Billing code 93010: ECG interpretationMedicare rate & RVUs in Oregon
Physician interpretation and written report of a routine 12-lead ECG when another entity furnishes the tracing, often in a hospital setting.
Medicare pays $8.24–$8.62 for 93010 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 93010 covers
93010 covers a clinician’s interpretation of a resting ECG with at least 12 leads, including assessment of rate, rhythm, intervals, conduction, and possible ischemic changes. The interpreting clinician documents findings and a conclusion in a separate report. Cardiologists, emergency physicians, hospitalists, and internists may interpret tracings recorded in emergency departments, inpatient units, or preoperative areas. Most Medicare services for this code occur in facilities.
CMS treats 93010 as a professional-component-only code. The tracing-only portion is represented by 93005 when separately reported by the entity furnishing it. If one billing entity furnishes and reports both portions of the same ECG, use the complete-service code 93000 instead. Do not append modifier 26 to 93010; the code already identifies the interpretation and report. Support the claim with a separate, authenticated report containing findings and a conclusion, not just a note that the ECG was reviewed. Distinct, medically necessary ECGs repeated on the same date need separate interpretations; document their times or clinical indications. Modifier 76 may identify a repeat service by the same physician or other qualified health care professional.
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.
Where 93010 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $8.62 | $8.62 |
| Rest Of Oregon | $8.24 | $8.24 |
How the 93010 rate is calculated
Each of 93010’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93010
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.17Practice expense 0.07Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93010
The CMS indicators that decide how 93010 is paid alongside other services.
CMS payment indicators · 93010
ECG interpretation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 2 | Professional component only. |
93010 compared with similar codes
Compare codes
93010 vs 93000 vs 93005 vs 93042: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93000Electrocardiogram (ECG)
- 93000 includes both the tracing and interpretation when one billing entity furnishes and reports the complete routine ECG service. 93010 covers only interpretation and report.
- 93005ECG tracing
- 93005 represents the tracing-only portion of a routine ECG. 93010 represents the clinician’s interpretation and report.
- 93042Rhythm ECG
- 93042 is interpretation and report of a one-to-three-lead rhythm ECG. 93010 requires a routine resting ECG with at least 12 leads.
93010 billing questions
When should 93010 be reported instead of 93000?
Report 93010 when the billing clinician furnishes only the interpretation and report. Use 93000 when one billing entity furnishes and reports both the tracing and interpretation of the same routine ECG.
Does 93010 need modifier 26?
No. The code already represents the professional portion: interpretation and report.
Can an ED physician bill 93010 for reviewing an ECG during the visit?
Yes, if the physician provides a separate, authenticated interpretation with findings and a conclusion. A brief notation within the E/M documentation that the ECG was reviewed does not support a separate interpretation claim.
How are several ECGs on the same day reported?
A separate unit of 93010 may be reported for each distinct, medically necessary ECG that receives its own interpretation and report. Document the times or clinical indications; modifier 76 may be appropriate for a repeat service by the same physician or other qualified health care professional.
Does reporting 93010 affect E/M medical decision making credit?
A separately reported ECG interpretation cannot also count as an independent test interpretation in the E/M data element. An eligible order may still count under the applicable E/M data rules, but do not count the same work twice.
Is 93010 used for a rhythm strip interpretation?
No. For interpretation and report of a one-to-three-lead rhythm ECG, use 93042. Code 93010 is for interpretation and report of a routine ECG with at least 12 leads.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 93010 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →