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CMS RVU26D · Effective 2026-10-01

93000 Electrocardiogram (ECG) Medicare reimbursement rates in Iowa

A resting 12-lead ECG reported when the same billing entity records the tracing and provides a written interpretation, commonly in physician offices and clinics. Compare 93000 office and facility rates across CMS payment localities in Iowa.

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 93000 in Iowa?

Iowa 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

$14.20

1 of 1 localities have a supported rate.

Payment area: Iowa

One mapped payment locality.

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.

Find 93000 in your payment locality →

Cardiovascular diagnostics

About 93000: Resting 12-lead electrocardiogram with interpretation and report

A resting 12-lead ECG reported when the same billing entity records the tracing and provides a written interpretation, commonly in physician offices and clinics.

This service is a resting 12-lead electrocardiogram. A medical assistant, nurse, or technician places the electrodes and records the tracing. A physician or other qualified practitioner evaluates the rhythm, rate, intervals, axis, and waveform changes and documents an interpretation. Common indications include chest pain, palpitations, syncope, and medication monitoring. Clinically indicated preoperative evaluation may also involve an ECG. The complete service is commonly reported in offices and clinics; when a hospital supplies the tracing, the physician commonly reports only the interpretation.

Report 93000 when the same billing entity furnishes both the tracing and its interpretation and report. Documentation should identify the indication, retain the tracing, and include the interpreter's signed findings. CMS treats 93000 as a global-test-only code: report 93005 for the tracing alone or 93010 for interpretation and report alone rather than appending modifier TC or 26 to 93000. When multiple eligible cardiovascular diagnostic tests are furnished to the same patient on the same day, CMS applies the cardiovascular diagnostic multiple procedure reduction to the technical component.

CMS billing rules for 93000

Professional and technical components
Global-test-only code: separate codes describe the professional and technical components.
Multiple procedures
Cardiovascular diagnostic multiple procedure reduction applies to the technical component.

Where the value comes from

  • Work RVU0.17 · 37%
  • Practice expense (office) RVU0.27 · 59%
  • Malpractice RVU0.02 · 4%

10.1M

Medicare services in 2024 · #20 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.

93000 compared with similar codes

Office rates for Iowa, from the same CMS release.

93010

ECG interpretation

Interpretation and report only

$7.95

93010 covers interpretation and report only, as when a physician interprets an ECG traced by a hospital. Use 93000 when the same billing entity furnishes both components.

93005

ECG tracing

Tracing only

$6.24

93005 covers recording the tracing only. Use 93000 when the same billing entity also furnishes the interpretation and report.

93040

Rhythm ECG

One to three leads

$13.83

93040 describes a limited rhythm ECG using one to three leads with a report. A complete resting 12-lead tracing with interpretation is 93000.

G0403

Preventive ECG

Initial preventive examination

$14.20

G0403 describes a screening ECG associated with the Medicare Initial Preventive Physical Examination. Use 93000 for a diagnostic resting 12-lead ECG when the same billing entity furnishes the tracing and interpretation.

Compare 93000 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

Office and facility base rates · shared scale starting at $0
  • Iowa →

    Office / nonfacility

    $14.20

    Facility

    Unavailable

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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 93000 in Iowa.

PPRRVU2026_Oct_nonQPP.csv

11,933

Code
93000
Physician work
0.17
Practice expense
0.27
Malpractice
0.02

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office / nonfacility calculation for 93000 in Iowa
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.27× 0.9150.2471
Malpractice0.02× 0.3970.0079
Total RVUs0.4250
Conversion factor× 33.4009

Office / nonfacility rate, Iowa$14.20

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.171
Practice expense0.270.915
Malpractice0.020.397

(0.17 × 1 + 0.27 × 0.915 + 0.02 × 0.397) × $33.4009 = $14.20

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.

93000 billing questions

When should 93005 or 93010 be reported instead of 93000?

Report 93005 when the billing entity furnishes only the tracing and 93010 when it furnishes only the interpretation and report, as a physician may do for a hospital ECG. Report 93000 when the same billing entity furnishes both components.

Can modifier 26 or TC be appended to 93000?

No. CMS designates 93000 as a global-test-only code; report the professional portion with 93010 or the technical portion with 93005.

Is an ECG separately billable with an office visit on the same day?

A medically indicated ECG may be reported alongside an office E/M visit. If the clinician separately reports the ECG interpretation, that interpretation cannot also be counted as an independent interpretation in the E/M data element.

What documentation supports 93000?

Document the clinical indication, retain the 12-lead tracing, and include a signed interpretation with pertinent findings. An automated computer reading without review and interpretation by a physician or other qualified practitioner does not support the interpretation portion.

Should 93000 be billed for a rhythm strip?

No. A rhythm ECG using one to three leads with a report is described by 93040, rather than the complete 12-lead ECG code.

Is ECG monitoring during an exercise stress test billed with 93000?

Generally no. ECG monitoring is part of the cardiovascular stress test described by 93015 or its component codes. A distinct resting ECG requires its own clinical indication.

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.

RVUs for 93000PPRRVU2026_Oct_nonQPP.csv, line 11,933 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)