$798.14–$904.98
93229 covers the technical portion of remote extended ECG monitoring, while 93228 covers professional interpretation and reporting. They may be reported together when both services are furnished.
On this page
CMS RVU26D · Effective 2026-10-01
93228 ECG interpretation Medicare reimbursement rates in Massachusetts
Professional interpretation and reporting for remote external ECG monitoring lasting more than 24 hours and up to 30 days, typically used to evaluate intermittent cardiac symptoms. Compare 93228 office and facility rates across CMS payment localities in Massachusetts.
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 93228 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$25.54–$27.20
2 of 2 localities have a supported rate.
Facility setting
$25.54–$27.20
2 of 2 localities have a 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.
Cardiac monitoring
About 93228: Remote extended ECG interpretation and report
Professional interpretation and reporting for remote external ECG monitoring lasting more than 24 hours and up to 30 days, typically used to evaluate intermittent cardiac symptoms.
This service covers a physician’s or other qualified health care professional’s review and interpretation of ECG information from remote external monitoring lasting more than 24 hours and up to 30 days, with a report. It is commonly used to evaluate intermittent symptoms such as palpitations or syncope when a standard office ECG may not capture an episode. Cardiologists and other clinicians experienced in ECG interpretation typically provide the professional service for outpatient monitoring.
Select the code for the professional interpretation and report, not for device connection, recording, or technical analysis. The record should support the monitoring period, the ECG information reviewed, the interpretation, and the resulting report. CMS treats 93228 as a professional-component-only code; the technical portion is separately represented by 93229. The professional service is not a substitute for the technical service when both were furnished.
CMS billing rules for 93228
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.47 · 63%
- Practice expense (office) RVU0.25 · 33%
- Malpractice RVU0.03 · 4%
310.4K
Medicare services in 2024 · #302 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.
93228 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$24.17–$25.51
93272 is the professional interpretation code for an external event-monitor service. Choose 93228 for the professional service associated with remote extended ECG monitoring.
$73.48–$81.90
93224 describes Holter monitoring for up to 48 hours. Code 93228 is for professional interpretation associated with remote monitoring lasting more than 24 hours and up to 30 days.
$23.14–$24.41
93244 covers professional interpretation for external ECG monitoring lasting more than 48 hours and up to 7 days. Code 93228 applies to remote monitoring with a longer period, up to 30 days.
Compare 93228 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
$27.20
Facility
$27.20
Rest Of Massachusetts →
Office / nonfacility
$25.54
Facility
$25.54
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93228 billing questions
When should 93228 be chosen instead of 93272?
Use 93228 for professional review and reporting associated with remote extended ECG monitoring. Code 93272 is associated with physician review and interpretation for an external event-monitor service.
Can 93228 and 93229 be reported for the same monitoring episode?
Yes, when the professional interpretation and the technical service are both furnished. Code 93228 represents the interpretation and report; 93229 represents the technical portion.
Does 93228 include device connection or ECG recording?
No. It covers the professional interpretation and report. The technical portion is reported separately with 93229 when furnished.
Is 93228 reported for each transmission or tracing?
The code represents the professional interpretation and report for remote monitoring, not a separate charge for each transmission or tracing.
What documentation supports reporting 93228?
Document the remote monitoring period, the ECG data reviewed, the clinician’s interpretation, and the report. The record should make clear that the professional service was performed.
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.
11,95993225,,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
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