$10.13
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.
On this page
CMS RVU26D · Effective 2026-10-01
93246 Extended ECG Medicare reimbursement rates in Alabama
Reports the recording component of extended ambulatory ECG monitoring lasting more than 7 days and up to 15 days, without interpretation. Compare 93246 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 93246 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
$10.13
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.
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 Alabama, from the same CMS release.
$255.23
93245 represents the comprehensive service for the more-than-7-day-to-15-day duration band. Code 93246 reports only its recording component.
$221.43
93246 covers recording; 93247 covers scanning analysis with a report for the same duration band.
$23.68
93246 is the technical recording service, while 93248 represents review and interpretation of the extended ECG.
Compare 93246 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
$10.13
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 93246 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
11,969
- Code
- 93246
- Physician work
- 0.00
- Practice expense
- 0.34
- Malpractice
- 0.01
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.34 | × 0.875 | 0.2975 |
| Malpractice | 0.01 | × 0.566 | 0.0057 |
| Total RVUs | 0.3032 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$10.13
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.34 | 0.875 |
| Malpractice | 0.01 | 0.566 |
(0 × 1 + 0.34 × 0.875 + 0.01 × 0.566) × $33.4009 = $10.13
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.
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.
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
11,96893245,,Ext ecg>7d<15d rec scan a/r,A,,0.54,8.09,,8.09,NA,0.04,8.67,8.67,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96993246,,Ext ecg>7d<15d 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
11,97093247,,Ext ecg>7d<15d scan a/r,A,,0.00,7.57,,7.57,NA,0.01,7.58,7.58,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,97193248,,Ext ecg>7d<15d rev&interpj,A,,0.54,0.18,,0.18,,0.02,0.74,0.74,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97293260,,Prgrmg dev eval impltbl sys,A,,0.83,1.39,,1.39,NA,0.04,2.26,2.26,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,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