CPT code 93280: Pacemaker programming check, dual-lead system, in person2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $89.27 for 93280 in the office.

Check a contract rate as a % of Medicare · 93280 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 93280 covers

This in-person evaluation tests a dual-lead pacemaker, typically with atrial and ventricular leads. A programmer measures battery status, lead impedance, sensing, and capture thresholds and reviews stored episodes and pacing data. Settings such as output, rate limits, AV delay, or pacing mode are adjusted iteratively to test performance and select optimal permanent values; the original settings may be retained. The service is performed in cardiology or electrophysiology clinics and hospitals. A technician or manufacturer representative may assist, while a physician or other qualified health care professional analyzes and reports the findings.

Select 93280 for iterative programming of an implanted dual-lead pacemaker, rather than interrogation alone. Document the implanted leads, measurements, settings tested, final programmed values, and the practitioner's analysis, review, and report. Medicare recognizes a professional component (modifier 26) for interpretation and a technical component (modifier TC) for equipment and staff; billing without either modifier represents the global service. Hospital-based physicians generally bill the professional component because the hospital supplies technical resources; offices providing both components may bill globally. When multiple eligible cardiovascular diagnostic services are furnished on the same date, CMS reduces the technical component under its cardiovascular multiple-procedure policy.

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.

How Washington, DC area compares for 93280

Across 109 of 109 payment localities, the office rate for 93280 runs from $70.50 in Arkansas to $103.66 in San Benito County, CA. Washington, DC area pays $89.27. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

93280 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 93280 in every payment locality

How the 93280 rate is calculated

Each of 93280’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.

Payment rules and modifiers for 93280

The CMS indicators that decide how 93280 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

Codes related to 93280

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 93280 has changed in Washington, DC area

Price 93280 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

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

Open CMS sourceHow we calculate rates