CPT code 93289: Device interrogation, implantable defibrillator2026 Medicare rate & RVUs in Houston, TX
In-person evaluation of an implanted defibrillator’s settings, battery, leads, and therapy data, with clinician analysis and a documented report.
In Houston, TX, Medicare pays $71.52 for 93289 in the office.
Check a contract rate as a % of Medicare · 93289 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 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.
How Houston, TX compares for 93289
Across 109 of 109 payment localities, the office rate for 93289 runs from $64.09 in Arkansas to $93.28 in San Benito County, CA. Houston, TX pays $71.52. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Houston, TX · this page$71.52
- Austin, TX · Texas$73.68+$2.16
- Beaumont, TX · Texas$66.96−$4.56
- Brazoria, TX · Texas$70.64−$0.88
- Dallas, TX · Texas$70.99−$0.53
- Fort Worth, TX · Texas$70.56−$0.96
- Galveston, TX · Texas$70.79−$0.73
Other areas in Texas first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Rest of TexasTexas | $68.70 | — |
| Los Angeles, CACalifornia | $80.01 | — |
| Washington, DC areaDistrict of Columbia | $80.70 | — |
| Miami, FLFlorida | $75.05 | — |
| Chicago, ILIllinois | $73.27 | — |
| Manhattan, NYNew York | $80.85 | — |
| AlaskaAlaska | $85.69 | — |
| AlabamaAlabama | $64.89 | — |
| ArkansasArkansas | $64.09 | — |
| ArizonaArizona | $69.54 | — |
| Bakersfield, CACalifornia | $75.45 | — |
| Chico, CACalifornia | $75.30 | — |
| El Centro, CACalifornia | $75.31 | — |
| Fresno, CACalifornia | $75.30 | — |
| Hanford, CACalifornia | $75.30 | — |
| Madera, CACalifornia | $75.30 | — |
| Merced, CACalifornia | $75.30 | — |
| Modesto, CACalifornia | $75.30 | — |
| Napa, CACalifornia | $86.47 | — |
| Oxnard, CACalifornia | $79.59 | — |
| Redding, CACalifornia | $75.30 | — |
| Rest of CaliforniaCalifornia | $75.30 | — |
| Riverside, CACalifornia | $75.75 | — |
| Sacramento, CACalifornia | $78.81 | — |
| Salinas, CACalifornia | $78.50 | — |
| San Diego, CACalifornia | $80.17 | — |
| Marin County, CACalifornia | $91.36 | — |
| San Francisco, CACalifornia | $91.32 | — |
| San Benito County, CACalifornia | $93.28 | — |
| Santa Clara County, CACalifornia | $93.10 | — |
| San Luis Obispo, CACalifornia | $77.25 | — |
| Santa Cruz, CACalifornia | $80.80 | — |
| Santa Maria, CACalifornia | $78.75 | — |
| Santa Rosa, CACalifornia | $81.61 | — |
| Stockton, CACalifornia | $75.30 | — |
| Vallejo, CACalifornia | $86.40 | — |
| Visalia, CACalifornia | $75.30 | — |
| Yuba City, CACalifornia | $75.30 | — |
| ColoradoColorado | $74.05 | — |
| ConnecticutConnecticut | $75.41 | — |
| DelawareDelaware | $70.59 | — |
| Fort Lauderdale, FLFlorida | $72.81 | — |
| Rest of FloridaFlorida | $69.82 | — |
| Atlanta, GAGeorgia | $72.21 | — |
| Rest of GeorgiaGeorgia | $66.49 | — |
| Hawaii, Guam, HIHawaii | $76.80 | — |
| IowaIowa | $66.48 | — |
| IdahoIdaho | $66.81 | — |
| East St. Louis, ILIllinois | $68.86 | — |
| Rest of IllinoisIllinois | $67.94 | — |
| Suburban Chicago, ILIllinois | $73.57 | — |
| IndianaIndiana | $67.14 | — |
| KansasKansas | $66.12 | — |
| KentuckyKentucky | $65.99 | — |
| New Orleans, LALouisiana | $68.65 | — |
| Rest of LouisianaLouisiana | $65.86 | — |
