$13.49
93018 covers interpretation of the stress test and a report; 93016 covers supervision during the test. A practitioner who performs both portions may report both.
On this page
CMS RVU26D · Effective 2026-10-01
93016 Stress test supervision Medicare reimbursement rates in Vermont
Report supervision of an exercise or pharmacologic cardiovascular stress test when the supervising practitioner does not bill the complete stress test service. Compare 93016 office and facility rates across CMS payment localities in Vermont.
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 93016 in Vermont?
Vermont 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
$20.49
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$20.49
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
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 testing
About 93016: Cardiovascular stress test supervision only
Report supervision of an exercise or pharmacologic cardiovascular stress test when the supervising practitioner does not bill the complete stress test service.
This service covers a practitioner's supervision during a cardiovascular stress test, not production of the tracing or interpretation of the results. The patient may exercise on a treadmill or stationary bicycle or receive a pharmacologic stress agent such as regadenoson or dobutamine. ECG is monitored continuously while heart rate, blood pressure, symptoms, and responses that might require stopping the test are assessed. A physician or other qualified health care professional typically supervises the test in a cardiology office, hospital outpatient stress lab, or nuclear cardiology suite.
Report 93016 for the supervision portion when the complete stress test service is not reported by one provider. Code 93017 covers the technical tracing, and 93018 covers interpretation and report; report each portion only when furnished by the billing entity. If one provider furnishes all portions, report 93015 instead of the separate codes. CMS identifies 93016 as professional-only, so modifier 26 is not appended; the technical portion has a separate code. Documentation should identify the supervisor, stress protocol or agent, monitoring, patient response, and reason the test ended.
CMS billing rules for 93016
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.44 · 71%
- Practice expense (office) RVU0.17 · 27%
- Malpractice RVU0.01 · 2%
744.6K
Medicare services in 2024 · #173 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.
93016 compared with similar codes
Office rates for Vermont, from the same CMS release.
$72.34
93015 covers the complete stress test service furnished by one provider. Do not report it with 93016, 93017, or 93018 for the same test.
$38.36
93017 covers the technical tracing portion, including equipment and staff resources; 93016 covers practitioner supervision.
$230.09
93351 includes stress echocardiography and stress ECG supervision, so 93016 is not separately reported with it. With 93350, separately furnished stress ECG supervision may be reported.
Compare 93016 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
Vermont →
Office / nonfacility
$20.49
Facility
$20.49
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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 93016 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
11,937
- Code
- 93016
- Physician work
- 0.44
- Practice expense
- 0.17
- Malpractice
- 0.01
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.44 | × 1.000 | 0.4400 |
| Practice expense | 0.17 | × 0.990 | 0.1683 |
| Malpractice | 0.01 | × 0.506 | 0.0051 |
| Total RVUs | 0.6134 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$20.49
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1 |
| Practice expense | 0.17 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0.44 × 1 + 0.17 × 0.99 + 0.01 × 0.506) × $33.4009 = $20.49
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1 |
| Practice expense | 0.17 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0.44 × 1 + 0.17 × 0.99 + 0.01 × 0.506) × $33.4009 = $20.49
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.
93016 billing questions
When should 93016 be reported instead of 93015?
Report 93016 when billing the supervision portion separately. Use 93015 when one provider furnishes the complete stress test service, including supervision, tracing, interpretation, and report.
Does 93016 need modifier 26?
No. CMS identifies 93016 as professional-only; 93017 separately describes the technical tracing portion.
Can one physician bill 93016 and a different physician bill 93018?
Yes. The practitioner who supervises may report 93016, while a different practitioner who interprets the stress test and prepares the report may report 93018.
Is 93016 reported with a nuclear myocardial perfusion study?
It may be reported with SPECT myocardial perfusion imaging, such as 78452, when cardiovascular stress test supervision is furnished separately. Report the other stress test portions according to who furnishes them.
Can 93016 be billed with a stress echocardiogram?
Do not separately report 93016 with 93351, which includes stress ECG supervision. When stress echocardiography is reported with 93350, the separately furnished stress ECG supervision may be reported with 93016.
Is a pharmacologic stress agent included in 93016?
No. Code 93016 covers supervision, not the supplied drug. When the reporting entity supplies regadenoson for the test, J2785 identifies that drug separately.
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.
11,93493005,,Electrocardiogram tracing,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,93593010,,Electrocardiogram report,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,93693015,,Cv stress test supvj i&r,A,,0.73,1.43,,1.43,NA,0.04,2.20,2.20,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,93793016,,Cv stress test supvj only,A,,0.44,0.17,,0.17,,0.01,0.62,0.62,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,93893017,,Cv stress test tracing only,A,,0.00,1.15,,1.15,NA,0.02,1.17,1.17,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,93993018,,Cv stress test i&r only,A,,0.29,0.11,,0.11,,0.01,0.41,0.41,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,94093024,,Ergonovine provocation test,A,,1.14,2.23,,2.23,NA,0.07,3.44,3.44,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817