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See a sample rate comparisonCPT 93247 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.
External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments GZ - Item or Service Expected to Be Denied as Not Reasonable and Necessary |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $253.18 national non-facility rate (2026) · View Medicare rates for 93247 |
| Medicaid Fee Schedule | $210.84 median of the 8 states in the free preview · View Medicaid rates for 93247 |
National average reimbursement for CPT 93247 by major payers:
$248.27
$72.02
$173.97
$422.24
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CPT 93247
5 of 25 sample ratesHigher to lower in this preview
Nicole Shaw
University Physicians Incorporated
$307.92Published rateElizabeth Homan
Advocate Health And Hospitals Corporation
$81.20Published rateBishoy Goubran
$69.47Published rateJody Wong
The Board Of Trustees Of The University Of Illinois
$61.40Published rateJason Liou
Town Center Orthopaedic Associates, P.C.
$40.66Published rate
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See a sample payer proposalCPT 93247 vs. Other Cardiovascular Procedures Codes
The CPT 93247 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 93247 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 |
|---|---|---|
| 93245-CPT | Moderate | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
| 93246-CPT | Low | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
| 93247-CPT | Moderate | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
| 93248-CPT | Low | External Heart Recording, A Continuous Recording Of Heart Activity By An External Device. The Recording May Last From 8 To15 Days. The Full Procedure Includes Event Recording An Analysis With Report Review Of The Report And Interpretation Of Results. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93247. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93247 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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