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See a sample rate comparisonCPT 93227 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.
Wearable Electrocardiographic, Wearable Electrocardiographic Rhythm Derived Monitoring For 24 Hours By Continuous Original Waveformrecording And Storage With Visual Superimpositio N Scanning Physician Review And Interpretation
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 11 - Office 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service QD |
| Complexity Level | Low |
| Medicare Fee Schedule | $17.70 national non-facility rate (2026) · View Medicare rates for 93227 |
| Medicaid Fee Schedule | $15.90 median of the 8 states in the free preview · View Medicaid rates for 93227 |
National average reimbursement for CPT 93227 by major payers:
$29.60
$35.09
$32.41
$36.12
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CPT 93227
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$167.75Published rateJamie Evans
$52.20Published rateColleen Buhrfiend
$45.29Published rateStevan Weine
The Board Of Trustees Of The University Of Illinois
$40.11Published rateKimball Ladien
Tca Health Inc Nfp
$29.47Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 93227 vs. Other Cardiovascular Procedures Codes
The CPT 93227 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 93227 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 |
|---|---|---|
| 93017-CPT | Low | Cardiovascular Stress Test, Cardiovascular Stress Test Using Maximal Or Submaximal Treadmill Or Bicycle Exercise Continuous Electrocardiographic Monitoring And Or Pharmacological Stress Tracing Only Without Interpretation And Report |
| 93224-CPT | Low | Ecg Monit Reprt Up To 48 Hrs, External Electrocardiographic Recording Up To 48 Hours By Continuous Rhythm Recording And Storage Includes Recording Scanning Analysis With Report Review And Interpretation By A Physician Or Other Qualified Health Care Professional |
| 93225-CPT | Low | Wearable Electrocardiographic, Wearable Electrocardiographic Rhythm Derived Monitoring For 24 Hours By Continuous Original Waveformrecording And Storage With Visual Superimpositio N Scanning Recording (Includes Connection Record |
| 93227-CPT | Low | Wearable Electrocardiographic, Wearable Electrocardiographic Rhythm Derived Monitoring For 24 Hours By Continuous Original Waveformrecording And Storage With Visual Superimpositio N Scanning Physician Review And Interpretation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93227. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93227 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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