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CMS RVU26D · Effective 2026-10-01

93042 in Austin

Office / nonfacility

$7.08

Base rate per service

Facility setting

$7.08

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Cardiology diagnostics

About 93042: Limited-lead rhythm ECG interpretation

Reports a clinician’s interpretation of a one- to three-lead rhythm ECG when the professional reading is billed separately from tracing acquisition.

93042 represents the interpretation of a limited-lead rhythm ECG, typically a short tracing used to assess heart rate and rhythm, such as when evaluating suspected atrial fibrillation, ectopy, or another arrhythmia. It covers the interpretation and written report for a one- to three-lead rhythm recording, not acquisition of the tracing. Emergency physicians, cardiologists, and other clinicians who interpret ECGs may provide this service in emergency departments, hospitals, or offices.

Report 93042 when documentation supports a rhythm tracing and a corresponding interpretation and report, including the relevant findings and impression. Select it when billing only the professional reading; the technical portion has a separate code. When the same entity provides both tracing and interpretation, 93040 represents the combined rhythm ECG service. CMS classifies 93042 as professional-component-only, so it is not split with modifier 26.

CMS billing rules for 93042

Professional and technical components
Professional-component-only code: interpretation and report; a separate code covers the technical portion.

Where the value comes from

  • Work RVU0.15 · 71%
  • Practice expense (office) RVU0.05 · 24%
  • Malpractice RVU0.01 · 5%

255.7K

Medicare services in 2024 · #339 by national volume

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.

93042 compared with similar codes

Office rates for Austin, from the same CMS release.

93040

Rhythm ECG

One to three leads

$15.51

93040 covers both the rhythm tracing and its interpretation and report. 93042 covers only the professional interpretation and report.

93041

Rhythm ECG

Tracing only, 1–3 leads

$8.42

93041 covers acquisition of the one- to three-lead rhythm tracing without the professional reading. 93042 covers the interpretation and report.

93010

ECG interpretation

Interpretation and report only

$8.46

93010 is the interpretation-and-report code for a standard ECG. 93042 is for a limited-lead rhythm ECG.

93000

Electrocardiogram (ECG)

Complete: tracing plus interpretation

$15.82

93000 represents a complete standard ECG service with tracing and interpretation and report; 93042 represents only a limited-lead rhythm ECG interpretation and report.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 93042 is $6.84—$0.24 lower than the $7.08 rate in Austin. Both use the same code, release and participation basis.

93042 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $7.08

  2. $0.24 lower than Austin

  3. $0.11 lower than Austin

  4. Dallas

    $7.01

    $0.07 lower than Austin

  5. $0.09 lower than Austin

  6. $0.09 lower than Austin

  7. Houston

    $7.17

    $0.09 higher than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 93042 ranges from $6.62 in Arkansas to $9.48 in Alaska*. This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas
  • Rest Of Texas

    Texas · 93042

    Office

    $6.90

    Facility

    $6.90

    $0.18 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 93042

    Office

    $7.41

    Facility

    $7.41

    $0.33 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93042

    Office

    $7.62

    Facility

    $7.62

    $0.54 higher than Austin for the office setting.

  • Miami

    Florida · 93042

    Office

    $7.59

    Facility

    $7.59

    $0.51 higher than Austin for the office setting.

  • Chicago

    Illinois · 93042

    Office

    $7.49

    Facility

    $7.49

    $0.41 higher than Austin for the office setting.

  • Manhattan

    New York · 93042

    Office

    $7.80

    Facility

    $7.80

    $0.72 higher than Austin for the office setting.

  • Alaska*

    Alaska · 93042

    Office

    $9.48

    Facility

    $9.48

    $2.40 higher than Austin for the office setting.

  • Alabama

    Alabama · 93042

    Office

    $6.66

    Facility

    $6.66

    $0.42 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 93042

    Office

    $6.62

    Facility

    $6.62

    $0.46 lower than Austin for the office setting.

  • Arizona

    Arizona · 93042

    Office

    $6.91

    Facility

    $6.91

    $0.17 lower than Austin for the office setting.

  • Bakersfield

    California · 93042

    Office

    $7.14

    Facility

    $7.14

    $0.06 higher than Austin for the office setting.

  • Chico

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • El Centro

    California · 93042

    Office

    $7.11

    Facility

    $7.11

    $0.03 higher than Austin for the office setting.

  • Fresno

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Madera

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Merced

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Modesto

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Napa

    California · 93042

    Office

    $7.70

    Facility

    $7.70

    $0.62 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93042

    Office

    $7.33

    Facility

    $7.33

    $0.25 higher than Austin for the office setting.

  • Redding

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Rest Of California

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93042

    Office

    $7.22

    Facility

    $7.22

    $0.14 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93042

    Office

    $7.31

    Facility

    $7.31

    $0.23 higher than Austin for the office setting.

  • Salinas

    California · 93042

    Office

    $7.28

    Facility

    $7.28

    $0.20 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93042

    Office

    $7.34

    Facility

    $7.34

    $0.26 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93042

    Office

    $7.99

    Facility

    $7.99

    $0.91 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 93042

    Office

    $7.98

    Facility

    $7.98

    $0.90 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 93042

    Office

    $8.15

    Facility

    $8.15

    $1.07 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 93042

    Office

    $8.10

    Facility

    $8.10

    $1.02 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93042

    Office

    $7.18

    Facility

    $7.18

    $0.10 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 93042

    Office

    $7.32

    Facility

    $7.32

    $0.24 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 93042

    Office

    $7.28

    Facility

    $7.28

    $0.20 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 93042

    Office

    $7.39

    Facility

    $7.39

    $0.31 higher than Austin for the office setting.

  • Stockton

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Vallejo

    California · 93042

    Office

    $7.68

    Facility

    $7.68

    $0.60 higher than Austin for the office setting.

  • Visalia

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Yuba City

    California · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Colorado

    Colorado · 93042

    Office

    $7.11

    Facility

    $7.11

    $0.03 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 93042

    Office

    $7.31

    Facility

    $7.31

    $0.23 higher than Austin for the office setting.

  • Delaware

    Delaware · 93042

    Office

    $6.99

    Facility

    $6.99

    $0.09 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 93042

    Office

    $7.31

    Facility

    $7.31

    $0.23 higher than Austin for the office setting.

  • Rest Of Florida

    Florida · 93042

    Office

    $7.11

    Facility

    $7.11

    $0.03 higher than Austin for the office setting.

  • Atlanta

    Georgia · 93042

    Office

    $7.12

    Facility

    $7.12

    $0.04 higher than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 93042

    Office

    $6.90

    Facility

    $6.90

    $0.18 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 93042

    Office

    $7.10

    Facility

    $7.10

    $0.02 higher than Austin for the office setting.

  • Iowa

    Iowa · 93042

    Office

    $6.67

    Facility

    $6.67

    $0.41 lower than Austin for the office setting.

  • Idaho

    Idaho · 93042

    Office

    $6.70

    Facility

    $6.70

    $0.38 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 93042

    Office

    $7.22

    Facility

    $7.22

    $0.14 higher than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 93042

    Office

    $7.06

    Facility

    $7.06

    $0.02 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 93042

    Office

    $7.35

    Facility

    $7.35

    $0.27 higher than Austin for the office setting.

  • Indiana

    Indiana · 93042

    Office

    $6.72

    Facility

    $6.72

    $0.36 lower than Austin for the office setting.

  • Kansas

    Kansas · 93042

    Office

    $6.69

    Facility

    $6.69

    $0.39 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 93042

    Office

    $6.80

    Facility

    $6.80

    $0.28 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 93042

    Office

    $6.96

    Facility

    $6.96

    $0.12 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 93042

    Office

    $6.81

    Facility

    $6.81

    $0.27 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 93042

    Office

    $7.51

    Facility

    $7.51

    $0.43 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93042

    Office

    $7.12

    Facility

    $7.12

    $0.04 higher than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93042

    Office

    $7.30

    Facility

    $7.30

    $0.22 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 93042

    Office

    $7.06

    Facility

    $7.06

    $0.02 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 93042

    Office

    $6.75

    Facility

    $6.75

    $0.33 lower than Austin for the office setting.