| Metropolitan Boston, MAMassachusetts | $80.81 | — |
| Rest of MassachusettsMassachusetts | $73.67 | — |
| Baltimore area, MDMaryland | $75.17 | — |
| Rest of MarylandMaryland | $71.82 | — |
| Rest of MaineMaine | $67.00 | — |
| Southern Maine, MEMaine | $70.24 | — |
| Detroit, MIMichigan | $70.47 | — |
| Rest of MichiganMichigan | $67.36 | — |
| MinnesotaMinnesota | $71.52 | — |
| Metropolitan Kansas City, MOMissouri | $68.34 | — |
| Metropolitan St. Louis, MOMissouri | $68.97 | — |
| Rest of MissouriMissouri | $64.84 | — |
| MississippiMississippi | $64.48 | — |
| MontanaMontana | $71.14 | — |
| North CarolinaNorth Carolina | $67.62 | — |
| North DakotaNorth Dakota | $70.35 | — |
| NebraskaNebraska | $66.82 | — |
| New HampshireNew Hampshire | $72.84 | — |
| Northern New JerseyNew Jersey | $80.04 | — |
| Rest of New JerseyNew Jersey | $76.43 | — |
| New MexicoNew Mexico | $67.64 | — |
| NevadaNevada | $70.97 | — |
| NYC suburbs and Long Island, NYNew York | $82.43 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $76.84 | — |
| Queens, NYNew York | $81.56 | — |
| Rest of New YorkNew York | $68.48 | — |
| OhioOhio | $67.20 | — |
| OklahomaOklahoma | $65.99 | — |
| Portland, OROregon | $76.23 | — |
| Rest of OregonOregon | $70.57 | — |
| Metropolitan Philadelphia, PAPennsylvania | $73.70 | — |
| Rest of PennsylvaniaPennsylvania | $67.35 | — |
| Puerto RicoPuerto Rico | $71.62 | — |
| Rhode IslandRhode Island | $72.96 | — |
| South CarolinaSouth Carolina | $67.49 | — |
| South DakotaSouth Dakota | $70.26 | — |
| TennesseeTennessee | $66.39 | — |
| UtahUtah | $68.28 | — |
| VirginiaVirginia | $69.98 | — |
| Virgin Islands, VIUnited States Virgin Islands | $71.62 | — |
| VermontVermont | $70.03 | — |
| Rest of WashingtonWashington | $73.55 | — |
| King County, WAWashington | $82.43 | — |
| WisconsinWisconsin | $68.31 | — |
| West VirginiaWest Virginia | $65.77 | — |
| WyomingWyoming | $70.80 | — |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $85.69 | 1 |
| AL | $64.89 | 1 |
| AR | $64.09 | 1 |
| AZ | $69.54 | 1 |
| CA | $75.30–$93.28 | 29 |
| CO | $74.05 | 1 |
| CT | $75.41 | 1 |
| DC | $80.70 | 1 |
| DE | $70.59 | 1 |
| FL | $69.82–$75.05 | 3 |
| GA | $66.49–$72.21 | 2 |
| GU | $76.80 | 1 |
| HI | $76.80 | 1 |
| IA | $66.48 | 1 |
| ID | $66.81 | 1 |
| IL | $67.94–$73.57 | 4 |
| IN | $67.14 | 1 |
| KS | $66.12 | 1 |
| KY | $65.99 | 1 |
| LA | $65.86–$68.65 | 2 |
| MA | $73.67–$80.81 | 2 |
| MD | $71.82–$80.70 | 3 |
| ME | $67.00–$70.24 | 2 |
| MI | $67.36–$70.47 | 2 |
| MN | $71.52 | 1 |
| MO | $64.84–$68.97 | 3 |
| MS | $64.48 | 1 |
| MT | $71.14 | 1 |
| NC | $67.62 | 1 |
| ND | $70.35 | 1 |
| NE | $66.82 | 1 |
| NH | $72.84 | 1 |
| NJ | $76.43–$80.04 | 2 |
| NM | $67.64 | 1 |
| NV | $70.97 | 1 |
| NY | $68.48–$82.43 | 5 |
| OH | $67.20 | 1 |
| OK | $65.99 | 1 |
| OR | $70.57–$76.23 | 2 |
| PA | $67.35–$73.70 | 2 |
| PR | $71.62 | 1 |
| RI | $72.96 | 1 |
| SC | $67.49 | 1 |
| SD | $70.26 | 1 |
| TN | $66.39 | 1 |
| TX | $66.96–$73.68 | 8 |
| UT | $68.28 | 1 |
| VA | $69.98–$80.70 | 2 |
| VI | $71.62 | 1 |
| VT | $70.03 | 1 |
| WA | $73.55–$82.43 | 2 |
| WI | $68.31 | 1 |
| WV | $65.77 | 1 |
| WY | $70.80 | 1 |
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.
The exact Houston, TX inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,016
- Code
- 93289
- Physician work
- 0.73
- Practice expense
- 1.36
- Malpractice
- 0.04
GPCI2026.csv
102
- Locality
- Houston, TX
- Physician work
- 1.008
- Practice expense
- 0.993
- Malpractice
- 1.376
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.73 | × 1.008 | 0.7358 |
| Practice expense | 1.36 | × 0.993 | 1.3505 |
| Malpractice | 0.04 | × 1.376 | 0.0550 |
| Total RVUs | 2.1414 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Houston, TX$71.52
Office: (0.73 × 1.008 + 1.36 × 0.993 + 0.04 × 1.376) × $33.4009 = $71.52
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.
How 93289 has changed in Houston, TX
93289 · Office / nonfacility
$71.52
Effective 2026-10-01
The base rate is $1.95 higher than on 2025-10-01, moving from $69.57 to $71.52 (2.8%).
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
$69.57changed to$71.52
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.75 changed to 0.73
- Practice expense RVU 1.33 changed to 1.36
- Work GPCI 1.014 changed to 1.008
- Practice expense GPCI 1.003 changed to 0.993
- Malpractice GPCI 1.409 changed to 1.376
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$72.60changed to$69.57
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.36 changed to 1.33
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$71.41changed to$72.60
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$75.47changed to$71.41
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.38 changed to 1.36
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.023 changed to 1.014
- Practice expense GPCI 1.016 changed to 1.003
- Malpractice GPCI 1.154 changed to 1.409
January 1, 2023
RVU23A
$78.55changed to$75.47
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.41 changed to 1.38
- Work GPCI 1.032 changed to 1.023
- Practice expense GPCI 1.029 changed to 1.016
- Malpractice GPCI 0.900 changed to 1.154
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$74.89changed to$78.55
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.29 changed to 1.41
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$68.85changed to$74.89
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.08 changed to 1.29
- Malpractice RVU 0.04 changed to 0.05
- Work GPCI 1.026 changed to 1.032
- Practice expense GPCI 1.020 changed to 1.029
- Malpractice GPCI 0.918 changed to 0.900
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$62.11changed to$68.85
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 0.91 changed to 1.08
- Work GPCI 1.020 changed to 1.026
- Practice expense GPCI 1.012 changed to 1.020
- Malpractice GPCI 0.936 changed to 0.918
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$56.21changed to$62.11
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 0.75 changed to 0.91
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$67.63changed to$56.21
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 0.92 changed to 0.75
- Practice expense RVU 0.90 changed to 0.75
- Practice expense GPCI 1.009 changed to 1.012
- Malpractice GPCI 0.946 changed to 0.936
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$66.63changed to$67.63
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 0.88 changed to 0.90
- Work GPCI 1.019 changed to 1.020
- Practice expense GPCI 1.006 changed to 1.009
- Malpractice GPCI 0.955 changed to 0.946
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$66.87changed to$66.63
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$66.54changed to$66.87
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$66.05changed to$66.54
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.87 changed to 0.88
- Work GPCI 1.014 changed to 1.019
- Practice expense GPCI 1.004 changed to 1.006
- Malpractice GPCI 0.939 changed to 0.955
Held through RVU15B.
January 1, 2014
RVU14A
$64.54changed to$66.05
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.93 changed to 0.87
- Work GPCI 1.009 changed to 1.014
- Practice expense GPCI 1.002 changed to 1.004
- Malpractice GPCI 0.923 changed to 0.939
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $64.54
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $71.52 | Not available in this setting | RVU26D |
| 2026-07-01 | $71.52 | Not available in this setting | RVU26C |
| 2026-04-01 | $71.52 | Not available in this setting | RVU26B |
| 2026-01-01 | $71.52 | Not available in this setting | RVU26A |
| 2025-10-01 | $69.57 | Not available in this setting | RVU25D |
| 2025-07-01 | $69.57 | Not available in this setting | RVU25C |
| 2025-04-01 | $69.57 | Not available in this setting | RVU25B |
| 2025-01-01 | $69.57 | Not available in this setting | RVU25A |
| 2024-10-01 | $72.60 | Not available in this setting | RVU24D |
| 2024-07-01 | $72.60 | Not available in this setting | RVU24C |
| 2024-04-01 | $72.60 | Not available in this setting | RVU24B |
| 2024-03-09 | $72.60 | Not available in this setting | RVU24AR |
| 2024-01-01 | $71.41 | Not available in this setting | RVU24A |
| 2023-10-01 | $75.47 | Not available in this setting | RVU23D |
| 2023-07-01 | $75.47 | Not available in this setting | RVU23C |
| 2023-04-01 | $75.47 | Not available in this setting | RVU23B |
| 2023-01-01 | $75.47 | Not available in this setting | RVU23A |
| 2022-10-01 | $78.55 | Not available in this setting | RVU22D |
| 2022-07-01 | $78.55 | Not available in this setting | RVU22C |
| 2022-04-01 | $78.55 | Not available in this setting | RVU22B |
| 2022-01-01 | $78.55 | Not available in this setting | RVU22A |
| 2021-10-01 | $74.89 | Not available in this setting | RVU21D |
| 2021-07-01 | $74.89 | Not available in this setting | RVU21C |
| 2021-04-01 | $74.89 | Not available in this setting | RVU21B |
| 2021-01-01 | $74.89 | Not available in this setting | RVU21A |
| 2020-10-01 | $68.85 | Not available in this setting | RVU20D |
| 2020-07-01 | $68.85 | Not available in this setting | RVU20C |
| 2020-04-01 | $68.85 | Not available in this setting | RVU20B |
| 2020-01-01 | $68.85 | Not available in this setting | RVU20A |
| 2019-10-01 | $62.11 | Not available in this setting | RVU19D |
| 2019-07-01 | $62.11 | Not available in this setting | RVU19C |
| 2019-04-01 | $62.11 | Not available in this setting | RVU19B |
| 2019-01-01 | $62.11 | Not available in this setting | RVU19A |
| 2018-10-01 | $56.21 | Not available in this setting | RVU18D |
| 2018-07-01 | $56.21 | Not available in this setting | RVU18C |
| 2018-04-01 | $56.21 | Not available in this setting | RVU18B |
| 2018-01-01 | $56.21 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $67.63 | Not available in this setting | RVU17D |
| 2017-07-01 | $67.63 | Not available in this setting | RVU17C |
| 2017-04-01 | $67.63 | Not available in this setting | RVU17B |
| 2017-01-01 | $67.63 | Not available in this setting | RVU17A |
| 2016-10-01 | $66.63 | Not available in this setting | RVU16D |
| 2016-07-01 | $66.63 | Not available in this setting | RVU16C |
| 2016-04-01 | $66.63 | Not available in this setting | RVU16B |
| 2016-01-01 | $66.63 | Not available in this setting | RVU16A |
| 2015-10-01 | $66.87 | Not available in this setting | RVU15D |
| 2015-07-01 | $66.87 | Not available in this setting | RVU15C |
| 2015-04-01 | $66.54 | Not available in this setting | RVU15B |
| 2015-01-01 | $66.54 | Not available in this setting | RVU15A |
| 2014-10-01 | $66.05 | Not available in this setting | RVU14D |
| 2014-07-01 | $66.05 | Not available in this setting | RVU14C |
| 2014-04-01 | $66.05 | Not available in this setting | RVU14B |
| 2014-01-01 | $66.05 | Not available in this setting | RVU14A |
| 2013-10-01 | $64.54 | Not available in this setting | RVU13D |
| 2013-07-01 | $64.54 | Not available in this setting | RVU13C |
| 2013-04-01 | $64.54 | Not available in this setting | RVU13B |
| 2013-01-01 | $64.54 | Not available in this setting | RVU13AR |
Where the Houston, TX rate applies
Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.
- 93289 in Houston · multiple payment areas
- Aldine
- Atascocita
- Barrett
- 93289 in Baytown · multiple payment areas
- Bellaire
- Bunker Hill Village
- Channelview
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
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