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CMS RVU26D · Effective 2026-10-01

93797 in Merced

Office / nonfacility

$18.74

Base rate per service

Facility setting

$7.76

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.

Cardiac rehabilitation

About 93797: Outpatient cardiac rehabilitation without ECG

Report this service for a physician- or qualified-health-care-professional-directed outpatient cardiac rehabilitation session conducted without ECG monitoring.

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.

CMS billing rules for 93797

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Bilateral procedures
Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
Assistant at surgery
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU0.18 · 34%
  • Practice expense (office) RVU0.34 · 64%
  • Malpractice RVU0.01 · 2%

12.5K

Medicare services in 2024 · #1361 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.

93797 compared with similar codes

Office rates for Merced, from the same CMS release.

93798

Cardiac rehabilitation

Continuous ECG monitoring

$27.44

Both describe outpatient cardiac rehabilitation sessions; 93797 is for a session without ECG monitoring, while 93798 is for one with monitoring.

G0422

Cardiac rehabilitation

Intensive program with exercise

$136.58

G0422 describes intensive cardiac rehabilitation with exercise. Use it for that program rather than a conventional session reported with 93797.

G0423

Cardiac rehabilitation

Without exercise

$136.58

G0423 describes intensive cardiac rehabilitation without exercise. It is distinct from a conventional cardiac rehabilitation session reported with 93797.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 93797 is $18.78—$0.04 higher than the $18.74 rate in Merced. Both use the same code, release and participation basis.

93797 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $18.74

  2. Bakersfield

    $18.78

    $0.04 higher than Merced

  3. Chico

    $18.74

    The same base rate than Merced

  4. El Centro

    $18.74

    The same base rate than Merced

  5. Fresno

    $18.74

    The same base rate than Merced

  6. Hanford-Corcoran

    $18.74

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $19.91

    $1.17 higher than Merced

Other payment areas listed in California 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, 93797 ranges from $15.94 in Arkansas to $23.23 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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

  • Madera

    California · 93797

    Office

    $18.74

    Facility

    $7.76

    The same base rate than Merced for the office setting.

  • Modesto

    California · 93797

    Office

    $18.74

    Facility

    $7.76

    The same base rate than Merced for the office setting.

  • Napa

    California · 93797

    Office

    $21.53

    Facility

    $8.32

    $2.79 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93797

    Office

    $19.81

    Facility

    $7.97

    $1.07 higher than Merced for the office setting.

  • Redding

    California · 93797

    Office

    $18.74

    Facility

    $7.76

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 93797

    Office

    $18.74

    Facility

    $7.76

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93797

    Office

    $18.85

    Facility

    $7.87

    $0.11 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93797

    Office

    $19.62

    Facility

    $7.96

    $0.88 higher than Merced for the office setting.

  • Salinas

    California · 93797

    Office

    $19.54

    Facility

    $7.93

    $0.80 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93797

    Office

    $19.96

    Facility

    $7.97

    $1.22 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93797

    Office

    $22.75

    Facility

    $8.62

    $4.01 higher than Merced for the office setting.

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

    California · 93797

    Office

    $22.74

    Facility

    $8.61

    $4.00 higher than Merced for the office setting.

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

    California · 93797

    Office

    $23.23

    Facility

    $8.78

    $4.49 higher than Merced for the office setting.

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

    California · 93797

    Office

    $23.18

    Facility

    $8.73

    $4.44 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93797

    Office

    $19.23

    Facility

    $7.82

    $0.49 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 93797

    Office

    $20.12

    Facility

    $7.94

    $1.38 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 93797

    Office

    $19.60

    Facility

    $7.92

    $0.86 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 93797

    Office

    $20.32

    Facility

    $8.01

    $1.58 higher than Merced for the office setting.

  • Stockton

    California · 93797

    Office

    $18.74

    Facility

    $7.76

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 93797

    Office

    $21.51

    Facility

    $8.31

    $2.77 higher than Merced for the office setting.

  • Visalia

    California · 93797

    Office

    $18.74

    Facility

    $7.76

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 93797

    Office

    $18.74

    Facility

    $7.76

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93797

    Office

    $20.09

    Facility

    $8.28

    $1.35 higher than Merced for the office setting.

  • Miami

    Florida · 93797

    Office

    $18.68

    Facility

    $8.25

    $0.06 lower than Merced for the office setting.

  • Chicago

    Illinois · 93797

    Office

    $18.23

    Facility

    $8.16

    $0.51 lower than Merced for the office setting.

  • Manhattan

    New York · 93797

    Office

    $20.12

    Facility

    $8.48

    $1.38 higher than Merced for the office setting.

  • Alaska*

    Alaska · 93797

    Office

    $21.30

    Facility

    $10.63

    $2.56 higher than Merced for the office setting.

  • Alabama

    Alabama · 93797

    Office

    $16.14

    Facility

    $7.37

    $2.60 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 93797

    Office

    $15.94

    Facility

    $7.33

    $2.80 lower than Merced for the office setting.

  • Arizona

    Arizona · 93797

    Office

    $17.30

    Facility

    $7.59

    $1.44 lower than Merced for the office setting.

  • Colorado

    Colorado · 93797

    Office

    $18.43

    Facility

    $7.77

    $0.31 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 93797

    Office

    $18.77

    Facility

    $7.98

    $0.03 higher than Merced for the office setting.

  • Delaware

    Delaware · 93797

    Office

    $17.56

    Facility

    $7.66

    $1.18 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 93797

    Office

    $18.12

    Facility

    $7.97

    $0.62 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 93797

    Office

    $17.37

    Facility

    $7.79

    $1.37 lower than Merced for the office setting.

  • Atlanta

    Georgia · 93797

    Office

    $17.97

    Facility

    $7.79

    $0.77 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 93797

    Office

    $16.54

    Facility

    $7.60

    $2.20 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 93797

    Office

    $19.12

    Facility

    $7.72

    $0.38 higher than Merced for the office setting.

  • Iowa

    Iowa · 93797

    Office

    $16.54

    Facility

    $7.37

    $2.20 lower than Merced for the office setting.

  • Idaho

    Idaho · 93797

    Office

    $16.62

    Facility

    $7.40

    $2.12 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 93797

    Office

    $17.13

    Facility

    $7.91

    $1.61 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 93797

    Office

    $16.90

    Facility

    $7.75

    $1.84 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 93797

    Office

    $18.31

    Facility

    $8.02

    $0.43 lower than Merced for the office setting.

  • Indiana

    Indiana · 93797

    Office

    $16.70

    Facility

    $7.41

    $2.04 lower than Merced for the office setting.

  • Kansas

    Kansas · 93797

    Office

    $16.45

    Facility

    $7.39

    $2.29 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 93797

    Office

    $16.41

    Facility

    $7.51

    $2.33 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 93797

    Office

    $17.08

    Facility

    $7.65

    $1.66 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 93797

    Office

    $16.38

    Facility

    $7.51

    $2.36 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 93797

    Office

    $20.12

    Facility

    $8.15

    $1.38 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93797

    Office

    $18.33

    Facility

    $7.78

    $0.41 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93797

    Office

    $18.71

    Facility

    $7.96

    $0.03 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 93797

    Office

    $17.87

    Facility

    $7.73

    $0.87 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 93797

    Office

    $16.67

    Facility

    $7.45

    $2.07 lower than Merced for the office setting.

  • Southern Maine

    Maine · 93797

    Office

    $17.48

    Facility

    $7.55

    $1.26 lower than Merced for the office setting.

  • Detroit

    Michigan · 93797

    Office

    $17.53

    Facility

    $7.86

    $1.21 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 93797

    Office

    $16.76

    Facility

    $7.61

    $1.98 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 93797

    Office

    $17.80

    Facility

    $7.49

    $0.94 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 93797

    Office

    $17.00

    Facility

    $7.59

    $1.74 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 93797

    Office

    $17.16

    Facility

    $7.62

    $1.58 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 93797

    Office

    $16.13

    Facility

    $7.49

    $2.61 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 93797

    Office

    $16.04

    Facility

    $7.41

    $2.70 lower than Merced for the office setting.

  • Montana**

    Montana · 93797

    Office

    $17.70

    Facility

    $7.68

    $1.04 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 93797

    Office

    $16.82

    Facility

    $7.47

    $1.92 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 93797

    Office

    $17.50

    Facility

    $7.48

    $1.24 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 93797

    Office

    $16.62

    Facility

    $7.37

    $2.12 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 93797

    Office

    $18.13

    Facility

    $7.70

    $0.61 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 93797

    Office

    $19.92

    Facility

    $8.30

    $1.18 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 93797

    Office

    $19.02

    Facility

    $8.08

    $0.28 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 93797

    Office

    $16.83

    Facility

    $7.64

    $1.91 lower than Merced for the office setting.

  • Nevada**

    Nevada · 93797

    Office

    $17.66

    Facility

    $7.63

    $1.08 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93797

    Office

    $20.52

    Facility

    $8.61

    $1.78 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93797

    Office

    $19.12

    Facility

    $8.15

    $0.38 higher than Merced for the office setting.

  • Queens

    New York · 93797

    Office

    $20.30

    Facility

    $8.46

    $1.56 higher than Merced for the office setting.

  • Rest Of New York

    New York · 93797

    Office

    $17.04

    Facility

    $7.52

    $1.70 lower than Merced for the office setting.

  • Ohio

    Ohio · 93797

    Office

    $16.72

    Facility

    $7.57

    $2.02 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 93797

    Office

    $16.41

    Facility

    $7.46

    $2.33 lower than Merced for the office setting.

  • Portland

    Oregon · 93797

    Office

    $18.97

    Facility

    $7.84

    $0.23 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 93797

    Office

    $17.56

    Facility

    $7.58

    $1.18 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93797

    Office

    $18.34

    Facility

    $7.91

    $0.40 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93797

    Office

    $16.75

    Facility

    $7.55

    $1.99 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 93797

    Office

    $17.82

    Facility

    $7.69

    $0.92 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 93797

    Office

    $18.16

    Facility

    $7.80

    $0.58 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 93797

    Office

    $16.79

    Facility

    $7.53

    $1.95 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 93797

    Office

    $17.48

    Facility

    $7.46

    $1.26 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 93797

    Office

    $16.51

    Facility

    $7.41

    $2.23 lower than Merced for the office setting.

  • Austin

    Texas · 93797

    Office

    $18.34

    Facility

    $7.73

    $0.40 lower than Merced for the office setting.

  • Beaumont

    Texas · 93797

    Office

    $16.66

    Facility

    $7.54

    $2.08 lower than Merced for the office setting.

  • Brazoria

    Texas · 93797

    Office

    $17.57

    Facility

    $7.64

    $1.17 lower than Merced for the office setting.

  • Dallas

    Texas · 93797

    Office

    $17.66

    Facility

    $7.68

    $1.08 lower than Merced for the office setting.

  • Fort Worth

    Texas · 93797

    Office

    $17.55

    Facility

    $7.67

    $1.19 lower than Merced for the office setting.

  • Galveston

    Texas · 93797

    Office

    $17.61

    Facility

    $7.66

    $1.13 lower than Merced for the office setting.

  • Houston

    Texas · 93797

    Office

    $17.80

    Facility

    $7.85

    $0.94 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 93797

    Office

    $17.09

    Facility

    $7.58

    $1.65 lower than Merced for the office setting.

  • Utah

    Utah · 93797

    Office

    $16.99

    Facility

    $7.57

    $1.75 lower than Merced for the office setting.

  • Virginia

    Virginia · 93797

    Office

    $17.41

    Facility

    $7.56

    $1.33 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93797

    Office

    $17.82

    Facility

    $7.69

    $0.92 lower than Merced for the office setting.

  • Vermont

    Vermont · 93797

    Office

    $17.42

    Facility

    $7.50

    $1.32 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 93797

    Office

    $18.30

    Facility

    $7.75

    $0.44 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 93797

    Office

    $20.52

    Facility

    $8.22

    $1.78 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 93797

    Office

    $16.99

    Facility

    $7.39

    $1.75 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 93797

    Office

    $16.36

    Facility

    $7.65

    $2.38 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 93797

    Office

    $17.62

    Facility

    $7.60

    $1.12 lower than Merced for the office setting.

See how rates vary across the country

93797 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate rangeLocalities
AK$21.301
AL$16.141
AR$15.941
AZ$17.301
CA$18.74–$23.2329
CO$18.431
CT$18.771
DC$20.091
DE$17.561
FL$17.37–$18.683
GA$16.54–$17.972
GU$19.121
HI$19.121
IA$16.541
ID$16.621
IL$16.90–$18.314
IN$16.701
KS$16.451
KY$16.411
LA$16.38–$17.082
MA$18.33–$20.122
MD$17.87–$20.093
ME$16.67–$17.482
MI$16.76–$17.532
MN$17.801
MO$16.13–$17.163
MS$16.041
MT$17.701
NC$16.821
ND$17.501
NE$16.621
NH$18.131
NJ$19.02–$19.922
NM$16.831
NV$17.661
NY$17.04–$20.525
OH$16.721
OK$16.411
OR$17.56–$18.972
PA$16.75–$18.342
PR$17.821
RI$18.161
SC$16.791
SD$17.481
TN$16.511
TX$16.66–$18.348
UT$16.991
VA$17.41–$20.092
VI$17.821
VT$17.421
WA$18.30–$20.522
WI$16.991
WV$16.361
WY$17.621

Explore 93797 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 93797 in Merced, the physician’s office rate is $18.74 and the facility-setting rate is $7.76: a difference of $10.98.

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 93797 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$20.61

$18.74 × 110% = $20.61

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.

Compare your contract offer →

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 93797 in Merced.

PPRRVU2026_Oct_nonQPP.csv

12,270

Code
93797
Physician work
0.18
Practice expense
0.34
Malpractice
0.01

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 93797 in Merced
ComponentRVULocality factorAdjusted
Physician work0.18× 1.0170.1831
Practice expense0.34× 1.0960.3726
Malpractice0.01× 0.5360.0054
Total RVUs0.5611
Conversion factor× 33.4009

Office / nonfacility rate, Merced$18.74

Open 93797 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.181.017
Practice expense0.341.096
Malpractice0.010.536

(0.18 × 1.017 + 0.34 × 1.096 + 0.01 × 0.536) × $33.4009 = $18.74

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.181.017
Practice expense0.041.096
Malpractice0.010.536

(0.18 × 1.017 + 0.04 × 1.096 + 0.01 × 0.536) × $33.4009 = $7.76

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

93797 · Office / nonfacility

$18.74

Effective 2026-10-01

The base rate is $1.34 higher than on 2025-10-01, moving from $17.40 to $18.74 (7.7%).

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

    $17.40changed to$18.74

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.32 changed to 0.34
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $17.40

    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$18.74$7.76RVU26D
2026-07-01$18.74$7.76RVU26C
2026-04-01$18.74$7.76RVU26B
2026-01-01$18.74$7.76RVU26A
2025-10-01$17.40$8.21RVU25D
2025-07-01$17.40$8.21RVU25C
2025-04-01$17.40$8.21RVU25B
2025-01-01$17.40$8.21RVU25A

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 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 93797PPRRVU2026_Oct_nonQPP.csv, line 12,270 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet