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.
On this page
CMS RVU26D · Effective 2026-10-01
93010 ECG interpretation Medicare reimbursement rates in Virginia
Physician interpretation and written report of a routine 12-lead ECG when another entity furnishes the tracing, often in a hospital setting. Compare 93010 office and facility rates across CMS payment localities in Virginia.
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 93010 in Virginia?
Virginia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$8.21–$9.11
2 of 2 localities have a supported rate.
Facility setting
$8.21–$9.11
2 of 2 localities have a 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.
Cardiovascular diagnostics
About 93010: Routine 12-lead ECG interpretation and report only
Physician interpretation and written report of a routine 12-lead ECG when another entity furnishes the tracing, often in a hospital setting.
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.
CMS billing rules for 93010
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.17 · 68%
- Practice expense (office) RVU0.07 · 28%
- Malpractice RVU0.01 · 4%
15.5M
Medicare services in 2024 · #12 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.
93010 compared with similar codes
Office rates for Virginia, from the same CMS release.
93005 represents the tracing-only portion of a routine ECG. 93010 represents the clinician’s interpretation and report.
93042 is interpretation and report of a one-to-three-lead rhythm ECG. 93010 requires a routine resting ECG with at least 12 leads.
Compare 93010 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.
2 of 2 payment localities
Dc + Md/Va Suburbs →
Office / nonfacility
$9.11
Facility
$9.11
Virginia →
Office / nonfacility
$8.21
Facility
$8.21
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 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.
