CPT code 93798: Cardiac rehabilitation, continuous ECG monitoring2026 Medicare rate & RVUs in Delaware

Reports an outpatient cardiac rehabilitation session with continuous ECG monitoring, typically during supervised exercise and education after a qualifying cardiac event or intervention.

CMS RVU26DEffective Oct 1, 2026One payment locality96.8K Medicare services in 2024

In Delaware, Medicare pays $25.84 for 93798 in the office and $11.98 when it’s performed in a hospital or facility.

$25.84Office (non-facility)
$11.98Hospital or facility
−0.8%vs the national office rate ($26.05)

Check a contract rate as a % of Medicare · 93798 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 93798 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 93798 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 93798 covers

Code 93798 represents one outpatient cardiac rehabilitation session with exercise and related rehabilitation services under physician or other qualified health care professional oversight, with continuous ECG monitoring. Sessions commonly follow a cardiac event or intervention, such as myocardial infarction, coronary bypass surgery, or coronary angioplasty, and may include supervised conditioning, risk-factor education, and progress review. Report it in an outpatient setting when continuous rhythm surveillance is part of the session.

Report one unit for each session; continuous ECG monitoring distinguishes this service from 93797. Documentation should identify the session, monitoring performed, rehabilitation activities, and clinical oversight. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included, and modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery 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 93798

Across 109 of 109 payment localities, the office rate for 93798 runs from $23.47 in Arkansas to $33.86 in San Benito County, CA. Delaware pays $25.84. The RVUs are the same everywhere; the geographic indexes change the dollars.

93798 in Delaware vs other payment areas
  1. Delaware · this page$25.84
  2. Los Angeles, CA · California$29.15+$3.31
  3. Washington, DC area · District of Columbia$29.49+$3.65
  4. Miami, FL · Florida$27.73+$1.89
  5. Chicago, IL · Illinois$27.06+$1.22
  6. Manhattan, NY · New York$29.64+$3.80
  7. Alaska · Alaska$31.47+$5.63

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

Every other payment area

93798 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$23.76$11.48
ArkansasArkansas$23.47$11.42
ArizonaArizona$25.46$11.87
Bakersfield, CACalifornia$27.51$12.13
Chico, CACalifornia$27.44$12.07
El Centro, CACalifornia$27.44$12.07
Fresno, CACalifornia$27.44$12.07
Hanford, CACalifornia$27.44$12.07

93798 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.

$23.47

$31.47

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

View every state and territory as a table
93798 office rate range by state
State / territoryOffice rate rangeLocalities
AK$31.471
AL$23.761
AR$23.471
AZ$25.461
CA$27.44–$33.8629
CO$27.041
CT$27.611
DC$29.491
DE$25.841
FL$25.68–$27.733
GA$24.45–$26.472
GU$27.971
HI$27.971
IA$24.291
ID$24.421
IL$25.03–$27.074
IN$24.541
KS$24.181
KY$24.221
LA$24.18–$25.202
MA$26.92–$29.472
MD$26.28–$29.493
ME$24.52–$25.662
MI$24.74–$25.952
MN$26.051
MO$23.82–$25.283
MS$23.651
MT$26.051
NC$24.741
ND$25.661
NE$24.401
NH$26.631
NJ$27.97–$29.252
NM$24.861
NV$25.961
NY$25.05–$30.255
OH$24.661
OK$24.191
OR$25.79–$27.812
PA$24.70–$27.012
PR$26.221
RI$26.691
SC$24.731
SD$25.611
TN$24.281
TX$24.56–$26.938
UT$25.021
VA$25.58–$29.492
VI$26.221
VT$25.561
WA$26.86–$30.042
WI$24.921
WV$24.241
WY$25.881

See 93798 in every payment locality

How the 93798 rate is calculated

Each of 93798’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 · 93798

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.28

0.28 RVUs× 1.000 GPCI

Practice expense0.48

0.48 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.7800

Conversion factor

$33.4009

Medicare rate

$26.05

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

12,271

Code
93798
Physician work
0.28
Practice expense
0.48
Malpractice
0.02

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 93798 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.28× 1.0050.2814
Practice expense0.48× 0.9880.4742
Malpractice0.02× 0.8990.0180
Total RVUs0.7736
Conversion factor× 33.4009

Office rate, Delaware$25.84

Office: (0.28 × 1.005 + 0.48 × 0.988 + 0.02 × 0.899) × $33.4009 = $25.84

Facility: (0.28 × 1.005 + 0.06 × 0.988 + 0.02 × 0.899) × $33.4009 = $11.98

Open 93798 in the RVU calculator

Payment rules and modifiers for 93798

The CMS indicators that decide how 93798 is paid alongside other services.

CMS payment indicators · 93798

Cardiac rehabilitation, continuous 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 93798 has changed in Delaware

93798 · Office / nonfacility

$25.84

Effective 2026-10-01

The base rate is $1.33 higher than on 2025-10-01, moving from $24.51 to $25.84 (5.4%).

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

    $24.51changed to$25.84

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.46 changed to 0.48
    • 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

    $25.56changed to$24.51

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.47 changed to 0.46

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $25.14changed to$25.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $25.89changed to$25.14

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.46 changed to 0.47
    • 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

    $26.65changed to$25.89

    • Conversion factor 34.6062 changed to 33.8872
    • 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

    $26.51changed to$26.65

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 0.45 changed to 0.46

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $26.38changed to$26.51

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.42 changed to 0.45
    • 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

    $26.39changed to$26.38

    • 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

    $26.00changed to$26.39

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.41 changed to 0.42

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $26.02changed to$26.00

    • 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

    $26.06changed to$26.02

    • 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

    $26.15changed to$26.06

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $26.02changed to$26.15

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $25.34changed to$26.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.40 changed to 0.41
    • Malpractice RVU 0.01 changed to 0.02
    • 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

    $25.50changed to$25.34

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.44 changed to 0.40
    • 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: $25.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$25.84$11.98RVU26D
2026-07-01$25.84$11.98RVU26C
2026-04-01$25.84$11.98RVU26B
2026-01-01$25.84$11.98RVU26A
2025-10-01$24.51$12.96RVU25D
2025-07-01$24.51$12.96RVU25C
2025-04-01$24.51$12.96RVU25B
2025-01-01$24.51$12.96RVU25A
2024-10-01$25.56$13.34RVU24D
2024-07-01$25.56$13.34RVU24C
2024-04-01$25.56$13.34RVU24B
2024-03-09$25.56$13.34RVU24AR
2024-01-01$25.14$13.12RVU24A
2023-10-01$25.89$13.60RVU23D
2023-07-01$25.89$13.60RVU23C
2023-04-01$25.89$13.60RVU23B
2023-01-01$25.89$13.60RVU23A
2022-10-01$26.65$13.92RVU22D
2022-07-01$26.65$13.92RVU22C
2022-04-01$26.65$13.92RVU22B
2022-01-01$26.65$13.92RVU22A
2021-10-01$26.51$14.03RVU21D
2021-07-01$26.51$14.03RVU21C
2021-04-01$26.51$14.03RVU21B
2021-01-01$26.51$14.03RVU21A
2020-10-01$26.38$14.59RVU20D
2020-07-01$26.38$14.59RVU20C
2020-04-01$26.38$14.59RVU20B
2020-01-01$26.38$14.59RVU20A
2019-10-01$26.39$14.64RVU19D
2019-07-01$26.39$14.64RVU19C
2019-04-01$26.39$14.64RVU19B
2019-01-01$26.39$14.64RVU19A
2018-10-01$26.00$14.62RVU18D
2018-07-01$26.00$14.62RVU18C
2018-04-01$26.00$14.62RVU18B
2018-01-01$26.00$14.62RVU18AR1
2017-10-01$26.02$14.62RVU17D
2017-07-01$26.02$14.62RVU17C
2017-04-01$26.02$14.62RVU17B
2017-01-01$26.02$14.62RVU17A
2016-10-01$26.06$14.61RVU16D
2016-07-01$26.06$14.61RVU16C
2016-04-01$26.06$14.61RVU16B
2016-01-01$26.06$14.61RVU16A
2015-10-01$26.15$14.67RVU15D
2015-07-01$26.15$14.67RVU15C
2015-04-01$26.02$14.59RVU15B
2015-01-01$26.02$14.59RVU15A
2014-10-01$25.34$14.18RVU14D
2014-07-01$25.34$14.18RVU14C
2014-04-01$25.34$14.18RVU14B
2014-01-01$25.34$14.18RVU14A
2013-10-01$25.50$13.78RVU13D
2013-07-01$25.50$13.78RVU13C
2013-04-01$25.50$13.78RVU13B
2013-01-01$25.50$13.78RVU13AR

Price 93798 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

93798 billing questions

When should 93798 be reported instead of 93797?

Report 93798 when the outpatient cardiac rehabilitation session includes continuous ECG monitoring. Report 93797 for a session furnished without continuous ECG monitoring.

Is ECG monitoring separately reported for the session?

Continuous ECG monitoring is part of the service represented by 93798. The session is reported as one unit rather than separately reporting its monitoring component.

How many units are reported?

Report one unit for each cardiac rehabilitation session. Documentation should support the session and the continuous ECG monitoring performed.

Can modifier 50 be used?

No. CMS indicates that bilateral adjustment does not apply to 93798, making modifier 50 inappropriate.

What does the 0-day global period include?

Same-day preoperative and postoperative care is included in the service under the CMS 0-day global period.

What documentation supports reporting 93798?

Document the outpatient rehabilitation session, continuous ECG monitoring, activities provided, and physician or qualified health care professional oversight.

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 93798PPRRVU2026_Oct_nonQPP.csv, line 12,271 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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