Billing code 93248: ECG monitoringMedicare rate & RVUs
Physician interpretation and reporting of extended ambulatory ECG data from monitoring lasting more than 7 but less than 15 days.
Medicare pays $24.72 for 93248 nationally in the office and $24.72 in a hospital or facility. Local office rates run $23.54–$33.83.
Medicare rate · 93248
ECG monitoring
Swap in your local Medicare rate.
- Work RVUs
- 0.54
- Total RVUs
- 0.74
- Global days
- XXX
National rate · 2026
$24.72
Office setting, before claim adjustments.
See every locality for 93248 → · 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 93248 covers
This service is the physician’s review of extended ambulatory electrocardiographic data and preparation of an interpretation and report. It is commonly used when symptoms such as intermittent palpitations, dizziness, or syncope need rhythm evaluation over more time than a short Holter recording provides. A cardiologist or other qualified physician interprets the recorded tracing and documents relevant rhythm findings and their clinical significance.
Select this duration-based service when the monitoring period is more than 7 days but less than 15 days. The record should support the monitoring period and the physician’s interpretation of the submitted ECG data. Under CMS, 93248 represents the professional interpretation and report only; the technical portion is covered by a separate code. When the service is divided by component, the recording and scanning analysis are represented separately from this professional service.
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 93248 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
$23.54 to $33.83
109 of 109 payment localities
93248 rates by state
Office rate range in each state. Select a state to see its payment localities.
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Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$23.54
$33.83
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 | $33.83 | 1 |
| AL | $23.68 | 1 |
| AR | $23.54 | 1 |
| AZ | $24.43 | 1 |
| CA | $25.29–$29.05 | 29 |
| CO | $25.17 | 1 |
| CT | $25.68 | 1 |
| DC | $26.84 | 1 |
| DE | $24.67 | 1 |
| FL | $24.79–$25.98 | 3 |
| GA | $24.20–$25.00 | 2 |
| GU | $25.26 | 1 |
| HI | $25.26 | 1 |
| IA | $23.80 | 1 |
| ID | $23.88 | 1 |
| IL | $24.57–$25.74 | 4 |
| IN | $23.93 | 1 |
| KS | $23.81 | 1 |
| KY | $23.99 | 1 |
| LA | $24.00–$24.45 | 2 |
| MA | $25.19–$26.55 | 2 |
| MD | $24.91–$26.84 | 3 |
| ME | $23.98–$24.42 | 2 |
| MI | $24.28–$24.96 | 2 |
| MN | $24.42 | 1 |
| MO | $23.87–$24.43 | 3 |
| MS | $23.71 | 1 |
| MT | $24.72 | 1 |
| NC | $24.07 | 1 |
| ND | $24.32 | 1 |
| NE | $23.84 | 1 |
| NH | $24.88 | 1 |
| NJ | $26.06–$26.86 | 2 |
| NM | $24.35 | 1 |
| NV | $24.61 | 1 |
| NY | $24.22–$27.58 | 5 |
| OH | $24.20 | 1 |
| OK | $23.92 | 1 |
| OR | $24.49–$25.50 | 2 |
| PA | $24.19–$25.42 | 2 |
| PR | $24.77 | 1 |
| RI | $25.19 | 1 |
| SC | $24.16 | 1 |
| SD | $24.27 | 1 |
| TN | $23.86 | 1 |
| TX | $24.13–$25.07 | 8 |
| UT | $24.29 | 1 |
| VA | $24.42–$26.84 | 2 |
| VI | $24.77 | 1 |
| VT | $24.33 | 1 |
| WA | $25.11–$26.86 | 2 |
| WI | $24.00 | 1 |
| WV | $24.22 | 1 |
| WY | $24.54 | 1 |
How the 93248 rate is calculated
Each of 93248’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 · 93248
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.54Practice expense 0.18Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93248
The CMS indicators that decide how 93248 is paid alongside other services.
CMS payment indicators · 93248
ECG monitoring
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 2 | Professional component only. |
93248 compared with similar codes
Compare codes
93248 vs 93244 vs 93247 vs 93245: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93244Extended ECG
- Both codes cover interpretation and reporting, but 93244 is for monitoring lasting more than 48 hours through 7 days; 93248 is for more than 7 but less than 15 days.
- 93247Extended ECG monitoring
- 93247 covers scanning analysis of the extended recording. Select 93248 for the physician’s interpretation and report.
- 93245Extended ECG
- 93245 represents the complete extended monitoring service, while 93248 reports only the professional interpretation and report when components are separately represented.
93248 billing questions
When should 93248 be selected instead of 93244?
Use 93248 for interpretation and reporting after monitoring lasting more than 7 but less than 15 days. Code 93244 is in the shorter, more-than-48-hour-to-7-day monitoring family.
Does 93248 include the recording and scanning analysis?
No. 93248 represents the professional interpretation and report; recording and scanning analysis are technical services represented separately when the components are billed separately.
Which codes represent the technical portions of this monitoring service?
In the component-based code family, 93246 represents recording and 93247 represents scanning analysis. Code 93248 represents the interpretation and report.
Should modifier 26 be appended to 93248?
93248 is already the professional-only interpretation and report code, rather than a global code requiring a professional-component modifier.
What documentation supports reporting 93248?
Documentation should establish the monitoring period and include the physician’s review, interpretation, and report of the recorded ECG data.
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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