$250.09
93241 applies to the shorter monitoring interval of more than 48 hours through 7 days; 93245 is for monitoring beyond 7 days through 15 days.
On this page
CMS RVU26D · Effective 2026-10-01
93245 Extended ECG Medicare reimbursement rates in Kentucky
Reports a complete extended external ECG monitoring service when rhythm evaluation requires more than 7 days and up to 15 days of recording. Compare 93245 office and facility rates across CMS payment localities in Kentucky.
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 93245 in Kentucky?
Kentucky 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
$259.48
1 of 1 localities have a supported rate.
Payment area: Kentucky
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
About 93245: Extended ambulatory ECG monitoring, 8–15 days
Reports a complete extended external ECG monitoring service when rhythm evaluation requires more than 7 days and up to 15 days of recording.
This code represents the complete service for extended external ECG monitoring over more than 7 days and up to 15 days. A patient may wear a patch or other ambulatory monitor while going about daily activities when symptoms such as intermittent palpitations, dizziness, or suspected arrhythmia have not been captured during a brief ECG or shorter monitoring period. The service includes recording, technical analysis, and physician review and interpretation. Cardiology practices and other clinicians managing rhythm evaluation commonly use these monitors in outpatient care.
Select this code based on the documented monitoring duration and report it when the complete service is billed together. CMS identifies 93245 as a global-test-only code; separate codes describe the recording, analysis, and interpretation components when those services are billed separately. Keep the monitoring dates and duration, recorded data and analysis, and interpreting clinician’s findings in the record. The cardiovascular diagnostic multiple procedure reduction applies to the technical component, so it affects the technical portion when applicable rather than the professional interpretation.
CMS billing rules for 93245
- 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 RVU0.54 · 6%
- Practice expense (office) RVU8.09 · 93%
- Malpractice RVU0.04 · 0%
11.8K
Medicare services in 2024 · #1384 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.
93245 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$10.40
93246 reports the recording component alone. Use 93245 when the complete service, including technical analysis and physician interpretation, is billed together.
$64.09
93224 is an external ECG service for monitoring up to 48 hours. Choose 93245 when the documented recording period extends beyond 7 days and through 15 days.
$23.99
93248 reports physician review and interpretation only; 93245 represents the complete service when billed globally.
Compare 93245 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
Kentucky →
Office / nonfacility
$259.48
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 93245 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
11,968
- Code
- 93245
- Physician work
- 0.54
- Practice expense
- 8.09
- Malpractice
- 0.04
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.54 | × 1.000 | 0.5400 |
| Practice expense | 8.09 | × 0.889 | 7.1920 |
| Malpractice | 0.04 | × 0.915 | 0.0366 |
| Total RVUs | 7.7686 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$259.48
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.54 | 1 |
| Practice expense | 8.09 | 0.889 |
| Malpractice | 0.04 | 0.915 |
(0.54 × 1 + 8.09 × 0.889 + 0.04 × 0.915) × $33.4009 = $259.48
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.
93245 billing questions
When should 93245 be used instead of 93241?
Use 93245 for extended monitoring lasting more than 7 days and up to 15 days. Code 93241 describes the shorter monitoring interval of more than 48 hours through 7 days.
Can the component codes also be reported with 93245?
93245 represents the complete service. If the recording, technical analysis, and physician interpretation are billed separately, use the applicable component codes instead of reporting the same work again under 93245.
Which codes describe the separate components?
93246 describes recording, 93247 describes scanning and analysis, and 93248 describes physician review and interpretation for this monitoring duration.
Does the multiple procedure reduction affect the whole service?
The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component. It affects the technical portion when applicable, not the professional interpretation.
What monitoring documentation supports 93245?
Document the monitoring start and end dates, total duration, recorded ECG data and analysis, and the physician’s interpretation. The record should support a monitoring period longer than 7 days and no longer than 15 days.
Should modifier 26 or TC be appended to 93245?
93245 is the global-test-only code, not the separately identified professional or technical component line. The component services have their own codes.
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.
11,96593242,,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
11,97093247,,Ext ecg>7d<15d scan a/r,A,,0.00,7.57,,7.57,NA,0.01,7.58,7.58,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,97193248,,Ext ecg>7d<15d rev&interpj,A,,0.54,0.18,,0.18,,0.02,0.74,0.74,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631