  • Southern Maine

    Maine · 93042

    Office

    $6.88

    Facility

    $6.88

    $0.20 lower than Austin for the office setting.

  • Detroit

    Michigan · 93042

    Office

    $7.18

    Facility

    $7.18

    $0.10 higher than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 93042

    Office

    $6.91

    Facility

    $6.91

    $0.17 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 93042

    Office

    $6.83

    Facility

    $6.83

    $0.25 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 93042

    Office

    $6.90

    Facility

    $6.90

    $0.18 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 93042

    Office

    $6.93

    Facility

    $6.93

    $0.15 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 93042

    Office

    $6.78

    Facility

    $6.78

    $0.30 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 93042

    Office

    $6.69

    Facility

    $6.69

    $0.39 lower than Austin for the office setting.

  • Montana**

    Montana · 93042

    Office

    $7.01

    Facility

    $7.01

    $0.07 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 93042

    Office

    $6.78

    Facility

    $6.78

    $0.30 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 93042

    Office

    $6.82

    Facility

    $6.82

    $0.26 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 93042

    Office

    $6.68

    Facility

    $6.68

    $0.40 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 93042

    Office

    $7.04

    Facility

    $7.04

    $0.04 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 93042

    Office

    $7.62

    Facility

    $7.62

    $0.54 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 93042

    Office

    $7.40

    Facility

    $7.40

    $0.32 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 93042

    Office

    $6.94

    Facility

    $6.94

    $0.14 lower than Austin for the office setting.

  • Nevada**

    Nevada · 93042

    Office

    $6.96

    Facility

    $6.96

    $0.12 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93042

    Office

    $7.94

    Facility

    $7.94

    $0.86 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93042

    Office

    $7.47

    Facility

    $7.47

    $0.39 higher than Austin for the office setting.

  • Queens

    New York · 93042

    Office

    $7.79

    Facility

    $7.79

    $0.71 higher than Austin for the office setting.

  • Rest Of New York

    New York · 93042

    Office

    $6.83

    Facility

    $6.83

    $0.25 lower than Austin for the office setting.

  • Ohio

    Ohio · 93042

    Office

    $6.87

    Facility

    $6.87

    $0.21 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 93042

    Office

    $6.76

    Facility

    $6.76

    $0.32 lower than Austin for the office setting.

  • Portland

    Oregon · 93042

    Office

    $7.19

    Facility

    $7.19

    $0.11 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 93042

    Office

    $6.91

    Facility

    $6.91

    $0.17 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93042

    Office

    $7.24

    Facility

    $7.24

    $0.16 higher than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93042

    Office

    $6.86

    Facility

    $6.86

    $0.22 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 93042

    Office

    $7.03

    Facility

    $7.03

    $0.05 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 93042

    Office

    $7.13

    Facility

    $7.13

    $0.05 higher than Austin for the office setting.

  • South Carolina

    South Carolina · 93042

    Office

    $6.84

    Facility

    $6.84

    $0.24 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 93042

    Office

    $6.79

    Facility

    $6.79

    $0.29 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 93042

    Office

    $6.71

    Facility

    $6.71

    $0.37 lower than Austin for the office setting.

  • Utah

    Utah · 93042

    Office

    $6.88

    Facility

    $6.88

    $0.20 lower than Austin for the office setting.

  • Virginia

    Virginia · 93042

    Office

    $6.89

    Facility

    $6.89

    $0.19 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93042

    Office

    $7.03

    Facility

    $7.03

    $0.05 lower than Austin for the office setting.

  • Vermont

    Vermont · 93042

    Office

    $6.83

    Facility

    $6.83

    $0.25 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 93042

    Office

    $7.09

    Facility

    $7.09

    $0.01 higher than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 93042

    Office

    $7.58

    Facility

    $7.58

    $0.50 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 93042

    Office

    $6.71

    Facility

    $6.71

    $0.37 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 93042

    Office

    $6.94

    Facility

    $6.94

    $0.14 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 93042

    Office

    $6.93

    Facility

    $6.93

    $0.15 lower than Austin for the office setting.

