CPT 93248
Global XXX ActiveExt ecg>7d<15d rev&interpj
CPT 93248 Billing & Documentation Guide
CPT code 93248 (Ext ecg>7d<15d rev&interpj) is classified under Cardiovascular with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 0.54, a non-facility practice expense RVU of 0.18, and a malpractice RVU of 0.02, a total non-facility RVU of 0.74 and facility RVU of 0.74. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $25.25, though rates vary from $23.54 to $33.83 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 93248, 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 93248 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 93248 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 93248
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 0.54 | 0.54 |
| Practice Expense RVU | 0.18 | 0.18 |
| Malpractice RVU | 0.02 | 0.02 |
| Total RVU | 0.74 | 0.74 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 93248
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 | $26.16 | $26.16 | $25.29 - $29.05 | 29 |
| Florida | $25.37 | $25.37 | $24.79 - $25.98 | 3 |
| Georgia | $24.6 | $24.6 | $24.2 - $25 | 2 |
| Illinois | $25.19 | $25.19 | $24.57 - $25.74 | 4 |
| Michigan | $24.62 | $24.62 | $24.28 - $24.96 | 2 |
| North Carolina | $24.07 | $24.07 | $24.07 - $24.07 | 1 |
| New York | $26.51 | $26.51 | $24.22 - $27.58 | 5 |
| Ohio | $24.2 | $24.2 | $24.2 - $24.2 | 1 |
| Pennsylvania | $24.81 | $24.81 | $24.19 - $25.42 | 2 |
| Texas | $24.68 | $24.68 | $24.13 - $25.07 | 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 93248
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 93248 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 93248
What does CPT code 93248 mean? +
CPT code 93248 represents: Ext ecg>7d<15d rev&interpj. It's in the Cardiovascular category with a global period of XXX.
What is the Medicare reimbursement for CPT 93248? +
The 2026 Medicare national average non-facility payment for CPT 93248 is $25.25. Rates range from $23.54 to $33.83 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 93248? +
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 93248? +
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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