CPT code 93281: Pacemaker evaluation, multiple-lead system2026 Medicare rate & RVUs in Austin, TX
Report this service for an in-person programming evaluation of a multiple-lead pacemaker, including device analysis, review, and a professional report.
In Austin, TX, Medicare pays $85.86 for 93281 in the office.
Check a contract rate as a % of Medicare · 93281 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 93281 covers
A clinician evaluates an implanted multiple-lead pacemaker in person using a device programmer. The work includes assessing device function and available diagnostic information, reviewing the programmed settings, and making iterative adjustments when needed. This code is commonly relevant to cardiology and electrophysiology practices managing patients with a multiple-lead pacing system, such as a biventricular pacemaker. The evaluation produces a report of the findings and any programming performed.
Select this code based on the implanted device’s lead configuration, not simply the patient’s diagnosis or the number of settings changed. Documentation should identify the pacemaker system and support the evaluation, including relevant findings and any adjustments. CMS treats the service as a diagnostic test: report modifier 26 for the professional interpretation, modifier TC for the technical work, or no component modifier for the global service. 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.
How Austin, TX compares for 93281
Across 109 of 109 payment localities, the office rate for 93281 runs from $74.60 in Arkansas to $109.03 in San Benito County, CA. Austin, TX pays $85.86. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Austin, TX · this page$85.86
- Beaumont, TX · Texas$77.90−$7.96
- Brazoria, TX · Texas$82.28−$3.58
- Dallas, TX · Texas$82.68−$3.18
- Fort Worth, TX · Texas$82.16−$3.70
- Galveston, TX · Texas$82.45−$3.41
- Houston, TX · Texas$83.18−$2.68
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $79.96 | — |
| Los Angeles, CACalifornia | $93.36 | — |
| Washington, DC areaDistrict of Columbia | $94.05 | — |
| Miami, FLFlorida | $87.08 | — |
| Chicago, ILIllinois | $85.03 | — |
| Manhattan, NYNew York | $94.10 | — |
| AlaskaAlaska | $99.59 | — |
| AlabamaAlabama | $75.53 | — |
| ArkansasArkansas | $74.60 | — |
| ArizonaArizona | $80.97 | — |
| Bakersfield, CACalifornia | $88.00 | — |
| Chico, CACalifornia | $87.85 | — |
| El Centro, CACalifornia | $87.85 | — |
| Fresno, CACalifornia | $87.85 | — |
| Hanford, CACalifornia | $87.85 | — |
| Madera, CACalifornia | $87.85 | — |
| Merced, CACalifornia | $87.85 | — |
| Modesto, CACalifornia | $87.85 | — |
| Napa, CACalifornia | $101.02 | — |
| Oxnard, CACalifornia | $92.89 | — |
| Redding, CACalifornia | $87.85 | — |
| Rest of CaliforniaCalifornia | $87.85 | — |
| Riverside, CACalifornia | $88.30 | — |
| Sacramento, CACalifornia | $91.98 | — |
| Salinas, CACalifornia | $91.62 | — |
| San Diego, CACalifornia | $93.59 | — |
| Marin County, CACalifornia | $106.79 | — |
| San Francisco, CACalifornia | $106.75 | — |
| San Benito County, CACalifornia | $109.03 | — |
| Santa Clara County, CACalifornia | $108.85 | — |
| San Luis Obispo, CACalifornia | $90.16 | — |
| Santa Cruz, CACalifornia | $94.36 | — |
| Santa Maria, CACalifornia | $91.92 | — |
| Santa Rosa, CACalifornia | $95.31 | — |
| Stockton, CACalifornia | $87.85 | — |
| Vallejo, CACalifornia | $100.96 | — |
| Visalia, CACalifornia | $87.85 | — |
| Yuba City, CACalifornia | $87.85 | — |
| ColoradoColorado | $86.32 | — |
| ConnecticutConnecticut | $87.81 | — |
| DelawareDelaware | $82.19 | — |
| Fort Lauderdale, FLFlorida | $84.61 | — |
| Rest of FloridaFlorida | $81.14 | — |
| Atlanta, GAGeorgia | $84.05 | — |
| Rest of GeorgiaGeorgia | $77.28 | — |
| Hawaii, Guam, HIHawaii | $89.64 | — |
| IowaIowa | $77.46 | — |
| IdahoIdaho | $77.83 | — |
| East St. Louis, ILIllinois | $79.89 | — |
| Rest of IllinoisIllinois | $78.91 | — |
| Suburban Chicago, ILIllinois | $85.51 | — |
| IndianaIndiana | $78.22 | — |
| KansasKansas | $77.01 | — |
| KentuckyKentucky | $76.75 | — |
| New Orleans, LALouisiana | $79.84 | — |
| Rest of LouisianaLouisiana | $76.59 | — |
| Metropolitan Boston, MAMassachusetts | $94.26 | — |
