Billing code 93040: Rhythm ECGMedicare rate & RVUs
Reports a one-to-three-lead rhythm electrocardiogram, including its tracing and interpretation, for evaluation or documentation of a cardiac rhythm.
Medicare pays $15.03 for 93040 nationally in the office. Local office rates run $13.39–$19.41.
Medicare rate · 93040
Rhythm ECG
Swap in your local Medicare rate.
- Work RVUs
- 0.15
- Total RVUs
- 0.45
- Global days
- XXX
National rate · 2026
$15.03
Office setting, before claim adjustments.
See every locality for 93040 → · Billed by an NP, PA or therapist? →
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 10 sections
What 93040 covers
This service includes a limited rhythm electrocardiogram using one to three leads, with the tracing and interpretation/report treated as a complete service. It can document rhythm during evaluation of palpitations, suspected arrhythmia, or a change in cardiac rhythm. Clinical staff may obtain the tracing in an office or bedside setting, and a qualified clinician interprets it and records the findings. Unlike a standard 12-lead ECG, this is a limited-lead rhythm study.
Report 93040 when both the tracing and interpretation/report are furnished. Documentation should support the clinical reason, the tracing obtained, and the clinician’s interpretation. When only the tracing is furnished, use 93041; when only the interpretation/report is furnished, use 93042. CMS identifies 93040 as a global service with separate codes for its technical and professional components. The cardiovascular diagnostic multiple procedure reduction affects the technical component; it does not reduce the professional component under this rule.
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.
Where 93040 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$13.39 to $19.41
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $13.57 | Unavailable |
| Alaska* | $17.84 | Unavailable |
| Arizona | $14.64 | Unavailable |
| Arkansas | $13.39 | Unavailable |
| Atlanta | $15.33 | Unavailable |
| Austin | $15.51 | Unavailable |
| Bakersfield | $15.76 | Unavailable |
| Baltimore/Surr. Cntys | $15.95 | Unavailable |
| Beaumont | $14.14 | Unavailable |
| Brazoria | $14.84 | Unavailable |
| Chicago | $15.98 | Unavailable |
| Chico | $15.70 | Unavailable |
| Colorado | $15.54 | Unavailable |
| Connecticut | $15.99 | Unavailable |
| Dallas | $14.94 | Unavailable |
| Dc + Md/Va Suburbs | $17.04 | Unavailable |
| Delaware | $14.88 | Unavailable |
| Detroit | $15.16 | Unavailable |
| East St. Louis | $14.96 | Unavailable |
| El Centro | $15.71 | Unavailable |
| Fort Lauderdale | $15.69 | Unavailable |
| Fort Worth | $14.86 | Unavailable |
| Fresno | $15.70 | Unavailable |
| Galveston | $14.89 | Unavailable |
| Hanford-Corcoran | $15.70 | Unavailable |
| Hawaii, Guam | $16.03 | Unavailable |
| Houston | $15.26 | Unavailable |
| Idaho | $13.93 | Unavailable |
| Indiana | $14.00 | Unavailable |
| Iowa | $13.83 | Unavailable |
| Kansas | $13.80 | Unavailable |
| Kentucky | $13.94 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $16.72 | Unavailable |
| Madera | $15.70 | Unavailable |
| Manhattan | $17.26 | Unavailable |
| Merced | $15.70 | Unavailable |
| Metropolitan Boston | $16.98 | Unavailable |
| Metropolitan Kansas City | $14.44 | Unavailable |
| Metropolitan Philadelphia | $15.63 | Unavailable |
| Metropolitan St. Louis | $14.58 | Unavailable |
| Miami | $16.44 | Unavailable |
| Minnesota | $14.83 | Unavailable |
| Mississippi | $13.56 | Unavailable |
| Modesto | $15.70 | Unavailable |
| Montana** | $15.03 | Unavailable |
| Napa | $17.99 | Unavailable |
| Nebraska | $13.89 | Unavailable |
| Nevada** | $14.93 | Unavailable |
| New Hampshire | $15.33 | Unavailable |
| New Mexico | $14.39 | Unavailable |
| New Orleans | $14.57 | Unavailable |
| North Carolina | $14.16 | Unavailable |
| North Dakota** | $14.63 | Unavailable |
| Northern Nj | $16.89 | Unavailable |
| Nyc Suburbs/Long Island | $17.69 | Unavailable |
| Ohio | $14.22 | Unavailable |
| Oklahoma | $13.88 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $16.62 | Unavailable |
| Portland | $15.98 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $16.28 | Unavailable |
| Puerto Rico | $15.12 | Unavailable |
| Queens | $17.35 | Unavailable |
| Redding | $15.70 | Unavailable |
| Rest Of California | $15.70 | Unavailable |
| Rest Of Florida | $14.95 | Unavailable |
| Rest Of Georgia | $14.15 | Unavailable |
| Rest Of Illinois | $14.59 | Unavailable |
| Rest Of Louisiana | $13.93 | Unavailable |
| Rest Of Maine | $14.03 | Unavailable |
| Rest Of Maryland | $15.14 | Unavailable |
| Rest Of Massachusetts | $15.47 | Unavailable |
| Rest Of Michigan | $14.30 | Unavailable |
| Rest Of Missouri | $13.72 | Unavailable |
| Rest Of New Jersey | $16.16 | Unavailable |
| Rest Of New York | $14.36 | Unavailable |
| Rest Of Oregon | $14.79 | Unavailable |
| Rest Of Pennsylvania | $14.23 | Unavailable |
| Rest Of Texas | $14.49 | Unavailable |
| Rest Of Washington | $15.43 | Unavailable |
| Rhode Island | $15.36 | Unavailable |
| Riverside-San Bernardino-Ontario | $15.92 | Unavailable |
| Sacramento-Roseville-Folsom | $16.43 | Unavailable |
| Salinas | $16.36 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $16.71 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $18.98 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $18.96 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $19.41 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $19.31 | Unavailable |
| San Luis Obispo-Paso Robles | $16.11 | Unavailable |
| Santa Cruz-Watsonville | $16.84 | Unavailable |
| Santa Maria-Santa Barbara | $16.41 | Unavailable |
| Santa Rosa-Petaluma | $17.00 | Unavailable |
| Seattle (King Cnty) | $17.28 | Unavailable |
| South Carolina | $14.22 | Unavailable |
| South Dakota** | $14.59 | Unavailable |
| Southern Maine | $14.70 | Unavailable |
| Stockton | $15.70 | Unavailable |
| Suburban Chicago | $15.83 | Unavailable |
| Tennessee | $13.87 | Unavailable |
| Utah | $14.40 | Unavailable |
| Vallejo | $17.96 | Unavailable |
| Vermont | $14.61 | Unavailable |
| Virgin Islands | $15.12 | Unavailable |
| Virginia | $14.68 | Unavailable |
| Visalia | $15.70 | Unavailable |
| West Virginia | $14.09 | Unavailable |
| Wisconsin | $14.18 | Unavailable |
| Wyoming** | $14.86 | Unavailable |
| Yuba City | $15.70 | Unavailable |
93040 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.
$13.39
$17.84
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 | $17.84 | 1 |
| AL | $13.57 | 1 |
| AR | $13.39 | 1 |
| AZ | $14.64 | 1 |
| CA | $15.70–$19.41 | 29 |
| CO | $15.54 | 1 |
| CT | $15.99 | 1 |
| DC | $17.04 | 1 |
| DE | $14.88 | 1 |
| FL | $14.95–$16.44 | 3 |
| GA | $14.15–$15.33 | 2 |
| GU | $16.03 | 1 |
| HI | $16.03 | 1 |
| IA | $13.83 | 1 |
| ID | $13.93 | 1 |
| IL | $14.59–$15.98 | 4 |
| IN | $14.00 | 1 |
| KS | $13.80 | 1 |
| KY | $13.94 | 1 |
| LA | $13.93–$14.57 | 2 |
| MA | $15.47–$16.98 | 2 |
| MD | $15.14–$17.04 | 3 |
| ME | $14.03–$14.70 | 2 |
| MI | $14.30–$15.16 | 2 |
| MN | $14.83 | 1 |
| MO | $13.72–$14.58 | 3 |
| MS | $13.56 | 1 |
| MT | $15.03 | 1 |
| NC | $14.16 | 1 |
| ND | $14.63 | 1 |
| NE | $13.89 | 1 |
| NH | $15.33 | 1 |
| NJ | $16.16–$16.89 | 2 |
| NM | $14.39 | 1 |
| NV | $14.93 | 1 |
| NY | $14.36–$17.69 | 5 |
| OH | $14.22 | 1 |
| OK | $13.88 | 1 |
| OR | $14.79–$15.98 | 2 |
| PA | $14.23–$15.63 | 2 |
| PR | $15.12 | 1 |
| RI | $15.36 | 1 |
| SC | $14.22 | 1 |
| SD | $14.59 | 1 |
| TN | $13.87 | 1 |
| TX | $14.14–$15.51 | 8 |
| UT | $14.40 | 1 |
| VA | $14.68–$17.04 | 2 |
| VI | $15.12 | 1 |
| VT | $14.61 | 1 |
| WA | $15.43–$17.28 | 2 |
| WI | $14.18 | 1 |
| WV | $14.09 | 1 |
| WY | $14.86 | 1 |
How the 93040 rate is calculated
Each of 93040’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 · 93040
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.15Practice expense 0.28Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93040
The CMS indicators that decide how 93040 is paid alongside other services.
CMS payment indicators · 93040
Rhythm ECG
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| 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 | 4 | Global test only. |
93040 compared with similar codes
Compare codes
93040 vs 93000 vs 93041 vs 93042 vs 93005: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93000Electrocardiogram (ECG)
- Use 93040 for a one-to-three-lead rhythm study. Use 93000 for a complete 12-lead ECG when both tracing and interpretation are furnished.
- 93041Rhythm ECG
- 93041 covers only the rhythm tracing. 93040 includes the tracing and its interpretation/report.
- 93042Rhythm ECG
- 93042 covers only the rhythm ECG interpretation and report. 93040 includes that work plus the tracing.
- 93005ECG tracing
- 93005 is the tracing-only component for a complete ECG; 93040 is the global service for a limited-lead rhythm ECG.
93040 billing questions
How does 93040 differ from a complete ECG?
93040 is a limited rhythm study using one to three leads. A complete ECG uses a 12-lead tracing and is reported with 93000 when both tracing and interpretation are furnished.
Can 93040 be reported when only the tracing is performed?
No. Report 93041 for the rhythm tracing alone; 93040 includes both the tracing and interpretation/report.
What code applies when only the interpretation is furnished?
Report 93042 for the interpretation and report without the tracing. Use 93040 when both parts of the rhythm study are furnished.
Should modifiers 26 or TC be appended to 93040?
The rhythm ECG components have separate codes: 93041 for the tracing and 93042 for the interpretation/report. Use the applicable component code when only that portion is furnished.
How does the multiple procedure reduction affect 93040?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. The professional interpretation component is not reduced under this rule.
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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