Billing code 93798: Cardiac rehabilitationMedicare rate & RVUs
Reports an outpatient cardiac rehabilitation session with continuous ECG monitoring, typically during supervised exercise and education after a qualifying cardiac event or intervention.
Medicare pays $26.05 for 93798 nationally in the office and $12.02 in a hospital or facility. Local office rates run $23.47–$33.86.
Medicare rate · 93798
Cardiac rehabilitation
- Work RVUs
- 0.28
- Total RVUs
- 0.78
- Global days
- 000
National rate · 2026
$26.05
Office setting, before claim adjustments.
See every locality for 93798 →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 93798 covers
Code 93798 represents one outpatient cardiac rehabilitation session with exercise and related rehabilitation services under physician or other qualified health care professional oversight, with continuous ECG monitoring. Sessions commonly follow a cardiac event or intervention, such as myocardial infarction, coronary bypass surgery, or coronary angioplasty, and may include supervised conditioning, risk-factor education, and progress review. Report it in an outpatient setting when continuous rhythm surveillance is part of the session.
Report one unit for each session; continuous ECG monitoring distinguishes this service from 93797. Documentation should identify the session, monitoring performed, rehabilitation activities, and clinical oversight. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included, and modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery 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 93798 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
$23.47 to $33.86
109 of 109 payment localities
93798 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.
$23.47
$31.47
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 | $31.47 | 1 |
| AL | $23.76 | 1 |
| AR | $23.47 | 1 |
| AZ | $25.46 | 1 |
| CA | $27.44–$33.86 | 29 |
| CO | $27.04 | 1 |
| CT | $27.61 | 1 |
| DC | $29.49 | 1 |
| DE | $25.84 | 1 |
| FL | $25.68–$27.73 | 3 |
| GA | $24.45–$26.47 | 2 |
| GU | $27.97 | 1 |
| HI | $27.97 | 1 |
| IA | $24.29 | 1 |
| ID | $24.42 | 1 |
| IL | $25.03–$27.07 | 4 |
| IN | $24.54 | 1 |
| KS | $24.18 | 1 |
| KY | $24.22 | 1 |
| LA | $24.18–$25.20 | 2 |
| MA | $26.92–$29.47 | 2 |
| MD | $26.28–$29.49 | 3 |
| ME | $24.52–$25.66 | 2 |
| MI | $24.74–$25.95 | 2 |
| MN | $26.05 | 1 |
| MO | $23.82–$25.28 | 3 |
| MS | $23.65 | 1 |
| MT | $26.05 | 1 |
| NC | $24.74 | 1 |
| ND | $25.66 | 1 |
| NE | $24.40 | 1 |
| NH | $26.63 | 1 |
| NJ | $27.97–$29.25 | 2 |
| NM | $24.86 | 1 |
| NV | $25.96 | 1 |
| NY | $25.05–$30.25 | 5 |
| OH | $24.66 | 1 |
| OK | $24.19 | 1 |
| OR | $25.79–$27.81 | 2 |
| PA | $24.70–$27.01 | 2 |
| PR | $26.22 | 1 |
| RI | $26.69 | 1 |
| SC | $24.73 | 1 |
| SD | $25.61 | 1 |
| TN | $24.28 | 1 |
| TX | $24.56–$26.93 | 8 |
| UT | $25.02 | 1 |
| VA | $25.58–$29.49 | 2 |
| VI | $26.22 | 1 |
| VT | $25.56 | 1 |
| WA | $26.86–$30.04 | 2 |
| WI | $24.92 | 1 |
| WV | $24.24 | 1 |
| WY | $25.88 | 1 |
How the 93798 rate is calculated
Each of 93798’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 · 93798
RVUs × geographic indexes × conversion factor
Work0.28
0.28 RVUs× 1.000 GPCI
Practice expense0.48
0.48 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.7800
Conversion factor
$33.4009
Medicare rate
$26.05
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93798
The CMS indicators that decide how 93798 is paid alongside other services.
CMS payment indicators · 93798
Cardiac rehabilitation
| 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. |
93798 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93797Cardiac rehab
- The key distinction is continuous ECG monitoring: report 93798 when it is part of the session and 93797 when it is not.
- G0422Cardiac rehabilitation
- G0422 represents an intensive cardiac rehabilitation session with exercise; 93798 represents outpatient cardiac rehabilitation with continuous ECG monitoring.
- G0423Cardiac rehabilitation
- G0423 represents intensive cardiac rehabilitation without exercise. Use 93798 for an outpatient cardiac rehabilitation session that includes continuous ECG monitoring.
93798 billing questions
When should 93798 be reported instead of 93797?
Report 93798 when the outpatient cardiac rehabilitation session includes continuous ECG monitoring. Report 93797 for a session furnished without continuous ECG monitoring.
Is ECG monitoring separately reported for the session?
Continuous ECG monitoring is part of the service represented by 93798. The session is reported as one unit rather than separately reporting its monitoring component.
How many units are reported?
Report one unit for each cardiac rehabilitation session. Documentation should support the session and the continuous ECG monitoring performed.
Can modifier 50 be used?
No. CMS indicates that bilateral adjustment does not apply to 93798, making modifier 50 inappropriate.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the service under the CMS 0-day global period.
What documentation supports reporting 93798?
Document the outpatient rehabilitation session, continuous ECG monitoring, activities provided, and physician or qualified health care professional oversight.
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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