93225 covers obtaining the recording; 93226 covers scanning and analyzing it with a report.
On this page
CMS RVU26D · Effective 2026-10-01
93226 Holter analysis Medicare reimbursement rates in Nebraska
Report this technical service for scanning and analysis of continuous ambulatory ECG data recorded for less than 48 hours, with a prepared report. Compare 93226 office and facility rates across CMS payment localities in Nebraska.
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 93226 in Nebraska?
Nebraska 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
$31.88
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 diagnostics
About 93226: Short-term Holter data scanning
Report this technical service for scanning and analysis of continuous ambulatory ECG data recorded for less than 48 hours, with a prepared report.
This service covers the technical analysis of continuous ambulatory ECG data from a short-term monitor, including scanning the recording and preparing an analysis report. Cardiac monitoring staff or other qualified technical personnel commonly perform the work in a cardiology practice or diagnostic testing facility. The data may be reviewed for rhythm events such as pauses or suspected arrhythmias; this code covers the scan and report, not the physician’s separate interpretation.
Select this code for the scanning-and-report portion when the continuous recording lasts less than 48 hours. Keep documentation of the recording period, analysis performed, and resulting report. Code 93225 represents recording, while 93227 represents physician review and interpretation; 93224 combines the service components. This is a technical-component-only code, and CMS applies the cardiovascular diagnostic multiple procedure reduction to its technical component when applicable.
CMS billing rules for 93226
- 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) RVU1.03 · 99%
- Malpractice RVU0.01 · 1%
77.4K
Medicare services in 2024 · #642 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.
93226 compared with similar codes
Office rates for Nebraska, from the same CMS release.
93227 is the physician review and interpretation portion, rather than the technical scan and report represented by 93226.
93224 represents the combined short-term continuous ECG service, while 93226 identifies only its scanning-and-report technical portion.
93243 covers scanning and reporting for the longer monitoring interval of more than 48 hours but less than 7 days.
Compare 93226 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
Nebraska →
Office / nonfacility
$31.88
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 93226 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
11,960
- Code
- 93226
- Physician work
- 0.00
- Practice expense
- 1.03
- Malpractice
- 0.01
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.03 | × 0.923 | 0.9507 |
| Malpractice | 0.01 | × 0.378 | 0.0038 |
| Total RVUs | 0.9545 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$31.88
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.03 | 0.923 |
| Malpractice | 0.01 | 0.378 |
(0 × 1 + 1.03 × 0.923 + 0.01 × 0.378) × $33.4009 = $31.88
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.
93226 billing questions
How does 93226 differ from 93225?
93226 covers scanning and analysis of the recorded data with a report. 93225 covers obtaining the ECG recording itself.
Does 93226 include a physician interpretation?
No. It is the technical analysis portion; physician review and interpretation are represented separately by 93227.
Can 93226 be reported with 93225 and 93227?
These codes represent separate parts of short-term continuous ECG monitoring. When reporting components separately, document the work performed for each part; 93224 represents the combined service.
What documentation supports 93226?
Retain the monitoring period, evidence that the recording was scanned and analyzed, and the resulting analysis report.
How does CMS apply the multiple procedure reduction?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component of 93226.
Which scanning code applies when monitoring lasts longer?
For recordings longer than 48 hours and less than 7 days, the corresponding scanning code is 93243. For recordings longer than 7 days and less than 15 days, it is 93247.
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.
