Billing code 93246: Extended ECGMedicare rate & RVUs in Florida
Reports the recording component of extended ambulatory ECG monitoring lasting more than 7 days and up to 15 days, without interpretation.
Medicare pays $11.36–$12.67 for 93246 in the office in Florida, from Rest Of Florida to Miami. 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 93246 covers
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.
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.
Where 93246 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$11.36 to $12.67
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $12.11 | Unavailable |
| Miami | $12.67 | Unavailable |
| Rest Of Florida | $11.36 | Unavailable |
How the 93246 rate is calculated
Each of 93246’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 · 93246
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.34
0.34 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.3500
Conversion factor
$33.4009
Medicare rate
$11.69
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93246
The CMS indicators that decide how 93246 is paid alongside other services.
CMS payment indicators · 93246
Extended ECG
| 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. |
93246 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93242Ambulatory ECG recording
- 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.
- 93245Extended ECG
- 93245 represents the comprehensive service for the more-than-7-day-to-15-day duration band. Code 93246 reports only its recording component.
- 93247Extended ECG monitoring
- 93246 covers recording; 93247 covers scanning analysis with a report for the same duration band.
- 93248ECG monitoring
- 93246 is the technical recording service, while 93248 represents review and interpretation of the extended ECG.
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 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
Show the CMS file lines behind this rate
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