Billing code 93268: ECG monitoringMedicare rate & RVUs
Reports extended external ECG monitoring, including recording, rhythm analysis, and interpretation, for patients whose suspected arrhythmia may not appear on a brief ECG.
Medicare pays $169.68 for 93268 nationally in the office. Local office rates run $147.69–$237.81.
Medicare rate · 93268
ECG monitoring
- Work RVUs
- 0.51
- Total RVUs
- 5.08
- Global days
- XXX
National rate · 2026
$169.68
Office setting, before claim adjustments.
See every locality for 93268 →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 93268 covers
This service uses an external electrocardiographic monitor to capture heart rhythm over an extended period, up to 30 days. It is commonly used for outpatient evaluation of intermittent palpitations, dizziness, or syncope when a standard ECG has not documented a suspected arrhythmia. Depending on the monitoring system and service arrangement, the work includes recording, analysis and reporting, and clinician review and interpretation.
Report 93268 for the complete service when the monitoring and interpretation work is furnished as a global service. Separate codes describe the recording, analysis, and interpretation portions when those services are furnished separately. Documentation should support the clinical reason for extended monitoring, the monitoring period, the recorded results, and the interpretation. CMS classifies 93268 as a global-test-only code. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the 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 93268 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
$147.69 to $237.81
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $150.18 | Unavailable |
| Alaska* | $187.43 | Unavailable |
| Arizona | $164.79 | Unavailable |
| Arkansas | $147.69 | Unavailable |
| Atlanta | $172.42 | Unavailable |
| Austin | $178.33 | Unavailable |
| Bakersfield | $184.00 | Unavailable |
| Baltimore/Surr. Cntys | $181.31 | Unavailable |
| Beaumont | $155.96 | Unavailable |
| Brazoria | $168.16 | Unavailable |
| Chicago | $172.28 | Unavailable |
| Chico | $183.87 | Unavailable |
| Colorado | $179.27 | Unavailable |
| Connecticut | $181.95 | Unavailable |
| Dallas | $169.03 | Unavailable |
| Dc + Md/Va Suburbs | $197.68 | Unavailable |
| Delaware | $167.81 | Unavailable |
| Detroit | $165.30 | Unavailable |
| East St. Louis | $158.93 | Unavailable |
| El Centro | $183.88 | Unavailable |
| Fort Lauderdale | $172.72 | Unavailable |
| Fort Worth | $167.54 | Unavailable |
| Fresno | $183.87 | Unavailable |
| Galveston | $168.52 | Unavailable |
| Hanford-Corcoran | $183.87 | Unavailable |
| Hawaii, Guam | $189.84 | Unavailable |
| Houston | $169.26 | Unavailable |
| Idaho | $156.87 | Unavailable |
| Indiana | $157.94 | Unavailable |
| Iowa | $156.01 | Unavailable |
| Kansas | $154.49 | Unavailable |
| Kentucky | $152.77 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $197.62 | Unavailable |
| Madera | $183.87 | Unavailable |
| Manhattan | $196.06 | Unavailable |
| Merced | $183.87 | Unavailable |
| Metropolitan Boston | $199.58 | Unavailable |
| Metropolitan Kansas City | $160.42 | Unavailable |
| Metropolitan Philadelphia | $176.44 | Unavailable |
| Metropolitan St. Louis | $162.42 | Unavailable |
| Miami | $177.92 | Unavailable |
| Minnesota | $173.12 | Unavailable |
| Mississippi | $148.30 | Unavailable |
| Modesto | $183.87 | Unavailable |
| Montana** | $169.67 | Unavailable |
| Napa | $218.21 | Unavailable |
| Nebraska | $157.19 | Unavailable |
| Nevada** | $169.60 | Unavailable |
| New Hampshire | $175.71 | Unavailable |
| New Mexico | $157.39 | Unavailable |
| New Orleans | $160.93 | Unavailable |
| North Carolina | $159.06 | Unavailable |
| North Dakota** | $168.88 | Unavailable |
| Northern Nj | $195.05 | Unavailable |
| Nyc Suburbs/Long Island | $200.51 | Unavailable |
| Ohio | $156.52 | Unavailable |
| Oklahoma | $153.19 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $197.19 | Unavailable |
| Portland | $186.40 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $185.10 | Unavailable |
| Puerto Rico | $171.32 | Unavailable |
| Queens | $198.90 | Unavailable |
| Redding | $183.87 | Unavailable |
| Rest Of California | $183.87 | Unavailable |
| Rest Of Florida | $163.69 | Unavailable |
| Rest Of Georgia | $153.59 | Unavailable |
| Rest Of Illinois | $157.27 | Unavailable |
| Rest Of Louisiana | $152.22 | Unavailable |
| Rest Of Maine | $157.07 | Unavailable |
| Rest Of Maryland | $171.55 | Unavailable |
| Rest Of Massachusetts | $177.70 | Unavailable |
| Rest Of Michigan | $156.69 | Unavailable |
| Rest Of Missouri | $148.76 | Unavailable |
| Rest Of New Jersey | $184.41 | Unavailable |
| Rest Of New York | $161.71 | Unavailable |
| Rest Of Oregon | $168.67 | Unavailable |
| Rest Of Pennsylvania | $157.20 | Unavailable |
| Rest Of Texas | $161.83 | Unavailable |
| Rest Of Washington | $177.60 | Unavailable |
| Rhode Island | $174.85 | Unavailable |
| Riverside-San Bernardino-Ontario | $184.31 | Unavailable |
| Sacramento-Roseville-Folsom | $194.33 | Unavailable |
| Salinas | $193.64 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $199.23 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $232.61 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $232.56 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $237.81 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $237.62 | Unavailable |
| San Luis Obispo-Paso Robles | $190.38 | Unavailable |
| Santa Cruz-Watsonville | $201.95 | Unavailable |
| Santa Maria-Santa Barbara | $194.65 | Unavailable |
| Santa Rosa-Petaluma | $204.07 | Unavailable |
| Seattle (King Cnty) | $204.63 | Unavailable |
| South Carolina | $157.98 | Unavailable |
| South Dakota** | $168.79 | Unavailable |
| Southern Maine | $167.82 | Unavailable |
| Stockton | $183.87 | Unavailable |
| Suburban Chicago | $174.91 | Unavailable |
| Tennessee | $155.29 | Unavailable |
| Utah | $160.46 | Unavailable |
| Vallejo | $218.14 | Unavailable |
| Vermont | $167.50 | Unavailable |
| Virgin Islands | $171.32 | Unavailable |
| Virginia | $166.71 | Unavailable |
| Visalia | $183.87 | Unavailable |
| West Virginia | $150.43 | Unavailable |
| Wisconsin | $162.40 | Unavailable |
| Wyoming** | $169.33 | Unavailable |
| Yuba City | $183.87 | Unavailable |
93268 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.
