$65.05
93224 covers the complete recording, scanning and analysis, and interpretation service. Use 93225 when reporting the recording component alone.
On this page
CMS RVU26D · Effective 2026-10-01
93225 ECG recording Medicare reimbursement rates in Iowa
Reports technical recording of a continuous ambulatory ECG for up to 48 hours, such as when evaluating intermittent palpitations or other suspected rhythm abnormalities. Compare 93225 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 93225 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
$16.33
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.
Cardiovascular diagnostic testing
About 93225: Ambulatory ECG recording up to 48 hours
Reports technical recording of a continuous ambulatory ECG for up to 48 hours, such as when evaluating intermittent palpitations or other suspected rhythm abnormalities.
This code covers the technical work of capturing an ambulatory electrocardiogram for up to 48 hours, commonly with a Holter monitor worn during usual daily activities. Clinical teams use this type of recording to document intermittent symptoms such as palpitations or suspected rhythm disturbances that may not appear on a brief in-office ECG. Technical staff typically place the electrodes and monitor, provide instructions, and collect the recording in an outpatient setting.
Report 93225 for recording only; it does not include scanning and analysis or physician review, interpretation, and report. Those services have separate codes, 93226 and 93227, or the complete service may be reported with 93224 when the same billing entity furnishes all components. Documentation should support the clinical reason for monitoring and the recording period. This is a technical-component-only code, and the separate interpretation code represents the professional service. Medicare’s cardiovascular diagnostic multiple procedure reduction applies to the technical component.
CMS billing rules for 93225
- 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) RVU0.53 · 98%
- Malpractice RVU0.01 · 2%
44K
Medicare services in 2024 · #829 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.
93225 compared with similar codes
Office rates for Iowa, from the same CMS release.
$31.61
93226 represents scanning and analysis of the recording; 93225 represents capturing the ECG data.
$17.10
93227 represents physician review, interpretation, and report. It is distinct from the technical recording service reported with 93225.
$10.52
93242 is the recording component for monitoring longer than 48 hours and up to 7 days; 93225 is for recording up to 48 hours.
Compare 93225 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
Iowa →
Office / nonfacility
$16.33
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 93225 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
11,959
- Code
- 93225
- Physician work
- 0.00
- Practice expense
- 0.53
- Malpractice
- 0.01
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.53 | × 0.915 | 0.4850 |
| Malpractice | 0.01 | × 0.397 | 0.0040 |
| Total RVUs | 0.4889 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$16.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.53 | 0.915 |
| Malpractice | 0.01 | 0.397 |
(0 × 1 + 0.53 × 0.915 + 0.01 × 0.397) × $33.4009 = $16.33
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.
93225 billing questions
When should 93225 be used instead of 93224?
Use 93225 when reporting the recording component alone. Code 93224 represents the complete service, including recording, scanning and analysis, and interpretation.
Does 93225 include scanning or interpretation?
No. Scanning and analysis are separately represented by 93226, and physician review, interpretation, and report by 93227.
Can 93225 be billed with 93226 and 93227?
The component codes may be reported separately when the corresponding recording, scanning, and interpretation services are furnished and billed as separate components. Do not also report 93224 for the same complete service.
Should modifier 26 or TC be appended?
93225 represents the technical recording service; a separate code covers interpretation. It is not the professional interpretation portion of the study.
What if the ECG recording lasts longer than 48 hours?
For recording longer than 48 hours and up to 7 days, compare the service with the longer-duration code set, including recording code 93242.
How does Medicare's multiple procedure reduction affect 93225?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component, which is the service represented by 93225.
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.
11,95693152,,Interrog&prgrmg ipnss polysm,A,,1.77,2.45,,0.36,,0.14,4.36,2.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95793153,,Interrog w/o prgrmg ipnss,A,,0.42,1.29,,0.11,,0.03,1.74,0.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95893224,,Xtrnl ecg rec up to 48 hrs,A,,0.38,1.70,,1.70,NA,0.03,2.11,2.11,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,95993225,,Xtrnl ecg rec<48 hrs rec,A,,0.00,0.53,,0.53,NA,0.01,0.54,0.54,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96093226,,Xtrnl ecg rec<48 hr scan a/r,A,,0.00,1.03,,1.03,NA,0.01,1.04,1.04,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96193227,,Xtrnl ecg rec<48 hr r&i,A,,0.38,0.14,,0.14,,0.01,0.53,0.53,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,96293228,,Remote 30 day ecg rev/report,A,,0.47,0.25,,0.25,,0.03,0.75,0.75,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136