$14.61
93040 covers both the rhythm tracing and its interpretation and report. 93042 covers only the professional interpretation and report.
On this page
CMS RVU26D · Effective 2026-10-01
93042 Rhythm ECG Medicare reimbursement rates in Vermont
Reports a clinician’s interpretation of a one- to three-lead rhythm ECG when the professional reading is billed separately from tracing acquisition. Compare 93042 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 93042 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
$6.83
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$6.83
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.
Cardiology diagnostics
About 93042: Limited-lead rhythm ECG interpretation
Reports a clinician’s interpretation of a one- to three-lead rhythm ECG when the professional reading is billed separately from tracing acquisition.
93042 represents the interpretation of a limited-lead rhythm ECG, typically a short tracing used to assess heart rate and rhythm, such as when evaluating suspected atrial fibrillation, ectopy, or another arrhythmia. It covers the interpretation and written report for a one- to three-lead rhythm recording, not acquisition of the tracing. Emergency physicians, cardiologists, and other clinicians who interpret ECGs may provide this service in emergency departments, hospitals, or offices.
Report 93042 when documentation supports a rhythm tracing and a corresponding interpretation and report, including the relevant findings and impression. Select it when billing only the professional reading; the technical portion has a separate code. When the same entity provides both tracing and interpretation, 93040 represents the combined rhythm ECG service. CMS classifies 93042 as professional-component-only, so it is not split with modifier 26.
CMS billing rules for 93042
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.15 · 71%
- Practice expense (office) RVU0.05 · 24%
- Malpractice RVU0.01 · 5%
255.7K
Medicare services in 2024 · #339 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.
93042 compared with similar codes
Office rates for Vermont, from the same CMS release.
$7.77
93041 covers acquisition of the one- to three-lead rhythm tracing without the professional reading. 93042 covers the interpretation and report.
$8.16
93010 is the interpretation-and-report code for a standard ECG. 93042 is for a limited-lead rhythm ECG.
$14.94
93000 represents a complete standard ECG service with tracing and interpretation and report; 93042 represents only a limited-lead rhythm ECG interpretation and report.
Compare 93042 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
$6.83
Facility
$6.83
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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 93042 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
11,948
- Code
- 93042
- Physician work
- 0.15
- Practice expense
- 0.05
- 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 | 0.15 | × 1.000 | 0.1500 |
| Practice expense | 0.05 | × 0.990 | 0.0495 |
| Malpractice | 0.01 | × 0.506 | 0.0051 |
| Total RVUs | 0.2046 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$6.83
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.15 | 1 |
| Practice expense | 0.05 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0.15 × 1 + 0.05 × 0.99 + 0.01 × 0.506) × $33.4009 = $6.83
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.15 | 1 |
| Practice expense | 0.05 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0.15 × 1 + 0.05 × 0.99 + 0.01 × 0.506) × $33.4009 = $6.83
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.
93042 billing questions
What service does 93042 cover?
It covers interpretation and reporting of a one- to three-lead rhythm ECG. It does not cover acquisition of the tracing.
When should 93042 be used instead of 93040?
Use 93042 when billing only the professional interpretation and report. Use 93040 when the same service includes both the rhythm tracing and its interpretation and report.
Is the rhythm tracing included in 93042?
No. The tracing is the technical portion and has a separate code, 93041.
Should modifier 26 be appended to 93042?
No. 93042 already represents the professional interpretation and report only.
How does 93042 differ from 93010?
93042 reports interpretation of a limited-lead rhythm ECG. 93010 reports interpretation and report for a standard ECG rather than a limited-lead rhythm tracing.
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.
11,94593025,TC,Microvolt t-wave assess,A,,0.00,2.93,,2.93,NA,0.02,2.95,2.95,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,94693040,,Rhythm ecg with report,A,,0.15,0.28,,0.28,NA,0.02,0.45,0.45,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,94793041,,Rhythm ecg tracing,A,,0.00,0.23,,0.23,NA,0.01,0.24,0.24,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,94893042,,Rhythm ecg report,A,,0.15,0.05,,0.05,,0.01,0.21,0.21,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,94993050,,Art pressure waveform analys,A,,0.17,0.32,,0.32,NA,0.02,0.51,0.51,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95093050,26,Art pressure waveform analys,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95193050,TC,Art pressure waveform analys,A,,0.00,0.25,,0.25,NA,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,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