 | $9.33 | RVU14C |
| 2014-04-01 | $17.98 | $9.33 | RVU14B |
| 2014-01-01 | $17.98 | $9.33 | RVU14A |
| 2013-10-01 | $18.25 | $9.30 | RVU13D |
| 2013-07-01 | $18.25 | $9.30 | RVU13C |
| 2013-04-01 | $18.25 | $9.30 | RVU13B |
| 2013-01-01 | $18.25 | $9.30 | RVU13AR |
Where the King County, WA rate applies
King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.
- Seattle
- Algona
- Ames Lake
- 93797 in Auburn · multiple payment areas
- Baring
- Beaux Arts Village
- Bellevue
- Black Diamond
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
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