$17.56
The key distinction is continuous ECG monitoring: report 93798 when it is part of the session and 93797 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
93798 Cardiac rehabilitation Medicare reimbursement rates in Delaware
Reports an outpatient cardiac rehabilitation session with continuous ECG monitoring, typically during supervised exercise and education after a qualifying cardiac event or intervention. Compare 93798 office and facility rates across CMS payment localities in Delaware.
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 93798 in Delaware?
Delaware 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
$25.84
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$11.98
1 of 1 localities have a supported rate.
Payment area: Delaware
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.
Cardiac rehabilitation
About 93798: Outpatient cardiac rehabilitation with ECG
Reports an outpatient cardiac rehabilitation session with continuous ECG monitoring, typically during supervised exercise and education after a qualifying cardiac event or intervention.
Code 93798 represents one outpatient cardiac rehabilitation session with exercise and related rehabilitation services under physician or other qualified health care professional oversight, with continuous ECG monitoring. Sessions commonly follow a cardiac event or intervention, such as myocardial infarction, coronary bypass surgery, or coronary angioplasty, and may include supervised conditioning, risk-factor education, and progress review. Report it in an outpatient setting when continuous rhythm surveillance is part of the session.
Report one unit for each session; continuous ECG monitoring distinguishes this service from 93797. Documentation should identify the session, monitoring performed, rehabilitation activities, and clinical oversight. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included, and modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 93798
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU0.28 · 36%
- Practice expense (office) RVU0.48 · 62%
- Malpractice RVU0.02 · 3%
96.8K
Medicare services in 2024 · #571 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.
93798 compared with similar codes
Office rates for Delaware, from the same CMS release.
$130.83
G0422 represents an intensive cardiac rehabilitation session with exercise; 93798 represents outpatient cardiac rehabilitation with continuous ECG monitoring.
$130.83
G0423 represents intensive cardiac rehabilitation without exercise. Use 93798 for an outpatient cardiac rehabilitation session that includes continuous ECG monitoring.
Compare 93798 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
Delaware →
Office / nonfacility
$25.84
Facility
$11.98
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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 93798 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
12,271
- Code
- 93798
- Physician work
- 0.28
- Practice expense
- 0.48
- Malpractice
- 0.02
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.28 | × 1.005 | 0.2814 |
| Practice expense | 0.48 | × 0.988 | 0.4742 |
| Malpractice | 0.02 | × 0.899 | 0.0180 |
| Total RVUs | 0.7736 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$25.84
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.28 | 1.005 |
| Practice expense | 0.48 | 0.988 |
| Malpractice | 0.02 | 0.899 |
(0.28 × 1.005 + 0.48 × 0.988 + 0.02 × 0.899) × $33.4009 = $25.84
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.28 | 1.005 |
| Practice expense | 0.06 | 0.988 |
| Malpractice | 0.02 | 0.899 |
(0.28 × 1.005 + 0.06 × 0.988 + 0.02 × 0.899) × $33.4009 = $11.98
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.
93798 billing questions
When should 93798 be reported instead of 93797?
Report 93798 when the outpatient cardiac rehabilitation session includes continuous ECG monitoring. Report 93797 for a session furnished without continuous ECG monitoring.
Is ECG monitoring separately reported for the session?
Continuous ECG monitoring is part of the service represented by 93798. The session is reported as one unit rather than separately reporting its monitoring component.
How many units are reported?
Report one unit for each cardiac rehabilitation session. Documentation should support the session and the continuous ECG monitoring performed.
Can modifier 50 be used?
No. CMS indicates that bilateral adjustment does not apply to 93798, making modifier 50 inappropriate.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the service under the CMS 0-day global period.
What documentation supports reporting 93798?
Document the outpatient rehabilitation session, continuous ECG monitoring, activities provided, and physician or qualified health care professional oversight.
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.
12,26893792,,Pt/caregiver traing home inr,A,,0.00,2.14,,2.14,NA,0.03,2.17,2.17,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,26993793,,Anticoag mgmt pt warfarin,A,,0.18,0.16,,0.16,NA,0.01,0.35,0.35,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,27093797,,Phys/qhp op car rhab wo ecg,A,,0.18,0.34,,0.04,,0.01,0.53,0.23,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,27193798,,Phys/qhp op car rhab w/ecg,A,,0.28,0.48,,0.06,,0.02,0.78,0.36,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,27293799,,Unlisted cv svc/procedure,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,27393799,26,Unlisted cv svc/procedure,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,27493799,TC,Unlisted cv svc/procedure,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503