$62.94
Use 93224 for external ECG recording of up to 48 hours; 93241 is for continuous recording beyond 48 hours and up to seven days.
On this page
CMS RVU26D · Effective 2026-10-01
93241 Ambulatory ECG Medicare reimbursement rates in Alabama
Reports continuous ambulatory ECG monitoring lasting more than 48 hours and up to seven days, including recording, data analysis, and physician interpretation. Compare 93241 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 93241 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$245.96
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiac monitoring
About 93241: Continuous ambulatory ECG monitoring over 48 hours
Reports continuous ambulatory ECG monitoring lasting more than 48 hours and up to seven days, including recording, data analysis, and physician interpretation.
This service captures continuous electrocardiographic activity while a patient wears an ambulatory monitor for more than 48 hours and up to seven days. Cardiology practices and diagnostic monitoring services commonly use it to evaluate intermittent palpitations, dizziness, or suspected rhythm disturbances that may not appear during a brief office ECG. A wearable patch or other continuous recorder stores the rhythm data for later analysis.
Report 93241 for the complete service when recording, scanning analysis with a report, and review and interpretation are furnished together. When those services are divided, the related codes identify recording, scanning analysis, and professional interpretation separately. The record should support the monitoring duration, the clinical reason for extended monitoring, and the service components performed. When multiple cardiovascular diagnostic procedures are performed, the CMS multiple procedure reduction applies to the technical component.
CMS billing rules for 93241
- Professional and technical components
- Global-test-only code: separate codes describe the professional and technical components.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU0.49 · 6%
- Practice expense (office) RVU7.83 · 94%
- Malpractice RVU0.04 · 0%
34.7K
Medicare services in 2024 · #922 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.
93241 compared with similar codes
Office rates for Alabama, from the same CMS release.
$255.23
93245 applies to continuous external ECG monitoring beyond seven days and up to 15 days, rather than the shorter interval covered by 93241.
$150.18
93268 describes external ECG event monitoring, a different monitoring approach from the continuous recording reported with 93241.
Compare 93241 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$245.96
Facility
Unavailable
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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 93241 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
11,964
- Code
- 93241
- Physician work
- 0.49
- Practice expense
- 7.83
- Malpractice
- 0.04
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.49 | × 1.000 | 0.4900 |
| Practice expense | 7.83 | × 0.875 | 6.8513 |
| Malpractice | 0.04 | × 0.566 | 0.0226 |
| Total RVUs | 7.3639 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$245.96
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.49 | 1 |
| Practice expense | 7.83 | 0.875 |
| Malpractice | 0.04 | 0.566 |
(0.49 × 1 + 7.83 × 0.875 + 0.04 × 0.566) × $33.4009 = $245.96
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.
93241 billing questions
When should 93241 be chosen instead of 93224?
Use 93241 for continuous monitoring lasting more than 48 hours and up to seven days. Code 93224 describes external ECG recording of up to 48 hours.
Can recording, scanning, and interpretation be billed separately?
Yes. The related codes identify recording (93242), scanning analysis and report (93243), and review and interpretation (93244) when the work is divided.
Should modifier 26 or TC be appended to 93241?
93241 represents the complete service. For separately furnished components, use the dedicated component codes rather than splitting 93241 with 26 or TC.
What documentation supports reporting 93241?
Document the clinical reason for continuous monitoring, the monitoring interval, and that the complete recording, analysis and report, and interpretation services were performed.
How does the multiple procedure reduction affect this service?
When multiple cardiovascular diagnostic procedures are performed, the CMS reduction applies to the technical component. It does not apply to the professional interpretation component under this rule.
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.
11,96193227,,Xtrnl ecg rec<48 hr r&i,A,,0.38,0.14,,0.14,,0.01,0.53,0.53,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,96293228,,Remote 30 day ecg rev/report,A,,0.47,0.25,,0.25,,0.03,0.75,0.75,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,96393229,,Remote 30 day ecg tech supp,A,,0.00,22.64,,22.64,NA,0.07,22.71,22.71,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96493241,,Xtrnl ecg rec>48hr<7d,A,,0.49,7.83,,7.83,NA,0.04,8.36,8.36,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96593242,,Ext ecg>48hr<7d recording,A,,0.00,0.34,,0.34,NA,0.01,0.35,0.35,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96693243,,Ext ecg>48hr<7d scan a/r,A,,0.00,7.32,,7.32,NA,0.01,7.33,7.33,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96793244,,Ext ecg>48hr<7d rev&interpj,A,,0.49,0.17,,0.17,,0.02,0.68,0.68,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515