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

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 Miami, FL, Medicare pays $27.73 for 93798 in the office and $13.13 when it’s performed in a hospital or facility.

$27.73Office (non-facility)
$13.13Hospital or facility
+6.4%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 Miami, FL
  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 Miami, FL 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. Miami, FL pays $27.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

93798 in Miami, FL vs other payment areas
  1. Miami, FL · this page$27.73
  2. Fort Lauderdale, FL · Florida$26.80−$0.93
  3. Rest of Florida · Florida$25.68−$2.05
  4. Los Angeles, CA · California$29.15+$1.42
  5. Washington, DC area · District of Columbia$29.49+$1.76
  6. Chicago, IL · Illinois$27.06−$0.67
  7. Manhattan, NY · New York$29.64+$1.91

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

Every other payment area

93798 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$31.47$16.53
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

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 Miami, FL 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

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for 93798 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work0.28× 1.0000.2800
Practice expense0.48× 1.0410.4997
Malpractice0.02× 2.5290.0506
Total RVUs0.8303
Conversion factor× 33.4009

Office rate, Miami, FL$27.73

Office: (0.28 × 1 + 0.48 × 1.041 + 0.02 × 2.529) × $33.4009 = $27.73

Facility: (0.28 × 1 + 0.06 × 1.041 + 0.02 × 2.529) × $33.4009 = $13.13

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 Miami, FL

93798 · Office / nonfacility

$27.73

Effective 2026-10-01

The base rate is $1.77 higher than on 2025-10-01, moving from $25.96 to $27.73 (6.8%).

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

    $25.96changed to$27.73

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.46 changed to 0.48
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $27.05changed to$25.96

    • 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

    $26.61changed to$27.05

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $27.20changed to$26.61

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.46 changed to 0.47
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $27.79changed to$27.20

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $27.67changed to$27.79

    • 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

    $27.53changed to$27.67

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.42 changed to 0.45
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $27.52changed to$27.53

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $27.12changed to$27.52

    • 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

    $27.03changed to$27.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $26.97changed to$27.03

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $27.07changed to$26.97

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $26.94changed to$27.07

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $25.94changed to$26.94

    • 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 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $26.26changed to$25.94

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.44 changed to 0.40
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $26.26

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$27.73$13.13RVU26D
2026-07-01$27.73$13.13RVU26C
2026-04-01$27.73$13.13RVU26B
2026-01-01$27.73$13.13RVU26A
2025-10-01$25.96$14.00RVU25D
2025-07-01$25.96$14.00RVU25C
2025-04-01$25.96$14.00RVU25B
2025-01-01$25.96$14.00RVU25A
2024-10-01$27.05$14.40RVU24D
2024-07-01$27.05$14.40RVU24C
2024-04-01$27.05$14.40RVU24B
2024-03-09$27.05$14.40RVU24AR
2024-01-01$26.61$14.17RVU24A
2023-10-01$27.20$14.70RVU23D
2023-07-01$27.20$14.70RVU23C
2023-04-01$27.20$14.70RVU23B
2023-01-01$27.20$14.70RVU23A
2022-10-01$27.79$15.05RVU22D
2022-07-01$27.79$15.05RVU22C
2022-04-01$27.79$15.05RVU22B
2022-01-01$27.79$15.05RVU22A
2021-10-01$27.67$15.17RVU21D
2021-07-01$27.67$15.17RVU21C
2021-04-01$27.67$15.17RVU21B
2021-01-01$27.67$15.17RVU21A
2020-10-01$27.53$15.68RVU20D
2020-07-01$27.53$15.68RVU20C
2020-04-01$27.53$15.68RVU20B
2020-01-01$27.53$15.68RVU20A
2019-10-01$27.52$15.65RVU19D
2019-07-01$27.52$15.65RVU19C
2019-04-01$27.52$15.65RVU19B
2019-01-01$27.52$15.65RVU19A
2018-10-01$27.12$15.63RVU18D
2018-07-01$27.12$15.63RVU18C
2018-04-01$27.12$15.63RVU18B
2018-01-01$27.12$15.63RVU18AR1
2017-10-01$27.03$15.56RVU17D
2017-07-01$27.03$15.56RVU17C
2017-04-01$27.03$15.56RVU17B
2017-01-01$27.03$15.56RVU17A
2016-10-01$26.97$15.51RVU16D
2016-07-01$26.97$15.51RVU16C
2016-04-01$26.97$15.51RVU16B
2016-01-01$26.97$15.51RVU16A
2015-10-01$27.07$15.56RVU15D
2015-07-01$27.07$15.56RVU15C
2015-04-01$26.94$15.49RVU15B
2015-01-01$26.94$15.49RVU15A
2014-10-01$25.94$14.72RVU14D
2014-07-01$25.94$14.72RVU14C
2014-04-01$25.94$14.72RVU14B
2014-01-01$25.94$14.72RVU14A
2013-10-01$26.26$14.43RVU13D
2013-07-01$26.26$14.43RVU13C
2013-04-01$26.26$14.43RVU13B
2013-01-01$26.26$14.43RVU13AR

Price 93798 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

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 Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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