CPT 93228
Global XXX ActiveRemote 30 day ecg rev/report
CPT 93228 Billing & Documentation Guide
CPT code 93228 (Remote 30 day ecg rev/report) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.47, a non-facility practice expense RVU of 0.25, and a malpractice RVU of 0.03, a total non-facility RVU of 0.75 and facility RVU of 0.75. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $25.59, though rates vary from $23.39 to $32.99 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93228, 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 93228 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 93228 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 93228
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.47 | 0.47 |
| Practice Expense RVU | 0.25 | 0.25 |
| Malpractice RVU | 0.03 | 0.03 |
| Total RVU | 0.75 | 0.75 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93228
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 | $26.68 | $26.68 | $25.65 - $30 | 29 |
| Florida | $26.03 | $26.03 | $25.19 - $26.93 | 3 |
| Georgia | $24.88 | $24.88 | $24.34 - $25.43 | 2 |
| Illinois | $25.74 | $25.74 | $24.89 - $26.5 | 4 |
| Michigan | $24.95 | $24.95 | $24.45 - $25.45 | 2 |
| North Carolina | $24.13 | $24.13 | $24.13 - $24.13 | 1 |
| New York | $27.12 | $27.12 | $24.34 - $28.49 | 5 |
| Ohio | $24.33 | $24.33 | $24.33 - $24.33 | 1 |
| Pennsylvania | $25.09 | $25.09 | $24.31 - $25.87 | 2 |
| Texas | $24.94 | $24.94 | $24.23 - $25.49 | 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 93228
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93228 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0178T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0179T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0180T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 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 | CPT Manual or CMS manual coding instruction |
| 0498T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0733T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 93228
What does CPT code 93228 mean? +
CPT code 93228 represents: Remote 30 day ecg rev/report. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93228? +
The 2026 Medicare national average non-facility payment for CPT 93228 is $25.59. Rates range from $23.39 to $32.99 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93228? +
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 93228? +
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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