CPT 93224
Global XXX ActiveXtrnl ecg rec up to 48 hrs
CPT 93224 Billing & Documentation Guide
CPT code 93224 (Xtrnl ecg rec up to 48 hrs) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.38, a non-facility practice expense RVU of 1.7, and a malpractice RVU of 0.03, a total non-facility RVU of 2.11 and facility RVU of 2.11. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $73.07, though rates vary from $61.98 to $96.5 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93224, 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 93224 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 1 units of 93224 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 93224
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.38 | 0.38 |
| Practice Expense RVU | 1.7 | 1.7 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 2.11 | 2.11 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93224
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 | $80.88 | $80.88 | $75.68 - $96.5 | 29 |
| Florida | $71.61 | $71.61 | $68.48 - $74.34 | 3 |
| Georgia | $68.08 | $68.08 | $64.54 - $71.62 | 2 |
| Illinois | $69.52 | $69.52 | $66.1 - $72.87 | 4 |
| Michigan | $67.43 | $67.43 | $65.67 - $69.18 | 2 |
| North Carolina | $66.31 | $66.31 | $66.31 - $66.31 | 1 |
| New York | $78 | $78 | $67.34 - $82.88 | 5 |
| Ohio | $65.54 | $65.54 | $65.54 - $65.54 | 1 |
| Pennsylvania | $69.5 | $69.5 | $65.76 - $73.23 | 2 |
| Texas | $69.6 | $69.6 | $65.29 - $73.68 | 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 93224
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93224 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0295T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0296T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0297T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0298T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0497T | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 0498T | Column 1 (primary), can be billed with modifier | No | Mutually exclusive procedures |
| 0733T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0734T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
| 0897T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | HCPCS/CPT procedure code definition |
Frequently Asked Questions, CPT 93224
What does CPT code 93224 mean? +
CPT code 93224 represents: Xtrnl ecg rec up to 48 hrs. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93224? +
The 2026 Medicare national average non-facility payment for CPT 93224 is $73.07. Rates range from $61.98 to $96.5 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93224? +
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 93224? +
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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