CPT code 93283: ICD evaluation, dual-lead system2026 Medicare rate & RVUs in Puerto Rico
Reports an in-person programming evaluation of a dual-lead implantable defibrillator, including review of device function and programming parameters.
In Puerto Rico, Medicare pays $97.14 for 93283 in the office.
Check a contract rate as a % of Medicare · 93283 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 93283 covers
This service is an in-person evaluation of a dual-lead implantable cardioverter-defibrillator (ICD). The clinician reviews device and lead function, battery status, stored rhythm events and delivered therapies, and programming parameters; programming may be adjusted as clinically indicated. Cardiologists, electrophysiologists, or other qualified clinicians commonly provide the service in a device clinic or hospital outpatient setting, with device staff supporting the evaluation as appropriate.
Select this code for a dual-lead ICD system; the system’s lead configuration distinguishes it from single- and multiple-lead ICD evaluations. The record should support the device and lead assessment, findings reviewed, and programming work performed. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents 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 Puerto Rico compares for 93283
Across 109 of 109 payment localities, the office rate for 93283 runs from $87.62 in Arkansas to $125.26 in San Benito County, CA. Puerto Rico pays $97.14. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$97.14
- Los Angeles, CA · California$108.01+$10.87
- Washington, DC area · District of Columbia$108.96+$11.82
- Miami, FL · Florida$101.44+$4.30
- Chicago, IL · Illinois$99.24+$2.10
- Manhattan, NY · New York$109.21+$12.07
- Alaska · Alaska$118.22+$21.08
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $88.62 | — |
| ArkansasArkansas | $87.62 | — |
| ArizonaArizona | $94.51 | — |
| Bakersfield, CACalifornia | $102.10 | — |
| Chico, CACalifornia | $101.90 | — |
| El Centro, CACalifornia | $101.91 | — |
| Fresno, CACalifornia | $101.90 | — |
| Hanford, CACalifornia | $101.90 | — |
| Madera, CACalifornia | $101.90 | — |
| Merced, CACalifornia | $101.90 | — |
| Modesto, CACalifornia | $101.90 | — |
| Napa, CACalifornia | $116.33 | — |
| Oxnard, CACalifornia | $107.40 | — |
| Redding, CACalifornia | $101.90 | — |
| Rest of CaliforniaCalifornia | $101.90 | — |
| Riverside, CACalifornia | $102.47 | — |
| Sacramento, CACalifornia | $106.46 | — |
| Salinas, CACalifornia | $106.05 | — |
| San Diego, CACalifornia | $108.15 | — |
| Marin County, CACalifornia | $122.73 | — |
| San Francisco, CACalifornia | $122.68 | — |
| San Benito County, CACalifornia | $125.26 | — |
| Santa Clara County, CACalifornia | $125.03 | — |
| San Luis Obispo, CACalifornia | $104.38 | — |
| Santa Cruz, CACalifornia | $108.89 | — |
| Santa Maria, CACalifornia | $106.34 | — |
| Santa Rosa, CACalifornia | $109.97 | — |
| Stockton, CACalifornia | $101.90 | — |
| Vallejo, CACalifornia | $116.25 | — |
| Visalia, CACalifornia | $101.90 | — |
| Yuba City, CACalifornia | $101.90 | — |
| ColoradoColorado | $100.29 | — |
| ConnecticutConnecticut | $102.05 | — |
| DelawareDelaware | $95.86 | — |
| Fort Lauderdale, FLFlorida | $98.62 | — |
| Rest of FloridaFlorida | $94.84 | — |
| Atlanta, GAGeorgia | $97.90 | — |
| Rest of GeorgiaGeorgia | $90.64 | — |
| Hawaii, Guam, HIHawaii | $103.70 | — |
| IowaIowa | $90.64 | — |
| IdahoIdaho | $91.05 | — |
| East St. Louis, ILIllinois | $93.63 | — |
| Rest of IllinoisIllinois | $92.47 | — |
| Suburban Chicago, ILIllinois | $99.63 | — |
| IndianaIndiana | $91.48 | — |
| KansasKansas | $90.19 | — |
| KentuckyKentucky | $90.01 | — |
| New Orleans, LALouisiana | $93.37 | — |
| Rest of LouisianaLouisiana | $89.85 | — |
| Metropolitan Boston, MAMassachusetts | $109.02 | — |
| Rest of MassachusettsMassachusetts | $99.83 | — |
| Baltimore area, MDMaryland | $101.72 | — |
| Rest of MarylandMaryland | $97.46 | — |
| Rest of MaineMaine | $91.30 | — |
| Southern Maine, MEMaine | $95.40 | — |
| Detroit, MIMichigan | $95.66 | — |
| Rest of MichiganMichigan | $91.75 | — |
| MinnesotaMinnesota | $97.02 | — |
| Metropolitan Kansas City, MOMissouri | $92.99 | — |
| Metropolitan St. Louis, MOMissouri | $93.77 | — |
| Rest of MissouriMissouri | $88.56 | — |
| MississippiMississippi | $88.11 | — |
| MontanaMontana | $96.53 | — |
| North CarolinaNorth Carolina | $92.08 | — |
| North DakotaNorth Dakota | $95.54 | — |
| NebraskaNebraska | $91.07 | — |
| New HampshireNew Hampshire | $98.68 | — |
| Northern New JerseyNew Jersey | $108.19 | — |
| Rest of New JerseyNew Jersey | $103.47 | — |
| New MexicoNew Mexico | $92.10 | — |
| NevadaNevada | $96.31 | — |
| NYC suburbs and Long Island, NYNew York | $111.21 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $104.02 | — |
| Queens, NYNew York | $110.12 | — |
| Rest of New YorkNew York | $93.16 | — |
| OhioOhio | $91.54 | — |
| OklahomaOklahoma | $90.01 | — |
| Portland, OROregon | $103.08 | — |
| Rest of OregonOregon | $95.80 | — |
| Metropolitan Philadelphia, PAPennsylvania | $99.88 | — |
| Rest of PennsylvaniaPennsylvania | $91.73 | — |
| Rhode IslandRhode Island | $98.95 | — |
| South CarolinaSouth Carolina | $91.91 | — |
| South DakotaSouth Dakota | $95.42 | — |
| TennesseeTennessee | $90.53 | — |
| Austin, TXTexas | $99.75 | — |
| Beaumont, TXTexas | $91.24 | — |
| Brazoria, TXTexas | $95.94 | — |
| Dallas, TXTexas | $96.40 | — |
| Fort Worth, TXTexas | $95.85 | — |
| Galveston, TXTexas | $96.14 | — |
| Houston, TXTexas | $97.05 | — |
| Rest of TexasTexas | $93.44 | — |
| UtahUtah | $92.91 | — |
| VirginiaVirginia | $95.06 | — |
| Virgin Islands, VIUnited States Virgin Islands | $97.14 | — |
| VermontVermont | $95.13 | — |
| Rest of WashingtonWashington | $99.66 | — |
| King County, WAWashington | $111.13 | — |
| WisconsinWisconsin | $92.96 | — |
| West VirginiaWest Virginia | $89.72 | — |
| WyomingWyoming | $96.09 | — |
93283 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.
$87.62
$118.22
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 | $118.22 | 1 |
| AL | $88.62 | 1 |
| AR | $87.62 | 1 |
| AZ | $94.51 | 1 |
| CA | $101.90–$125.26 | 29 |
| CO | $100.29 | 1 |
| CT | $102.05 | 1 |
| DC | $108.96 | 1 |
| DE | $95.86 | 1 |
| FL | $94.84–$101.44 | 3 |
| GA | $90.64–$97.90 | 2 |
| GU | $103.70 | 1 |
| HI | $103.70 | 1 |
| IA | $90.64 | 1 |
| ID | $91.05 | 1 |
| IL | $92.47–$99.63 | 4 |
| IN | $91.48 | 1 |
| KS | $90.19 | 1 |
| KY | $90.01 | 1 |
| LA | $89.85–$93.37 | 2 |
| MA | $99.83–$109.02 | 2 |
| MD | $97.46–$108.96 | 3 |
| ME | $91.30–$95.40 | 2 |
| MI | $91.75–$95.66 | 2 |
| MN | $97.02 | 1 |
| MO | $88.56–$93.77 | 3 |
| MS | $88.11 | 1 |
| MT | $96.53 | 1 |
| NC | $92.08 | 1 |
| ND | $95.54 | 1 |
| NE | $91.07 | 1 |
| NH | $98.68 | 1 |
| NJ | $103.47–$108.19 | 2 |
| NM | $92.10 | 1 |
| NV | $96.31 | 1 |
| NY | $93.16–$111.21 | 5 |
| OH | $91.54 | 1 |
| OK | $90.01 | 1 |
| OR | $95.80–$103.08 | 2 |
| PA | $91.73–$99.88 | 2 |
| PR | $97.14 | 1 |
| RI | $98.95 | 1 |
| SC | $91.91 | 1 |
| SD | $95.42 | 1 |
| TN | $90.53 | 1 |
| TX | $91.24–$99.75 | 8 |
| UT | $92.91 | 1 |
| VA | $95.06–$108.96 | 2 |
| VI | $97.14 | 1 |
| VT | $95.13 | 1 |
| WA | $99.66–$111.13 | 2 |
| WI | $92.96 | 1 |
| WV | $89.72 | 1 |
| WY | $96.09 | 1 |
How the 93283 rate is calculated
Each of 93283’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 · 93283
RVUs × geographic indexes × conversion factor
Work1.12
1.12 RVUs× 1.000 GPCI
Practice expense1.72
1.72 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
2.8900
Conversion factor
$33.4009
Medicare rate
$96.53
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Puerto Rico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,998
- Code
- 93283
- Physician work
- 1.12
- Practice expense
- 1.72
- Malpractice
- 0.05
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.12 | × 1.000 | 1.1200 |
| Practice expense | 1.72 | × 1.011 | 1.7389 |
| Malpractice | 0.05 | × 0.985 | 0.0493 |
