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CMS RVU26D · Effective 2026-10-01

93227 in Wyoming**

Office / nonfacility

$17.62

Base rate per service

Facility setting

$17.62

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

About 93227: Holter monitor interpretation and report

Reports a physician’s interpretation of ambulatory ECG data from a recording under 48 hours, commonly used to evaluate intermittent rhythm symptoms.

A physician reviews and interprets ambulatory electrocardiographic data collected during a short-term Holter recording, then documents the findings in a report. The test may be ordered for symptoms such as palpitations, dizziness, or suspected intermittent arrhythmia when a continuous ECG recording can help assess cardiac rhythm over the monitoring period. Cardiologists and other qualified practitioners who interpret ECG studies typically perform this professional service.

Report 93227 for the interpretation and report portion of the under-48-hour study, not for the recording or computerized scanning and analysis work. The record should support the monitoring period, the physician’s review of the tracing, relevant rhythm findings, and the resulting interpretation. CMS identifies 93227 as a professional-component-only code; the technical work is represented separately, including recording with 93225 and scanning analysis with 93226. Code 93224 represents the complete service when its components are reported together.

CMS billing rules for 93227

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

Where the value comes from

  • Work RVU0.38 · 72%
  • Practice expense (office) RVU0.14 · 26%
  • Malpractice RVU0.01 · 2%

151.3K

Medicare services in 2024 · #450 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.

93227 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

93224

Holter monitoring

Up to 48 hours

$70.22

93224 represents the complete under-48-hour service, while 93227 reports only physician interpretation and the report.

93226

Holter analysis

Less than 48 hours

$34.65

93226 covers scanning analysis of the recorded data. 93227 is the physician’s interpretation and report.

93244

Extended ECG

Review and interpretation

$22.54

93244 applies to interpretation of an extended recording lasting more than 48 hours and up to seven days; 93227 is for the shorter service.

93272

Event monitor

Interpretation only

$23.54

93272 is the interpretation code for a remote event-monitor service. 93227 applies to interpretation of a short-term Holter recording.

The same code, a different location

How does Wyoming** compare?

93227 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $17.62

  2. $1.35 higher than Wyoming**

  3. $1.64 higher than Wyoming**

  4. Miami

    $18.40

    $0.78 higher than Wyoming**

  5. Chicago

    $18.25

    $0.63 higher than Wyoming**

  6. Manhattan

    $19.47

    $1.85 higher than Wyoming**

  7. Alaska*

    $24.20

    $6.58 higher than Wyoming**

Other payment areas listed in Wyoming 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, 93227 ranges from $16.88 in Arkansas to $24.20 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
  • Alabama

    Alabama · 93227

    Office

    $16.97

    Facility

    $16.97

    $0.65 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 93227

    Office

    $16.88

    Facility

    $16.88

    $0.74 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 93227

    Office

    $17.51

    Facility

    $17.51

    $0.11 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 93227

    Office

    $18.26

    Facility

    $18.26

    $0.64 higher than Wyoming** for the office setting.

  • Chico

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • El Centro

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Fresno

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Madera

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Merced

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Modesto

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Napa

    California · 93227

    Office

    $19.82

    Facility

    $19.82

    $2.20 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93227

    Office

    $18.78

    Facility

    $18.78

    $1.16 higher than Wyoming** for the office setting.

  • Redding

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93227

    Office

    $18.33

    Facility

    $18.33

    $0.71 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93227

    Office

    $18.77

    Facility

    $18.77

    $1.15 higher than Wyoming** for the office setting.

  • Salinas

    California · 93227

    Office

    $18.68

    Facility

    $18.68

    $1.06 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93227

    Office

    $18.85

    Facility

    $18.85

    $1.23 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93227

    Office

    $20.64

    Facility

    $20.64

    $3.02 higher than Wyoming** for the office setting.

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

    California · 93227

    Office

    $20.63

    Facility

    $20.63

    $3.01 higher than Wyoming** for the office setting.

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

    California · 93227

    Office

    $21.01

    Facility

    $21.01

    $3.39 higher than Wyoming** for the office setting.

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

    California · 93227

    Office

    $20.96

    Facility

    $20.96

    $3.34 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93227

    Office

    $18.41

    Facility

    $18.41

    $0.79 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 93227

    Office

    $18.82

    Facility

    $18.82

    $1.20 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 93227

    Office

    $18.68

    Facility

    $18.68

    $1.06 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 93227

    Office

    $18.99

    Facility

    $18.99

    $1.37 higher than Wyoming** for the office setting.

  • Stockton

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Vallejo

    California · 93227

    Office

    $19.81

    Facility

    $19.81

    $2.19 higher than Wyoming** for the office setting.

  • Visalia

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Yuba City

    California · 93227

    Office

    $18.21

    Facility

    $18.21

    $0.59 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 93227

    Office

    $18.08

    Facility

    $18.08

    $0.46 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 93227

    Office

    $18.39

    Facility

    $18.39

    $0.77 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 93227

    Office

    $17.68

    Facility

    $17.68

    $0.06 higher than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 93227

    Office

    $18.03

    Facility

    $18.03

    $0.41 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 93227

    Office

    $17.66

    Facility

    $17.66

    $0.04 higher than Wyoming** for the office setting.

  • Atlanta

    Georgia · 93227

    Office

    $17.88

    Facility

    $17.88

    $0.26 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 93227

    Office

    $17.26

    Facility

    $17.26

    $0.36 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 93227

    Office

    $18.20

    Facility

    $18.20

    $0.58 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 93227

    Office

    $17.10

    Facility

    $17.10

    $0.52 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 93227

    Office

    $17.15

    Facility

    $17.15

    $0.47 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 93227

    Office

    $17.67

    Facility

    $17.67

    $0.05 higher than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 93227

    Office

    $17.48

    Facility

    $17.48

    $0.14 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 93227

    Office

    $18.18

    Facility

    $18.18

    $0.56 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 93227

    Office

    $17.19

    Facility

    $17.19

    $0.43 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 93227

    Office

    $17.09

    Facility

    $17.09

    $0.53 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 93227

    Office

    $17.16

    Facility

    $17.16

    $0.46 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 93227

    Office

    $17.47

    Facility

    $17.47

    $0.15 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 93227

    Office

    $17.15

    Facility

    $17.15

    $0.47 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 93227

    Office

    $19.09

    Facility

    $19.09

    $1.47 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93227

    Office

    $18.09

    Facility

    $18.09

    $0.47 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93227

    Office

    $18.33

    Facility

    $18.33

    $0.71 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 93227

    Office

    $17.86

    Facility

    $17.86

    $0.24 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 93227

    Office

    $17.20

    Facility

    $17.20

    $0.42 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 93227

    Office

    $17.54

    Facility

    $17.54

    $0.08 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 93227

    Office

    $17.77

    Facility

    $17.77

    $0.15 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 93227

    Office

    $17.34

    Facility

    $17.34

    $0.28 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 93227

    Office

    $17.60

    Facility

    $17.60

    $0.02 lower than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 93227

    Office

    $17.41

    Facility

    $17.41

    $0.21 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 93227

    Office

    $17.48

    Facility

    $17.48

    $0.14 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 93227

    Office

    $17.05

    Facility

    $17.05

    $0.57 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 93227

    Office

    $16.97

    Facility

    $16.97

    $0.65 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 93227

    Office

    $17.70

    Facility

    $17.70

    $0.08 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 93227

    Office

    $17.27

    Facility

    $17.27

    $0.35 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 93227

    Office

    $17.50

    Facility

    $17.50

    $0.12 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 93227

    Office

    $17.13

    Facility

    $17.13

    $0.49 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 93227

    Office

    $17.85

    Facility

    $17.85

    $0.23 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 93227

    Office

    $19.27

    Facility

    $19.27

    $1.65 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 93227

    Office

    $18.67

    Facility

    $18.67

    $1.05 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 93227

    Office

    $17.38

    Facility

    $17.38

    $0.24 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 93227

    Office

    $17.65

    Facility

    $17.65

    $0.03 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93227

    Office

    $19.68

    Facility

    $19.68

    $2.06 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93227

    Office

    $18.79

    Facility

    $18.79

    $1.17 higher than Wyoming** for the office setting.

  • Queens

    New York · 93227

    Office

    $19.51

    Facility

    $19.51

    $1.89 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 93227

    Office

    $17.37

    Facility

    $17.37

    $0.25 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 93227

    Office

    $17.30

    Facility

    $17.30

    $0.32 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 93227

    Office

    $17.13

    Facility

    $17.13

    $0.49 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 93227

    Office

    $18.34

    Facility

    $18.34

    $0.72 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 93227

    Office

    $17.58

    Facility

    $17.58

    $0.04 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93227

    Office

    $18.19

    Facility

    $18.19

    $0.57 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93227

    Office

    $17.30

    Facility

    $17.30

    $0.32 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 93227

    Office

    $17.75

    Facility

    $17.75

    $0.13 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 93227

    Office

    $18.06

    Facility

    $18.06

    $0.44 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 93227

    Office

    $17.30

    Facility

    $17.30

    $0.32 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 93227

    Office

    $17.48

    Facility

    $17.48

    $0.14 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 93227

    Office

    $17.12

    Facility

    $17.12

    $0.50 lower than Wyoming** for the office setting.

  • Austin

    Texas · 93227

    Office

    $17.96

    Facility

    $17.96

    $0.34 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 93227

    Office

    $17.26

    Facility

    $17.26

    $0.36 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 93227

    Office

    $17.69

    Facility

    $17.69

    $0.07 higher than Wyoming** for the office setting.

  • Dallas

    Texas · 93227

    Office

    $17.75

    Facility

    $17.75

    $0.13 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 93227

    Office

    $17.71

    Facility

    $17.71

    $0.09 higher than Wyoming** for the office setting.

  • Galveston

    Texas · 93227

    Office

    $17.71

    Facility

    $17.71

    $0.09 higher than Wyoming** for the office setting.

  • Houston

    Texas · 93227

    Office

    $17.90

    Facility

    $17.90

    $0.28 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 93227

    Office

    $17.43

    Facility

    $17.43

    $0.19 lower than Wyoming** for the office setting.

  • Utah

    Utah · 93227

    Office

    $17.39

    Facility

    $17.39

    $0.23 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 93227

    Office

    $17.52

    Facility

    $17.52

    $0.10 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93227

    Office

    $17.75

    Facility

    $17.75

    $0.13 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 93227

    Office

    $17.49

    Facility

    $17.49

    $0.13 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 93227

    Office

    $18.04

    Facility

    $18.04

    $0.42 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 93227

    Office

    $19.34

    Facility

    $19.34

    $1.72 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 93227

    Office

    $17.27

    Facility

    $17.27

    $0.35 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 93227

    Office

    $17.23

    Facility

    $17.23

    $0.39 lower than Wyoming** for the office setting.

See how rates vary across the country

93227 · 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.

$16.88

$24.20

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$24.201
AL$16.971
AR$16.881
AZ$17.511
CA$18.21–$21.0129
CO$18.081
CT$18.391
DC$19.261
DE$17.681
FL$17.66–$18.403
GA$17.26–$17.882
GU$18.201
HI$18.201
IA$17.101
ID$17.151
IL$17.48–$18.254
IN$17.191
KS$17.091
KY$17.161
LA$17.15–$17.472
MA$18.09–$19.092
MD$17.86–$19.263
ME$17.20–$17.542
MI$17.34–$17.772
MN$17.601
MO$17.05–$17.483
MS$16.971
MT$17.701
NC$17.271
ND$17.501
NE$17.131
NH$17.851
NJ$18.67–$19.272
NM$17.381
NV$17.651
NY$17.37–$19.685
OH$17.301
OK$17.131
OR$17.58–$18.342
PA$17.30–$18.192
PR$17.751
RI$18.061
SC$17.301
SD$17.481
TN$17.121
TX$17.26–$17.968
UT$17.391
VA$17.52–$19.262
VI$17.751
VT$17.491
WA$18.04–$19.342
WI$17.271
WV$17.231
WY$17.621

Explore 93227 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 93227 in Wyoming**, the physician’s office rate is $17.62 and the facility-setting rate is $17.62: 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 93227 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$19.38

$17.62 × 110% = $19.38

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 93227 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

11,961

Code
93227
Physician work
0.38
Practice expense
0.14
Malpractice
0.01

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 93227 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work0.38× 1.0000.3800
Practice expense0.14× 1.0000.1400
Malpractice0.01× 0.7400.0074
Total RVUs0.5274
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$17.62

Open 93227 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.381
Practice expense0.141
Malpractice0.010.74

(0.38 × 1 + 0.14 × 1 + 0.01 × 0.74) × $33.4009 = $17.62

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.381
Practice expense0.141
Malpractice0.010.74

(0.38 × 1 + 0.14 × 1 + 0.01 × 0.74) × $33.4009 = $17.62

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

93227 · Office / nonfacility

$17.62

Effective 2026-10-01

The base rate is $0.24 higher than on 2025-10-01, moving from $17.38 to $17.62 (1.4%).

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

    $17.38changed to$17.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.39 changed to 0.38
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $17.38

    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$17.62$17.62RVU26D
2026-07-01$17.62$17.62RVU26C
2026-04-01$17.62$17.62RVU26B
2026-01-01$17.62$17.62RVU26A
2025-10-01$17.38$17.38RVU25D
2025-07-01$17.38$17.38RVU25C
2025-04-01$17.38$17.38RVU25B
2025-01-01$17.38$17.38RVU25A

93227 billing questions

How does 93227 differ from 93224?

93227 covers only the physician’s interpretation and report. 93224 represents the complete under-48-hour service, including the technical work.

Should modifier 26 be appended to 93227?

No. 93227 is already designated as a professional-component-only code for interpretation and reporting.

Which codes represent the technical work?

93225 represents recording, and 93226 represents scanning analysis. These technical services are distinct from the interpretation reported with 93227.

When is 93244 a better fit?

Use 93244 for the interpretation and report of an extended ECG recording lasting more than 48 hours and up to seven days. 93227 is for the shorter monitoring service.

Is 93227 appropriate for a 30-day event monitor?

No. A 30-day event-monitor service uses a different code family, including 93272 for review and interpretation, rather than the short-term Holter interpretation code.

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 93227PPRRVU2026_Oct_nonQPP.csv, line 11,961 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)