HCPCS Q0035: CardiokymographyMedicare rate & RVUs
Cardiokymography records cardiac motion as a noninvasive diagnostic study used to assess myocardial movement during evaluation of possible heart disease.
Medicare pays $19.04 for Q0035 nationally in the office. Local office rates run $16.92–$24.96.
Medicare rate · Q0035
Cardiokymography
- Work RVUs
- 0.17
- Total RVUs
- 0.57
- Global days
- XXX
National rate · 2026
$19.04
Office setting, before claim adjustments.
See every locality for Q0035 →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 Q0035 covers
Cardiokymography is a specialized, noninvasive cardiac study that records motion associated with the beating heart. It has been used to assess regional myocardial movement, including in evaluations for possible ischemic heart disease. The service involves the recording equipment and staff needed to obtain the study, along with professional interpretation. It is distinct from an electrocardiogram, which records the heart’s electrical activity, and from echocardiography, which uses ultrasound imaging.
Report Q0035 for the cardiokymography study performed. Documentation should identify the test and clinical indication and include the recorded findings and interpretation when those services are furnished. CMS recognizes professional and technical components: use modifier 26 for the interpretation and modifier TC for the equipment and staff portion when those components are billed separately. Without a modifier, Q0035 represents the global service, including both components.
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 Q0035 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
$16.92 to $24.96
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $17.16 | Unavailable |
| Alaska* | $22.40 | Unavailable |
| Arizona | $18.55 | Unavailable |
| Arkansas | $16.92 | Unavailable |
| Atlanta | $19.39 | Unavailable |
| Austin | $19.71 | Unavailable |
| Bakersfield | $20.10 | Unavailable |
| Baltimore/Surr. Cntys | $20.21 | Unavailable |
| Beaumont | $17.85 | Unavailable |
| Brazoria | $18.82 | Unavailable |
| Chicago | $20.01 | Unavailable |
| Chico | $20.04 | Unavailable |
| Colorado | $19.77 | Unavailable |
| Connecticut | $20.27 | Unavailable |
| Dallas | $18.94 | Unavailable |
| Dc + Md/Va Suburbs | $21.68 | Unavailable |
| Delaware | $18.85 | Unavailable |
| Detroit | $19.05 | Unavailable |
| East St. Louis | $18.70 | Unavailable |
| El Centro | $20.05 | Unavailable |
| Fort Lauderdale | $19.74 | Unavailable |
| Fort Worth | $18.83 | Unavailable |
| Fresno | $20.04 | Unavailable |
| Galveston | $18.88 | Unavailable |
| Hanford-Corcoran | $20.04 | Unavailable |
| Hawaii, Guam | $20.50 | Unavailable |
| Houston | $19.25 | Unavailable |
| Idaho | $17.67 | Unavailable |
| Indiana | $17.77 | Unavailable |
| Iowa | $17.56 | Unavailable |
| Kansas | $17.49 | Unavailable |
| Kentucky | $17.57 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $21.37 | Unavailable |
| Madera | $20.04 | Unavailable |
| Manhattan | $21.85 | Unavailable |
| Merced | $20.04 | Unavailable |
| Metropolitan Boston | $21.66 | Unavailable |
| Metropolitan Kansas City | $18.25 | Unavailable |
| Metropolitan Philadelphia | $19.79 | Unavailable |
| Metropolitan St. Louis | $18.43 | Unavailable |
| Miami | $20.58 | Unavailable |
| Minnesota | $18.94 | Unavailable |
| Mississippi | $17.10 | Unavailable |
| Modesto | $20.04 | Unavailable |
| Montana** | $19.04 | Unavailable |
| Napa | $23.10 | Unavailable |
| Nebraska | $17.65 | Unavailable |
| Nevada** | $18.94 | Unavailable |
| New Hampshire | $19.48 | Unavailable |
| New Mexico | $18.12 | Unavailable |
| New Orleans | $18.38 | Unavailable |
| North Carolina | $17.95 | Unavailable |
| North Dakota** | $18.64 | Unavailable |
| Northern Nj | $21.47 | Unavailable |
| Nyc Suburbs/Long Island | $22.37 | Unavailable |
| Ohio | $17.94 | Unavailable |
| Oklahoma | $17.53 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $21.26 | Unavailable |
| Portland | $20.37 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $20.64 | Unavailable |
| Puerto Rico | $19.17 | Unavailable |
| Queens | $22.01 | Unavailable |
| Redding | $20.04 | Unavailable |
| Rest Of California | $20.04 | Unavailable |
| Rest Of Florida | $18.82 | Unavailable |
| Rest Of Georgia | $17.80 | Unavailable |
| Rest Of Illinois | $18.31 | Unavailable |
| Rest Of Louisiana | $17.55 | Unavailable |
| Rest Of Maine | $17.77 | Unavailable |
| Rest Of Maryland | $19.19 | Unavailable |
| Rest Of Massachusetts | $19.67 | Unavailable |
| Rest Of Michigan | $18.02 | Unavailable |
| Rest Of Missouri | $17.27 | Unavailable |
| Rest Of New Jersey | $20.50 | Unavailable |
| Rest Of New York | $18.21 | Unavailable |
| Rest Of Oregon | $18.79 | Unavailable |
| Rest Of Pennsylvania | $17.96 | Unavailable |
| Rest Of Texas | $18.33 | Unavailable |
| Rest Of Washington | $19.63 | Unavailable |
| Rhode Island | $19.49 | Unavailable |
| Riverside-San Bernardino-Ontario | $20.26 | Unavailable |
| Sacramento-Roseville-Folsom | $21.00 | Unavailable |
| Salinas | $20.92 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $21.39 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $24.42 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $24.40 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $24.96 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $24.87 | Unavailable |
| San Luis Obispo-Paso Robles | $20.59 | Unavailable |
| Santa Cruz-Watsonville | $21.58 | Unavailable |
| Santa Maria-Santa Barbara | $20.99 | Unavailable |
| Santa Rosa-Petaluma | $21.79 | Unavailable |
| Seattle (King Cnty) | $22.08 | Unavailable |
| South Carolina | $17.97 | Unavailable |
| South Dakota** | $18.59 | Unavailable |
| Southern Maine | $18.68 | Unavailable |
| Stockton | $20.04 | Unavailable |
| Suburban Chicago | $19.94 | Unavailable |
| Tennessee | $17.57 | Unavailable |
| Utah | $18.21 | Unavailable |
| Vallejo | $23.07 | Unavailable |
| Vermont | $18.58 | Unavailable |
| Virgin Islands | $19.17 | Unavailable |
| Virginia | $18.63 | Unavailable |
| Visalia | $20.04 | Unavailable |
| West Virginia | $17.66 | Unavailable |
| Wisconsin | $18.04 | Unavailable |
| Wyoming** | $18.86 | Unavailable |
| Yuba City | $20.04 | Unavailable |
Q0035 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.
