CPT code 93285: Device programming, implantable event recorder2026 Medicare rate & RVUs in Puerto Rico
An in-person evaluation adjusts and tests selected settings on an implantable loop recorder, with review and interpretation by a physician or qualified professional.
In Puerto Rico, Medicare pays $59.89 for 93285 in the office.
Check a contract rate as a % of Medicare · 93285 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 93285 covers
This service is for an in-person programming evaluation of an implantable cardiovascular event recorder, commonly called an implantable loop recorder. A cardiologist, electrophysiologist, or other qualified health care professional assesses selected device functions and iteratively adjusts settings to test them. These recorders may be used to monitor patients with unexplained syncope, suspected intermittent arrhythmias, or other indications for long-term rhythm monitoring. The service may occur in a cardiology office or hospital setting.
Report the code when the encounter includes the programming evaluation and interpretation, rather than only review of stored device data. Documentation should identify the device, the functions and settings evaluated, any adjustments and testing performed, and the clinician’s interpretation. CMS recognizes professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and an unmodified claim 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 93285
Across 109 of 109 payment localities, the office rate for 93285 runs from $53.13 in Arkansas to $79.17 in San Benito County, CA. Puerto Rico pays $59.89. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$59.89
- Los Angeles, CA · California$67.39+$7.50
- Washington, DC area · District of Columbia$67.86+$7.97
- Miami, FL · Florida$62.68+$2.79
- Chicago, IL · Illinois$61.08+$1.19
- Manhattan, NY · New York$67.84+$7.95
- Alaska · Alaska$70.21+$10.32
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $53.84 | — |
| ArkansasArkansas | $53.13 | — |
| ArizonaArizona | $58.03 | — |
| Bakersfield, CACalifornia | $63.36 | — |
| Chico, CACalifornia | $63.25 | — |
| El Centro, CACalifornia | $63.26 | — |
| Fresno, CACalifornia | $63.25 | — |
| Hanford, CACalifornia | $63.25 | — |
| Madera, CACalifornia | $63.25 | — |
| Merced, CACalifornia | $63.25 | — |
| Modesto, CACalifornia | $63.25 | — |
| Napa, CACalifornia | $73.20 | — |
| Oxnard, CACalifornia | $67.09 | — |
| Redding, CACalifornia | $63.25 | — |
| Rest of CaliforniaCalifornia | $63.25 | — |
| Riverside, CACalifornia | $63.59 | — |
| Sacramento, CACalifornia | $66.35 | — |
| Salinas, CACalifornia | $66.10 | — |
| San Diego, CACalifornia | $67.62 | — |
| Marin County, CACalifornia | $77.51 | — |
| San Francisco, CACalifornia | $77.48 | — |
| San Benito County, CACalifornia | $79.17 | — |
| Santa Clara County, CACalifornia | $79.03 | — |
| San Luis Obispo, CACalifornia | $65.04 | — |
| Santa Cruz, CACalifornia | $68.25 | — |
| Santa Maria, CACalifornia | $66.34 | — |
| Santa Rosa, CACalifornia | $68.94 | — |
| Stockton, CACalifornia | $63.25 | — |
| Vallejo, CACalifornia | $73.16 | — |
| Visalia, CACalifornia | $63.25 | — |
| Yuba City, CACalifornia | $63.25 | — |
| ColoradoColorado | $62.09 | — |
| ConnecticutConnecticut | $63.19 | — |
| DelawareDelaware | $58.94 | — |
| Fort Lauderdale, FLFlorida | $60.80 | — |
| Rest of FloridaFlorida | $58.14 | — |
| Atlanta, GAGeorgia | $60.37 | — |
| Rest of GeorgiaGeorgia | $55.17 | — |
| Hawaii, Guam, HIHawaii | $64.71 | — |
| IowaIowa | $55.33 | — |
| IdahoIdaho | $55.61 | — |
| East St. Louis, ILIllinois | $57.16 | — |
| Rest of IllinoisIllinois | $56.41 | — |
| Suburban Chicago, ILIllinois | $61.46 | — |
| IndianaIndiana | $55.92 | — |
| KansasKansas | $54.98 | — |
| KentuckyKentucky | $54.77 | — |
| New Orleans, LALouisiana | $57.15 | — |
| Rest of LouisianaLouisiana | $54.65 | — |
| Metropolitan Boston, MAMassachusetts | $68.08 | — |
| Rest of MassachusettsMassachusetts | $61.72 | — |
| Baltimore area, MDMaryland | $62.99 | — |
| Rest of MarylandMaryland | $60.04 | — |
| Rest of MaineMaine | $55.76 | — |
| Southern Maine, MEMaine | $58.71 | — |
| Detroit, MIMichigan | $58.69 | — |
| Rest of MichiganMichigan | $55.98 | — |
| MinnesotaMinnesota | $59.95 | — |
| Metropolitan Kansas City, MOMissouri | $56.90 | — |
| Metropolitan St. Louis, MOMissouri | $57.47 | — |
| Rest of MissouriMissouri | $53.71 | — |
| MississippiMississippi | $53.44 | — |
| MontanaMontana | $59.45 | — |
| North CarolinaNorth Carolina | $56.32 | — |
| North DakotaNorth Dakota | $58.86 | — |
| NebraskaNebraska | $55.64 | — |
| New HampshireNew Hampshire | $61.03 | — |
| Northern New JerseyNew Jersey | $67.22 | — |
| Rest of New JerseyNew Jersey | $64.04 | — |
| New MexicoNew Mexico | $56.22 | — |
| NevadaNevada | $59.33 | — |
| NYC suburbs and Long Island, NYNew York | $69.23 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $64.37 | — |
| Queens, NYNew York | $68.52 | — |
| Rest of New YorkNew York | $57.09 | — |
| OhioOhio | $55.86 | — |
| OklahomaOklahoma | $54.80 | — |
| Portland, OROregon | $64.07 | — |
| Rest of OregonOregon | $58.99 | — |
| Metropolitan Philadelphia, PAPennsylvania | $61.65 | — |
| Rest of PennsylvaniaPennsylvania | $56.00 | — |
| Rhode IslandRhode Island | $61.04 | — |
| South CarolinaSouth Carolina | $56.16 | — |
| South DakotaSouth Dakota | $58.79 | — |
| TennesseeTennessee | $55.22 | — |
| Austin, TXTexas | $61.78 | — |
| Beaumont, TXTexas | $55.65 | — |
| Brazoria, TXTexas | $59.00 | — |
| Dallas, TXTexas | $59.30 | — |
| Fort Worth, TXTexas | $58.90 | — |
| Galveston, TXTexas | $59.13 | — |
| Houston, TXTexas | $59.68 | — |
| Rest of TexasTexas | $57.24 | — |
| UtahUtah | $56.87 | — |
| VirginiaVirginia | $58.45 | — |
| Virgin Islands, VIUnited States Virgin Islands | $59.89 | — |
| VermontVermont | $58.54 | — |
| Rest of WashingtonWashington | $61.63 | — |
| King County, WAWashington | $69.52 | — |
| WisconsinWisconsin | $57.02 | — |
| West VirginiaWest Virginia | $54.46 | — |
| WyomingWyoming | $59.19 | — |
93285 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.
