CPT code 93284: Defibrillator evaluation, multiple-lead system2026 Medicare rate & RVUs in Texas
Reports an in-person evaluation and programming of a multiple-lead implantable defibrillator, including review of device and rhythm data and any needed setting adjustments.
Medicare pays $98.53–$107.69 for 93284 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 93284 covers
This service is an in-person evaluation of a multiple-lead implantable cardioverter-defibrillator, including a CRT-D. The clinician reviews stored rhythm and device information, assesses device and lead function, and adjusts programming when indicated. It is commonly performed by a cardiologist or electrophysiologist in an office or device clinic, with technical work supported by qualified device-clinic staff. The code is selected for the multiple-lead system, not simply because several settings or stored events are reviewed.
The record should support an in-person evaluation, the multiple-lead system, review of relevant device and rhythm data, and any programming performed. Report the global service without a component modifier, or identify the professional interpretation with modifier 26 and the technical service with modifier TC when billing the components separately. The cardiovascular diagnostic multiple procedure reduction applies to the technical component. The professional component is not subject to that reduction.
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 93284 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
$98.53 to $107.69
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $107.69 | Unavailable |
| Beaumont, TX | $98.53 | Unavailable |
| Brazoria, TX | $103.61 | Unavailable |
| Dallas, TX | $104.09 | Unavailable |
| Fort Worth, TX | $103.50 | Unavailable |
| Galveston, TX | $103.82 | Unavailable |
| Houston, TX | $104.73 | Unavailable |
| Rest of Texas | $100.90 | Unavailable |
How the 93284 rate is calculated
Each of 93284’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 · 93284
RVUs × geographic indexes × conversion factor
Work1.22
1.22 RVUs× 1.000 GPCI
Practice expense1.85
1.85 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
3.1200
Conversion factor
$33.4009
Medicare rate
$104.21
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93284
The CMS indicators that decide how 93284 is paid alongside other services.
CMS payment indicators · 93284
Defibrillator 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
93284 without 26 · national office
$104.21
Defibrillator evaluation, multiple-lead system
93284-26 · Professional component
$59.12
Pays only the interpretation and report.
93284 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93283ICD evaluationDual-lead system
- Use 93284 for an in-person multiple-lead defibrillator system evaluation; use 93283 when the evaluated system is dual lead.
- 93282ICD programmingSingle-lead system
- 93282 is for an in-person single-lead defibrillator system. The lead configuration, not the amount of data reviewed, distinguishes it from 93284.
- 93289Device interrogationImplantable defibrillator
- 93289 reports in-person defibrillator interrogation and evaluation without the programming evaluation represented by 93284.
- 93295Remote ICD checkDefibrillator, professional review, up to 90 days
- 93295 covers remote defibrillator interrogation and evaluation; 93284 is for an in-person multiple-lead programming evaluation.
93284 billing questions
How does 93284 differ from 93283?
93284 is for an implantable defibrillator with a multiple-lead system; 93283 is the dual-lead defibrillator evaluation. Select based on the device system evaluated.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect both components?
The CMS multiple procedure reduction applies to the technical component. It does not apply to the professional component.
What documentation supports 93284?
Document the in-person evaluation, the multiple-lead defibrillator system, the device and rhythm information reviewed, and any programming changes made.
Can 93284 be used for a remote device check?
No. 93284 describes an in-person programming evaluation. Remote defibrillator 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
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