$69.22–$81.38
93224 represents the complete under-48-hour service, while 93227 reports only physician interpretation and the report.
On this page
CMS RVU26D · Effective 2026-10-01
93227 Holter interpretation Medicare reimbursement rates in Virginia
Reports a physician’s interpretation of ambulatory ECG data from a recording under 48 hours, commonly used to evaluate intermittent rhythm symptoms. Compare 93227 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 93227 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
$17.52–$19.26
2 of 2 localities have a supported rate.
Facility setting
$17.52–$19.26
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.
Cardiology
About 93227: Holter monitor interpretation and report
Reports a physician’s interpretation of ambulatory ECG data from a recording under 48 hours, commonly used to evaluate intermittent rhythm symptoms.
A physician reviews and interprets ambulatory electrocardiographic data collected during a short-term Holter recording, then documents the findings in a report. The test may be ordered for symptoms such as palpitations, dizziness, or suspected intermittent arrhythmia when a continuous ECG recording can help assess cardiac rhythm over the monitoring period. Cardiologists and other qualified practitioners who interpret ECG studies typically perform this professional service.
Report 93227 for the interpretation and report portion of the under-48-hour study, not for the recording or computerized scanning and analysis work. The record should support the monitoring period, the physician’s review of the tracing, relevant rhythm findings, and the resulting interpretation. CMS identifies 93227 as a professional-component-only code; the technical work is represented separately, including recording with 93225 and scanning analysis with 93226. Code 93224 represents the complete service when its components are reported together.
CMS billing rules for 93227
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.38 · 72%
- Practice expense (office) RVU0.14 · 26%
- Malpractice RVU0.01 · 2%
151.3K
Medicare services in 2024 · #450 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.
93227 compared with similar codes
Office rates for Virginia, from the same CMS release.
$34.05–$40.90
93226 covers scanning analysis of the recorded data. 93227 is the physician’s interpretation and report.
$22.42–$24.68
93244 applies to interpretation of an extended recording lasting more than 48 hours and up to seven days; 93227 is for the shorter service.
$23.42–$25.78
93272 is the interpretation code for a remote event-monitor service. 93227 applies to interpretation of a short-term Holter recording.
Compare 93227 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
$19.26
Facility
$19.26
Virginia →
Office / nonfacility
$17.52
Facility
$17.52
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93227 billing questions
How does 93227 differ from 93224?
93227 covers only the physician’s interpretation and report. 93224 represents the complete under-48-hour service, including the technical work.
Should modifier 26 be appended to 93227?
No. 93227 is already designated as a professional-component-only code for interpretation and reporting.
Which codes represent the technical work?
93225 represents recording, and 93226 represents scanning analysis. These technical services are distinct from the interpretation reported with 93227.
When is 93244 a better fit?
Use 93244 for the interpretation and report of an extended ECG recording lasting more than 48 hours and up to seven days. 93227 is for the shorter monitoring service.
Is 93227 appropriate for a 30-day event monitor?
No. A 30-day event-monitor service uses a different code family, including 93272 for review and interpretation, rather than the short-term Holter interpretation code.
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.
11,95893224,,Xtrnl ecg rec up to 48 hrs,A,,0.38,1.70,,1.70,NA,0.03,2.11,2.11,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,95993225,,Xtrnl ecg rec<48 hrs rec,A,,0.00,0.53,,0.53,NA,0.01,0.54,0.54,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96093226,,Xtrnl ecg rec<48 hr scan a/r,A,,0.00,1.03,,1.03,NA,0.01,1.04,1.04,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96193227,,Xtrnl ecg rec<48 hr r&i,A,,0.38,0.14,,0.14,,0.01,0.53,0.53,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,96293228,,Remote 30 day ecg rev/report,A,,0.47,0.25,,0.25,,0.03,0.75,0.75,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,96393229,,Remote 30 day ecg tech supp,A,,0.00,22.64,,22.64,NA,0.07,22.71,22.71,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96493241,,Xtrnl ecg rec>48hr<7d,A,,0.49,7.83,,7.83,NA,0.04,8.36,8.36,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00