| Total RVUs | 2.9082 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$97.14
Office: (1.12 × 1 + 1.72 × 1.011 + 0.05 × 0.985) × $33.4009 = $97.14
Payment rules and modifiers for 93283
The CMS indicators that decide how 93283 is paid alongside other services.
CMS payment indicators · 93283
ICD evaluation, dual-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
93283 without 26 · national office
$96.53
ICD evaluation, dual-lead system
93283-26 · Professional component
$54.44
Pays only the interpretation and report.
How 93283 has changed in Puerto Rico
93283 · Office / nonfacility
$97.14
Effective 2026-10-01
The base rate is $3.31 higher than on 2025-10-01, moving from $93.83 to $97.14 (3.5%).
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
$93.83changed to$97.14
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.15 changed to 1.12
- Practice expense RVU 1.69 changed to 1.72
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$97.24changed to$93.83
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.71 changed to 1.69
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$95.65changed to$97.24
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$100.41changed to$95.65
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.75 changed to 1.71
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$99.97changed to$100.41
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$103.60changed to$99.97
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.78 changed to 1.75
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$99.53changed to$103.60
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.64 changed to 1.78
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$94.21changed to$99.53
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.39 changed to 1.64
- Malpractice RVU 0.06 changed to 0.05
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$86.42changed to$94.21
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.19 changed to 1.39
- Malpractice RVU 0.05 changed to 0.06
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$79.80changed to$86.42
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.01 changed to 1.19
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$76.52changed to$79.80
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.11 changed to 1.01
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$69.47changed to$76.52
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 1.10 changed to 1.11
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$69.72changed to$69.47
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$69.37changed to$69.72
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$68.70changed to$69.37
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 1.09 changed to 1.10
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$65.85changed to$68.70
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.14 changed to 1.09
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $65.85
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $97.14 | Not available in this setting | RVU26D |
| 2026-07-01 | $97.14 | Not available in this setting | RVU26C |
| 2026-04-01 | $97.14 | Not available in this setting | RVU26B |
| 2026-01-01 | $97.14 | Not available in this setting | RVU26A |
| 2025-10-01 | $93.83 | Not available in this setting | RVU25D |
| 2025-07-01 | $93.83 | Not available in this setting | RVU25C |
| 2025-04-01 | $93.83 | Not available in this setting | RVU25B |
| 2025-01-01 | $93.83 | Not available in this setting | RVU25A |
| 2024-10-01 | $97.24 | Not available in this setting | RVU24D |
| 2024-07-01 | $97.24 | Not available in this setting | RVU24C |
| 2024-04-01 | $97.24 | Not available in this setting | RVU24B |
| 2024-03-09 | $97.24 | Not available in this setting | RVU24AR |
| 2024-01-01 | $95.65 | Not available in this setting | RVU24A |
| 2023-10-01 | $100.41 | Not available in this setting | RVU23D |
| 2023-07-01 | $99.97 | Not available in this setting | RVU23C |
| 2023-04-01 | $99.97 | Not available in this setting | RVU23B |
| 2023-01-01 | $99.97 | Not available in this setting | RVU23A |
| 2022-10-01 | $103.60 | Not available in this setting | RVU22D |
| 2022-07-01 | $103.60 | Not available in this setting | RVU22C |
| 2022-04-01 | $103.60 | Not available in this setting | RVU22B |
| 2022-01-01 | $103.60 | Not available in this setting | RVU22A |
| 2021-10-01 | $99.53 | Not available in this setting | RVU21D |
| 2021-07-01 | $99.53 | Not available in this setting | RVU21C |
| 2021-04-01 | $99.53 | Not available in this setting | RVU21B |
| 2021-01-01 | $99.53 | Not available in this setting | RVU21A |
| 2020-10-01 | $94.21 | Not available in this setting | RVU20D |
| 2020-07-01 | $94.21 | Not available in this setting | RVU20C |
| 2020-04-01 | $94.21 | Not available in this setting | RVU20B |
| 2020-01-01 | $94.21 | Not available in this setting | RVU20A |
| 2019-10-01 | $86.42 | Not available in this setting | RVU19D |
| 2019-07-01 | $86.42 | Not available in this setting | RVU19C |
| 2019-04-01 | $86.42 | Not available in this setting | RVU19B |
| 2019-01-01 | $86.42 | Not available in this setting | RVU19A |
| 2018-10-01 | $79.80 | Not available in this setting | RVU18D |
| 2018-07-01 | $79.80 | Not available in this setting | RVU18C |
| 2018-04-01 | $79.80 | Not available in this setting | RVU18B |
| 2018-01-01 | $79.80 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $76.52 | Not available in this setting | RVU17D |
| 2017-07-01 | $76.52 | Not available in this setting | RVU17C |
| 2017-04-01 | $76.52 | Not available in this setting | RVU17B |
| 2017-01-01 | $76.52 | Not available in this setting | RVU17A |
| 2016-10-01 | $69.47 | Not available in this setting | RVU16D |
| 2016-07-01 | $69.47 | Not available in this setting | RVU16C |
| 2016-04-01 | $69.47 | Not available in this setting | RVU16B |
| 2016-01-01 | $69.47 | Not available in this setting | RVU16A |
| 2015-10-01 | $69.72 | Not available in this setting | RVU15D |
| 2015-07-01 | $69.72 | Not available in this setting | RVU15C |
| 2015-04-01 | $69.37 | Not available in this setting | RVU15B |
| 2015-01-01 | $69.37 | Not available in this setting | RVU15A |
| 2014-10-01 | $68.70 | Not available in this setting | RVU14D |
| 2014-07-01 | $68.70 | Not available in this setting | RVU14C |
| 2014-04-01 | $68.70 | Not available in this setting | RVU14B |
| 2014-01-01 | $68.70 | Not available in this setting | RVU14A |
| 2013-10-01 | $65.85 | Not available in this setting | RVU13D |
| 2013-07-01 | $65.85 | Not available in this setting | RVU13C |
| 2013-04-01 | $65.85 | Not available in this setting | RVU13B |
| 2013-01-01 | $65.85 | Not available in this setting | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
93283 billing questions
How does this differ from 93282 or 93284?
Choose 93283 for a dual-lead ICD system. The related codes represent single-lead and multiple-lead ICD programming evaluations, respectively.
Does the clinician have to change a setting?
A programming change is not necessarily required when the evaluation supports the reported service. Document the review and any programming performed, including when settings remain unchanged.
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 either modifier, the claim represents the global service.
Does the multiple-procedure reduction affect both portions?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not apply to the professional component.
When would 93289 be a better fit?
Use 93289 for an in-person ICD interrogation evaluation when programming is not part of the service. Use 93283 when the dual-lead system receives a programming evaluation.
Is a remote device transmission reported with this code?
No. This code describes an in-person programming evaluation; remote ICD interrogation is represented by a different service, such as 93295.
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 · Coming soon
Put 93283 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist