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See a sample rate comparisonCPT 93268 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 Patient And When Performed Auto Activated Electrocardiographic Rhythm Derived Event Recording With Symptom-Related Memory Loop With Remote Download Capability Up To 30 Days 24-Hour Attended Monitoring; Includes Transmission Review And Interpretation By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 50 - Federally Qualified Health Center |
| Common Modifiers | 59 - Distinct Procedural Service 76 - Repeat procedure by same physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $169.68 national non-facility rate (2026) · View Medicare rates for 93268 |
| Medicaid Fee Schedule | $140.925 median of the 8 states in the free preview · View Medicaid rates for 93268 |
National average reimbursement for CPT 93268 by major payers:
$247.35
$290.05
$261.65
$333.23
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CPT 93268
5 of 25 sample ratesHigher to lower in this preview
James Mackenzie
Lurie Childrens Medical Group LLC
$613.29Published rateSantosh Shrestha
Siu Physicians & Surgeons Inc
$478.54Published rateJamie Evans
Loyola University Medical Center
$383.25Published rateMatthew Filippo
Advocate Health And Hospitals Corporation
$326.79Published rateAniruddha Deka
$180.33Published rate
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See a sample payer proposalCPT 93268 vs. Other Cardiovascular Procedures Codes
The CPT 93268 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 93268 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 |
|---|---|---|
| 93268-CPT | Moderate | External Patient And When Performed Auto Activated Electrocardiographic Rhythm Derived Event Recording With Symptom-Related Memory Loop With Remote Download Capability Up To 30 Days 24-Hour Attended Monitoring; Includes Transmission Review And Interpretation By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
| 93270-CPT | Low | Remote 30 Day Ecg Rev Report, External Patient And When Performed Auto Activated Electrocardiographic Rhythm Derived Event Recording With Symptom Related Memory Loop With Remote Download Capability Up To 30 Days 24 Hour Attended Monitoring Recording Includes Connection Recording And Disconnection |
| 93271-CPT | Moderate | Ecg/Monitoring And Analysis, External Patient And When Performed Auto Activated Electrocardiographic Rhythm Derived Event Recording With Symptom-Related Memory Loop With Remote Download Capability Up To 30 Days 24-Hour Attended Monitoring; Transmission Download And Analysis |
| 93272-CPT | Low | External Patient And When Performed Auto Activated Electrocardiographic Rhythm Derived Event Recording With Symptom-Related Memory Loop With Remote Download Capability Up To 30 Days 24-Hour Attended Monitoring; Review And Interpretation By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93268. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93268 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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Frequently Asked Questions
The CPT 93268 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 93268 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.