Billing code 93247: Extended ECG monitoringMedicare rate & RVUs
Technical analysis of ambulatory ECG data collected over more than 7 through 15 days, reported when monitoring includes scanning, analysis, and a technical report.
Medicare pays $253.18 for 93247 nationally in the office. Local office rates run $217.37–$364.78.
Medicare rate · 93247
Extended ECG monitoring
Swap in your local Medicare rate.
- Work RVUs
- 0
- Total RVUs
- 7.58
- Global days
- XXX
National rate · 2026
$253.18
Office setting, before claim adjustments.
See every locality for 93247 → · 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 93247 covers
This service covers the technical review of ambulatory ECG data from a monitoring period longer than 7 days and up to 15 days. A monitoring company, cardiac diagnostic service, or other qualified technical staff scan the recorded tracings, analyze rhythm data, and prepare the technical report. Cardiologists and other clinicians may order this extended monitoring when intermittent symptoms, such as palpitations or episodic lightheadedness, are not captured during shorter monitoring.
Select 93247 for the scanning, analysis, and report portion of a service in this duration range; it does not represent the recording or physician interpretation. The record should support the monitoring interval and the technical analysis performed. A separate code covers physician review and interpretation. CMS identifies 93247 as technical-component-only, so it represents the technical service rather than a professional component split by modifier. The cardiovascular diagnostic multiple procedure reduction applies to its technical component when the reduction rule is triggered.
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 93247 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
$217.37 to $364.78
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $221.43 | Unavailable |
| Alaska* | $269.46 | Unavailable |
| Arizona | $245.29 | Unavailable |
| Arkansas | $217.37 | Unavailable |
| Atlanta | $257.29 | Unavailable |
| Austin | $267.81 | Unavailable |
| Bakersfield | $277.32 | Unavailable |
| Baltimore/Surr. Cntys | $271.72 | Unavailable |
| Beaumont | $230.40 | Unavailable |
| Brazoria | $250.83 | Unavailable |
| Chicago | $254.88 | Unavailable |
| Chico | $277.30 | Unavailable |
| Colorado | $269.29 | Unavailable |
| Connecticut | $272.72 | Unavailable |
| Dallas | $252.12 | Unavailable |
| Dc + Md/Va Suburbs | $298.22 | Unavailable |
| Delaware | $250.11 | Unavailable |
| Detroit | $244.56 | Unavailable |
| East St. Louis | $233.29 | Unavailable |
| El Centro | $277.30 | Unavailable |
| Fort Lauderdale | $256.74 | Unavailable |
| Fort Worth | $249.60 | Unavailable |
| Fresno | $277.30 | Unavailable |
| Galveston | $251.35 | Unavailable |
| Hanford-Corcoran | $277.30 | Unavailable |
| Hawaii, Guam | $287.68 | Unavailable |
| Houston | $251.53 | Unavailable |
| Idaho | $232.78 | Unavailable |
| Indiana | $234.55 | Unavailable |
| Iowa | $231.49 | Unavailable |
| Kansas | $228.74 | Unavailable |
| Kentucky | $225.08 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $299.34 | Unavailable |
| Madera | $277.30 | Unavailable |
| Manhattan | $294.34 | Unavailable |
| Merced | $277.30 | Unavailable |
| Metropolitan Boston | $302.19 | Unavailable |
| Metropolitan Kansas City | $237.75 | Unavailable |
| Metropolitan Philadelphia | $263.61 | Unavailable |
| Metropolitan St. Louis | $241.04 | Unavailable |
| Miami | $264.06 | Unavailable |
| Minnesota | $260.28 | Unavailable |
| Mississippi | $217.95 | Unavailable |
| Modesto | $277.30 | Unavailable |
| Montana** | $253.18 | Unavailable |
| Napa | $333.42 | Unavailable |
| Nebraska | $233.50 | Unavailable |
| Nevada** | $253.38 | Unavailable |
| New Hampshire | $263.50 | Unavailable |
| New Mexico | $232.26 | Unavailable |
| New Orleans | $238.31 | Unavailable |
| North Carolina | $236.12 | Unavailable |
| North Dakota** | $252.98 | Unavailable |
| Northern Nj | $293.66 | Unavailable |
| Nyc Suburbs/Long Island | $301.25 | Unavailable |
| Ohio | $231.18 | Unavailable |
| Oklahoma | $226.05 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $299.07 | Unavailable |
| Portland | $281.16 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $277.27 | Unavailable |
| Puerto Rico | $255.96 | Unavailable |
| Queens | $299.34 | Unavailable |
| Redding | $277.30 | Unavailable |
| Rest Of California | $277.30 | Unavailable |
| Rest Of Florida | $242.22 | Unavailable |
| Rest Of Georgia | $225.94 | Unavailable |
| Rest Of Illinois | $231.37 | Unavailable |
| Rest Of Louisiana | $224.09 | Unavailable |
| Rest Of Maine | $232.82 | Unavailable |
| Rest Of Maryland | $256.19 | Unavailable |
| Rest Of Massachusetts | $266.51 | Unavailable |
| Rest Of Michigan | $231.22 | Unavailable |
| Rest Of Missouri | $218.28 | Unavailable |
| Rest Of New Jersey | $276.47 | Unavailable |
| Rest Of New York | $240.44 | Unavailable |
| Rest Of Oregon | $252.07 | Unavailable |
| Rest Of Pennsylvania | $232.43 | Unavailable |
| Rest Of Texas | $240.25 | Unavailable |
| Rest Of Washington | $266.50 | Unavailable |
| Rhode Island | $261.49 | Unavailable |
| Riverside-San Bernardino-Ontario | $277.40 | Unavailable |
| Sacramento-Roseville-Folsom | $294.24 | Unavailable |
| Salinas | $293.23 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $302.58 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $356.66 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $356.65 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $364.78 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $364.73 | Unavailable |
| San Luis Obispo-Paso Robles | $288.17 | Unavailable |
| Santa Cruz-Watsonville | $307.39 | Unavailable |
| Santa Maria-Santa Barbara | $295.00 | Unavailable |
| Santa Rosa-Petaluma | $310.67 | Unavailable |
| Seattle (King Cnty) | $310.51 | Unavailable |
| South Carolina | $233.91 | Unavailable |
| South Dakota** | $252.96 | Unavailable |
| Southern Maine | $250.78 | Unavailable |
| Stockton | $277.30 | Unavailable |
| Suburban Chicago | $260.26 | Unavailable |
| Tennessee | $230.02 | Unavailable |
| Utah | $237.97 | Unavailable |
| Vallejo | $333.40 | Unavailable |
| Vermont | $250.49 | Unavailable |
| Virgin Islands | $255.96 | Unavailable |
| Virginia | $248.78 | Unavailable |
| Visalia | $277.30 | Unavailable |
| West Virginia | $220.20 | Unavailable |
| Wisconsin | $242.33 | Unavailable |
| Wyoming** | $253.09 | Unavailable |
| Yuba City | $277.30 | Unavailable |
93247 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.
