Billing code 93242: Ambulatory ECG recordingMedicare rate & RVUs
Technical recording service for ambulatory ECG monitoring lasting more than 48 hours but less than seven days, before separate analysis and physician interpretation.
Medicare pays $11.69 for 93242 nationally in the office. Local office rates run $9.93–$16.55.
Medicare rate · 93242
Ambulatory ECG recording
Swap in your local Medicare rate.
- Work RVUs
- 0
- Total RVUs
- 0.35
- Global days
- XXX
National rate · 2026
$11.69
Office setting, before claim adjustments.
See every locality for 93242 → · 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 93242 covers
Code 93242 covers the technical recording portion of ambulatory electrocardiographic monitoring that runs longer than 48 hours but less than seven days. A patient wears an external monitor during usual activities so the recording can capture intermittent rhythm abnormalities that a brief office ECG may miss, such as episodic palpitations or unexplained fainting. Cardiology practices and other qualified monitoring providers commonly furnish the recording service in outpatient care.
Report 93242 for recording only, selecting it by the monitoring duration rather than symptoms or number of tracings. Documentation should support the device used and the recording period. Scanning analysis with a report and physician review and interpretation are separate services represented by 93243 and 93244, not work included in 93242. CMS classifies 93242 as technical-component-only, and a cardiovascular diagnostic multiple-procedure reduction applies to its technical component.
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 93242 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
$9.93 to $16.55
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $10.13 | Unavailable |
| Alaska* | $12.28 | Unavailable |
| Arizona | $11.29 | Unavailable |
| Arkansas | $9.93 | Unavailable |
| Atlanta | $11.94 | Unavailable |
| Austin | $12.31 | Unavailable |
| Bakersfield | $12.65 | Unavailable |
| Baltimore/Surr. Cntys | $12.60 | Unavailable |
| Beaumont | $10.64 | Unavailable |
| Brazoria | $11.51 | Unavailable |
| Chicago | $12.18 | Unavailable |
| Chico | $12.63 | Unavailable |
| Colorado | $12.34 | Unavailable |
| Connecticut | $12.63 | Unavailable |
| Dallas | $11.60 | Unavailable |
| Dc + Md/Va Suburbs | $13.75 | Unavailable |
| Delaware | $11.52 | Unavailable |
| Detroit | $11.52 | Unavailable |
| East St. Louis | $11.12 | Unavailable |
| El Centro | $12.63 | Unavailable |
| Fort Lauderdale | $12.11 | Unavailable |
| Fort Worth | $11.49 | Unavailable |
| Fresno | $12.63 | Unavailable |
| Galveston | $11.55 | Unavailable |
| Hanford-Corcoran | $12.63 | Unavailable |
| Hawaii, Guam | $13.11 | Unavailable |
| Houston | $11.74 | Unavailable |
| Idaho | $10.61 | Unavailable |
| Indiana | $10.69 | Unavailable |
| Iowa | $10.52 | Unavailable |
| Kansas | $10.43 | Unavailable |
| Kentucky | $10.40 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $13.66 | Unavailable |
| Madera | $12.63 | Unavailable |
| Manhattan | $13.73 | Unavailable |
| Merced | $12.63 | Unavailable |
| Metropolitan Boston | $13.86 | Unavailable |
| Metropolitan Kansas City | $10.99 | Unavailable |
| Metropolitan Philadelphia | $12.22 | Unavailable |
| Metropolitan St. Louis | $11.15 | Unavailable |
| Miami | $12.67 | Unavailable |
| Minnesota | $11.78 | Unavailable |
| Mississippi | $10.02 | Unavailable |
| Modesto | $12.63 | Unavailable |
| Montana** | $11.69 | Unavailable |
| Napa | $15.14 | Unavailable |
| Nebraska | $10.61 | Unavailable |
| Nevada** | $11.65 | Unavailable |
| New Hampshire | $12.11 | Unavailable |
| New Mexico | $10.81 | Unavailable |
| New Orleans | $11.07 | Unavailable |
| North Carolina | $10.81 | Unavailable |
| North Dakota** | $11.49 | Unavailable |
| Northern Nj | $13.53 | Unavailable |
| Nyc Suburbs/Long Island | $14.12 | Unavailable |
| Ohio | $10.70 | Unavailable |
| Oklahoma | $10.40 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $13.63 | Unavailable |
| Portland | $12.87 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $12.84 | Unavailable |
| Puerto Rico | $11.81 | Unavailable |
| Queens | $13.90 | Unavailable |
| Redding | $12.63 | Unavailable |
| Rest Of California | $12.63 | Unavailable |
| Rest Of Florida | $11.36 | Unavailable |
| Rest Of Georgia | $10.53 | Unavailable |
| Rest Of Illinois | $10.89 | Unavailable |
| Rest Of Louisiana | $10.37 | Unavailable |
| Rest Of Maine | $10.66 | Unavailable |
| Rest Of Maryland | $11.80 | Unavailable |
| Rest Of Massachusetts | $12.22 | Unavailable |
| Rest Of Michigan | $10.75 | Unavailable |
| Rest Of Missouri | $10.11 | Unavailable |
| Rest Of New Jersey | $12.77 | Unavailable |
| Rest Of New York | $11.02 | Unavailable |
| Rest Of Oregon | $11.55 | Unavailable |
| Rest Of Pennsylvania | $10.74 | Unavailable |
| Rest Of Texas | $11.08 | Unavailable |
| Rest Of Washington | $12.21 | Unavailable |
| Rhode Island | $12.03 | Unavailable |
| Riverside-San Bernardino-Ontario | $12.73 | Unavailable |
| Sacramento-Roseville-Folsom | $13.39 | Unavailable |
| Salinas | $13.34 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $13.76 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $16.17 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $16.15 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $16.55 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $16.51 | Unavailable |
| San Luis Obispo-Paso Robles | $13.11 | Unavailable |
| Santa Cruz-Watsonville | $13.98 | Unavailable |
| Santa Maria-Santa Barbara | $13.42 | Unavailable |
| Santa Rosa-Petaluma | $14.12 | Unavailable |
| Seattle (King Cnty) | $14.21 | Unavailable |
| South Carolina | $10.78 | Unavailable |
| South Dakota** | $11.47 | Unavailable |
| Southern Maine | $11.46 | Unavailable |
| Stockton | $12.63 | Unavailable |
| Suburban Chicago | $12.25 | Unavailable |
| Tennessee | $10.50 | Unavailable |
| Utah | $10.97 | Unavailable |
| Vallejo | $15.12 | Unavailable |
| Vermont | $11.41 | Unavailable |
| Virgin Islands | $11.81 | Unavailable |
| Virginia | $11.40 | Unavailable |
| Visalia | $12.63 | Unavailable |
| West Virginia | $10.35 | Unavailable |
| Wisconsin | $10.98 | Unavailable |
| Wyoming** | $11.60 | Unavailable |
| Yuba City | $12.63 | Unavailable |
93242 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.
