CPT code 93289: Device interrogation, implantable defibrillator2026 Medicare rate & RVUs in Texas
In-person evaluation of an implanted defibrillator’s settings, battery, leads, and therapy data, with clinician analysis and a documented report.
Medicare pays $66.96–$73.68 for 93289 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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 in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$66.96 to $73.68
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $73.68 | Unavailable |
| Beaumont, TX | $66.96 | Unavailable |
| Brazoria, TX | $70.64 | Unavailable |
| Dallas, TX | $70.99 | Unavailable |
| Fort Worth, TX | $70.56 | Unavailable |
| Galveston, TX | $70.79 | Unavailable |
| Houston, TX | $71.52 | Unavailable |
| Rest of Texas | $68.70 | Unavailable |
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
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
| 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
93289 without 26 · national office
$71.14
Device interrogation, implantable defibrillator
93289-26 · Professional component
$35.40
Pays only the interpretation and report.
93289 compared with similar codes
Compare codes · National
5 codes, side by side
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
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