CPT 2026 · Cardiovascular

CPT 93244

Global XXX Active

Ext ecg>48hr<7d rev&interpj

Effective 2026-04-01 Conv. factor $33.4009
$23.2
National Avg (Non-Fac)
0.68
Total RVU
10
NCCI Partners
109
MPFS Localities

CPT 93244 Billing & Documentation Guide

CPT code 93244 (Ext ecg>48hr<7d rev&interpj) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.49, a non-facility practice expense RVU of 0.17, and a malpractice RVU of 0.02, a total non-facility RVU of 0.68 and facility RVU of 0.68. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $23.2, though rates vary from $21.59 to $30.96 based on MAC locality and Geographic Practice Cost Indices (GPCIs).

When billing 93244, 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 93244 with related codes; this code has 10 PTP bundling relationships on file (see table below).

Payment Status & Global Period

CMS Status Indicator
A

Active code (paid under MPFS)

Global Period
XXX

No global period (E/M and other non-procedural services)

MUE Limit (Medically Unlikely Edits)

Max units per beneficiary per date of service
1
Rationale: Code Descriptor / CPT Instruction
Adjudication: Date of Service (Policy)
Source: CMS NCCI MUE Practitioner Services, effective 2026-04-01.

Submitting more than 1 units of 93244 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 93244

Component Non-Facility Facility
Work RVU0.490.49
Practice Expense RVU0.170.17
Malpractice RVU0.020.02
Total RVU0.680.68
Conversion Factor$33.4009

2026 Medicare Reimbursement by State, CPT 93244

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 $24.04 $24.04 $23.23 - $26.71 29
Florida $23.37 $23.37 $22.8 - $23.97 3
Georgia $22.61 $22.61 $22.23 - $22.99 2
Illinois $23.19 $23.19 $22.59 - $23.72 4
Michigan $22.63 $22.63 $22.3 - $22.97 2
North Carolina $22.09 $22.09 $22.09 - $22.09 1
New York $24.39 $24.39 $22.23 - $25.41 5
Ohio $22.22 $22.22 $22.22 - $22.22 1
Pennsylvania $22.79 $22.79 $22.21 - $23.37 2
Texas $22.67 $22.67 $22.15 - $23.05 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 93244

Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93244 on the same date of service, review the modifier indicator and payer policy before submission.

Partner Code Relationship Modifier Allowed Rationale
0734T Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
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
0904T Column 1 (primary), can be billed with modifier Yes HCPCS/CPT procedure code definition
0905T Column 1 (primary), can be billed with modifier Yes HCPCS/CPT procedure code definition
36591 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
36592 Column 1 (primary), can be billed with modifier No CPT Manual or CMS manual coding instruction
93000 Column 1 (primary), can be billed with modifier Yes HCPCS/CPT procedure code definition
93005 Column 1 (primary), can be billed with modifier Yes HCPCS/CPT procedure code definition
93010 Column 1 (primary), can be billed with modifier Yes HCPCS/CPT procedure code definition

Frequently Asked Questions, CPT 93244

What does CPT code 93244 mean? +

CPT code 93244 represents: Ext ecg>48hr<7d rev&interpj. It's in the Cardiovascular category with a global period of XXX.

What is the Medicare reimbursement for CPT 93244? +

The 2026 Medicare national average non-facility payment for CPT 93244 is $23.2. Rates range from $21.59 to $30.96 across 53 states depending on MAC locality and GPCIs.

What modifiers can I use with CPT 93244? +

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 93244? +

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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