$8.58
93270 covers the recording portion of the extended monitoring work; 93268 represents the complete service, including analysis and interpretation.
On this page
CMS RVU26D · Effective 2026-10-01
93268 ECG monitoring Medicare reimbursement rates in Rhode Island
Reports extended external ECG monitoring, including recording, rhythm analysis, and interpretation, for patients whose suspected arrhythmia may not appear on a brief ECG. Compare 93268 office and facility rates across CMS payment localities in Rhode Island.
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 93268 in Rhode Island?
Rhode Island 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
$174.85
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Cardiac monitoring
About 93268: Extended external ECG monitoring service
Reports extended external ECG monitoring, including recording, rhythm analysis, and interpretation, for patients whose suspected arrhythmia may not appear on a brief ECG.
This service uses an external electrocardiographic monitor to capture heart rhythm over an extended period, up to 30 days. It is commonly used for outpatient evaluation of intermittent palpitations, dizziness, or syncope when a standard ECG has not documented a suspected arrhythmia. Depending on the monitoring system and service arrangement, the work includes recording, analysis and reporting, and clinician review and interpretation.
Report 93268 for the complete service when the monitoring and interpretation work is furnished as a global service. Separate codes describe the recording, analysis, and interpretation portions when those services are furnished separately. Documentation should support the clinical reason for extended monitoring, the monitoring period, the recorded results, and the interpretation. CMS classifies 93268 as a global-test-only code. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.
CMS billing rules for 93268
- 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 RVU0.51 · 10%
- Practice expense (office) RVU4.53 · 89%
- Malpractice RVU0.04 · 1%
10K
Medicare services in 2024 · #1464 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.
93268 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$24.16
93272 is limited to review and interpretation. Report 93268 when the complete monitoring service is furnished globally.
$298.70
93245 belongs to a separate extended ECG monitoring family for monitoring over 7 days and under 15 days; 93268 covers a service that may extend up to 30 days.
Compare 93268 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
Rhode Island →
Office / nonfacility
$174.85
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 93268 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
11,979
- Code
- 93268
- Physician work
- 0.51
- Practice expense
- 4.53
- Malpractice
- 0.04
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.51 | × 1.019 | 0.5197 |
| Practice expense | 4.53 | × 1.033 | 4.6795 |
| Malpractice | 0.04 | × 0.892 | 0.0357 |
| Total RVUs | 5.2349 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$174.85
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.51 | 1.019 |
| Practice expense | 4.53 | 1.033 |
| Malpractice | 0.04 | 0.892 |
(0.51 × 1.019 + 4.53 × 1.033 + 0.04 × 0.892) × $33.4009 = $174.85
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.
93268 billing questions
When should 93268 be reported instead of a shorter ECG monitoring code?
Use 93268 for the complete extended external monitoring service, which can cover up to 30 days. Shorter monitoring periods may belong to a different ECG monitoring code family.
Can the recording and interpretation services be billed separately?
Separate codes describe the recording, analysis, and interpretation portions of this monitoring service. Use 93268 when the complete service is furnished and reported globally.
What documentation supports 93268?
Document the clinical reason for extended monitoring, the monitoring period, the findings, and the clinician's review and interpretation.
Does the multiple-procedure reduction affect the entire service?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. CMS identifies 93268 as a global-test-only code, with separate codes available for component services.
How does 93268 differ from 93270?
93268 represents the complete monitoring service. 93270 describes the recording portion rather than the complete service.
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.
11,97693261,26,Interrogate subq defib,A,,0.72,0.31,,0.31,,0.03,1.06,1.06,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97793261,TC,Interrogate subq defib,A,,0.00,1.02,,1.02,NA,0.01,1.03,1.03,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,97893264,,Rem mntr wrls p-art prs snr,A,,0.68,0.85,,0.16,,0.05,1.58,0.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97993268,,Ecg record/review,A,,0.51,4.53,,4.53,NA,0.04,5.08,5.08,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,98093270,,Remote 30 day ecg rev/report,A,,0.00,0.24,,0.24,NA,0.01,0.25,0.25,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,98193271,,Ecg/monitoring and analysis,A,,0.00,4.11,,4.11,NA,0.01,4.12,4.12,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,98293272,,Ecg/review interpret only,A,,0.51,0.18,,0.18,,0.02,0.71,0.71,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537