CPT procedure code

93243

Medicare payment

$244.83

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

93243

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 93243

CLV Intelligence is tracking 8 policy changes that cite CPT 93243 between 2026-06-05 and 2026-06-06, drawn from 5 LCD/NCD coverage updates and 3 proposed LCDs. The changes span Cardiology. 3 are flagged critical or high priority.

LCD/NCD coverage updates
5
proposed LCDs
3

Counts reflect the source documents CLV has matched to CPT 93243 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 93243

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

Proposed LCD DL40244: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices — CGS

Cardiology · LCD-DL40244

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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Proposed LCD DL40255: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices — Noridian

Cardiology · LCD-DL40255

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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LCD L34636: Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring) — WPS

Cardiology · LCD-L34636

Government source· CMS / MACverify ↗
Routine

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Proposed LCD DL40257: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices — Palmetto GBA

Cardiology · LCD-DL40257

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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LCD L40255: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices — Noridian

Cardiology · LCD-L40255 (Notice Ends 06/20/2026)

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L34573: Cardiac Event Detection — Palmetto GBA

Cardiology · LCD-L34573

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L40257: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices — Palmetto GBA

Cardiology · LCD-L40257 (Notice Ends 06/27/2026)

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L40244: Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices — CGS

Cardiology · LCD-L40244 (Notice Ends 06/27/2026)

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

View alert

Audit documentation

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