CPT code 93279: Pacemaker programming, single-lead or leadless system2026 Medicare rate & RVUs in Texas
Reports in-person testing and iterative programming of a single-lead or leadless pacemaker when device settings are adjusted and evaluated.
Medicare pays $62.70–$69.33 for 93279 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 93279 covers
This service covers an in-person evaluation in which a clinician uses a programmer to test a single-lead or leadless pacemaker and iteratively adjust settings to assess function and select appropriate permanent settings. It is commonly performed by a cardiologist, electrophysiologist, or other qualified clinician in a device clinic, office, or facility. A routine check that only interrogates the device, without programming changes, is a different service.
Select this code for the single-lead or leadless system configuration; dual- and multiple-lead systems have separate programming codes. The record should identify the device configuration, testing performed, settings reviewed or changed, the response to adjustments, and the evaluation findings. This diagnostic service may be billed globally without a modifier, or as a professional component with modifier 26 and a technical component with modifier TC. The cardiovascular diagnostic multiple-procedure reduction applies to the technical component.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 93279 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$62.70 to $69.33
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $69.33 | Unavailable |
| Beaumont, TX | $62.70 | Unavailable |
| Brazoria, TX | $66.35 | Unavailable |
| Dallas, TX | $66.67 | Unavailable |
| Fort Worth, TX | $66.24 | Unavailable |
| Galveston, TX | $66.48 | Unavailable |
| Houston, TX | $67.03 | Unavailable |
| Rest of Texas | $64.42 | Unavailable |
How the 93279 rate is calculated
Each of 93279’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93279
RVUs × geographic indexes × conversion factor
Work0.63
0.63 RVUs× 1.000 GPCI
Practice expense1.34
1.34 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
2.0000
Conversion factor
$33.4009
Medicare rate
$66.80
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93279
The CMS indicators that decide how 93279 is paid alongside other services.
CMS payment indicators · 93279
Pacemaker programming, single-lead or leadless system
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93279 without 26 · national office
$66.80
Pacemaker programming, single-lead or leadless system
93279-26 · Professional component
$30.73
Pays only the interpretation and report.
93279 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93280Pacemaker programming checkDual-lead system, in person
- 93280 is for programming evaluation of a dual-lead pacemaker system; 93279 is for a single-lead or leadless system.
- 93281Pacemaker evaluationMultiple-lead system
- 93281 applies to a multiple-lead pacemaker system. Choose 93279 for a single-lead or leadless system.
- 93288Pacemaker interrogationIn person, including leadless systems
- 93288 reports in-person pacemaker interrogation without programming adjustments. Use 93279 when iterative programming is performed.
- 93286Pacemaker managementDuring a procedure
- 93286 describes a pacemaker evaluation in the periprocedural setting. 93279 describes an in-person programming evaluation outside that specific context.
93279 billing questions
When should 93279 be selected instead of 93288?
Use 93279 when the in-person evaluation includes iterative programming adjustments. Use 93288 for an in-person pacemaker interrogation when programming is not performed.
Which pacemaker configurations fit this code?
This code is for a single-lead pacemaker system or a leadless pacemaker system. Dual- and multiple-lead systems are reported with their corresponding programming evaluation codes.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion involving equipment and staff. Without a modifier, the claim represents the global service.
Does a multiple-procedure reduction affect 93279?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not change how the professional component is identified.
What documentation supports reporting 93279?
Document the single-lead or leadless device configuration, the testing and iterative adjustments performed, the settings evaluated or changed, and the findings.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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