$21.71
Both codes cover interpretation and reporting, but 93244 is for monitoring lasting more than 48 hours through 7 days; 93248 is for more than 7 but less than 15 days.
On this page
CMS RVU26D · Effective 2026-10-01
93248 ECG monitoring Medicare reimbursement rates in Alabama
Physician interpretation and reporting of extended ambulatory ECG data from monitoring lasting more than 7 but less than 15 days. Compare 93248 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 93248 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
$23.68
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$23.68
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
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.
Cardiology
About 93248: Extended ECG interpretation and report
Physician interpretation and reporting of extended ambulatory ECG data from monitoring lasting more than 7 but less than 15 days.
This service is the physician’s review of extended ambulatory electrocardiographic data and preparation of an interpretation and report. It is commonly used when symptoms such as intermittent palpitations, dizziness, or syncope need rhythm evaluation over more time than a short Holter recording provides. A cardiologist or other qualified physician interprets the recorded tracing and documents relevant rhythm findings and their clinical significance.
Select this duration-based service when the monitoring period is more than 7 days but less than 15 days. The record should support the monitoring period and the physician’s interpretation of the submitted ECG data. Under CMS, 93248 represents the professional interpretation and report only; the technical portion is covered by a separate code. When the service is divided by component, the recording and scanning analysis are represented separately from this professional service.
CMS billing rules for 93248
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.54 · 73%
- Practice expense (office) RVU0.18 · 24%
- Malpractice RVU0.02 · 3%
341.9K
Medicare services in 2024 · #286 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.
93248 compared with similar codes
Office rates for Alabama, from the same CMS release.
$221.43
93247 covers scanning analysis of the extended recording. Select 93248 for the physician’s interpretation and report.
$255.23
93245 represents the complete extended monitoring service, while 93248 reports only the professional interpretation and report when components are separately represented.
Compare 93248 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
$23.68
Facility
$23.68
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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 93248 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
11,971
- Code
- 93248
- Physician work
- 0.54
- Practice expense
- 0.18
- Malpractice
- 0.02
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.54 | × 1.000 | 0.5400 |
| Practice expense | 0.18 | × 0.875 | 0.1575 |
| Malpractice | 0.02 | × 0.566 | 0.0113 |
| Total RVUs | 0.7088 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$23.68
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.54 | 1 |
| Practice expense | 0.18 | 0.875 |
| Malpractice | 0.02 | 0.566 |
(0.54 × 1 + 0.18 × 0.875 + 0.02 × 0.566) × $33.4009 = $23.68
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.54 | 1 |
| Practice expense | 0.18 | 0.875 |
| Malpractice | 0.02 | 0.566 |
(0.54 × 1 + 0.18 × 0.875 + 0.02 × 0.566) × $33.4009 = $23.68
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.
93248 billing questions
When should 93248 be selected instead of 93244?
Use 93248 for interpretation and reporting after monitoring lasting more than 7 but less than 15 days. Code 93244 is in the shorter, more-than-48-hour-to-7-day monitoring family.
Does 93248 include the recording and scanning analysis?
No. 93248 represents the professional interpretation and report; recording and scanning analysis are technical services represented separately when the components are billed separately.
Which codes represent the technical portions of this monitoring service?
In the component-based code family, 93246 represents recording and 93247 represents scanning analysis. Code 93248 represents the interpretation and report.
Should modifier 26 be appended to 93248?
93248 is already the professional-only interpretation and report code, rather than a global code requiring a professional-component modifier.
What documentation supports reporting 93248?
Documentation should establish the monitoring period and include the physician’s review, interpretation, and report of the recorded ECG data.
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.
11,96893245,,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
11,97393260,26,Prgrmg dev eval impltbl sys,A,,0.83,0.36,,0.36,,0.03,1.22,1.22,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97493260,TC,Prgrmg dev eval impltbl sys,A,,0.00,1.03,,1.03,NA,0.01,1.04,1.04,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
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