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See a sample rate comparisonCPT 93040 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Physician Report Of Ekg Test, Physician Interpretation And Report Of Electrocardiogram (Ecg Or Ekg) Heart Rhythm Test Results.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 20 - Urgent Care Facility |
| Common Modifiers | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Low |
| Medicare Fee Schedule | $15.03 national non-facility rate (2026) · View Medicare rates for 93040 |
| Medicaid Fee Schedule | $12.035 median of the 8 states in the free preview · View Medicaid rates for 93040 |
National average reimbursement for CPT 93040 by major payers:
$17.73
$17.45
$16.89
$21.10
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CPT 93040
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$83.62Published rateDavid Hanrahan
Loyola University Medical Center
$25.21Published rateJohn Millichap
Warren Clinic Inc
$21.29Published rateSurya Sabhapathy
The Board Of Trustees Of The University Of Illinois
$19.88Published rateErin Kelly
Town Center Orthopaedic Associates, P.C.
$10.85Published rate
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See a sample payer proposalCPT 93040 vs. Other Cardiovascular Procedures Codes
The CPT 93040 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 93040 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 93000-CPT | Low | Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leads With Interpretation And Report Electrocardiogram Routine Ecg With At Least 12 Leads With |
| 93005-CPT | Low | Electrocardiogram Routine Ecg, Electrocardiogram Routine Ecg With At Least 12 Leadstracing Only Without Interpretation And Report Electrocardiogram Routine Ecg With At Least 12leads |
| 93040-CPT | Low | Physician Report Of Ekg Test, Physician Interpretation And Report Of Electrocardiogram (Ecg Or Ekg) Heart Rhythm Test Results. |
| 93041-CPT | Low | Rhythm Ecg 1-3 Leads; Tracing Only W/O Interpret & Rport, Rhythm Ecg 1-3 Leads; Tracing Only Without Interpretation And Report |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93040. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93040 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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