$16.92
$22.50
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 | $22.40 | 1 |
| AL | $17.16 | 1 |
| AR | $16.92 | 1 |
| AZ | $18.55 | 1 |
| CA | $20.04–$24.96 | 29 |
| CO | $19.77 | 1 |
| CT | $20.27 | 1 |
| DC | $21.68 | 1 |
| DE | $18.85 | 1 |
| FL | $18.82–$20.58 | 3 |
| GA | $17.80–$19.39 | 2 |
| GU | $20.50 | 1 |
| HI | $20.50 | 1 |
| IA | $17.56 | 1 |
| ID | $17.67 | 1 |
| IL | $18.31–$20.01 | 4 |
| IN | $17.77 | 1 |
| KS | $17.49 | 1 |
| KY | $17.57 | 1 |
| LA | $17.55–$18.38 | 2 |
| MA | $19.67–$21.66 | 2 |
| MD | $19.19–$21.68 | 3 |
| ME | $17.77–$18.68 | 2 |
| MI | $18.02–$19.05 | 2 |
| MN | $18.94 | 1 |
| MO | $17.27–$18.43 | 3 |
| MS | $17.10 | 1 |
| MT | $19.04 | 1 |
| NC | $17.95 | 1 |
| ND | $18.64 | 1 |
| NE | $17.65 | 1 |
| NH | $19.48 | 1 |
| NJ | $20.50–$21.47 | 2 |
| NM | $18.12 | 1 |
| NV | $18.94 | 1 |
| NY | $18.21–$22.37 | 5 |
| OH | $17.94 | 1 |
| OK | $17.53 | 1 |
| OR | $18.79–$20.37 | 2 |
| PA | $17.96–$19.79 | 2 |
| PR | $19.17 | 1 |
| RI | $19.49 | 1 |
| SC | $17.97 | 1 |
| SD | $18.59 | 1 |
| TN | $17.57 | 1 |
| TX | $17.85–$19.71 | 8 |
| UT | $18.21 | 1 |
| VA | $18.63–$21.68 | 2 |
| VI | $19.17 | 1 |
| VT | $18.58 | 1 |
| WA | $19.63–$22.08 | 2 |
| WI | $18.04 | 1 |
| WV | $17.66 | 1 |
| WY | $18.86 | 1 |
How the Q0035 rate is calculated
Each of Q0035’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 · Q0035
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.38
0.38 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.5700
Conversion factor
$33.4009
Medicare rate
$19.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for Q0035
The CMS indicators that decide how Q0035 is paid alongside other services.
CMS payment indicators · Q0035
Cardiokymography
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
Q0035 without 26 · national office
$19.04
Cardiokymography
Q0035-26 · Professional component
$8.02
Pays only the interpretation and report.
Q0035 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93306Echocardiogram (TTE)
- Q0035 is a cardiokymography recording; 93306 is a comprehensive echocardiographic study using ultrasound.
- 93015Cardiac stress test
- Q0035 records cardiac motion. Report 93015 for a cardiovascular stress test service, not simply because cardiac disease is being evaluated.
- 78452Nuclear stress test
- Q0035 is not nuclear imaging. Code 78452 describes myocardial perfusion imaging with tomographic acquisition.
Q0035 billing questions
How is Q0035 different from an electrocardiogram?
Cardiokymography records motion associated with the beating heart; an electrocardiogram records electrical activity. The tests are different modalities.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical portion involving equipment and staff when billing those components separately.
What does Q0035 without a modifier represent?
An unmodified Q0035 represents the global service, including both the professional and technical components.
What documentation supports reporting Q0035?
Document that cardiokymography was performed, the clinical indication, and the study findings. Include the interpretation when the professional component is reported.
Is cardiokymography the same as a cardiac stress test?
No. Q0035 describes cardiokymography, a cardiac-motion recording; a stress test evaluates the heart during or after exercise or another stress protocol.
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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