$217.37
$321.04
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 | $269.46 | 1 |
| AL | $221.43 | 1 |
| AR | $217.37 | 1 |
| AZ | $245.29 | 1 |
| CA | $277.30–$364.78 | 29 |
| CO | $269.29 | 1 |
| CT | $272.72 | 1 |
| DC | $298.22 | 1 |
| DE | $250.11 | 1 |
| FL | $242.22–$264.06 | 3 |
| GA | $225.94–$257.29 | 2 |
| GU | $287.68 | 1 |
| HI | $287.68 | 1 |
| IA | $231.49 | 1 |
| ID | $232.78 | 1 |
| IL | $231.37–$260.26 | 4 |
| IN | $234.55 | 1 |
| KS | $228.74 | 1 |
| KY | $225.08 | 1 |
| LA | $224.09–$238.31 | 2 |
| MA | $266.51–$302.19 | 2 |
| MD | $256.19–$298.22 | 3 |
| ME | $232.82–$250.78 | 2 |
| MI | $231.22–$244.56 | 2 |
| MN | $260.28 | 1 |
| MO | $218.28–$241.04 | 3 |
| MS | $217.95 | 1 |
| MT | $253.18 | 1 |
| NC | $236.12 | 1 |
| ND | $252.98 | 1 |
| NE | $233.50 | 1 |
| NH | $263.50 | 1 |
| NJ | $276.47–$293.66 | 2 |
| NM | $232.26 | 1 |
| NV | $253.38 | 1 |
| NY | $240.44–$301.25 | 5 |
| OH | $231.18 | 1 |
| OK | $226.05 | 1 |
| OR | $252.07–$281.16 | 2 |
| PA | $232.43–$263.61 | 2 |
| PR | $255.96 | 1 |
| RI | $261.49 | 1 |
| SC | $233.91 | 1 |
| SD | $252.96 | 1 |
| TN | $230.02 | 1 |
| TX | $230.40–$267.81 | 8 |
| UT | $237.97 | 1 |
| VA | $248.78–$298.22 | 2 |
| VI | $255.96 | 1 |
| VT | $250.49 | 1 |
| WA | $266.50–$310.51 | 2 |
| WI | $242.33 | 1 |
| WV | $220.20 | 1 |
| WY | $253.09 | 1 |
How the 93247 rate is calculated
Each of 93247’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 · 93247
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 7.57Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93247
The CMS indicators that decide how 93247 is paid alongside other services.
CMS payment indicators · 93247
Extended ECG monitoring
| 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. |
93247 compared with similar codes
Compare codes
93247 vs 93245 vs 93246 vs 93248 vs 93243: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93245Extended ECG
- 93245 represents the combined service for the same duration, including recording and physician interpretation. Use 93247 for the technical scanning, analysis, and report portion alone.
- 93246Extended ECG
- 93246 covers recording over the same duration; it does not represent the scanning, analysis, and technical report covered by 93247.
- 93248ECG monitoring
- 93248 is the physician review and interpretation for this monitoring duration. 93247 is the technical analysis and report.
- 93243ECG analysis
- 93243 covers technical scanning, analysis, and reporting for monitoring longer than 48 hours through 7 days. 93247 is for the longer monitoring interval.
93247 billing questions
How does 93247 differ from 93246?
93246 covers recording for the same monitoring duration. 93247 covers scanning, analysis, and the technical report.
Is the physician's interpretation included?
No. Physician review and interpretation are reported separately with 93248 when performed.
Should modifier 26 or TC be used?
No component modifier is needed to split this service. 93247 is the technical analysis service; the physician interpretation has a separate code.
How many units are reported for the monitoring period?
Report the service for the monitoring interval, not a unit for each monitored day.
When does the cardiovascular diagnostic multiple procedure reduction affect 93247?
CMS applies the reduction to the technical component when the cardiovascular diagnostic multiple procedure rule is triggered.
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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