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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 AQ - Service in Health Professional Shortage Area |
| Complexity Level | Low |
| Medicare Fee Schedule | $24.72 national non-facility rate (2026) · View Medicare rates for 93248 |
| Medicaid Fee Schedule | $20.635 median of the 8 states in the free preview · View Medicaid rates for 93248 |
National average reimbursement for CPT 93248 by major payers:

$33.15

$37.09

$35.67

$51.78
Choose a payer to see a sample of rates for CPT 93248.
Barnabas Health Medical Group PC
Vinod Sancheti
Lakehurst Professional Medical Group LLC
Rosa Calderon
Robert Costello
Robert Costello Md LLC
Dana Cernea
Dc Medical Care LLC
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Rate Benchmarking
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See a sample payer proposalCPT 93248 vs. Other Cardiovascular Procedures Codes
The CPT 93248 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 93248 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 93248. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93248 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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