CPT code 93286: Pacemaker management, during a procedure2026 Medicare rate & RVUs in New Mexico

Use this code for in-person evaluation and programming of a pacemaker system in connection with surgery or another procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality34.1K Medicare services in 2024

In New Mexico, Medicare pays $41.73 for 93286 in the office.

$41.73Office (non-facility)
Not available in this settingHospital or facility
−6.1%vs the national office rate ($44.42)

Check a contract rate as a % of Medicare · 93286 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93286 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 93286 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 93286 covers

This service covers an in-person check and programming of a single-, dual-, or multiple-lead pacemaker system in connection with surgery or another procedure. The clinician assesses the device and its settings and makes procedure-related programming changes when needed; the work includes analysis, review, and a report. It is commonly arranged for a patient with a pacemaker undergoing a procedure where device management is needed, such as a surgery involving electrosurgical equipment. A physician or other qualified health care professional supervises the service.

Report 93286 for the periprocedural service, rather than routine pacemaker programming or interrogation alone. Documentation should identify the procedure, the device system, the evaluation, any programming changes, and the resulting report. The code has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either 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 New Mexico compares for 93286

Across 109 of 109 payment localities, the office rate for 93286 runs from $39.30 in Arkansas to $60.24 in San Benito County, CA. New Mexico pays $41.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

93286 in New Mexico vs other payment areas
  1. New Mexico · this page$41.73
  2. Los Angeles, CA · California$50.83+$9.10
  3. Washington, DC area · District of Columbia$51.09+$9.36
  4. Miami, FL · Florida$46.84+$5.11
  5. Chicago, IL · Illinois$45.53+$3.80
  6. Manhattan, NY · New York$50.95+$9.22
  7. Alaska · Alaska$51.18+$9.45

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

93286 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$39.87—
ArkansasArkansas$39.30—
ArizonaArizona$43.27—
Bakersfield, CACalifornia$47.62—
Chico, CACalifornia$47.55—
El Centro, CACalifornia$47.55—
Fresno, CACalifornia$47.55—
Hanford, CACalifornia$47.55—

93286 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.

$39.30

$53.89

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
93286 office rate range by state
State / territoryOffice rate rangeLocalities
AK$51.181
AL$39.871
AR$39.301
AZ$43.271
CA$47.55–$60.2429
CO$46.571
CT$47.381
DC$51.091
DE$44.001
FL$43.26–$46.843
GA$40.87–$45.132
GU$48.811
HI$48.811
IA$41.121
ID$41.351
IL$41.84–$45.934
IN$41.591
KS$40.821
KY$40.581
LA$40.48–$42.502
MA$46.25–$51.362
MD$44.87–$51.093
ME$41.45–$43.872
MI$41.55–$43.692
MN$44.941
MO$39.70–$42.793
MS$39.511
MT$44.421
NC$41.901
ND$44.031
NE$41.381
NH$45.741
NJ$48.01–$50.532
NM$41.731
NV$44.351
NY$42.52–$52.055
OH$41.461
OK$40.631
OR$44.09–$48.192
PA$41.59–$46.122
PR$44.791
RI$45.661
SC$41.731
SD$43.981
TN$41.011
TX$41.31–$46.348
UT$42.311
VA$43.65–$51.092
VI$44.791
VT$43.751
WA$46.20–$52.522
WI$42.531
WV$40.251
WY$44.251

See 93286 in every payment locality

How the 93286 rate is calculated

Each of 93286’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 · 93286

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.29

0.29 RVUs× 1.000 GPCI

Practice expense1.02

1.02 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.3300

Conversion factor

$33.4009

Medicare rate

$44.42

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

12,007

Code
93286
Physician work
0.29
Practice expense
1.02
Malpractice
0.02

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Office calculation for 93286 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.29× 1.0000.2900
Practice expense1.02× 0.9170.9353
Malpractice0.02× 1.2010.0240
Total RVUs1.2494
Conversion factor× 33.4009

Office rate, New Mexico$41.73

Office: (0.29 × 1 + 1.02 × 0.917 + 0.02 × 1.201) × $33.4009 = $41.73

Open 93286 in the RVU calculator

Payment rules and modifiers for 93286

The CMS indicators that decide how 93286 is paid alongside other services.

CMS payment indicators · 93286

Pacemaker management, during a procedure

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures6Diagnostic cardiovascular reduction applies to the technical component.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

93286 without 26 · national office

$44.42

Pacemaker management, during a procedure

93286-26 · Professional component

$14.36

Pays only the interpretation and report.

When to use modifier 26

How 93286 has changed in New Mexico

93286 · Office / nonfacility

$41.73

Effective 2026-10-01

The base rate is $1.60 higher than on 2025-10-01, moving from $40.13 to $41.73 (4.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $40.13changed to$41.73

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.30 changed to 0.29
    • Practice expense RVU 1.01 changed to 1.02
    • Practice expense GPCI 0.908 changed to 0.917
    • Malpractice GPCI 1.172 changed to 1.201

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $41.90changed to$40.13

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 1.03 changed to 1.01

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $41.21changed to$41.90

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $43.36changed to$41.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.06 changed to 1.03
    • Practice expense GPCI 0.902 changed to 0.908
    • Malpractice GPCI 1.169 changed to 1.172
  5. January 1, 2023

    RVU23A

    $45.30changed to$43.36

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.10 changed to 1.06
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 1.166 changed to 1.169

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $42.55changed to$45.30

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.00 changed to 1.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $38.57changed to$42.55

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 0.82 changed to 1.00
    • Practice expense GPCI 0.908 changed to 0.896
    • Malpractice GPCI 1.207 changed to 1.166

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $33.95changed to$38.57

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.67 changed to 0.82
    • Practice expense GPCI 0.921 changed to 0.908
    • Malpractice GPCI 1.247 changed to 1.207

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $29.27changed to$33.95

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.53 changed to 0.67

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $26.49changed to$29.27

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 0.45 changed to 0.53
    • Practice expense GPCI 0.920 changed to 0.921
    • Malpractice GPCI 1.204 changed to 1.247

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $26.38changed to$26.49

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 0.919 changed to 0.920
    • Malpractice GPCI 1.161 changed to 1.204

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $26.47changed to$26.38

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $26.34changed to$26.47

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $25.99changed to$26.34

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.44 changed to 0.45
    • Practice expense GPCI 0.918 changed to 0.919
    • Malpractice GPCI 1.079 changed to 1.161

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $25.22changed to$25.99

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 0.46 changed to 0.44
    • Practice expense GPCI 0.916 changed to 0.918
    • Malpractice GPCI 0.997 changed to 1.079

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $25.22

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$41.73Not available in this settingRVU26D
2026-07-01$41.73Not available in this settingRVU26C
2026-04-01$41.73Not available in this settingRVU26B
2026-01-01$41.73Not available in this settingRVU26A
2025-10-01$40.13Not available in this settingRVU25D
2025-07-01$40.13Not available in this settingRVU25C
2025-04-01$40.13Not available in this settingRVU25B
2025-01-01$40.13Not available in this settingRVU25A
2024-10-01$41.90Not available in this settingRVU24D
2024-07-01$41.90Not available in this settingRVU24C
2024-04-01$41.90Not available in this settingRVU24B
2024-03-09$41.90Not available in this settingRVU24AR
2024-01-01$41.21Not available in this settingRVU24A
2023-10-01$43.36Not available in this settingRVU23D
2023-07-01$43.36Not available in this settingRVU23C
2023-04-01$43.36Not available in this settingRVU23B
2023-01-01$43.36Not available in this settingRVU23A
2022-10-01$45.30Not available in this settingRVU22D
2022-07-01$45.30Not available in this settingRVU22C
2022-04-01$45.30Not available in this settingRVU22B
2022-01-01$45.30Not available in this settingRVU22A
2021-10-01$42.55Not available in this settingRVU21D
2021-07-01$42.55Not available in this settingRVU21C
2021-04-01$42.55Not available in this settingRVU21B
2021-01-01$42.55Not available in this settingRVU21A
2020-10-01$38.57Not available in this settingRVU20D
2020-07-01$38.57Not available in this settingRVU20C
2020-04-01$38.57Not available in this settingRVU20B
2020-01-01$38.57Not available in this settingRVU20A
2019-10-01$33.95Not available in this settingRVU19D
2019-07-01$33.95Not available in this settingRVU19C
2019-04-01$33.95Not available in this settingRVU19B
2019-01-01$33.95Not available in this settingRVU19A
2018-10-01$29.27Not available in this settingRVU18D
2018-07-01$29.27Not available in this settingRVU18C
2018-04-01$29.27Not available in this settingRVU18B
2018-01-01$29.27Not available in this settingRVU18AR1
2017-10-01$26.49Not available in this settingRVU17D
2017-07-01$26.49Not available in this settingRVU17C
2017-04-01$26.49Not available in this settingRVU17B
2017-01-01$26.49Not available in this settingRVU17A
2016-10-01$26.38Not available in this settingRVU16D
2016-07-01$26.38Not available in this settingRVU16C
2016-04-01$26.38Not available in this settingRVU16B
2016-01-01$26.38Not available in this settingRVU16A
2015-10-01$26.47Not available in this settingRVU15D
2015-07-01$26.47Not available in this settingRVU15C
2015-04-01$26.34Not available in this settingRVU15B
2015-01-01$26.34Not available in this settingRVU15A
2014-10-01$25.99Not available in this settingRVU14D
2014-07-01$25.99Not available in this settingRVU14C
2014-04-01$25.99Not available in this settingRVU14B
2014-01-01$25.99Not available in this settingRVU14A
2013-10-01$25.22Not available in this settingRVU13D
2013-07-01$25.22Not available in this settingRVU13C
2013-04-01$25.22Not available in this settingRVU13B
2013-01-01$25.22Not available in this settingRVU13AR

Price 93286 for an earlier date of service

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

Browse all communities in New Mexico

93286 billing questions

Can 93286 be used for routine pacemaker programming?

No. It describes device management in connection with surgery or another procedure. Routine pacemaker programming is represented by codes such as 93279, 93280, or 93281, depending on the system.

How is 93286 different from pacemaker interrogation?

93286 includes periprocedural programming as well as evaluation. Code 93288 describes in-person pacemaker interrogation and evaluation, rather than the periprocedural programming service.

When should modifier 26 or TC be reported?

Use modifier 26 for the professional interpretation and modifier TC for the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.

Does the multiple procedure reduction affect the whole service?

The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component. It does not apply to the professional component under the rule listed for this code.

What documentation supports reporting 93286?

Document the procedure prompting device management, the pacemaker system evaluated, the review and analysis, any programming performed, and the resulting 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
RVUs for 93286PPRRVU2026_Oct_nonQPP.csv, line 12,007 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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