See how rates vary across the country

93042 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$6.62

$9.48

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$9.481
AL$6.661
AR$6.621
AZ$6.911
CA$7.10–$8.1529
CO$7.111
CT$7.311
DC$7.621
DE$6.991
FL$7.11–$7.593
GA$6.90–$7.122
GU$7.101
HI$7.101
IA$6.671
ID$6.701
IL$7.06–$7.494
IN$6.721
KS$6.691
KY$6.801
LA$6.81–$6.962
MA$7.12–$7.512
MD$7.06–$7.623
ME$6.75–$6.882
MI$6.91–$7.182
MN$6.831
MO$6.78–$6.933
MS$6.691
MT$7.011
NC$6.781
ND$6.821
NE$6.681
NH$7.041
NJ$7.40–$7.622
NM$6.941
NV$6.961
NY$6.83–$7.945
OH$6.871
OK$6.761
OR$6.91–$7.192
PA$6.86–$7.242
PR$7.031
RI$7.131
SC$6.841
SD$6.791
TN$6.711
TX$6.84–$7.178
UT$6.881
VA$6.89–$7.622
VI$7.031
VT$6.831
WA$7.09–$7.582
WI$6.711
WV$6.941
WY$6.931

Explore 93042 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Why are the office and facility amounts different?

For 93042 in Austin, the physician’s office rate is $7.08 and the facility-setting rate is $7.08: a difference of $0.00.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93042 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$7.79

$7.08 × 110% = $7.79

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93042 in Austin.

PPRRVU2026_Oct_nonQPP.csv

11,948

Code
93042
Physician work
0.15
Practice expense
0.05
Malpractice
0.01

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 93042 in Austin
ComponentRVULocality factorAdjusted
Physician work0.15× 1.0020.1503
Practice expense0.05× 1.0580.0529
Malpractice0.01× 0.8860.0089
Total RVUs0.2121
Conversion factor× 33.4009

Office / nonfacility rate, Austin$7.08

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 93042 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.151.002
Practice expense0.051.058
Malpractice0.010.886

(0.15 × 1.002 + 0.05 × 1.058 + 0.01 × 0.886) × $33.4009 = $7.08

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.151.002
Practice expense0.051.058
Malpractice0.010.886

(0.15 × 1.002 + 0.05 × 1.058 + 0.01 × 0.886) × $33.4009 = $7.08

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

93042 · Office / nonfacility

$7.08

Effective 2026-10-01

The base rate is $0.58 higher than on 2025-10-01, moving from $6.50 to $7.08 (8.9%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $6.50changed to$7.08

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.04 changed to 0.05
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $6.50

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$7.08$7.08RVU26D
2026-07-01$7.08$7.08RVU26C
2026-04-01$7.08$7.08RVU26B
2026-01-01$7.08$7.08RVU26A
2025-10-01$6.50$6.50RVU25D
2025-07-01$6.50$6.50RVU25C
2025-04-01$6.50$6.50RVU25B
2025-01-01$6.50$6.50RVU25A

93042 billing questions

What service does 93042 cover?

It covers interpretation and reporting of a one- to three-lead rhythm ECG. It does not cover acquisition of the tracing.

When should 93042 be used instead of 93040?

Use 93042 when billing only the professional interpretation and report. Use 93040 when the same service includes both the rhythm tracing and its interpretation and report.

Is the rhythm tracing included in 93042?

No. The tracing is the technical portion and has a separate code, 93041.

Should modifier 26 be appended to 93042?

No. 93042 already represents the professional interpretation and report only.

How does 93042 differ from 93010?

93042 reports interpretation of a limited-lead rhythm ECG. 93010 reports interpretation and report for a standard ECG rather than a limited-lead rhythm tracing.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 93042PPRRVU2026_Oct_nonQPP.csv, line 11,948 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)