$9.93
$14.59
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 | $12.28 | 1 |
| AL | $10.13 | 1 |
| AR | $9.93 | 1 |
| AZ | $11.29 | 1 |
| CA | $12.63–$16.55 | 29 |
| CO | $12.34 | 1 |
| CT | $12.63 | 1 |
| DC | $13.75 | 1 |
| DE | $11.52 | 1 |
| FL | $11.36–$12.67 | 3 |
| GA | $10.53–$11.94 | 2 |
| GU | $13.11 | 1 |
| HI | $13.11 | 1 |
| IA | $10.52 | 1 |
| ID | $10.61 | 1 |
| IL | $10.89–$12.25 | 4 |
| IN | $10.69 | 1 |
| KS | $10.43 | 1 |
| KY | $10.40 | 1 |
| LA | $10.37–$11.07 | 2 |
| MA | $12.22–$13.86 | 2 |
| MD | $11.80–$13.75 | 3 |
| ME | $10.66–$11.46 | 2 |
| MI | $10.75–$11.52 | 2 |
| MN | $11.78 | 1 |
| MO | $10.11–$11.15 | 3 |
| MS | $10.02 | 1 |
| MT | $11.69 | 1 |
| NC | $10.81 | 1 |
| ND | $11.49 | 1 |
| NE | $10.61 | 1 |
| NH | $12.11 | 1 |
| NJ | $12.77–$13.53 | 2 |
| NM | $10.81 | 1 |
| NV | $11.65 | 1 |
| NY | $11.02–$14.12 | 5 |
| OH | $10.70 | 1 |
| OK | $10.40 | 1 |
| OR | $11.55–$12.87 | 2 |
| PA | $10.74–$12.22 | 2 |
| PR | $11.81 | 1 |
| RI | $12.03 | 1 |
| SC | $10.78 | 1 |
| SD | $11.47 | 1 |
| TN | $10.50 | 1 |
| TX | $10.64–$12.31 | 8 |
| UT | $10.97 | 1 |
| VA | $11.40–$13.75 | 2 |
| VI | $11.81 | 1 |
| VT | $11.41 | 1 |
| WA | $12.21–$14.21 | 2 |
| WI | $10.98 | 1 |
| WV | $10.35 | 1 |
| WY | $11.60 | 1 |
How the 93242 rate is calculated
Each of 93242’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 · 93242
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 0.34Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93242
The CMS indicators that decide how 93242 is paid alongside other services.
CMS payment indicators · 93242
Ambulatory ECG recording
| 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 | 3 | Technical component only. |
93242 compared with similar codes
Compare codes
93242 vs 93241 vs 93243 vs 93244 vs 93246: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93241Ambulatory ECG
- Choose 93242 when reporting recording only. Code 93241 covers recording together with scanning analysis and physician review and interpretation.
- 93243ECG analysis
- 93242 is the recording service; 93243 represents scanning analysis with a report. They describe separate parts of extended monitoring.
- 93244Extended ECG
- 93244 is for physician review and interpretation, not technical recording. Report 93242 for the recording portion.
- 93246Extended ECG
- Both are recording-only services, but 93242 is for more than 48 hours and less than seven days; 93246 is for more than seven days and less than 15 days.
93242 billing questions
How does 93242 differ from 93241?
93242 covers only the technical recording portion. Code 93241 represents the broader service that includes recording, scanning analysis with a report, and physician review and interpretation.
Does 93242 include scanning or physician interpretation?
No. Scanning analysis with a report is represented by 93243, and physician review and interpretation by 93244.
What monitoring duration supports 93242?
Use it for an external ECG recording lasting more than 48 hours but less than seven days. Select the code based on the recording duration, not the number of symptoms or tracings.
What documentation supports the recording service?
Keep documentation identifying the monitor and supporting the recording period and duration. The separate analysis and interpretation services require their own supporting records.
What Medicare payment rule affects 93242?
CMS identifies 93242 as technical-component-only. A cardiovascular diagnostic multiple-procedure reduction applies to its technical component.
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
Fee sheets
Put 93242 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →