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CMS RVU26D · Effective 2026-10-01

93246 in Modesto

Office / nonfacility

$12.63

Base rate per service

Facility setting

Not available in this setting

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.

Cardiovascular monitoring

About 93246: Extended ECG recording, 8 to 15 days

Reports the recording component of extended ambulatory ECG monitoring lasting more than 7 days and up to 15 days, without interpretation.

Code 93246 represents the technical work of recording an ambulatory ECG over more than 7 days and up to 15 days. A clinician may order this longer monitoring period when symptoms such as intermittent palpitations or suspected episodic arrhythmia are not captured on a brief office ECG or shorter monitor. A monitoring technician or other qualified staff member typically connects the device, supports the recording, and removes it when monitoring ends, often in an outpatient setting.

Select the code by the documented monitoring duration, not by the number of symptoms or events captured. Documentation should support the recording period and the monitoring service performed. This code covers recording only; scanning analysis with a report is represented by 93247, and review and interpretation by 93248. Medicare applies the cardiovascular diagnostic multiple procedure reduction to the technical component when multiple covered cardiovascular diagnostic procedures are billed. The reduction affects the technical component, not the interpretation service.

CMS billing rules for 93246

Professional and technical components
Technical-component-only code: a separate code covers interpretation.
Multiple procedures
Cardiovascular diagnostic multiple procedure reduction applies to the technical component.

Where the value comes from

  • Work RVU0.00 · 0%
  • Practice expense (office) RVU0.34 · 97%
  • Malpractice RVU0.01 · 3%

150.1K

Medicare services in 2024 · #453 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.

93246 compared with similar codes

Office rates for Modesto, from the same CMS release.

93242

Ambulatory ECG recording

More than 48 hours, under 7 days

$12.63

Both report recording only, but 93242 is for monitoring lasting more than 48 hours through 7 days; 93246 is for a longer period, more than 7 days and up to 15 days.

93245

Extended ECG

More than 7 days

$315.21

93245 represents the comprehensive service for the more-than-7-day-to-15-day duration band. Code 93246 reports only its recording component.

93247

Extended ECG monitoring

Technical analysis, 8 to 15 days

$277.30

93246 covers recording; 93247 covers scanning analysis with a report for the same duration band.

93248

ECG monitoring

More than 7, less than 15 days

$25.29

93246 is the technical recording service, while 93248 represents review and interpretation of the extended ECG.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 93246 is $12.65—$0.02 higher than the $12.63 rate in Modesto. Both use the same code, release and participation basis.

93246 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $12.63

  2. $0.02 higher than Modesto

  3. Chico

    $12.63

    The same base rate than Modesto

  4. El Centro

    $12.63

    The same base rate than Modesto

  5. Fresno

    $12.63

    The same base rate than Modesto

  6. The same base rate than Modesto

  7. $1.03 higher than Modesto

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, 93246 ranges from $9.93 in Arkansas to $16.55 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 · 93246

    Office

    $12.63

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 93246

    Office

    $12.63

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 93246

    Office

    $15.14

    Facility

    Unavailable

    $2.51 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93246

    Office

    $13.63

    Facility

    Unavailable

    $1.00 higher than Modesto for the office setting.

  • Redding

    California · 93246

    Office

    $12.63

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 93246

    Office

    $12.63

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93246

    Office

    $12.73

    Facility

    Unavailable

    $0.10 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93246

    Office

    $13.39

    Facility

    Unavailable

    $0.76 higher than Modesto for the office setting.

  • Salinas

    California · 93246

    Office

    $13.34

    Facility

    Unavailable

    $0.71 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93246

    Office

    $13.76

    Facility

    Unavailable

    $1.13 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93246

    Office

    $16.17

    Facility

    Unavailable

    $3.54 higher than Modesto for the office setting.

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

    California · 93246

    Office

    $16.15

    Facility

    Unavailable

    $3.52 higher than Modesto for the office setting.

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

    California · 93246

    Office

    $16.55

    Facility

    Unavailable

    $3.92 higher than Modesto for the office setting.

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

    California · 93246

    Office

    $16.51

    Facility

    Unavailable

    $3.88 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93246

    Office

    $13.11

    Facility

    Unavailable

    $0.48 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 93246

    Office

    $13.98

    Facility

    Unavailable

    $1.35 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 93246

    Office

    $13.42

    Facility

    Unavailable

    $0.79 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 93246

    Office

    $14.12

    Facility

    Unavailable

    $1.49 higher than Modesto for the office setting.

  • Stockton

    California · 93246

    Office

    $12.63

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 93246

    Office

    $15.12

    Facility

    Unavailable

    $2.49 higher than Modesto for the office setting.

  • Visalia

    California · 93246

    Office

    $12.63

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 93246

    Office

    $12.63

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93246

    Office

    $13.75

    Facility

    Unavailable

    $1.12 higher than Modesto for the office setting.

  • Miami

    Florida · 93246

    Office

    $12.67

    Facility

    Unavailable

    $0.04 higher than Modesto for the office setting.

  • Chicago

    Illinois · 93246

    Office

    $12.18

    Facility

    Unavailable

    $0.45 lower than Modesto for the office setting.

  • Manhattan

    New York · 93246

    Office

    $13.73

    Facility

    Unavailable

    $1.10 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 93246

    Office

    $12.28

    Facility

    Unavailable

    $0.35 lower than Modesto for the office setting.

  • Alabama

    Alabama · 93246

    Office

    $10.13

    Facility

    Unavailable

    $2.50 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 93246

    Office

    $9.93

    Facility

    Unavailable

    $2.70 lower than Modesto for the office setting.

  • Arizona

    Arizona · 93246

    Office

    $11.29

    Facility

    Unavailable

    $1.34 lower than Modesto for the office setting.

  • Colorado

    Colorado · 93246

    Office

    $12.34

    Facility

    Unavailable

    $0.29 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 93246

    Office

    $12.63

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Delaware

    Delaware · 93246

    Office

    $11.52

    Facility

    Unavailable

    $1.11 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 93246

    Office

    $12.11

    Facility

    Unavailable

    $0.52 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 93246

    Office

    $11.36

    Facility

    Unavailable

    $1.27 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 93246

    Office

    $11.94

    Facility

    Unavailable

    $0.69 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 93246

    Office

    $10.53

    Facility

    Unavailable

    $2.10 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 93246

    Office

    $13.11

    Facility

    Unavailable

    $0.48 higher than Modesto for the office setting.

  • Iowa

    Iowa · 93246

    Office

    $10.52

    Facility

    Unavailable

    $2.11 lower than Modesto for the office setting.

  • Idaho

    Idaho · 93246

    Office

    $10.61

    Facility

    Unavailable

    $2.02 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 93246

    Office

    $11.12

    Facility

    Unavailable

    $1.51 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 93246

    Office

    $10.89

    Facility

    Unavailable

    $1.74 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 93246

    Office

    $12.25

    Facility

    Unavailable

    $0.38 lower than Modesto for the office setting.

  • Indiana

    Indiana · 93246

    Office

    $10.69

    Facility

    Unavailable

    $1.94 lower than Modesto for the office setting.

  • Kansas

    Kansas · 93246

    Office

    $10.43

    Facility

    Unavailable

    $2.20 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 93246

    Office

    $10.40

    Facility

    Unavailable

    $2.23 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 93246

    Office

    $11.07

    Facility

    Unavailable

    $1.56 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 93246

    Office

    $10.37

    Facility

    Unavailable

    $2.26 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 93246

    Office

    $13.86

    Facility

    Unavailable

    $1.23 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93246

    Office

    $12.22

    Facility

    Unavailable

    $0.41 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93246

    Office

    $12.60

    Facility

    Unavailable

    $0.03 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 93246

    Office

    $11.80

    Facility

    Unavailable

    $0.83 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 93246

    Office

    $10.66

    Facility

    Unavailable

    $1.97 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 93246

    Office

    $11.46

    Facility

    Unavailable

    $1.17 lower than Modesto for the office setting.

  • Detroit

    Michigan · 93246

    Office

    $11.52

    Facility

    Unavailable

    $1.11 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 93246

    Office

    $10.75

    Facility

    Unavailable

    $1.88 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 93246

    Office

    $11.78

    Facility

    Unavailable

    $0.85 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 93246

    Office

    $10.99

    Facility

    Unavailable

    $1.64 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 93246

    Office

    $11.15

    Facility

    Unavailable

    $1.48 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 93246

    Office

    $10.11

    Facility

    Unavailable

    $2.52 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 93246

    Office

    $10.02

    Facility

    Unavailable

    $2.61 lower than Modesto for the office setting.

  • Montana**

    Montana · 93246

    Office

    $11.69

    Facility

    Unavailable

    $0.94 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 93246

    Office

    $10.81

    Facility

    Unavailable

    $1.82 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 93246

    Office

    $11.49

    Facility

    Unavailable

    $1.14 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 93246

    Office

    $10.61

    Facility

    Unavailable

    $2.02 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 93246

    Office

    $12.11

    Facility

    Unavailable

    $0.52 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 93246

    Office

    $13.53

    Facility

    Unavailable

    $0.90 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 93246

    Office

    $12.77

    Facility

    Unavailable

    $0.14 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 93246

    Office

    $10.81

    Facility

    Unavailable

    $1.82 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 93246

    Office

    $11.65

    Facility

    Unavailable

    $0.98 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93246

    Office

    $14.12

    Facility

    Unavailable

    $1.49 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93246

    Office

    $12.84

    Facility

    Unavailable

    $0.21 higher than Modesto for the office setting.

  • Queens

    New York · 93246

    Office

    $13.90

    Facility

    Unavailable

    $1.27 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 93246

    Office

    $11.02

    Facility

    Unavailable

    $1.61 lower than Modesto for the office setting.

  • Ohio

    Ohio · 93246

    Office

    $10.70

    Facility

    Unavailable

    $1.93 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 93246

    Office

    $10.40

    Facility

    Unavailable

    $2.23 lower than Modesto for the office setting.

  • Portland

    Oregon · 93246

    Office

    $12.87

    Facility

    Unavailable

    $0.24 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 93246

    Office

    $11.55

    Facility

    Unavailable

    $1.08 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93246

    Office

    $12.22

    Facility

    Unavailable

    $0.41 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93246

    Office

    $10.74

    Facility

    Unavailable

    $1.89 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 93246

    Office

    $11.81

    Facility

    Unavailable

    $0.82 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 93246

    Office

    $12.03

    Facility

    Unavailable

    $0.60 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 93246

    Office

    $10.78

    Facility

    Unavailable

    $1.85 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 93246

    Office

    $11.47

    Facility

    Unavailable

    $1.16 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 93246

    Office

    $10.50

    Facility

    Unavailable

    $2.13 lower than Modesto for the office setting.

  • Austin

    Texas · 93246

    Office

    $12.31

    Facility

    Unavailable

    $0.32 lower than Modesto for the office setting.

  • Beaumont

    Texas · 93246

    Office

    $10.64

    Facility

    Unavailable

    $1.99 lower than Modesto for the office setting.

  • Brazoria

    Texas · 93246

    Office

    $11.51

    Facility

    Unavailable

    $1.12 lower than Modesto for the office setting.

  • Dallas

    Texas · 93246

    Office

    $11.60

    Facility

    Unavailable

    $1.03 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 93246

    Office

    $11.49

    Facility

    Unavailable

    $1.14 lower than Modesto for the office setting.

  • Galveston

    Texas · 93246

    Office

    $11.55

    Facility

    Unavailable

    $1.08 lower than Modesto for the office setting.

  • Houston

    Texas · 93246

    Office

    $11.74

    Facility

    Unavailable

    $0.89 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 93246

    Office

    $11.08

    Facility

    Unavailable

    $1.55 lower than Modesto for the office setting.

  • Utah

    Utah · 93246

    Office

    $10.97

    Facility

    Unavailable

    $1.66 lower than Modesto for the office setting.

  • Virginia

    Virginia · 93246

    Office

    $11.40

    Facility

    Unavailable

    $1.23 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93246

    Office

    $11.81

    Facility

    Unavailable

    $0.82 lower than Modesto for the office setting.

  • Vermont

    Vermont · 93246

    Office

    $11.41

    Facility

    Unavailable

    $1.22 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 93246

    Office

    $12.21

    Facility

    Unavailable

    $0.42 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 93246

    Office

    $14.21

    Facility

    Unavailable

    $1.58 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 93246

    Office

    $10.98

    Facility

    Unavailable

    $1.65 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 93246

    Office

    $10.35

    Facility

    Unavailable

    $2.28 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 93246

    Office

    $11.60

    Facility

    Unavailable

    $1.03 lower than Modesto for the office setting.

See how rates vary across the country

93246 · 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.

$9.93

$14.59

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$12.281
AL$10.131
AR$9.931
AZ$11.291
CA$12.63–$16.5529
CO$12.341
CT$12.631
DC$13.751
DE$11.521
FL$11.36–$12.673
GA$10.53–$11.942
GU$13.111
HI$13.111
IA$10.521
ID$10.611
IL$10.89–$12.254
IN$10.691
KS$10.431
KY$10.401
LA$10.37–$11.072
MA$12.22–$13.862
MD$11.80–$13.753
ME$10.66–$11.462
MI$10.75–$11.522
MN$11.781
MO$10.11–$11.153
MS$10.021
MT$11.691
NC$10.811
ND$11.491
NE$10.611
NH$12.111
NJ$12.77–$13.532
NM$10.811
NV$11.651
NY$11.02–$14.125
OH$10.701
OK$10.401
OR$11.55–$12.872
PA$10.74–$12.222
PR$11.811
RI$12.031
SC$10.781
SD$11.471
TN$10.501
TX$10.64–$12.318
UT$10.971
VA$11.40–$13.752
VI$11.811
VT$11.411
WA$12.21–$14.212
WI$10.981
WV$10.351
WY$11.601

Explore 93246 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93246 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$13.89

$12.63 × 110% = $13.89

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 93246 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

11,969

Code
93246
Physician work
0.00
Practice expense
0.34
Malpractice
0.01

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 93246 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0170.0000
Practice expense0.34× 1.0960.3726
Malpractice0.01× 0.5360.0054
Total RVUs0.3780
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$12.63

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

Open 93246 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.017
Practice expense0.341.096
Malpractice0.010.536

(0 × 1.017 + 0.34 × 1.096 + 0.01 × 0.536) × $33.4009 = $12.63

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

93246 · Office / nonfacility

$12.63

Effective 2026-10-01

The base rate is $0.43 higher than on 2025-10-01, moving from $12.20 to $12.63 (3.5%).

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

    $12.20changed to$12.63

    • Conversion factor 32.3465 changed to 33.4009
    • 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: $12.20

    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$12.63Not available in this settingRVU26D
2026-07-01$12.63Not available in this settingRVU26C
2026-04-01$12.63Not available in this settingRVU26B
2026-01-01$12.63Not available in this settingRVU26A
2025-10-01$12.20Not available in this settingRVU25D
2025-07-01$12.20Not available in this settingRVU25C
2025-04-01$12.20Not available in this settingRVU25B
2025-01-01$12.20Not available in this settingRVU25A

93246 billing questions

When should 93246 be selected instead of 93242?

Use 93246 for recording lasting more than 7 days and up to 15 days. Code 93242 is the recording-only service for the shorter, more-than-48-hour-to-7-day duration.

Does 93246 include ECG analysis and interpretation?

No. It represents recording only; scanning analysis with a report is represented by 93247, and physician review and interpretation by 93248.

Should modifier 26 be appended for the interpreting clinician?

No. Code 93246 is the technical recording service, not a professional interpretation code. Report the interpretation under 93248 when performed.

What documentation supports reporting 93246?

Document the monitoring start and end or total recording duration, along with the recording service performed. The record should support a period longer than 7 days and no longer than 15 days.

How does the cardiovascular diagnostic multiple procedure reduction affect 93246?

When Medicare's cardiovascular diagnostic multiple procedure reduction applies, it reduces payment for the technical component. Code 93246 represents that technical recording component.

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 93246PPRRVU2026_Oct_nonQPP.csv, line 11,969 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)