Billing code 93797: Cardiac rehabMedicare rate & RVUs
Report this service for a physician- or qualified-health-care-professional-directed outpatient cardiac rehabilitation session conducted without ECG monitoring.
Medicare pays $17.70 for 93797 nationally in the office and $7.68 in a hospital or facility. Local office rates run $15.94–$23.23.
Medicare rate · 93797
Cardiac rehab
Swap in your local Medicare rate.
- Work RVUs
- 0.18
- Total RVUs
- 0.53
- Global days
- 000
National rate · 2026
$17.70
Office setting, before claim adjustments.
See every locality for 93797 → · 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 93797 covers
This code represents an outpatient cardiac rehabilitation session without ECG monitoring. A physician or other qualified health care professional directs the service, which may include exercise-based recovery, risk-factor education, and counseling. Patients may be referred for rehabilitation after events or procedures such as myocardial infarction, coronary artery bypass surgery, or coronary intervention. The service is furnished in an outpatient rehabilitation program or another appropriate outpatient setting.
Report one unit for each session, selecting this code when the session is performed without ECG monitoring; use the monitoring distinction to separate it from 93798. Documentation should support the session provided and whether ECG monitoring was used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Bilateral adjustment is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.
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 93797 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
$15.94 to $23.23
109 of 109 payment localities
93797 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.
$15.94
$21.30
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 | $21.30 | 1 |
| AL | $16.14 | 1 |
| AR | $15.94 | 1 |
| AZ | $17.30 | 1 |
| CA | $18.74–$23.23 | 29 |
| CO | $18.43 | 1 |
| CT | $18.77 | 1 |
| DC | $20.09 | 1 |
| DE | $17.56 | 1 |
| FL | $17.37–$18.68 | 3 |
| GA | $16.54–$17.97 | 2 |
| GU | $19.12 | 1 |
| HI | $19.12 | 1 |
| IA | $16.54 | 1 |
| ID | $16.62 | 1 |
| IL | $16.90–$18.31 | 4 |
| IN | $16.70 | 1 |
| KS | $16.45 | 1 |
| KY | $16.41 | 1 |
| LA | $16.38–$17.08 | 2 |
| MA | $18.33–$20.12 | 2 |
| MD | $17.87–$20.09 | 3 |
| ME | $16.67–$17.48 | 2 |
| MI | $16.76–$17.53 | 2 |
| MN | $17.80 | 1 |
| MO | $16.13–$17.16 | 3 |
| MS | $16.04 | 1 |
| MT | $17.70 | 1 |
| NC | $16.82 | 1 |
| ND | $17.50 | 1 |
| NE | $16.62 | 1 |
| NH | $18.13 | 1 |
| NJ | $19.02–$19.92 | 2 |
| NM | $16.83 | 1 |
| NV | $17.66 | 1 |
| NY | $17.04–$20.52 | 5 |
| OH | $16.72 | 1 |
| OK | $16.41 | 1 |
| OR | $17.56–$18.97 | 2 |
| PA | $16.75–$18.34 | 2 |
| PR | $17.82 | 1 |
| RI | $18.16 | 1 |
| SC | $16.79 | 1 |
| SD | $17.48 | 1 |
| TN | $16.51 | 1 |
| TX | $16.66–$18.34 | 8 |
| UT | $16.99 | 1 |
| VA | $17.41–$20.09 | 2 |
| VI | $17.82 | 1 |
| VT | $17.42 | 1 |
| WA | $18.30–$20.52 | 2 |
| WI | $16.99 | 1 |
| WV | $16.36 | 1 |
| WY | $17.62 | 1 |
How the 93797 rate is calculated
Each of 93797’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 · 93797
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.18Practice expense 0.34Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93797
The CMS indicators that decide how 93797 is paid alongside other services.
CMS payment indicators · 93797
Cardiac rehab
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| 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 | 0 | Physician service: no professional/technical split. |
93797 compared with similar codes
Compare codes
93797 vs 93798 vs G0422 vs G0423: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93798Cardiac rehabilitation
- Both describe outpatient cardiac rehabilitation sessions; 93797 is for a session without ECG monitoring, while 93798 is for one with monitoring.
- G0422Cardiac rehabilitation
- G0422 describes intensive cardiac rehabilitation with exercise. Use it for that program rather than a conventional session reported with 93797.
- G0423Cardiac rehabilitation
- G0423 describes intensive cardiac rehabilitation without exercise. It is distinct from a conventional cardiac rehabilitation session reported with 93797.
93797 billing questions
When should 93797 be chosen instead of 93798?
Choose 93797 for an outpatient cardiac rehabilitation session without ECG monitoring. Report 93798 when ECG monitoring is part of the session.
How many units are reported for a session?
Report one unit for each cardiac rehabilitation session. The documentation should identify the session and whether ECG monitoring was used.
Can 93797 and 93798 both be reported for the same session?
The codes distinguish sessions without and with ECG monitoring. Do not use both to describe the same session.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this service.
What does the 0-day global period mean?
Same-day preoperative and postoperative care is included in the global service. The code does not carry a multi-day postoperative global period.
What documentation supports reporting 93797?
Record the outpatient cardiac rehabilitation session and the services furnished, including that ECG monitoring was not used. The record should support the physician- or qualified-health-care-professional-directed 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
Fee sheets
Put 93797 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →