CPT code 93280: Pacemaker programming check, dual-lead system, in person2026 Medicare rate & RVUs in New Mexico
In-person iterative testing of a dual-lead pacemaker’s settings, reported when programming is evaluated to select optimal permanent settings.
In New Mexico, Medicare pays $74.44 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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $74.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$74.44
- Los Angeles, CA · California$88.61+$14.17
- Washington, DC area · District of Columbia$89.27+$14.83
- Miami, FL · Florida$82.67+$8.23
- Chicago, IL · Illinois$80.66+$6.22
- Manhattan, NY · New York$89.32+$14.88
- Alaska · Alaska$93.80+$19.36
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $71.40 | — |
| ArkansasArkansas | $70.50 | — |
| ArizonaArizona | $76.68 | — |
| Bakersfield, CACalifornia | $83.45 | — |
| Chico, CACalifornia | $83.30 | — |
| El Centro, CACalifornia | $83.31 | — |
| Fresno, CACalifornia | $83.30 | — |
| Hanford, CACalifornia | $83.30 | — |
| Madera, CACalifornia | $83.30 | — |
| Merced, CACalifornia | $83.30 | — |
| Modesto, CACalifornia | $83.30 | — |
| Napa, CACalifornia | $95.98 | — |
| Oxnard, CACalifornia | $88.17 | — |
| Redding, CACalifornia | $83.30 | — |
| Rest of CaliforniaCalifornia | $83.30 | — |
| Riverside, CACalifornia | $83.75 | — |
| Sacramento, CACalifornia | $87.27 | — |
| Salinas, CACalifornia | $86.93 | — |
| San Diego, CACalifornia | $88.84 | — |
| Marin County, CACalifornia | $101.51 | — |
| San Francisco, CACalifornia | $101.47 | — |
| San Benito County, CACalifornia | $103.66 | — |
| Santa Clara County, CACalifornia | $103.47 | — |
| San Luis Obispo, CACalifornia | $85.54 | — |
| Santa Cruz, CACalifornia | $89.60 | — |
| Santa Maria, CACalifornia | $87.22 | — |
| Santa Rosa, CACalifornia | $90.50 | — |
| Stockton, CACalifornia | $83.30 | — |
| Vallejo, CACalifornia | $95.92 | — |
| Visalia, CACalifornia | $83.30 | — |
| Yuba City, CACalifornia | $83.30 | — |
| ColoradoColorado | $81.83 | — |
| ConnecticutConnecticut | $83.29 | — |
| DelawareDelaware | $77.86 | — |
| Fort Lauderdale, FLFlorida | $80.25 | — |
| Rest of FloridaFlorida | $76.87 | — |
| Atlanta, GAGeorgia | $79.67 | — |
| Rest of GeorgiaGeorgia | $73.12 | — |
| Hawaii, Guam, HIHawaii | $85.07 | — |
| IowaIowa | $73.26 | — |
| IdahoIdaho | $73.62 | — |
| East St. Louis, ILIllinois | $75.68 | — |
| Rest of IllinoisIllinois | $74.71 | — |
| Suburban Chicago, ILIllinois | $81.11 | — |
| IndianaIndiana | $74.00 | — |
| KansasKansas | $72.83 | — |
| KentuckyKentucky | $72.59 | — |
| New Orleans, LALouisiana | $75.60 | — |
| Rest of LouisianaLouisiana | $72.44 | — |
| Metropolitan Boston, MAMassachusetts | $89.48 | — |
| Rest of MassachusettsMassachusetts | $81.38 | — |
| Baltimore area, MDMaryland | $83.01 | — |
| Rest of MarylandMaryland | $79.26 | — |
| Rest of MaineMaine | $73.82 | — |
| Southern Maine, MEMaine | $77.53 | — |
| Detroit, MIMichigan | $77.58 | — |
| Rest of MichiganMichigan | $74.13 | — |
| MinnesotaMinnesota | $79.06 | — |
| Metropolitan Kansas City, MOMissouri | $75.28 | — |
| Metropolitan St. Louis, MOMissouri | $75.99 | — |
| Rest of MissouriMissouri | $71.27 | — |
| MississippiMississippi | $70.90 | — |
| MontanaMontana | $78.49 | — |
| North CarolinaNorth Carolina | $74.52 | — |
| North DakotaNorth Dakota | $77.70 | — |
| NebraskaNebraska | $73.65 | — |
| New HampshireNew Hampshire | $80.46 | — |
| Northern New JerseyNew Jersey | $88.50 | — |
| Rest of New JerseyNew Jersey | $84.42 | — |
| NevadaNevada | $78.32 | — |
| NYC suburbs and Long Island, NYNew York | $91.09 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $84.85 | — |
| Queens, NYNew York | $90.17 | — |
| Rest of New YorkNew York | $75.49 | — |
| OhioOhio | $73.97 | — |
| OklahomaOklahoma | $72.62 | — |
| Portland, OROregon | $84.33 | — |
| Rest of OregonOregon | $77.89 | — |
| Metropolitan Philadelphia, PAPennsylvania | $81.34 | — |
| Rest of PennsylvaniaPennsylvania | $74.15 | — |
| Puerto RicoPuerto Rico | $79.05 | — |
| Rhode IslandRhode Island | $80.54 | — |
| South CarolinaSouth Carolina | $74.33 | — |
| South DakotaSouth Dakota | $77.60 | — |
| TennesseeTennessee | $73.13 | — |
| Austin, TXTexas | $81.41 | — |
| Beaumont, TXTexas | $73.71 | — |
| Brazoria, TXTexas | $77.93 | — |
| Dallas, TXTexas | $78.32 | — |
| Fort Worth, TXTexas | $77.82 | — |
| Galveston, TXTexas | $78.10 | — |
| Houston, TXTexas | $78.83 | — |
| Rest of TexasTexas | $75.71 | — |
| UtahUtah | $75.23 | — |
| VirginiaVirginia | $77.21 | — |
| Virgin Islands, VIUnited States Virgin Islands | $79.05 | — |
| VermontVermont | $77.31 | — |
| Rest of WashingtonWashington | $81.26 | — |
| King County, WAWashington | $91.33 | — |
| WisconsinWisconsin | $75.38 | — |
| West VirginiaWest Virginia | $72.24 | — |
| WyomingWyoming | $78.14 | — |
93280 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$70.50
$93.80
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $93.80 | 1 |
| AL | $71.40 | 1 |
| AR | $70.50 | 1 |
| AZ | $76.68 | 1 |
| CA | $83.30–$103.66 | 29 |
| CO | $81.83 | 1 |
| CT | $83.29 | 1 |
| DC | $89.27 | 1 |
| DE | $77.86 | 1 |
| FL | $76.87–$82.67 | 3 |
| GA | $73.12–$79.67 | 2 |
| GU | $85.07 | 1 |
| HI | $85.07 | 1 |
| IA | $73.26 | 1 |
| ID | $73.62 | 1 |
| IL | $74.71–$81.11 | 4 |
| IN | $74.00 | 1 |
| KS | $72.83 | 1 |
| KY | $72.59 | 1 |
| LA | $72.44–$75.60 | 2 |
| MA | $81.38–$89.48 | 2 |
| MD | $79.26–$89.27 | 3 |
| ME | $73.82–$77.53 | 2 |
| MI | $74.13–$77.58 | 2 |
| MN | $79.06 | 1 |
| MO | $71.27–$75.99 | 3 |
| MS | $70.90 | 1 |
| MT | $78.49 | 1 |
| NC | $74.52 | 1 |
| ND | $77.70 | 1 |
| NE | $73.65 | 1 |
| NH | $80.46 | 1 |
| NJ | $84.42–$88.50 | 2 |
| NM | $74.44 | 1 |
| NV | $78.32 | 1 |
| NY | $75.49–$91.09 | 5 |
| OH | $73.97 | 1 |
| OK | $72.62 | 1 |
| OR | $77.89–$84.33 | 2 |
| PA | $74.15–$81.34 | 2 |
| PR | $79.05 | 1 |
| RI | $80.54 | 1 |
| SC | $74.33 | 1 |
| SD | $77.60 | 1 |
| TN | $73.13 | 1 |
| TX | $73.71–$81.41 | 8 |
| UT | $75.23 | 1 |
| VA | $77.21–$89.27 | 2 |
| VI | $79.05 | 1 |
| VT | $77.31 | 1 |
| WA | $81.26–$91.33 | 2 |
| WI | $75.38 | 1 |
| WV | $72.24 | 1 |
| WY | $78.14 | 1 |
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.
How the rate is built · 93280
RVUs × geographic indexes × conversion factor
Work0.75
0.75 RVUs× 1.000 GPCI
Practice expense1.56
1.56 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
2.3500
Conversion factor
$33.4009
Medicare rate
$78.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,989
- Code
- 93280
- Physician work
- 0.75
- Practice expense
- 1.56
- Malpractice
- 0.04
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.75 | × 1.000 | 0.7500 |
| Practice expense | 1.56 | × 0.917 | 1.4305 |
| Malpractice | 0.04 | × 1.201 | 0.0480 |
| Total RVUs | 2.2286 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$74.44
Office: (0.75 × 1 + 1.56 × 0.917 + 0.04 × 1.201) × $33.4009 = $74.44
Payment rules and modifiers for 93280
The CMS indicators that decide how 93280 is paid alongside other services.
CMS payment indicators · 93280
Pacemaker programming check, dual-lead system, in person
| 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
93280 without 26 · national office
$78.49
Pacemaker programming check, dual-lead system, in person
93280-26 · Professional component
$36.74
Pays only the interpretation and report.
How 93280 has changed in New Mexico
93280 · Office / nonfacility
$74.44
Effective 2026-10-01
The base rate is $3.75 higher than on 2025-10-01, moving from $70.69 to $74.44 (5.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$70.69changed to$74.44
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.77 changed to 0.75
- Practice expense RVU 1.52 changed to 1.56
- Malpractice RVU 0.03 changed to 0.04
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$73.65changed to$70.69
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.55 changed to 1.52
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$72.45changed to$73.65
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$75.58changed to$72.45
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.58 changed to 1.55
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$78.59changed to$75.58
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.61 changed to 1.58
- Malpractice RVU 0.05 changed to 0.03
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$74.86changed to$78.59
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.47 changed to 1.61
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$69.51changed to$74.86
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.22 changed to 1.47
- Malpractice RVU 0.04 changed to 0.05
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$63.40changed to$69.51
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.02 changed to 1.22
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$57.37changed to$63.40
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.84 changed to 1.02
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$57.10changed to$57.37
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$56.54changed to$57.10
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.83 changed to 0.84
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$57.08changed to$56.54
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 0.84 changed to 0.83
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$56.79changed to$57.08
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$56.42changed to$56.79
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.83 changed to 0.84
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$54.67changed to$56.42
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.87 changed to 0.83
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $54.67
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $74.44 | Not available in this setting | RVU26D |
| 2026-07-01 | $74.44 | Not available in this setting | RVU26C |
| 2026-04-01 | $74.44 | Not available in this setting | RVU26B |
| 2026-01-01 | $74.44 | Not available in this setting | RVU26A |
| 2025-10-01 | $70.69 | Not available in this setting | RVU25D |
| 2025-07-01 | $70.69 | Not available in this setting | RVU25C |
| 2025-04-01 | $70.69 | Not available in this setting | RVU25B |
| 2025-01-01 | $70.69 | Not available in this setting | RVU25A |
| 2024-10-01 | $73.65 | Not available in this setting | RVU24D |
| 2024-07-01 | $73.65 | Not available in this setting | RVU24C |
| 2024-04-01 | $73.65 | Not available in this setting | RVU24B |
| 2024-03-09 | $73.65 | Not available in this setting | RVU24AR |
| 2024-01-01 | $72.45 | Not available in this setting | RVU24A |