| Rest of MassachusettsMassachusetts | $85.86 | — |
| Baltimore area, MDMaryland | $87.52 | — |
| Rest of MarylandMaryland | $83.65 | — |
| Rest of MaineMaine | $78.03 | — |
| Southern Maine, MEMaine | $81.86 | — |
| Detroit, MIMichigan | $81.87 | — |
| Rest of MichiganMichigan | $78.33 | — |
| MinnesotaMinnesota | $83.45 | — |
| Metropolitan Kansas City, MOMissouri | $79.52 | — |
| Metropolitan St. Louis, MOMissouri | $80.26 | — |
| Rest of MissouriMissouri | $75.38 | — |
| MississippiMississippi | $75.01 | — |
| MontanaMontana | $82.83 | — |
| North CarolinaNorth Carolina | $78.75 | — |
| North DakotaNorth Dakota | $82.04 | — |
| NebraskaNebraska | $77.86 | — |
| New HampshireNew Hampshire | $84.87 | — |
| Northern New JerseyNew Jersey | $93.28 | — |
| Rest of New JerseyNew Jersey | $89.02 | — |
| New MexicoNew Mexico | $78.64 | — |
| NevadaNevada | $82.66 | — |
| NYC suburbs and Long Island, NYNew York | $95.92 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $89.47 | — |
| Queens, NYNew York | $94.99 | — |
| Rest of New YorkNew York | $79.75 | — |
| OhioOhio | $78.17 | — |
| OklahomaOklahoma | $76.78 | — |
| Portland, OROregon | $88.90 | — |
| Rest of OregonOregon | $82.22 | — |
| Metropolitan Philadelphia, PAPennsylvania | $85.80 | — |
| Rest of PennsylvaniaPennsylvania | $78.35 | — |
| Puerto RicoPuerto Rico | $83.41 | — |
| Rhode IslandRhode Island | $84.99 | — |
| South CarolinaSouth Carolina | $78.55 | — |
| South DakotaSouth Dakota | $81.95 | — |
| TennesseeTennessee | $77.32 | — |
| UtahUtah | $79.47 | — |
| VirginiaVirginia | $81.53 | — |
| Virgin Islands, VIUnited States Virgin Islands | $83.41 | — |
| VermontVermont | $81.64 | — |
| Rest of WashingtonWashington | $85.73 | — |
| King County, WAWashington | $96.18 | — |
| WisconsinWisconsin | $79.65 | — |
| West VirginiaWest Virginia | $76.37 | — |
| WyomingWyoming | $82.49 | — |
93281 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.
$74.60
$99.59
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 | $99.59 | 1 |
| AL | $75.53 | 1 |
| AR | $74.60 | 1 |
| AZ | $80.97 | 1 |
| CA | $87.85–$109.03 | 29 |
| CO | $86.32 | 1 |
| CT | $87.81 | 1 |
| DC | $94.05 | 1 |
| DE | $82.19 | 1 |
| FL | $81.14–$87.08 | 3 |
| GA | $77.28–$84.05 | 2 |
| GU | $89.64 | 1 |
| HI | $89.64 | 1 |
| IA | $77.46 | 1 |
| ID | $77.83 | 1 |
| IL | $78.91–$85.51 | 4 |
| IN | $78.22 | 1 |
| KS | $77.01 | 1 |
| KY | $76.75 | 1 |
| LA | $76.59–$79.84 | 2 |
| MA | $85.86–$94.26 | 2 |
| MD | $83.65–$94.05 | 3 |
| ME | $78.03–$81.86 | 2 |
| MI | $78.33–$81.87 | 2 |
| MN | $83.45 | 1 |
| MO | $75.38–$80.26 | 3 |
| MS | $75.01 | 1 |
| MT | $82.83 | 1 |
| NC | $78.75 | 1 |
| ND | $82.04 | 1 |
| NE | $77.86 | 1 |
| NH | $84.87 | 1 |
| NJ | $89.02–$93.28 | 2 |
| NM | $78.64 | 1 |
| NV | $82.66 | 1 |
| NY | $79.75–$95.92 | 5 |
| OH | $78.17 | 1 |
| OK | $76.78 | 1 |
| OR | $82.22–$88.90 | 2 |
| PA | $78.35–$85.80 | 2 |
| PR | $83.41 | 1 |
| RI | $84.99 | 1 |
| SC | $78.55 | 1 |
| SD | $81.95 | 1 |
| TN | $77.32 | 1 |
| TX | $77.90–$85.86 | 8 |
| UT | $79.47 | 1 |
| VA | $81.53–$94.05 | 2 |
| VI | $83.41 | 1 |
| VT | $81.64 | 1 |
| WA | $85.73–$96.18 | 2 |
| WI | $79.65 | 1 |
| WV | $76.37 | 1 |
| WY | $82.49 | 1 |
How the 93281 rate is calculated
Each of 93281’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 · 93281
RVUs × geographic indexes × conversion factor
Work0.83
0.83 RVUs× 1.000 GPCI
Practice expense1.61
1.61 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
2.4800
Conversion factor
$33.4009
Medicare rate
$82.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Austin, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,992
- Code
- 93281
- Physician work
- 0.83
- Practice expense
- 1.61
- Malpractice
- 0.04
GPCI2026.csv
96
- Locality
- Austin, TX
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.83 | × 1.002 | 0.8317 |
| Practice expense | 1.61 | × 1.058 | 1.7034 |
| Malpractice | 0.04 | × 0.886 | 0.0354 |
| Total RVUs | 2.5705 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Austin, TX$85.86
Office: (0.83 × 1.002 + 1.61 × 1.058 + 0.04 × 0.886) × $33.4009 = $85.86
Payment rules and modifiers for 93281
The CMS indicators that decide how 93281 is paid alongside other services.
CMS payment indicators · 93281
Pacemaker evaluation, multiple-lead 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
93281 without 26 · national office
$82.83
Pacemaker evaluation, multiple-lead system
93281-26 · Professional component
$40.75
Pays only the interpretation and report.
How 93281 has changed in Austin, TX
93281 · Office / nonfacility
$85.86
Effective 2026-10-01
The base rate is $3.72 higher than on 2025-10-01, moving from $82.14 to $85.86 (4.5%).
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
$82.14changed to$85.86
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.85 changed to 0.83
- Practice expense RVU 1.58 changed to 1.61
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.046 changed to 1.058
- Malpractice GPCI 0.914 changed to 0.886
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$85.57changed to$82.14
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.61 changed to 1.58
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$84.17changed to$85.57
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$88.56changed to$84.17
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.64 changed to 1.61
- Malpractice RVU 0.05 changed to 0.04
- Practice expense GPCI 1.053 changed to 1.046
- Malpractice GPCI 0.727 changed to 0.914
January 1, 2023
RVU23A
$91.55changed to$88.56
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.67 changed to 1.64
- Practice expense GPCI 1.059 changed to 1.053
- Malpractice GPCI 0.539 changed to 0.727
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$87.51changed to$91.55
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.54 changed to 1.67
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$79.65changed to$87.51
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.28 changed to 1.54
- Malpractice RVU 0.04 changed to 0.05
- Practice expense GPCI 1.040 changed to 1.059
- Malpractice GPCI 0.643 changed to 0.539
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$71.45changed to$79.65
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.08 changed to 1.28
- Practice expense GPCI 1.021 changed to 1.040
- Malpractice GPCI 0.747 changed to 0.643
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$64.76changed to$71.45
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.90 changed to 1.08
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$69.99changed to$64.76
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 0.90 changed to 0.85
- Practice expense RVU 1.00 changed to 0.90
- Practice expense GPCI 1.020 changed to 1.021
- Malpractice GPCI 0.757 changed to 0.747
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$69.08changed to$69.99
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.98 changed to 1.00
- Practice expense GPCI 1.019 changed to 1.020
- Malpractice GPCI 0.766 changed to 0.757
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$69.33changed to$69.08
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$68.98changed to$69.33
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$68.56changed to$68.98
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.97 changed to 0.98
- Practice expense GPCI 1.014 changed to 1.019
- Malpractice GPCI 0.759 changed to 0.766
Held through RVU15B.
