CPT 93040
Global XXX ActiveRhythm ecg with report
CPT 93040 Billing & Documentation Guide
CPT code 93040 (Rhythm ecg with report) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.15, a non-facility practice expense RVU of 0.28, and a malpractice RVU of 0.02, a total non-facility RVU of 0.45 and facility RVU of 0.45. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $15.44, though rates vary from $13.39 to $19.41 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93040, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 93040 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 3 units of 93040 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 93040
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.15 | 0.15 |
| Practice Expense RVU | 0.28 | 0.28 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.45 | 0.45 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93040
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $16.62 | $16.62 | $15.7 - $19.41 | 29 |
| Florida | $15.69 | $15.69 | $14.95 - $16.44 | 3 |
| Georgia | $14.74 | $14.74 | $14.15 - $15.33 | 2 |
| Illinois | $15.34 | $15.34 | $14.59 - $15.98 | 4 |
| Michigan | $14.73 | $14.73 | $14.3 - $15.16 | 2 |
| North Carolina | $14.16 | $14.16 | $14.16 - $14.16 | 1 |
| New York | $16.59 | $16.59 | $14.36 - $17.69 | 5 |
| Ohio | $14.22 | $14.22 | $14.22 - $14.22 | 1 |
| Pennsylvania | $14.93 | $14.93 | $14.23 - $15.63 | 2 |
| Texas | $14.87 | $14.87 | $14.14 - $15.51 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 93040
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93040 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0543T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0544T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0548T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0567T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0568T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0569T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0570T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0571T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0572T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0573T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 93040
What does CPT code 93040 mean? +
CPT code 93040 represents: Rhythm ecg with report. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93040? +
The 2026 Medicare national average non-facility payment for CPT 93040 is $15.44. Rates range from $13.39 to $19.41 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93040? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 93040? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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