Use 93040 for a one-to-three-lead rhythm study. Use 93000 for a complete 12-lead ECG when both tracing and interpretation are furnished.
On this page
CMS RVU26D · Effective 2026-10-01
93040 Rhythm ECG Medicare reimbursement rates in Arkansas
Reports a one-to-three-lead rhythm electrocardiogram, including its tracing and interpretation, for evaluation or documentation of a cardiac rhythm. Compare 93040 office and facility rates across CMS payment localities in Arkansas.
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 93040 in Arkansas?
Arkansas 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
$13.39
1 of 1 localities have a supported rate.
Payment area: Arkansas
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 testing
About 93040: Limited-lead rhythm electrocardiogram with interpretation
Reports a one-to-three-lead rhythm electrocardiogram, including its tracing and interpretation, for evaluation or documentation of a cardiac rhythm.
This service includes a limited rhythm electrocardiogram using one to three leads, with the tracing and interpretation/report treated as a complete service. It can document rhythm during evaluation of palpitations, suspected arrhythmia, or a change in cardiac rhythm. Clinical staff may obtain the tracing in an office or bedside setting, and a qualified clinician interprets it and records the findings. Unlike a standard 12-lead ECG, this is a limited-lead rhythm study.
Report 93040 when both the tracing and interpretation/report are furnished. Documentation should support the clinical reason, the tracing obtained, and the clinician’s interpretation. When only the tracing is furnished, use 93041; when only the interpretation/report is furnished, use 93042. CMS identifies 93040 as a global service with separate codes for its technical and professional components. The cardiovascular diagnostic multiple procedure reduction affects the technical component; it does not reduce the professional component under this rule.
CMS billing rules for 93040
- 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 RVU0.15 · 33%
- Practice expense (office) RVU0.28 · 62%
- Malpractice RVU0.02 · 4%
75K
Medicare services in 2024 · #647 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.
93040 compared with similar codes
Office rates for Arkansas, from the same CMS release.
93041 covers only the rhythm tracing. 93040 includes the tracing and its interpretation/report.
93042 covers only the rhythm ECG interpretation and report. 93040 includes that work plus the tracing.
93005 is the tracing-only component for a complete ECG; 93040 is the global service for a limited-lead rhythm ECG.
Compare 93040 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
Arkansas →
Office / nonfacility
$13.39
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 93040 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
11,946
- Code
- 93040
- Physician work
- 0.15
- Practice expense
- 0.28
- Malpractice
- 0.02
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.15 | × 1.000 | 0.1500 |
| Practice expense | 0.28 | × 0.859 | 0.2405 |
| Malpractice | 0.02 | × 0.515 | 0.0103 |
| Total RVUs | 0.4008 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Arkansas$13.39
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.15 | 1 |
| Practice expense | 0.28 | 0.859 |
| Malpractice | 0.02 | 0.515 |
(0.15 × 1 + 0.28 × 0.859 + 0.02 × 0.515) × $33.4009 = $13.39
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.
93040 billing questions
How does 93040 differ from a complete ECG?
93040 is a limited rhythm study using one to three leads. A complete ECG uses a 12-lead tracing and is reported with 93000 when both tracing and interpretation are furnished.
Can 93040 be reported when only the tracing is performed?
No. Report 93041 for the rhythm tracing alone; 93040 includes both the tracing and interpretation/report.
What code applies when only the interpretation is furnished?
Report 93042 for the interpretation and report without the tracing. Use 93040 when both parts of the rhythm study are furnished.
Should modifiers 26 or TC be appended to 93040?
The rhythm ECG components have separate codes: 93041 for the tracing and 93042 for the interpretation/report. Use the applicable component code when only that portion is furnished.
How does the multiple procedure reduction affect 93040?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. The professional interpretation component is not reduced 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.
