$10.89–$12.25
Use 93242 for recording only. Use 93243 for technical scanning, analysis, and the report.
On this page
CMS RVU26D · Effective 2026-10-01
93243 ECG analysis Medicare reimbursement rates in Illinois
Reports technical scanning, analysis, and a report for ambulatory ECG monitoring lasting more than 48 hours but less than seven days. Compare 93243 office and facility rates across CMS payment localities in Illinois.
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 93243 in Illinois?
Illinois has 4 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 4 payment areas shown below, using the same CMS release.
Office / nonfacility
$223.75–$251.69
4 of 4 localities have a supported rate.
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.
Where 93243 pays more and less in Illinois
4 payment localities
$223.75 to $251.69
Ambulatory ECG monitoring
About 93243: Extended ECG scanning and analysis
Reports technical scanning, analysis, and a report for ambulatory ECG monitoring lasting more than 48 hours but less than seven days.
This code covers the technical processing of ambulatory ECG data collected over more than 48 hours but less than seven days. After the monitoring device is returned or its data are transmitted, technical staff or a monitoring service scan and analyze the recorded rhythm and prepare a report. Extended monitoring can help evaluate intermittent palpitations, fainting, or suspected arrhythmias that may not appear during a brief office ECG. The service is commonly performed through an outpatient cardiology practice or an ECG monitoring vendor.
Report 93243 for the scanning, analysis, and report portion; it does not include the physician’s review and interpretation, which is separately represented by 93244. The complete service may instead be reported with 93241, while 93242 represents recording only. Documentation should support the monitoring duration and the technical analysis and report provided. CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component, including this code, when the reduction is triggered by multiple procedures.
CMS billing rules for 93243
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU7.32 · 100%
- Malpractice RVU0.01 · 0%
255.5K
Medicare services in 2024 · #340 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.
93243 compared with similar codes
Office rates for Illinois, from the same CMS release.
$22.59–$23.72
93244 represents the physician’s review and interpretation; 93243 is the technical analysis and report.
$257.23–$287.44
93241 represents the complete extended monitoring service, including recording, technical analysis and report, and physician interpretation. 93243 is only the technical analysis and report portion.
$231.37–$260.26
Both codes represent technical scanning and analysis, but 93247 is for monitoring lasting more than 7 days and less than 15 days.
Compare 93243 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.
4 of 4 payment localities
Chicago →
Office / nonfacility
$246.48
Facility
Unavailable
East St. Louis →
Office / nonfacility
$225.61
Facility
Unavailable
Rest Of Illinois →
Office / nonfacility
$223.75
Facility
Unavailable
Suburban Chicago →
Office / nonfacility
$251.69
Facility
Unavailable
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93243 billing questions
How does 93243 differ from 93242?
93242 represents recording only. 93243 represents the subsequent technical scanning, analysis, and report.
Is physician interpretation included in 93243?
No. The physician review and interpretation are represented separately by 93244.
Can 93243 be reported with 93242 and 93244?
Those codes represent the recording, technical analysis and report, and physician interpretation portions of the extended monitoring service. The complete service may instead be reported with 93241.
Should modifier 26 be used with 93243?
No. 93243 is the technical-component-only code; physician interpretation is reported separately with 93244.
What documentation supports 93243?
Keep documentation of the monitoring duration and the scanning, analysis, and report performed. The recorded period must be more than 48 hours and less than seven days.
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.
11,96393229,,Remote 30 day ecg tech supp,A,,0.00,22.64,,22.64,NA,0.07,22.71,22.71,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96493241,,Xtrnl ecg rec>48hr<7d,A,,0.49,7.83,,7.83,NA,0.04,8.36,8.36,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96593242,,Ext ecg>48hr<7d 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
11,96693243,,Ext ecg>48hr<7d scan a/r,A,,0.00,7.32,,7.32,NA,0.01,7.33,7.33,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96793244,,Ext ecg>48hr<7d rev&interpj,A,,0.49,0.17,,0.17,,0.02,0.68,0.68,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,96893245,,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