93270 covers connection, recording, and disconnection. Use 93271 for transmission, analysis, and reporting of the recorded data.
On this page
CMS RVU26D · Effective 2026-10-01
93270 ECG monitoring Medicare reimbursement rates in Illinois
Reports the setup, recording period, and disconnection for external ECG monitoring lasting more than 48 hours and up to 30 days. Compare 93270 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 93270 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
$7.84–$8.82
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 93270 pays more and less in Illinois
4 payment localities
$7.84 to $8.82
Cardiovascular diagnostics
About 93270: External ECG recording up to 30 days
Reports the setup, recording period, and disconnection for external ECG monitoring lasting more than 48 hours and up to 30 days.
This code covers the technical work of connecting an external ECG recorder, capturing the rhythm during the monitoring period, and disconnecting the equipment. It is used when intermittent symptoms such as palpitations or unexplained fainting call for ambulatory rhythm recording beyond a short office ECG. Clinical staff typically handle the device setup and retrieval; the patient wears the recorder during the prescribed monitoring period.
Report this code for the recording portion of the service, not for analysis or physician interpretation. Code 93271 represents transmission, analysis, and reporting, while 93272 represents review and interpretation. Documentation should support the monitoring period, device connection and disconnection, and the service performed. CMS classifies 93270 as technical-component-only, with a separate code for interpretation. The cardiovascular diagnostic multiple procedure reduction applies to its technical component.
CMS billing rules for 93270
- 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) RVU0.24 · 96%
- Malpractice RVU0.01 · 4%
24.7K
Medicare services in 2024 · #1053 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.
93270 compared with similar codes
Office rates for Illinois, from the same CMS release.
93270 is the recording service; 93272 is the professional review and interpretation service.
93247 describes extended ECG scanning and analysis for a different monitoring-duration range. Code 93270 covers recording work for monitoring lasting more than 48 hours and up to 30 days.
Compare 93270 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
$8.82
Facility
Unavailable
East St. Louis →
Office / nonfacility
$8.05
Facility
Unavailable
Rest Of Illinois →
Office / nonfacility
$7.84
Facility
Unavailable
Suburban Chicago →
Office / nonfacility
$8.82
Facility
Unavailable
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93270 billing questions
When should 93270 be chosen instead of 93247?
Use 93270 for the connection, recording, and disconnection portion of external ECG monitoring lasting more than 48 hours and up to 30 days. Codes 93247 and 93248 describe a different extended ECG monitoring service lasting more than 7 days but less than 15 days.
Does 93270 include ECG analysis or physician interpretation?
No. Code 93270 covers the recording portion. Code 93271 represents transmission, analysis, and reporting; code 93272 represents review and interpretation.
Can 93270 be reported with 93271 and 93272?
These codes represent distinct portions of the external ECG service: recording, analysis and reporting, and interpretation. Report the portions performed and supported by the documentation.
Should modifier 26 be appended to 93270?
No. This is the technical-component-only code; physician or qualified professional interpretation is reported separately with 93272.
What documentation supports reporting 93270?
Document the external ECG recorder connection, the monitoring period, and disconnection. The record should distinguish this recording work from analysis, reporting, and interpretation.
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.
