Billing code 93298: Remote loop recorder checkMedicare rate & RVUs

Medicare pays $103.21 for 93298 nationally in the office. Local office rates run $90.60–$141.96.

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

What 93298 covers

This service evaluates data transmitted from an implanted subcutaneous cardiac rhythm monitor, often called an insertable loop recorder. The device stores automatically detected or patient-activated ECG episodes for remote review. Device clinic staff handle transmissions and alerts, while a cardiologist, electrophysiologist, or other qualified clinician interprets the rhythm findings and reports them. Monitoring may help evaluate unexplained syncope, recurrent palpitations, or atrial fibrillation after cryptogenic stroke.

Report one unit for a monitoring period of up to 30 days, not for each transmission or alert; do not report it more than once per 30 days. The record should identify the monitoring dates, data reviewed, rhythm findings, and interpretation. CMS prices the service as a diagnostic test with professional and technical components. Append modifier 26 when billing only the interpretation and report, or modifier TC when billing only the transmission, equipment, and staff portion. Bill without either modifier when one entity furnishes both portions. In-person interrogation of the same monitor is not reported during the same remote monitoring period; an in-person programming evaluation is a distinct service when performed and documented.

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 93298 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

93298 rates by state

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

How the 93298 rate is calculated

Each of 93298’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 93298

The CMS indicators that decide how 93298 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

93298 compared with similar codes

How to choose

93291Loop recorder check

93291 is an in-person interrogation of a subcutaneous rhythm monitor. Use 93298 for remote evaluation of that monitor over a period of up to 30 days.

93297Remote device monitoring

Use 93297 for remote evaluation of an implantable cardiovascular physiologic monitor. Use 93298 for an implanted subcutaneous rhythm monitor that records ECG episodes.

93296Remote device monitoring

93296 covers the technical portion of remote pacemaker or defibrillator evaluation over a period of up to 90 days. Code 93298 covers subcutaneous rhythm monitors and has its own professional and technical components.

93272Event monitor

93272 is the review and interpretation of external event-recorder data. Code 93298 evaluates data transmitted from an implanted subcutaneous rhythm monitor.

Codes related to 93298

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