January 1, 2014
RVU14A
$66.66changed to$68.56
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.02 changed to 0.97
- Practice expense GPCI 1.009 changed to 1.014
- Malpractice GPCI 0.751 changed to 0.759
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $66.66
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $85.86 | Not available in this setting | RVU26D |
| 2026-07-01 | $85.86 | Not available in this setting | RVU26C |
| 2026-04-01 | $85.86 | Not available in this setting | RVU26B |
| 2026-01-01 | $85.86 | Not available in this setting | RVU26A |
| 2025-10-01 | $82.14 | Not available in this setting | RVU25D |
| 2025-07-01 | $82.14 | Not available in this setting | RVU25C |
| 2025-04-01 | $82.14 | Not available in this setting | RVU25B |
| 2025-01-01 | $82.14 | Not available in this setting | RVU25A |
| 2024-10-01 | $85.57 | Not available in this setting | RVU24D |
| 2024-07-01 | $85.57 | Not available in this setting | RVU24C |
| 2024-04-01 | $85.57 | Not available in this setting | RVU24B |
| 2024-03-09 | $85.57 | Not available in this setting | RVU24AR |
| 2024-01-01 | $84.17 | Not available in this setting | RVU24A |
| 2023-10-01 | $88.56 | Not available in this setting | RVU23D |
| 2023-07-01 | $88.56 | Not available in this setting | RVU23C |
| 2023-04-01 | $88.56 | Not available in this setting | RVU23B |
| 2023-01-01 | $88.56 | Not available in this setting | RVU23A |
| 2022-10-01 | $91.55 | Not available in this setting | RVU22D |
| 2022-07-01 | $91.55 | Not available in this setting | RVU22C |
| 2022-04-01 | $91.55 | Not available in this setting | RVU22B |
| 2022-01-01 | $91.55 | Not available in this setting | RVU22A |
| 2021-10-01 | $87.51 | Not available in this setting | RVU21D |
| 2021-07-01 | $87.51 | Not available in this setting | RVU21C |
| 2021-04-01 | $87.51 | Not available in this setting | RVU21B |
| 2021-01-01 | $87.51 | Not available in this setting | RVU21A |
| 2020-10-01 | $79.65 | Not available in this setting | RVU20D |
| 2020-07-01 | $79.65 | Not available in this setting | RVU20C |
| 2020-04-01 | $79.65 | Not available in this setting | RVU20B |
| 2020-01-01 | $79.65 | Not available in this setting | RVU20A |
| 2019-10-01 | $71.45 | Not available in this setting | RVU19D |
| 2019-07-01 | $71.45 | Not available in this setting | RVU19C |
| 2019-04-01 | $71.45 | Not available in this setting | RVU19B |
| 2019-01-01 | $71.45 | Not available in this setting | RVU19A |
| 2018-10-01 | $64.76 | Not available in this setting | RVU18D |
| 2018-07-01 | $64.76 | Not available in this setting | RVU18C |
| 2018-04-01 | $64.76 | Not available in this setting | RVU18B |
| 2018-01-01 | $64.76 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $69.99 | Not available in this setting | RVU17D |
| 2017-07-01 | $69.99 | Not available in this setting | RVU17C |
| 2017-04-01 | $69.99 | Not available in this setting | RVU17B |
| 2017-01-01 | $69.99 | Not available in this setting | RVU17A |
| 2016-10-01 | $69.08 | Not available in this setting | RVU16D |
| 2016-07-01 | $69.08 | Not available in this setting | RVU16C |
| 2016-04-01 | $69.08 | Not available in this setting | RVU16B |
| 2016-01-01 | $69.08 | Not available in this setting | RVU16A |
| 2015-10-01 | $69.33 | Not available in this setting | RVU15D |
| 2015-07-01 | $69.33 | Not available in this setting | RVU15C |
| 2015-04-01 | $68.98 | Not available in this setting | RVU15B |
| 2015-01-01 | $68.98 | Not available in this setting | RVU15A |
| 2014-10-01 | $68.56 | Not available in this setting | RVU14D |
| 2014-07-01 | $68.56 | Not available in this setting | RVU14C |
| 2014-04-01 | $68.56 | Not available in this setting | RVU14B |
| 2014-01-01 | $68.56 | Not available in this setting | RVU14A |
| 2013-10-01 | $66.66 | Not available in this setting | RVU13D |
| 2013-07-01 | $66.66 | Not available in this setting | RVU13C |
| 2013-04-01 | $66.66 | Not available in this setting | RVU13B |
| 2013-01-01 | $66.66 | Not available in this setting | RVU13AR |
Where the Austin, TX rate applies
Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 93281 in Austin · multiple payment areas
- Barton Creek
- Bee Cave
- Briarcliff
- 93281 in Cedar Park · multiple payment areas
- 93281 in Creedmoor · multiple payment areas
- 93281 in Elgin · multiple payment areas
- Garfield
93281 billing questions
How does 93281 differ from 93280?
Choose 93281 for a multiple-lead pacemaker system and 93280 for a dual-lead system. Base the choice on the implanted system’s configuration.
Can 93281 be reported if no settings are changed?
The evaluation includes review and analysis of the device, with programming adjustments when needed. Document the assessment and findings even when settings remain unchanged.
Can the interrogation work be billed separately?
The device analysis, review, and report are part of the programming evaluation. Do not separately itemize the same evaluation work as a separate interrogation service.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical work involving equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect the whole service?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. It does not apply to the professional component.
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
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