CPT code 93286: Pacemaker management, during a procedure2026 Medicare rate & RVUs in West Virginia
Use this code for in-person evaluation and programming of a pacemaker system in connection with surgery or another procedure.
In West Virginia, Medicare pays $40.25 for 93286 in the office.
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.
On this page 11 sections
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 West Virginia 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. West Virginia pays $40.25. The RVUs are the same everywhere; the geographic indexes change the dollars.
- West Virginia · this page$40.25
- Los Angeles, CA · California$50.83+$10.58
- Washington, DC area · District of Columbia$51.09+$10.84
- Miami, FL · Florida$46.84+$6.59
- Chicago, IL · Illinois$45.53+$5.28
- Manhattan, NY · New York$50.95+$10.70
- Alaska · Alaska$51.18+$10.93
Other areas in West Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 | — |
| Madera, CACalifornia | $47.55 | — |
| Merced, CACalifornia | $47.55 | — |
| Modesto, CACalifornia | $47.55 | — |
| Napa, CACalifornia | $55.54 | — |
| Oxnard, CACalifornia | $50.64 | — |
| Redding, CACalifornia | $47.55 | — |
| Rest of CaliforniaCalifornia | $47.55 | — |
| Riverside, CACalifornia | $47.77 | — |
| Sacramento, CACalifornia | $50.02 | — |
| Salinas, CACalifornia | $49.83 | — |
| San Diego, CACalifornia | $51.09 | — |
| Marin County, CACalifornia | $58.95 | — |
| San Francisco, CACalifornia | $58.93 | — |
| San Benito County, CACalifornia | $60.24 | — |
| Santa Clara County, CACalifornia | $60.14 | — |
| San Luis Obispo, CACalifornia | $49.01 | — |
| Santa Cruz, CACalifornia | $51.64 | — |
| Santa Maria, CACalifornia | $50.04 | — |
| Santa Rosa, CACalifornia | $52.17 | — |
| Stockton, CACalifornia | $47.55 | — |
| Vallejo, CACalifornia | $55.51 | — |
| Visalia, CACalifornia | $47.55 | — |
| Yuba City, CACalifornia | $47.55 | — |
| ColoradoColorado | $46.57 | — |
| ConnecticutConnecticut | $47.38 | — |
| DelawareDelaware | $44.00 | — |
| Fort Lauderdale, FLFlorida | $45.41 | — |
| Rest of FloridaFlorida | $43.26 | — |
| Atlanta, GAGeorgia | $45.13 | — |
| Rest of GeorgiaGeorgia | $40.87 | — |
| Hawaii, Guam, HIHawaii | $48.81 | — |
| IowaIowa | $41.12 | — |
| IdahoIdaho | $41.35 | — |
| East St. Louis, ILIllinois | $42.38 | — |
| Rest of IllinoisIllinois | $41.84 | — |
| Suburban Chicago, ILIllinois | $45.93 | — |
| IndianaIndiana | $41.59 | — |
| KansasKansas | $40.82 | — |
| KentuckyKentucky | $40.58 | — |
| New Orleans, LALouisiana | $42.50 | — |
| Rest of LouisianaLouisiana | $40.48 | — |
| Metropolitan Boston, MAMassachusetts | $51.36 | — |
| Rest of MassachusettsMassachusetts | $46.25 | — |
| Baltimore area, MDMaryland | $47.22 | — |
| Rest of MarylandMaryland | $44.87 | — |
| Rest of MaineMaine | $41.45 | — |
| Southern Maine, MEMaine | $43.87 | — |
| Detroit, MIMichigan | $43.69 | — |
| Rest of MichiganMichigan | $41.55 | — |
| MinnesotaMinnesota | $44.94 | — |
| Metropolitan Kansas City, MOMissouri | $42.33 | — |
| Metropolitan St. Louis, MOMissouri | $42.79 | — |
| Rest of MissouriMissouri | $39.70 | — |
| MississippiMississippi | $39.51 | — |
| MontanaMontana | $44.42 | — |
| North CarolinaNorth Carolina | $41.90 | — |
| North DakotaNorth Dakota | $44.03 | — |
| NebraskaNebraska | $41.38 | — |
| New HampshireNew Hampshire | $45.74 | — |
| Northern New JerseyNew Jersey | $50.53 | — |
| Rest of New JerseyNew Jersey | $48.01 | — |
| New MexicoNew Mexico | $41.73 | — |
| NevadaNevada | $44.35 | — |
| NYC suburbs and Long Island, NYNew York | $52.05 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $48.24 | — |
| Queens, NYNew York | $51.54 | — |
| Rest of New YorkNew York | $42.52 | — |
| OhioOhio | $41.46 | — |
| OklahomaOklahoma | $40.63 | — |
| Portland, OROregon | $48.19 | — |
| Rest of OregonOregon | $44.09 | — |
| Metropolitan Philadelphia, PAPennsylvania | $46.12 | — |
| Rest of PennsylvaniaPennsylvania | $41.59 | — |
| Puerto RicoPuerto Rico | $44.79 | — |
| Rhode IslandRhode Island | $45.66 | — |
| South CarolinaSouth Carolina | $41.73 | — |
| South DakotaSouth Dakota | $43.98 | — |
| TennesseeTennessee | $41.01 | — |
| Austin, TXTexas | $46.34 | — |
| Beaumont, TXTexas | $41.31 | — |
| Brazoria, TXTexas | $44.05 | — |
| Dallas, TXTexas | $44.28 | — |
| Fort Worth, TXTexas | $43.95 | — |
| Galveston, TXTexas | $44.15 | — |
| Houston, TXTexas | $44.51 | — |
| Rest of TexasTexas | $42.62 | — |
| UtahUtah | $42.31 | — |
| VirginiaVirginia | $43.65 | — |
| Virgin Islands, VIUnited States Virgin Islands | $44.79 | — |
| VermontVermont | $43.75 | — |
| Rest of WashingtonWashington | $46.20 | — |
| King County, WAWashington | $52.52 | — |
| WisconsinWisconsin | $42.53 | — |
| WyomingWyoming | $44.25 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $51.18 | 1 |
| AL | $39.87 | 1 |
| AR | $39.30 | 1 |
| AZ | $43.27 | 1 |
| CA | $47.55–$60.24 | 29 |
| CO | $46.57 | 1 |
| CT | $47.38 | 1 |
| DC | $51.09 | 1 |
| DE | $44.00 | 1 |
| FL | $43.26–$46.84 | 3 |
| GA | $40.87–$45.13 | 2 |
| GU | $48.81 | 1 |
| HI | $48.81 | 1 |
| IA | $41.12 | 1 |
| ID | $41.35 | 1 |
| IL | $41.84–$45.93 | 4 |
| IN | $41.59 | 1 |
| KS | $40.82 | 1 |
| KY | $40.58 | 1 |
| LA | $40.48–$42.50 | 2 |
| MA | $46.25–$51.36 | 2 |
| MD | $44.87–$51.09 | 3 |
| ME | $41.45–$43.87 | 2 |
| MI | $41.55–$43.69 | 2 |
| MN | $44.94 | 1 |
| MO | $39.70–$42.79 | 3 |
| MS | $39.51 | 1 |
| MT | $44.42 | 1 |
| NC | $41.90 | 1 |
| ND | $44.03 | 1 |
| NE | $41.38 | 1 |
| NH | $45.74 | 1 |
| NJ | $48.01–$50.53 | 2 |
| NM | $41.73 | 1 |
| NV | $44.35 | 1 |
| NY | $42.52–$52.05 | 5 |
| OH | $41.46 | 1 |
| OK | $40.63 | 1 |
| OR | $44.09–$48.19 | 2 |
| PA | $41.59–$46.12 | 2 |
| PR | $44.79 | 1 |
| RI | $45.66 | 1 |
| SC | $41.73 | 1 |
| SD | $43.98 | 1 |
| TN | $41.01 | 1 |
| TX | $41.31–$46.34 | 8 |
| UT | $42.31 | 1 |
| VA | $43.65–$51.09 | 2 |
| VI | $44.79 | 1 |
| VT | $43.75 | 1 |
| WA | $46.20–$52.52 | 2 |
| WI | $42.53 | 1 |
| WV | $40.25 | 1 |
| WY | $44.25 | 1 |
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
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 West Virginia 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
110
- Locality
- West Virginia
- Physician work
- 1.000
- Practice expense
- 0.869
- Malpractice
- 1.431
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.29 | × 1.000 | 0.2900 |
| Practice expense | 1.02 | × 0.869 | 0.8864 |
| Malpractice | 0.02 | × 1.431 | 0.0286 |
| Total RVUs | 1.2050 | ||
| Conversion factor | × 33.4009 | ||
Office rate, West Virginia$40.25
Office: (0.29 × 1 + 1.02 × 0.869 + 0.02 × 1.431) × $33.4009 = $40.25
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
| 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
93286 without 26 · national office
$44.42
Pacemaker management, during a procedure
93286-26 · Professional component
$14.36
Pays only the interpretation and report.
How 93286 has changed in West Virginia
93286 · Office / nonfacility
$40.25
Effective 2026-10-01
The base rate is $1.52 higher than on 2025-10-01, moving from $38.73 to $40.25 (3.9%).
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
$38.73changed to$40.25
- 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 0.862 changed to 0.869
- Malpractice GPCI 1.333 changed to 1.431
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$40.43changed to$38.73
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.03 changed to 1.01
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$39.77changed to$40.43
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$41.92changed to$39.77
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.06 changed to 1.03
- Practice expense GPCI 0.860 changed to 0.862
- Malpractice GPCI 1.266 changed to 1.333
January 1, 2023
RVU23A
$43.87changed to$41.92
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.10 changed to 1.06
- Practice expense GPCI 0.858 changed to 0.860
- Malpractice GPCI 1.198 changed to 1.266
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$41.24changed to$43.87
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.00 changed to 1.10
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$37.09changed to$41.24
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.82 changed to 1.00
- Practice expense GPCI 0.857 changed to 0.858
- Malpractice GPCI 1.247 changed to 1.198
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$32.44changed to$37.09
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.67 changed to 0.82
- Malpractice GPCI 1.296 changed to 1.247
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$28.08changed to$32.44
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.53 changed to 0.67
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$25.37changed to$28.08
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 0.45 changed to 0.53
- Practice expense GPCI 0.847 changed to 0.857
- Malpractice GPCI 1.289 changed to 1.296
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$25.13changed to$25.37
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.836 changed to 0.847
- Malpractice GPCI 1.282 changed to 1.289
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$25.22changed to$25.13
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$25.09changed to$25.22
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$24.76changed to$25.09
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.44 changed to 0.45
- Practice expense GPCI 0.832 changed to 0.836
- Malpractice GPCI 1.256 changed to 1.282
Held through RVU15B.
January 1, 2014
RVU14A
$24.00changed to$24.76
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.46 changed to 0.44
- Practice expense GPCI 0.828 changed to 0.832
- Malpractice GPCI 1.229 changed to 1.256
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $24.00
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $40.25 | Not available in this setting | RVU26D |
| 2026-07-01 | $40.25 | Not available in this setting | RVU26C |
| 2026-04-01 | $40.25 | Not available in this setting | RVU26B |
| 2026-01-01 | $40.25 | Not available in this setting | RVU26A |
| 2025-10-01 | $38.73 | Not available in this setting | RVU25D |
| 2025-07-01 | $38.73 | Not available in this setting | RVU25C |
| 2025-04-01 | $38.73 | Not available in this setting | RVU25B |
| 2025-01-01 | $38.73 | Not available in this setting | RVU25A |
| 2024-10-01 | $40.43 | Not available in this setting | RVU24D |
| 2024-07-01 | $40.43 | Not available in this setting | RVU24C |
| 2024-04-01 | $40.43 | Not available in this setting | RVU24B |
| 2024-03-09 | $40.43 | Not available in this setting | RVU24AR |
| 2024-01-01 | $39.77 | Not available in this setting | RVU24A |
| 2023-10-01 | $41.92 | Not available in this setting | RVU23D |
| 2023-07-01 | $41.92 | Not available in this setting | RVU23C |
| 2023-04-01 | $41.92 | Not available in this setting | RVU23B |
| 2023-01-01 | $41.92 | Not available in this setting | RVU23A |
| 2022-10-01 | $43.87 | Not available in this setting | RVU22D |
| 2022-07-01 | $43.87 | Not available in this setting | RVU22C |
| 2022-04-01 | $43.87 | Not available in this setting | RVU22B |
| 2022-01-01 | $43.87 | Not available in this setting | RVU22A |
| 2021-10-01 | $41.24 | Not available in this setting | RVU21D |
| 2021-07-01 | $41.24 | Not available in this setting | RVU21C |
| 2021-04-01 | $41.24 | Not available in this setting | RVU21B |
| 2021-01-01 | $41.24 | Not available in this setting | RVU21A |
| 2020-10-01 | $37.09 | Not available in this setting | RVU20D |
| 2020-07-01 | $37.09 | Not available in this setting | RVU20C |
| 2020-04-01 | $37.09 | Not available in this setting | RVU20B |
| 2020-01-01 | $37.09 | Not available in this setting | RVU20A |
| 2019-10-01 | $32.44 | Not available in this setting | RVU19D |
| 2019-07-01 | $32.44 | Not available in this setting | RVU19C |
| 2019-04-01 | $32.44 | Not available in this setting | RVU19B |
| 2019-01-01 | $32.44 | Not available in this setting | RVU19A |
| 2018-10-01 | $28.08 | Not available in this setting | RVU18D |
| 2018-07-01 | $28.08 | Not available in this setting | RVU18C |
| 2018-04-01 | $28.08 | Not available in this setting | RVU18B |
| 2018-01-01 | $28.08 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $25.37 | Not available in this setting | RVU17D |
| 2017-07-01 | $25.37 | Not available in this setting | RVU17C |
| 2017-04-01 | $25.37 | Not available in this setting | RVU17B |
| 2017-01-01 | $25.37 | Not available in this setting | RVU17A |
| 2016-10-01 | $25.13 | Not available in this setting | RVU16D |
| 2016-07-01 | $25.13 | Not available in this setting | RVU16C |
| 2016-04-01 | $25.13 | Not available in this setting | RVU16B |
| 2016-01-01 | $25.13 | Not available in this setting | RVU16A |
| 2015-10-01 | $25.22 | Not available in this setting | RVU15D |
| 2015-07-01 | $25.22 | Not available in this setting | RVU15C |
| 2015-04-01 | $25.09 | Not available in this setting | RVU15B |
| 2015-01-01 | $25.09 | Not available in this setting | RVU15A |
| 2014-10-01 | $24.76 | Not available in this setting | RVU14D |
| 2014-07-01 | $24.76 | Not available in this setting | RVU14C |
| 2014-04-01 | $24.76 | Not available in this setting | RVU14B |
| 2014-01-01 | $24.76 | Not available in this setting | RVU14A |
| 2013-10-01 | $24.00 | Not available in this setting | RVU13D |
| 2013-07-01 | $24.00 | Not available in this setting | RVU13C |
| 2013-04-01 | $24.00 | Not available in this setting | RVU13B |
| 2013-01-01 | $24.00 | Not available in this setting | RVU13AR |
Where the West Virginia rate applies
West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.
- Accoville
- Addison (Webster Springs)
- Adrian
- Albright
- Alderson
- Alum Creek
- Amherstdale
- Anawalt
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
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