CPT code 93287: ICD evaluation, periprocedural2026 Medicare rate & RVUs

Medicare pays $51.77 for 93287 nationally in the office. Local office rates run $46.20–$68.87.

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

What 93287 covers

Code 93287 describes an in-person evaluation and programming of an implantable cardioverter-defibrillator (ICD) in the peri-procedural setting. A cardiologist, electrophysiologist, or qualified device clinician assesses the device and may adjust its settings for the procedure, then restore appropriate settings afterward. The service includes analysis, review, and a report, and applies to single-, dual-, and multiple-lead ICD systems. It is commonly performed when device settings need attention around surgery or another procedure that could affect ICD operation.

Report 93287 for the peri-procedural ICD service, not for routine device checks or programming unrelated to a procedure. Documentation should identify the procedure context, the ICD evaluation performed, any programming changes, and the findings and plan in the report. The service has professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the technical equipment and staff, and billing without a modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the 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.

Where 93287 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93287 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 93287 rate is calculated

Each of 93287’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.

Payment rules and modifiers for 93287

The CMS indicators that decide how 93287 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

93287 compared with similar codes

How to choose

93286Pacemaker managementDuring a procedure

Both are peri-procedural device services. Choose 93287 for an ICD system and 93286 for a pacemaker system.

93289Device interrogationImplantable defibrillator

93289 describes in-person interrogation of an ICD; 93287 is used when evaluation and programming occur in the peri-procedural setting.

93284Defibrillator evaluationMultiple-lead system

93284 is programming evaluation for a multiple-lead ICD outside the peri-procedural service. Use 93287 for the peri-procedural ICD service regardless of lead count.

Codes related to 93287

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates