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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 19 - Off Campus Outpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | $25.05 national non-facility rate (2026) · View Medicare rates for 93228 |
| Medicaid Fee Schedule | $20.325 median of the 8 states in the free preview · View Medicaid rates for 93228 |
National average reimbursement for CPT 93228 by major payers:

$35.61

$35.25

$34.43

$50.88
Choose a payer to see a sample of rates for CPT 93228.
Israel Cofsky
Cathryn Rapadas
Medical Associates Of Englewood PC
Nadeem Haque
Nadeem Ul Haque Md PC
Steven Gerber
Steven L Gerber Md PC
Helms Medical Services, LLC
Helms Medical Services LLC
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Rate Benchmarking
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See a sample payer proposalCPT 93228 vs. Other Cardiovascular Procedures Codes
The CPT 93228 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 93228 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 |
|---|---|---|
| 93010-CPT | Low | Heart Test Review And Report, Physician Evaluation And Documentation Of Electrocardiogram (Ecg Or Ekg) Test Results. The Test Is Used To Evaluate Heart Rate Rhythm And Conduction. |
| 93228-CPT | Low | External Mobile Cardiovascular Telemetry With Electrocardiographic Recording Concurrent Computerized Real Time Data Analysis And Greater Than 24 Hours Of Accessible Ecg Data Storage (Retrievable With Query) With Ecg Triggered And Patient Selected Events Transmitted To A Remote Attended Surveillance Center For Up To 30 Days; Review And Interpretation With Report By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
| 93229-CPT | Moderate | Remote 30 Day Ecg Tech Supp, External Mobile Cardiovascular Telemetry With Electrocardiographic Recording Concurrent Computerized Real Time Data Analysis And Greater Than 24 Hours Of Accessible Ecg Data Storage Retrievable With Query With Ecg Triggered And Patient Selected Events Transmitted To A Remote Attended Surveillance Center For Up To 30 Days Technical Support For Connection And Patient Instructions For Use Attended Surveillance Analysis And Transmission Of Daily And Emergent Data Reports As Prescribed By A Physician Or Other Qualified Health Care Professional |
| 93278-CPT | Low | Detailed Heart Test (Ekg), An Electrocardiogram (Ecg Or Ekg) Measures The Heart Rhythm Through Wires Attached To The Chest. Electric Signals From The Heart Are Measured Over A Period Of Time. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93228. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93228 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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