| 2023-10-01 | $75.58 | Not available in this setting | RVU23D |
| 2023-07-01 | $75.58 | Not available in this setting | RVU23C |
| 2023-04-01 | $75.58 | Not available in this setting | RVU23B |
| 2023-01-01 | $75.58 | Not available in this setting | RVU23A |
| 2022-10-01 | $78.59 | Not available in this setting | RVU22D |
| 2022-07-01 | $78.59 | Not available in this setting | RVU22C |
| 2022-04-01 | $78.59 | Not available in this setting | RVU22B |
| 2022-01-01 | $78.59 | Not available in this setting | RVU22A |
| 2021-10-01 | $74.86 | Not available in this setting | RVU21D |
| 2021-07-01 | $74.86 | Not available in this setting | RVU21C |
| 2021-04-01 | $74.86 | Not available in this setting | RVU21B |
| 2021-01-01 | $74.86 | Not available in this setting | RVU21A |
| 2020-10-01 | $69.51 | Not available in this setting | RVU20D |
| 2020-07-01 | $69.51 | Not available in this setting | RVU20C |
| 2020-04-01 | $69.51 | Not available in this setting | RVU20B |
| 2020-01-01 | $69.51 | Not available in this setting | RVU20A |
| 2019-10-01 | $63.40 | Not available in this setting | RVU19D |
| 2019-07-01 | $63.40 | Not available in this setting | RVU19C |
| 2019-04-01 | $63.40 | Not available in this setting | RVU19B |
| 2019-01-01 | $63.40 | Not available in this setting | RVU19A |
| 2018-10-01 | $57.37 | Not available in this setting | RVU18D |
| 2018-07-01 | $57.37 | Not available in this setting | RVU18C |
| 2018-04-01 | $57.37 | Not available in this setting | RVU18B |
| 2018-01-01 | $57.37 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $57.10 | Not available in this setting | RVU17D |
| 2017-07-01 | $57.10 | Not available in this setting | RVU17C |
| 2017-04-01 | $57.10 | Not available in this setting | RVU17B |
| 2017-01-01 | $57.10 | Not available in this setting | RVU17A |
| 2016-10-01 | $56.54 | Not available in this setting | RVU16D |
| 2016-07-01 | $56.54 | Not available in this setting | RVU16C |
| 2016-04-01 | $56.54 | Not available in this setting | RVU16B |
| 2016-01-01 | $56.54 | Not available in this setting | RVU16A |
| 2015-10-01 | $57.08 | Not available in this setting | RVU15D |
| 2015-07-01 | $57.08 | Not available in this setting | RVU15C |
| 2015-04-01 | $56.79 | Not available in this setting | RVU15B |
| 2015-01-01 | $56.79 | Not available in this setting | RVU15A |
| 2014-10-01 | $56.42 | Not available in this setting | RVU14D |
| 2014-07-01 | $56.42 | Not available in this setting | RVU14C |
| 2014-04-01 | $56.42 | Not available in this setting | RVU14B |
| 2014-01-01 | $56.42 | Not available in this setting | RVU14A |
| 2013-10-01 | $54.67 | Not available in this setting | RVU13D |
| 2013-07-01 | $54.67 | Not available in this setting | RVU13C |
| 2013-04-01 | $54.67 | Not available in this setting | RVU13B |
| 2013-01-01 | $54.67 | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
93280 billing questions
When is this code chosen over 93288?
Use 93280 when dual-lead pacemaker settings are iteratively adjusted to test function and select optimal values, even if the original settings are retained. Use 93288 for in-person interrogation and review without iterative programming; do not report both for the same session.
Does lead count determine the code even if only one lead is adjusted?
Yes. Code selection follows the implanted system: a dual-lead pacemaker uses 93280 regardless of how many leads are adjusted. Single-lead or leadless pacemakers use 93279, and multiple-lead systems use 93281.
Which modifier is used when the evaluation happens in a hospital outpatient department?
The physician typically appends modifier 26 for the analysis and report when the hospital supplies the equipment and staff. The hospital submits its facility claim separately.
Can a manufacturer representative assist with the programming?
A representative may operate the programmer, but the billing practitioner must analyze, review, and report the evaluation. The representative's work alone does not support the professional component.
What documentation supports this code?
Record the implanted lead configuration, device and lead measurements, settings tested through iterative adjustment, final programmed values, and the practitioner's signed analysis and report.
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
Show the CMS file lines behind this rate
Fee sheets
Put 93280 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet