93000 is the complete routine ECG service, including tracing and interpretation/report. Choose 93005 when only the tracing is furnished.
On this page
CMS RVU26D · Effective 2026-10-01
93005 ECG tracing Medicare reimbursement rates in New York
Reports the technical recording of a routine electrocardiogram, without interpretation or report, when a clinician orders a tracing for evaluation or monitoring. Compare 93005 office and facility rates across CMS payment localities in New York.
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 93005 in New York?
New York has 5 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 5 payment areas shown below, using the same CMS release.
Office / nonfacility
$6.58–$8.56
5 of 5 localities have a supported rate.
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.
Where 93005 pays more and less in New York
5 payment localities
$6.58 to $8.56
Cardiology diagnostics
About 93005: Routine electrocardiogram tracing only
Reports the technical recording of a routine electrocardiogram, without interpretation or report, when a clinician orders a tracing for evaluation or monitoring.
This code represents the recording of a routine electrocardiogram with at least 12 leads; it covers the tracing, not its interpretation or written report. Clinical staff or a technician commonly obtains the tracing in a physician office, clinic, emergency department, or hospital. Typical reasons include evaluation of chest discomfort, palpitations, dizziness, or a change in cardiac status, as well as preoperative assessment when an ECG is ordered.
Report 93005 when the tracing is furnished separately from the interpretation and report; when one clinician provides the complete ECG service, the complete-service code 93000 is the closer fit. Documentation should support the clinical reason for the ECG and show that the tracing was obtained and retained; a separately furnished interpretation should have its own report. CMS treats 93005 as a technical-component-only service, with no physician-work RVUs. The cardiovascular diagnostic multiple-procedure reduction applies to its technical component when the qualifying services are performed in the same session.
CMS billing rules for 93005
- 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) RVU0.20 · 95%
- Malpractice RVU0.01 · 5%
445.7K
Medicare services in 2024 · #242 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.
93005 compared with similar codes
Office rates for New York, from the same CMS release.
93010 covers interpretation and report, not acquisition of the tracing. It may be separately reported when that work is furnished and documented.
93041 is for a rhythm ECG tracing. 93005 represents a routine ECG tracing with at least 12 leads.
93017 represents ECG tracing as part of a cardiovascular stress test; 93005 is for a routine ECG tracing.
Compare 93005 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.
5 of 5 payment localities
Manhattan →
Office / nonfacility
$8.29
Facility
Unavailable
Nyc Suburbs/Long Island →
Office / nonfacility
$8.56
Facility
Unavailable
Poughkpsie/N Nyc Suburbs →
Office / nonfacility
$7.72
Facility
Unavailable
Queens →
Office / nonfacility
$8.38
Facility
Unavailable
Rest Of New York →
Office / nonfacility
$6.58
Facility
Unavailable
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93005 billing questions
How does 93005 differ from 93000?
93005 reports the ECG tracing alone. Use 93000 when the same service includes the tracing, interpretation, and report.
Can the interpretation be billed separately?
Yes. Code 93010 represents a separately furnished ECG interpretation and report; the documentation should include the interpreting clinician’s report.
Should modifier 26 be appended to 93005?
No. 93005 is the tracing-only technical service; 93010 identifies the interpretation and report.
Can 93005 report a rhythm strip?
Use 93041 for a rhythm ECG tracing rather than the routine multi-lead tracing represented by 93005.
When does the multiple-procedure reduction affect 93005?
CMS applies the cardiovascular diagnostic multiple-procedure reduction to the technical component when qualifying cardiovascular diagnostic procedures are performed in the same session.
What documentation supports reporting 93005?
Keep the ECG tracing and document the clinical reason it was obtained. If interpretation is separately furnished, retain the separate interpretation and report.
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.
