CPT
90471 — Immunization administration, single vaccine
ACA-covered vaccines should be free, including the admin fee.
Cardiology
93227 — External ECG recorder with continuous recording; up to 48 hours, review with interpretation and report
This code covers the cardiologist's (or qualified physician's) personal review, written interpretation, and final report of the 48-hour Holter monitor data.
- Typical setting: Doctor's office, hospital outpatient
- National avg charge (illustrative): $60–$150 (physician professional component)
- Most-disputed reason: Billing 93227 based on a computer-generated report alone without an actual physician narrative interpretation in the medical record.
What it means
What 93227 actually means
This code covers the cardiologist's (or qualified physician's) personal review, written interpretation, and final report of the 48-hour Holter monitor data. This is the physician's professional judgment component and requires a documented written report.
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).
- Billing 93227 based on a computer-generated report alone without an actual physician narrative interpretation in the medical record.
- Same-day billing of 93227 with an E/M visit level that incorporates the same data review — the interpretation must be documented as a separately identifiable service.
- Being charged 93227 by a provider who never actually reviewed your recording; ask for the interpretation report if the charge appears on your bill.
If you see 93227 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 93227 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 93227 on a bill.
93227 FAQ
Plain-English answers.
What does 93227 usually cost?
$60–$150 (physician professional 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 93227?
Billing 93227 based on a computer-generated report alone without an actual physician narrative interpretation in the medical record.
What should I do if I see 93227 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 93227 before paying.
Don't pay 93227 blindly.
The free scan tells you in under 60 seconds whether this charge looks reasonable for your situation.