CPT
90471 — Immunization administration, single vaccine
ACA-covered vaccines should be free, including the admin fee.
Cardiology
93226 — External ECG recorder with continuous recording; up to 48 hours, scanning analysis with report
This code covers the computerized scanning and analysis of the up-to-48-hour Holter recording — the automated processing step that prepares the data before a physician reviews it.
- Typical setting: Doctor's office, hospital outpatient
- National avg charge (illustrative): $50–$120 (scanning/analysis component)
- Most-disputed reason: All three Holter components (93225, 93226, 93227) appearing on a single physician's bill when one provider did not perform all three distinct services.
What it means
What 93226 actually means
This code covers the computerized scanning and analysis of the up-to-48-hour Holter recording — the automated processing step that prepares the data before a physician reviews it. It is billed separately from both the recording (93225) and physician interpretation (93227).
Common errors with this code
What goes wrong on real bills.
Most bills that look correct still contain at least one of these issues. Up to 49% of medical bills contain errors (CFPB).
- All three Holter components (93225, 93226, 93227) appearing on a single physician's bill when one provider did not perform all three distinct services.
- Billing 93226 for scans performed on recordings longer than 48 hours — longer recordings require different code series.
- Patients being charged 93226 by both the ordering cardiologist's office and a separate cardiac monitoring company for the same recording — verify who actually performed the analysis.
If you see 93226 on your bill
Three steps before paying.
1. Get the itemized bill. If your statement only shows a summary, request the CPT-level itemized bill before paying. Generate the request language →
2. Cross-check against the EOB. Compare what your insurer's Explanation of Benefits says you owe versus what the hospital is asking. They disagree more often than people think. Read the bill-vs-EOB guide →
3. Run a free Bill Scan. Upload the bill (and EOB if you have it) and BillBusted will flag the most likely issues with this specific code in your specific state. Run free scan →
Related codes
Other codes in this category.
People who land on 93226 often also see these adjacent codes on the same bill.
CPT
90472 — Immunization admin; each additional vaccine
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90651 — Human papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90670 — Pneumococcal conjugate vaccine, 13 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90671 — Pneumococcal conjugate vaccine, 15 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
CPT
90677 — Pneumococcal conjugate vaccine, 20 valent , IM
Vaccine — admin (90471) is separate from the vaccine product code.
Related BillBusted guides
Plain-English reads if you see 93226 on a bill.
93226 FAQ
Plain-English answers.
What does 93226 usually cost?
$50–$120 (scanning/analysis component). Costs vary by region, payer contract, and whether the service was performed in a hospital outpatient department (which adds a facility fee) versus a free-standing clinic.
What's the most common billing error on 93226?
All three Holter components (93225, 93226, 93227) appearing on a single physician's bill when one provider did not perform all three distinct services.
What should I do if I see 93226 on my bill?
Request the itemized bill and the matching EOB from your insurer. Compare the units/quantity billed against what you actually received. Run a free BillBusted scan to flag the most likely errors specific to 93226 before paying.
Don't pay 93226 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.