CPT code 93289: Device interrogation, implantable defibrillator2026 Medicare rate & RVUs

In-person evaluation of an implanted defibrillator’s settings, battery, leads, and therapy data, with clinician analysis and a documented report.

CMS RVU26DEffective Oct 1, 2026109 payment localities49.5K Medicare services in 2024

Medicare pays $71.14 for 93289 nationally in the office. Local office rates run $64.09–$93.28.

Medicare rate · 93289

Device interrogation, implantable defibrillator

Office or facility?

Work RVUs
0.73
Total RVUs
2.13
Global days
XXX

National rate · 2026

$71.14

Office setting, before claim adjustments.

See every locality for 93289 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 93289 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 93289 covers

This service evaluates an implanted cardioverter-defibrillator in person, including a system that provides cardiac resynchronization therapy with defibrillation. The device is connected to interrogation equipment to review programmed parameters, battery status, lead function, and stored therapy information. A cardiologist, electrophysiologist, or other qualified health care professional interprets the findings and prepares a report. It is commonly performed during an office or facility visit for device follow-up or assessment of recorded events.

Report 93289 for the in-person diagnostic interrogation and interpretation, rather than for remote monitoring or device programming. Documentation should identify the defibrillator evaluated and support the analysis and report, including relevant device findings. CMS allows billing the professional interpretation with modifier 26, the equipment-and-staff service with modifier TC, or the global service without a component modifier. When a cardiovascular diagnostic multiple-procedure reduction applies, it affects the technical component; it does not reduce the professional component under this rule.

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 93289 pays more and less

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

109 payment localities

$64.09 to $93.28

$64.09$78.69$93.28
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

93289 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$64.89Unavailable
Alaska$85.69Unavailable
Arizona$69.54Unavailable
Arkansas$64.09Unavailable
Atlanta, GA$72.21Unavailable
Austin, TX$73.68Unavailable
Bakersfield, CA$75.45Unavailable
Baltimore area, MD$75.17Unavailable
Beaumont, TX$66.96Unavailable
Brazoria, TX$70.64Unavailable

93289 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.

$64.09

$85.69

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

View every state and territory as a table
93289 office rate range by state
State / territoryOffice rate rangeLocalities
AK$85.691
AL$64.891
AR$64.091
AZ$69.541
CA$75.30–$93.2829
CO$74.051
CT$75.411
DC$80.701
DE$70.591
FL$69.82–$75.053
GA$66.49–$72.212
GU$76.801
HI$76.801
IA$66.481
ID$66.811
IL$67.94–$73.574
IN$67.141
KS$66.121
KY$65.991
LA$65.86–$68.652
MA$73.67–$80.812
MD$71.82–$80.703
ME$67.00–$70.242
MI$67.36–$70.472
MN$71.521
MO$64.84–$68.973
MS$64.481
MT$71.141
NC$67.621
ND$70.351
NE$66.821
NH$72.841
NJ$76.43–$80.042
NM$67.641
NV$70.971
NY$68.48–$82.435
OH$67.201
OK$65.991
OR$70.57–$76.232
PA$67.35–$73.702
PR$71.621
RI$72.961
SC$67.491
SD$70.261
TN$66.391
TX$66.96–$73.688
UT$68.281
VA$69.98–$80.702
VI$71.621
VT$70.031
WA$73.55–$82.432
WI$68.311
WV$65.771
WY$70.801

How the 93289 rate is calculated

Each of 93289’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 · 93289

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.73

0.73 RVUs× 1.000 GPCI

Practice expense1.36

1.36 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

2.1300

Conversion factor

$33.4009

Medicare rate

$71.14

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 93289

The CMS indicators that decide how 93289 is paid alongside other services.

CMS payment indicators · 93289

Device interrogation, implantable defibrillator

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

93289 without 26 · national office

$71.14

Device interrogation, implantable defibrillator

93289-26 · Professional component

$35.40

Pays only the interpretation and report.

When to use modifier 26

93289 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 93289

    Device interrogation, implantable defibrillator0.73 wRVU

    $71.14

  • 93288

    Pacemaker interrogation, in person, including leadless systems0.42 wRVU

    $55.45−$15.69

  • 93295

    Remote ICD check, defibrillator, professional review, up to 90 days0.72 wRVU

    $36.07−$35.07

  • 93283

    ICD evaluation, dual-lead system1.12 wRVU

    $96.53+$25.39

  • 93290

    Device interrogation, implantable physiologic monitor0.42 wRVU

    $52.44−$18.70

How to choose

93288Pacemaker interrogationIn person, including leadless systems
93289 is for in-person interrogation of an implanted defibrillator; 93288 is for a pacemaker system.
93295Remote ICD checkDefibrillator, professional review, up to 90 days
93289 describes an in-person defibrillator interrogation. 93295 is for remote interrogation evaluation.
93283ICD evaluationDual-lead system
93289 covers interrogation and review of an implanted defibrillator. 93283 is a programming service for a dual-lead defibrillator system.
93290Device interrogationImplantable physiologic monitor
93289 evaluates an implanted defibrillator; 93290 evaluates an implantable cardiovascular physiologic monitor.

93289 billing questions

When should 93289 be used instead of 93288?

Use 93289 for in-person interrogation of an implanted defibrillator, including a CRT-D. Code 93288 is for interrogation of a pacemaker system.

Does 93289 include device programming?

It reports interrogation and analysis, not a programming service. If the clinician changes device settings, the applicable programming code depends on the defibrillator system.

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.

How does the multiple-procedure reduction affect 93289?

The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. CMS does not reduce the professional component.

Is 93289 reported per lead or per stored event?

No. Report it for the patient encounter, not separately for each lead or stored therapy event reviewed.

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 93289PPRRVU2026_Oct_nonQPP.csv, line 12,016 (RVU26D)

Open CMS sourceHow we calculate rates

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