$53.13
$71.21
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 | $70.21 | 1 |
| AL | $53.84 | 1 |
| AR | $53.13 | 1 |
| AZ | $58.03 | 1 |
| CA | $63.25–$79.17 | 29 |
| CO | $62.09 | 1 |
| CT | $63.19 | 1 |
| DC | $67.86 | 1 |
| DE | $58.94 | 1 |
| FL | $58.14–$62.68 | 3 |
| GA | $55.17–$60.37 | 2 |
| GU | $64.71 | 1 |
| HI | $64.71 | 1 |
| IA | $55.33 | 1 |
| ID | $55.61 | 1 |
| IL | $56.41–$61.46 | 4 |
| IN | $55.92 | 1 |
| KS | $54.98 | 1 |
| KY | $54.77 | 1 |
| LA | $54.65–$57.15 | 2 |
| MA | $61.72–$68.08 | 2 |
| MD | $60.04–$67.86 | 3 |
| ME | $55.76–$58.71 | 2 |
| MI | $55.98–$58.69 | 2 |
| MN | $59.95 | 1 |
| MO | $53.71–$57.47 | 3 |
| MS | $53.44 | 1 |
| MT | $59.45 | 1 |
| NC | $56.32 | 1 |
| ND | $58.86 | 1 |
| NE | $55.64 | 1 |
| NH | $61.03 | 1 |
| NJ | $64.04–$67.22 | 2 |
| NM | $56.22 | 1 |
| NV | $59.33 | 1 |
| NY | $57.09–$69.23 | 5 |
| OH | $55.86 | 1 |
| OK | $54.80 | 1 |
| OR | $58.99–$64.07 | 2 |
| PA | $56.00–$61.65 | 2 |
| PR | $59.89 | 1 |
| RI | $61.04 | 1 |
| SC | $56.16 | 1 |
| SD | $58.79 | 1 |
| TN | $55.22 | 1 |
| TX | $55.65–$61.78 | 8 |
| UT | $56.87 | 1 |
| VA | $58.45–$67.86 | 2 |
| VI | $59.89 | 1 |
| VT | $58.54 | 1 |
| WA | $61.63–$69.52 | 2 |
| WI | $57.02 | 1 |
| WV | $54.46 | 1 |
| WY | $59.19 | 1 |
How the 93285 rate is calculated
Each of 93285’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 · 93285
RVUs × geographic indexes × conversion factor
Work0.51
0.51 RVUs× 1.000 GPCI
Practice expense1.24
1.24 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.7800
Conversion factor
$33.4009
Medicare rate
$59.45
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
12,004
- Code
- 93285
- Physician work
- 0.51
- Practice expense
- 1.24
- Malpractice
- 0.03
GPCI2026.csv
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.51 | × 1.000 | 0.5100 |
| Practice expense | 1.24 | × 1.011 | 1.2536 |
| Malpractice | 0.03 | × 0.985 | 0.0295 |
| Total RVUs | 1.7932 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$59.89
Office: (0.51 × 1 + 1.24 × 1.011 + 0.03 × 0.985) × $33.4009 = $59.89
Payment rules and modifiers for 93285
The CMS indicators that decide how 93285 is paid alongside other services.
CMS payment indicators · 93285
Device programming, implantable event recorder
| 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
93285 without 26 · national office
$59.45
Device programming, implantable event recorder
93285-26 · Professional component
$25.05
Pays only the interpretation and report.
How 93285 has changed in Puerto Rico
93285 · Office / nonfacility
$59.89
Effective 2026-10-01
The base rate is $2.70 higher than on 2025-10-01, moving from $57.19 to $59.89 (4.7%).
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
$57.19changed to$59.89
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.52 changed to 0.51
- Practice expense RVU 1.21 changed to 1.24
- 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
$59.86changed to$57.19
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.24 changed to 1.21
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$58.88changed to$59.86
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$62.00changed to$58.88
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.27 changed to 1.24
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$61.67changed to$62.00
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$64.37changed to$61.67
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.30 changed to 1.27
- 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
$60.68changed to$64.37
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.18 changed to 1.30
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$55.12changed to$60.68
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.97 changed to 1.18
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$49.57changed to$55.12
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.82 changed to 0.97
- 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
$43.72changed to$49.57
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.66 changed to 0.82
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$39.01changed to$43.72
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.64 changed to 0.66
- 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
$35.09changed to$39.01
- Conversion factor 35.8043 changed to 35.8887
- 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
$35.21changed to$35.09
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$35.04changed to$35.21
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$34.44changed to$35.04
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.63 changed to 0.64
- Malpractice RVU 0.02 changed to 0.03
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$33.09changed to$34.44
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.66 changed to 0.63
- 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: $33.09
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $59.89 | Not available in this setting | RVU26D |
| 2026-07-01 | $59.89 | Not available in this setting | RVU26C |
| 2026-04-01 | $59.89 | Not available in this setting | RVU26B |
| 2026-01-01 | $59.89 | Not available in this setting | RVU26A |
| 2025-10-01 | $57.19 | Not available in this setting | RVU25D |
| 2025-07-01 | $57.19 | Not available in this setting | RVU25C |
| 2025-04-01 | $57.19 | Not available in this setting | RVU25B |
| 2025-01-01 | $57.19 | Not available in this setting | RVU25A |
| 2024-10-01 | $59.86 | Not available in this setting | RVU24D |
| 2024-07-01 | $59.86 | Not available in this setting | RVU24C |
| 2024-04-01 | $59.86 | Not available in this setting | RVU24B |
| 2024-03-09 | $59.86 | Not available in this setting | RVU24AR |
| 2024-01-01 | $58.88 | Not available in this setting | RVU24A |
| 2023-10-01 | $62.00 | Not available in this setting | RVU23D |
| 2023-07-01 | $61.67 | Not available in this setting | RVU23C |
| 2023-04-01 | $61.67 | Not available in this setting | RVU23B |
| 2023-01-01 | $61.67 | Not available in this setting | RVU23A |
| 2022-10-01 | $64.37 | Not available in this setting | RVU22D |
| 2022-07-01 | $64.37 | Not available in this setting | RVU22C |
| 2022-04-01 | $64.37 | Not available in this setting | RVU22B |
| 2022-01-01 | $64.37 | Not available in this setting | RVU22A |
| 2021-10-01 | $60.68 | Not available in this setting | RVU21D |
| 2021-07-01 | $60.68 | Not available in this setting | RVU21C |
| 2021-04-01 | $60.68 | Not available in this setting | RVU21B |
| 2021-01-01 | $60.68 | Not available in this setting | RVU21A |
| 2020-10-01 | $55.12 | Not available in this setting | RVU20D |
| 2020-07-01 | $55.12 | Not available in this setting | RVU20C |
| 2020-04-01 | $55.12 | Not available in this setting | RVU20B |
| 2020-01-01 | $55.12 | Not available in this setting | RVU20A |
| 2019-10-01 | $49.57 | Not available in this setting | RVU19D |
| 2019-07-01 | $49.57 | Not available in this setting | RVU19C |
| 2019-04-01 | $49.57 | Not available in this setting | RVU19B |
| 2019-01-01 | $49.57 | Not available in this setting | RVU19A |
| 2018-10-01 | $43.72 | Not available in this setting | RVU18D |
| 2018-07-01 | $43.72 | Not available in this setting | RVU18C |
| 2018-04-01 | $43.72 | Not available in this setting | RVU18B |
| 2018-01-01 | $43.72 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $39.01 | Not available in this setting | RVU17D |
| 2017-07-01 | $39.01 | Not available in this setting | RVU17C |
| 2017-04-01 | $39.01 | Not available in this setting | RVU17B |
| 2017-01-01 | $39.01 | Not available in this setting | RVU17A |
| 2016-10-01 | $35.09 | Not available in this setting | RVU16D |
| 2016-07-01 | $35.09 | Not available in this setting | RVU16C |
| 2016-04-01 | $35.09 | Not available in this setting | RVU16B |
| 2016-01-01 | $35.09 | Not available in this setting | RVU16A |
| 2015-10-01 | $35.21 | Not available in this setting | RVU15D |
| 2015-07-01 | $35.21 | Not available in this setting | RVU15C |
| 2015-04-01 | $35.04 | Not available in this setting | RVU15B |
| 2015-01-01 | $35.04 | Not available in this setting | RVU15A |
| 2014-10-01 | $34.44 | Not available in this setting | RVU14D |
| 2014-07-01 | $34.44 | Not available in this setting | RVU14C |
| 2014-04-01 | $34.44 | Not available in this setting | RVU14B |
| 2014-01-01 | $34.44 | Not available in this setting | RVU14A |
| 2013-10-01 | $33.09 | Not available in this setting | RVU13D |
| 2013-07-01 | $33.09 | Not available in this setting | RVU13C |
| 2013-04-01 | $33.09 | Not available in this setting | RVU13B |
| 2013-01-01 | $33.09 | 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
93285 billing questions
When should this code be chosen instead of 93291?
Use this code for an in-person programming evaluation that includes iterative adjustment and testing of selected settings. Code 93291 describes in-person interrogation and evaluation of the recorder without that programming service.
Can the professional and technical components be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service involving equipment and staff. Reporting the code without either modifier represents the global service.
How does the multiple procedure reduction affect this service?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. It does not apply to the professional component.
Is this code appropriate for a remote recorder review?
No. This code describes an in-person programming evaluation; remote interrogation of an implantable event recorder is represented by 93298.
What documentation supports reporting the programming evaluation?
Document the recorder evaluated, the selected functions or settings tested, any iterative adjustments, and the interpreting clinician’s findings.
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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