CPT code 93245: Extended ECG2026 Medicare rate & RVUs in Utah
Reports a complete extended external ECG monitoring service when rhythm evaluation requires more than 7 days and up to 15 days of recording.
Medicare pays $273.24 for 93245 in the office in Utah (Utah). 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 93245 covers
This code represents the complete service for extended external ECG monitoring over more than 7 days and up to 15 days. A patient may wear a patch or other ambulatory monitor while going about daily activities when symptoms such as intermittent palpitations, dizziness, or suspected arrhythmia have not been captured during a brief ECG or shorter monitoring period. The service includes recording, technical analysis, and physician review and interpretation. Cardiology practices and other clinicians managing rhythm evaluation commonly use these monitors in outpatient care.
Select this code based on the documented monitoring duration and report it when the complete service is billed together. CMS identifies 93245 as a global-test-only code; separate codes describe the recording, analysis, and interpretation components when those services are billed separately. Keep the monitoring dates and duration, recorded data and analysis, and interpreting clinician’s findings in the record. The cardiovascular diagnostic multiple procedure reduction applies to the technical component, so it affects the technical portion when applicable rather than the professional interpretation.
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.
93245 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $273.24 | Unavailable |
How the 93245 rate is calculated
Each of 93245’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 · 93245
RVUs × geographic indexes × conversion factor
Work0.54
0.54 RVUs× 1.000 GPCI
Practice expense8.09
8.09 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
8.6700
Conversion factor
$33.4009
Medicare rate
$289.59
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93245
The CMS indicators that decide how 93245 is paid alongside other services.
CMS payment indicators · 93245
Extended ECG
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| 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 | 4 | Global test only. |
93245 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93241Ambulatory ECG
- 93241 applies to the shorter monitoring interval of more than 48 hours through 7 days; 93245 is for monitoring beyond 7 days through 15 days.
- 93246Extended ECG
- 93246 reports the recording component alone. Use 93245 when the complete service, including technical analysis and physician interpretation, is billed together.
- 93224Holter monitoring
- 93224 is an external ECG service for monitoring up to 48 hours. Choose 93245 when the documented recording period extends beyond 7 days and through 15 days.
- 93248ECG monitoring
- 93248 reports physician review and interpretation only; 93245 represents the complete service when billed globally.
93245 billing questions
When should 93245 be used instead of 93241?
Use 93245 for extended monitoring lasting more than 7 days and up to 15 days. Code 93241 describes the shorter monitoring interval of more than 48 hours through 7 days.
Can the component codes also be reported with 93245?
93245 represents the complete service. If the recording, technical analysis, and physician interpretation are billed separately, use the applicable component codes instead of reporting the same work again under 93245.
Which codes describe the separate components?
93246 describes recording, 93247 describes scanning and analysis, and 93248 describes physician review and interpretation for this monitoring duration.
Does the multiple procedure reduction affect the whole service?
The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component. It affects the technical portion when applicable, not the professional interpretation.
What monitoring documentation supports 93245?
Document the monitoring start and end dates, total duration, recorded ECG data and analysis, and the physician’s interpretation. The record should support a monitoring period longer than 7 days and no longer than 15 days.
Should modifier 26 or TC be appended to 93245?
93245 is the global-test-only code, not the separately identified professional or technical component line. The component services have their own codes.
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
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