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CMS RVU26D · Effective 2026-10-01

93025 in Salinas

Office / nonfacility

$153.60

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 diagnostic testing

About 93025: Microvolt T-wave alternans assessment

Reports specialized ECG analysis of microvolt-level T-wave alternation to assess ventricular arrhythmia risk, often using a controlled exercise protocol.

This specialized ECG test detects tiny beat-to-beat changes in the T wave that can help assess risk for ventricular arrhythmias. It is commonly performed in cardiology or electrophysiology settings with high-resolution ECG equipment and analysis software, often while the patient exercises under a controlled protocol. The service includes analysis and a clinical interpretation rather than routine ECG tracing alone.

Report the test when microvolt T-wave alternans analysis is performed for ventricular arrhythmia risk assessment. Documentation should support the clinical indication, testing method, data obtained, and interpretation, including the result and any limitations affecting interpretation. The service may be billed globally when one entity provides both portions, or split with modifier 26 for interpretation and modifier TC for equipment and staff. CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component.

CMS billing rules for 93025

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
Multiple procedures
Cardiovascular diagnostic multiple procedure reduction applies to the technical component.

Where the value comes from

  • Work RVU0.73 · 18%
  • Practice expense (office) RVU3.30 · 81%
  • Malpractice RVU0.04 · 1%

66

Medicare services in 2024 · #5183 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.

93025 compared with similar codes

Office rates for Salinas, from the same CMS release.

93000

Electrocardiogram (ECG)

Complete: tracing plus interpretation

$16.66

93000 covers a conventional ECG with tracing and interpretation. Use 93025 for specialized microvolt T-wave alternans analysis directed at ventricular arrhythmia risk.

93015

Cardiac stress test

Global: supervision, tracing, interpretation

$81.21

93015 reports a cardiovascular exercise stress test with supervision, interpretation, and report. Exercise may be part of T-wave alternans testing, but the services address different analyses.

93024

Ergonovine test

Coronary spasm provocation

$126.84

93024 concerns an ergonovine provocation test. It evaluates a different cardiac question and is not a T-wave alternans risk assessment.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 93025 is $146.46—$7.14 lower than the $153.60 rate in Salinas. Both use the same code, release and participation basis.

93025 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $153.60

  2. $7.14 lower than Salinas

  3. Chico

    $146.32

    $7.28 lower than Salinas

  4. El Centro

    $146.32

    $7.28 lower than Salinas

  5. Fresno

    $146.32

    $7.28 lower than Salinas

  6. $7.28 lower than Salinas

  7. $3.06 higher than Salinas

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, 93025 ranges from $119.75 in Arkansas to $186.72 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 · 93025

    Office

    $146.32

    Facility

    Unavailable

    $7.28 lower than Salinas for the office setting.

  • Merced

    California · 93025

    Office

    $146.32

    Facility

    Unavailable

    $7.28 lower than Salinas for the office setting.

  • Modesto

    California · 93025

    Office

    $146.32

    Facility

    Unavailable

    $7.28 lower than Salinas for the office setting.

  • Napa

    California · 93025

    Office

    $171.87

    Facility

    Unavailable

    $18.27 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93025

    Office

    $156.18

    Facility

    Unavailable

    $2.58 higher than Salinas for the office setting.

  • Redding

    California · 93025

    Office

    $146.32

    Facility

    Unavailable

    $7.28 lower than Salinas for the office setting.

  • Rest Of California

    California · 93025

    Office

    $146.32

    Facility

    Unavailable

    $7.28 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93025

    Office

    $146.77

    Facility

    Unavailable

    $6.83 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93025

    Office

    $154.17

    Facility

    Unavailable

    $0.57 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93025

    Office

    $157.66

    Facility

    Unavailable

    $4.06 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93025

    Office

    $182.73

    Facility

    Unavailable

    $29.13 higher than Salinas for the office setting.

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

    California · 93025

    Office

    $182.68

    Facility

    Unavailable

    $29.08 higher than Salinas for the office setting.

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

    California · 93025

    Office

    $186.72

    Facility

    Unavailable

    $33.12 higher than Salinas for the office setting.

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

    California · 93025

    Office

    $186.54

    Facility

    Unavailable

    $32.94 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93025

    Office

    $151.06

    Facility

    Unavailable

    $2.54 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 93025

    Office

    $159.53

    Facility

    Unavailable

    $5.93 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 93025

    Office

    $154.30

    Facility

    Unavailable

    $0.70 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 93025

    Office

    $161.18

    Facility

    Unavailable

    $7.58 higher than Salinas for the office setting.

  • Stockton

    California · 93025

    Office

    $146.32

    Facility

    Unavailable

    $7.28 lower than Salinas for the office setting.

  • Vallejo

    California · 93025

    Office

    $171.81

    Facility

    Unavailable

    $18.21 higher than Salinas for the office setting.

  • Visalia

    California · 93025

    Office

    $146.32

    Facility

    Unavailable

    $7.28 lower than Salinas for the office setting.

  • Yuba City

    California · 93025

    Office

    $146.32

    Facility

    Unavailable

    $7.28 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93025

    Office

    $157.03

    Facility

    Unavailable

    $3.43 higher than Salinas for the office setting.

  • Miami

    Florida · 93025

    Office

    $142.50

    Facility

    Unavailable

    $11.10 lower than Salinas for the office setting.

  • Chicago

    Illinois · 93025

    Office

    $138.39

    Facility

    Unavailable

    $15.21 lower than Salinas for the office setting.

  • Manhattan

    New York · 93025

    Office

    $156.14

    Facility

    Unavailable

    $2.54 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 93025

    Office

    $154.70

    Facility

    Unavailable

    $1.10 higher than Salinas for the office setting.

  • Alabama

    Alabama · 93025

    Office

    $121.58

    Facility

    Unavailable

    $32.02 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 93025

    Office

    $119.75

    Facility

    Unavailable

    $33.85 lower than Salinas for the office setting.

  • Arizona

    Arizona · 93025

    Office

    $132.33

    Facility

    Unavailable

    $21.27 lower than Salinas for the office setting.

  • Colorado

    Colorado · 93025

    Office

    $143.00

    Facility

    Unavailable

    $10.60 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 93025

    Office

    $145.20

    Facility

    Unavailable

    $8.40 lower than Salinas for the office setting.

  • Delaware

    Delaware · 93025

    Office

    $134.61

    Facility

    Unavailable

    $18.99 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 93025

    Office

    $138.45

    Facility

    Unavailable

    $15.15 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 93025

    Office

    $131.76

    Facility

    Unavailable

    $21.84 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 93025

    Office

    $138.05

    Facility

    Unavailable

    $15.55 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 93025

    Office

    $124.29

    Facility

    Unavailable

    $29.31 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 93025

    Office

    $150.48

    Facility

    Unavailable

    $3.12 lower than Salinas for the office setting.

  • Iowa

    Iowa · 93025

    Office

    $125.77

    Facility

    Unavailable

    $27.83 lower than Salinas for the office setting.

  • Idaho

    Idaho · 93025

    Office

    $126.42

    Facility

    Unavailable

    $27.18 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 93025

    Office

    $128.48

    Facility

    Unavailable

    $25.12 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 93025

    Office

    $127.10

    Facility

    Unavailable

    $26.50 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 93025

    Office

    $140.12

    Facility

    Unavailable

    $13.48 lower than Salinas for the office setting.

  • Indiana

    Indiana · 93025

    Office

    $127.21

    Facility

    Unavailable

    $26.39 lower than Salinas for the office setting.

  • Kansas

    Kansas · 93025

    Office

    $124.70

    Facility

    Unavailable

    $28.90 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 93025

    Office

    $123.59

    Facility

    Unavailable

    $30.01 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 93025

    Office

    $129.62

    Facility

    Unavailable

    $23.98 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 93025

    Office

    $123.21

    Facility

    Unavailable

    $30.39 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 93025

    Office

    $158.18

    Facility

    Unavailable

    $4.58 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93025

    Office

    $141.90

    Facility

    Unavailable

    $11.70 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93025

    Office

    $144.69

    Facility

    Unavailable

    $8.91 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 93025

    Office

    $137.40

    Facility

    Unavailable

    $16.20 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 93025

    Office

    $126.62

    Facility

    Unavailable

    $26.98 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 93025

    Office

    $134.46

    Facility

    Unavailable

    $19.14 lower than Salinas for the office setting.

  • Detroit

    Michigan · 93025

    Office

    $133.00

    Facility

    Unavailable

    $20.60 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 93025

    Office

    $126.52

    Facility

    Unavailable

    $27.08 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 93025

    Office

    $138.20

    Facility

    Unavailable

    $15.40 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 93025

    Office

    $129.19

    Facility

    Unavailable

    $24.41 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 93025

    Office

    $130.65

    Facility

    Unavailable

    $22.95 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 93025

    Office

    $120.70

    Facility

    Unavailable

    $32.90 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 93025

    Office

    $120.27

    Facility

    Unavailable

    $33.33 lower than Salinas for the office setting.

  • Montana**

    Montana · 93025

    Office

    $135.94

    Facility

    Unavailable

    $17.66 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 93025

    Office

    $128.07

    Facility

    Unavailable

    $25.53 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 93025

    Office

    $135.15

    Facility

    Unavailable

    $18.45 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 93025

    Office

    $126.62

    Facility

    Unavailable

    $26.98 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 93025

    Office

    $140.29

    Facility

    Unavailable

    $13.31 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 93025

    Office

    $155.20

    Facility

    Unavailable

    $1.60 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 93025

    Office

    $147.19

    Facility

    Unavailable

    $6.41 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 93025

    Office

    $127.06

    Facility

    Unavailable

    $26.54 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 93025

    Office

    $135.83

    Facility

    Unavailable

    $17.77 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93025

    Office

    $159.48

    Facility

    Unavailable

    $5.88 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93025

    Office

    $147.79

    Facility

    Unavailable

    $5.81 lower than Salinas for the office setting.

  • Queens

    New York · 93025

    Office

    $158.15

    Facility

    Unavailable

    $4.55 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 93025

    Office

    $130.03

    Facility

    Unavailable

    $23.57 lower than Salinas for the office setting.

  • Ohio

    Ohio · 93025

    Office

    $126.36

    Facility

    Unavailable

    $27.24 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 93025

    Office

    $123.85

    Facility

    Unavailable

    $29.75 lower than Salinas for the office setting.

  • Portland

    Oregon · 93025

    Office

    $148.22

    Facility

    Unavailable

    $5.38 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 93025

    Office

    $135.10

    Facility

    Unavailable

    $18.50 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93025

    Office

    $141.16

    Facility

    Unavailable

    $12.44 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93025

    Office

    $126.83

    Facility

    Unavailable

    $26.77 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 93025

    Office

    $137.13

    Facility

    Unavailable

    $16.47 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 93025

    Office

    $139.90

    Facility

    Unavailable

    $13.70 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 93025

    Office

    $127.36

    Facility

    Unavailable

    $26.24 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 93025

    Office

    $135.05

    Facility

    Unavailable

    $18.55 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 93025

    Office

    $125.29

    Facility

    Unavailable

    $28.31 lower than Salinas for the office setting.

  • Austin

    Texas · 93025

    Office

    $142.23

    Facility

    Unavailable

    $11.37 lower than Salinas for the office setting.

  • Beaumont

    Texas · 93025

    Office

    $125.93

    Facility

    Unavailable

    $27.67 lower than Salinas for the office setting.

  • Brazoria

    Texas · 93025

    Office

    $134.85

    Facility

    Unavailable

    $18.75 lower than Salinas for the office setting.

  • Dallas

    Texas · 93025

    Office

    $135.53

    Facility

    Unavailable

    $18.07 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 93025

    Office

    $134.45

    Facility

    Unavailable

    $19.15 lower than Salinas for the office setting.

  • Galveston

    Texas · 93025

    Office

    $135.14

    Facility

    Unavailable

    $18.46 lower than Salinas for the office setting.

  • Houston

    Texas · 93025

    Office

    $135.87

    Facility

    Unavailable

    $17.73 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 93025

    Office

    $130.19

    Facility

    Unavailable

    $23.41 lower than Salinas for the office setting.

  • Utah

    Utah · 93025

    Office

    $129.19

    Facility

    Unavailable

    $24.41 lower than Salinas for the office setting.

  • Virginia

    Virginia · 93025

    Office

    $133.68

    Facility

    Unavailable

    $19.92 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93025

    Office

    $137.13

    Facility

    Unavailable

    $16.47 lower than Salinas for the office setting.

  • Vermont

    Vermont · 93025

    Office

    $134.18

    Facility

    Unavailable

    $19.42 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 93025

    Office

    $141.78

    Facility

    Unavailable

    $11.82 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 93025

    Office

    $161.94

    Facility

    Unavailable

    $8.34 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 93025

    Office

    $130.39

    Facility

    Unavailable

    $23.21 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 93025

    Office

    $122.08

    Facility

    Unavailable

    $31.52 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 93025

    Office

    $135.59

    Facility

    Unavailable

    $18.01 lower than Salinas for the office setting.

See how rates vary across the country

93025 · 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.

$119.75

$166.52

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$154.701
AL$121.581
AR$119.751
AZ$132.331
CA$146.32–$186.7229
CO$143.001
CT$145.201
DC$157.031
DE$134.611
FL$131.76–$142.503
GA$124.29–$138.052
GU$150.481
HI$150.481
IA$125.771
ID$126.421
IL$127.10–$140.124
IN$127.211
KS$124.701
KY$123.591
LA$123.21–$129.622
MA$141.90–$158.182
MD$137.40–$157.033
ME$126.62–$134.462
MI$126.52–$133.002
MN$138.201
MO$120.70–$130.653
MS$120.271
MT$135.941
NC$128.071
ND$135.151
NE$126.621
NH$140.291
NJ$147.19–$155.202
NM$127.061
NV$135.831
NY$130.03–$159.485
OH$126.361
OK$123.851
OR$135.10–$148.222
PA$126.83–$141.162
PR$137.131
RI$139.901
SC$127.361
SD$135.051
TN$125.291
TX$125.93–$142.238
UT$129.191
VA$133.68–$157.032
VI$137.131
VT$134.181
WA$141.78–$161.942
WI$130.391
WV$122.081
WY$135.591

Explore 93025 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 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 93025 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$168.96

$153.60 × 110% = $168.96

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 93025 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

11,943

Code
93025
Physician work
0.73
Practice expense
3.30
Malpractice
0.04

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 93025 in Salinas
ComponentRVULocality factorAdjusted
Physician work0.73× 1.0310.7526
Practice expense3.30× 1.1593.8247
Malpractice0.04× 0.5360.0214
Total RVUs4.5988
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$153.60

Open 93025 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.731.031
Practice expense3.31.159
Malpractice0.040.536

(0.73 × 1.031 + 3.3 × 1.159 + 0.04 × 0.536) × $33.4009 = $153.60

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

93025 · Office / nonfacility

$153.60

Effective 2026-10-01

The base rate is $13.21 higher than on 2025-10-01, moving from $140.39 to $153.60 (9.4%).

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

    $140.39changed to$153.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.75 changed to 0.73
    • Practice expense RVU 3.04 changed to 3.30
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $140.39

    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$153.60Not available in this settingRVU26D
2026-07-01$153.60Not available in this settingRVU26C
2026-04-01$153.60Not available in this settingRVU26B
2026-01-01$153.60Not available in this settingRVU26A
2025-10-01$140.39Not available in this settingRVU25D
2025-07-01$140.39Not available in this settingRVU25C
2025-04-01$140.39Not available in this settingRVU25B
2025-01-01$140.39Not available in this settingRVU25A

93025 billing questions

How does this differ from a standard ECG?

This test analyzes subtle beat-to-beat T-wave changes for ventricular arrhythmia risk. A standard ECG records and interprets conventional cardiac electrical activity.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the interpretation, and modifier TC identifies the technical portion; billing without either modifier represents the global service.

Which portion is subject to the multiple procedure reduction?

CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component.

What should the record include?

Document the reason for arrhythmia risk assessment, the testing method, the data and result, and the interpreting clinician's assessment.

Is this the same service as an exercise stress test?

No. Exercise may be used to obtain the T-wave alternans data, while a stress test evaluates the cardiovascular response to exercise. Report a separate stress-test service only when that distinct service is performed and documented.

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 93025PPRRVU2026_Oct_nonQPP.csv, line 11,943 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)