Billing code 93226: Holter analysisMedicare rate & RVUs in Delaware
Report this technical service for scanning and analysis of continuous ambulatory ECG data recorded for less than 48 hours, with a prepared report.
Medicare pays $34.29 for 93226 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 93226 covers
This service covers the technical analysis of continuous ambulatory ECG data from a short-term monitor, including scanning the recording and preparing an analysis report. Cardiac monitoring staff or other qualified technical personnel commonly perform the work in a cardiology practice or diagnostic testing facility. The data may be reviewed for rhythm events such as pauses or suspected arrhythmias; this code covers the scan and report, not the physician’s separate interpretation.
Select this code for the scanning-and-report portion when the continuous recording lasts less than 48 hours. Keep documentation of the recording period, analysis performed, and resulting report. Code 93225 represents recording, while 93227 represents physician review and interpretation; 93224 combines the service components. This is a technical-component-only code, and CMS applies the cardiovascular diagnostic multiple procedure reduction to its technical component when applicable.
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.
93226 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $34.29 | Unavailable |
How the 93226 rate is calculated
Each of 93226’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93226
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.00Practice expense 1.03Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93226
The CMS indicators that decide how 93226 is paid alongside other services.
CMS payment indicators · 93226
Holter analysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 3 | Technical component only. |
93226 compared with similar codes
Compare codes
93226 vs 93225 vs 93227 vs 93224 vs 93243: national Medicare rates
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How to choose
- 93225ECG recording
- 93225 covers obtaining the recording; 93226 covers scanning and analyzing it with a report.
- 93227Holter interpretation
- 93227 is the physician review and interpretation portion, rather than the technical scan and report represented by 93226.
- 93224Holter monitoring
- 93224 represents the combined short-term continuous ECG service, while 93226 identifies only its scanning-and-report technical portion.
- 93243ECG analysis
- 93243 covers scanning and reporting for the longer monitoring interval of more than 48 hours but less than 7 days.
93226 billing questions
How does 93226 differ from 93225?
93226 covers scanning and analysis of the recorded data with a report. 93225 covers obtaining the ECG recording itself.
Does 93226 include a physician interpretation?
No. It is the technical analysis portion; physician review and interpretation are represented separately by 93227.
Can 93226 be reported with 93225 and 93227?
These codes represent separate parts of short-term continuous ECG monitoring. When reporting components separately, document the work performed for each part; 93224 represents the combined service.
What documentation supports 93226?
Retain the monitoring period, evidence that the recording was scanned and analyzed, and the resulting analysis report.
How does CMS apply the multiple procedure reduction?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component of 93226.
Which scanning code applies when monitoring lasts longer?
For recordings longer than 48 hours and less than 7 days, the corresponding scanning code is 93243. For recordings longer than 7 days and less than 15 days, it is 93247.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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