$147.69
$210.84
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 | $187.43 | 1 |
| AL | $150.18 | 1 |
| AR | $147.69 | 1 |
| AZ | $164.79 | 1 |
| CA | $183.87–$237.81 | 29 |
| CO | $179.27 | 1 |
| CT | $181.95 | 1 |
| DC | $197.68 | 1 |
| DE | $167.81 | 1 |
| FL | $163.69–$177.92 | 3 |
| GA | $153.59–$172.42 | 2 |
| GU | $189.84 | 1 |
| HI | $189.84 | 1 |
| IA | $156.01 | 1 |
| ID | $156.87 | 1 |
| IL | $157.27–$174.91 | 4 |
| IN | $157.94 | 1 |
| KS | $154.49 | 1 |
| KY | $152.77 | 1 |
| LA | $152.22–$160.93 | 2 |
| MA | $177.70–$199.58 | 2 |
| MD | $171.55–$197.68 | 3 |
| ME | $157.07–$167.82 | 2 |
| MI | $156.69–$165.30 | 2 |
| MN | $173.12 | 1 |
| MO | $148.76–$162.42 | 3 |
| MS | $148.30 | 1 |
| MT | $169.67 | 1 |
| NC | $159.06 | 1 |
| ND | $168.88 | 1 |
| NE | $157.19 | 1 |
| NH | $175.71 | 1 |
| NJ | $184.41–$195.05 | 2 |
| NM | $157.39 | 1 |
| NV | $169.60 | 1 |
| NY | $161.71–$200.51 | 5 |
| OH | $156.52 | 1 |
| OK | $153.19 | 1 |
| OR | $168.67–$186.40 | 2 |
| PA | $157.20–$176.44 | 2 |
| PR | $171.32 | 1 |
| RI | $174.85 | 1 |
| SC | $157.98 | 1 |
| SD | $168.79 | 1 |
| TN | $155.29 | 1 |
| TX | $155.96–$178.33 | 8 |
| UT | $160.46 | 1 |
| VA | $166.71–$197.68 | 2 |
| VI | $171.32 | 1 |
| VT | $167.50 | 1 |
| WA | $177.60–$204.63 | 2 |
| WI | $162.40 | 1 |
| WV | $150.43 | 1 |
| WY | $169.33 | 1 |
How the 93268 rate is calculated
Each of 93268’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 · 93268
RVUs × geographic indexes × conversion factor
Work0.51
0.51 RVUs× 1.000 GPCI
Practice expense4.53
4.53 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
5.0800
Conversion factor
$33.4009
Medicare rate
$169.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93268
The CMS indicators that decide how 93268 is paid alongside other services.
CMS payment indicators · 93268
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 | 4 | Global test only. |
93268 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93270ECG monitoring
- 93270 covers the recording portion of the extended monitoring work; 93268 represents the complete service, including analysis and interpretation.
- 93272Event monitor
- 93272 is limited to review and interpretation. Report 93268 when the complete monitoring service is furnished globally.
- 93245Extended ECG
- 93245 belongs to a separate extended ECG monitoring family for monitoring over 7 days and under 15 days; 93268 covers a service that may extend up to 30 days.
93268 billing questions
When should 93268 be reported instead of a shorter ECG monitoring code?
Use 93268 for the complete extended external monitoring service, which can cover up to 30 days. Shorter monitoring periods may belong to a different ECG monitoring code family.
Can the recording and interpretation services be billed separately?
Separate codes describe the recording, analysis, and interpretation portions of this monitoring service. Use 93268 when the complete service is furnished and reported globally.
What documentation supports 93268?
Document the clinical reason for extended monitoring, the monitoring period, the findings, and the clinician's review and interpretation.
Does the multiple-procedure reduction affect the entire service?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. CMS identifies 93268 as a global-test-only code, with separate codes available for component services.
How does 93268 differ from 93270?
93268 represents the complete monitoring service. 93270 describes the recording portion rather than the complete service.
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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