Billing code 93245: Extended ECGMedicare rate & RVUs

Medicare pays $289.59 for 93245 nationally in the office. Local office rates run $250.84–$410.38.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 93245 covers

This code represents the complete service for extended external ECG monitoring over more than 7 days and up to 15 days. A patient may wear a patch or other ambulatory monitor while going about daily activities when symptoms such as intermittent palpitations, dizziness, or suspected arrhythmia have not been captured during a brief ECG or shorter monitoring period. The service includes recording, technical analysis, and physician review and interpretation. Cardiology practices and other clinicians managing rhythm evaluation commonly use these monitors in outpatient care.

Select this code based on the documented monitoring duration and report it when the complete service is billed together. CMS identifies 93245 as a global-test-only code; separate codes describe the recording, analysis, and interpretation components when those services are billed separately. Keep the monitoring dates and duration, recorded data and analysis, and interpreting clinician’s findings in the record. The cardiovascular diagnostic multiple procedure reduction applies to the technical component, so it affects the technical portion when applicable rather than the professional interpretation.

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 93245 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93245 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 93245 rate is calculated

Each of 93245’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.

Payment rules and modifiers for 93245

The CMS indicators that decide how 93245 is paid alongside other services.

93245 compared with similar codes

How to choose

93241Ambulatory ECG

93241 applies to the shorter monitoring interval of more than 48 hours through 7 days; 93245 is for monitoring beyond 7 days through 15 days.

93246Extended ECG

93246 reports the recording component alone. Use 93245 when the complete service, including technical analysis and physician interpretation, is billed together.

93224Holter monitoring

93224 is an external ECG service for monitoring up to 48 hours. Choose 93245 when the documented recording period extends beyond 7 days and through 15 days.

93248ECG monitoring

93248 reports physician review and interpretation only; 93245 represents the complete service when billed globally.

Codes related to 93245

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates