CPT code 93290: Device interrogation, implantable physiologic monitor2026 Medicare rate & RVUs

In-person interrogation of an implantable cardiovascular physiologic monitor, with review and analysis of recorded data and a resulting report.

CMS RVU26DEffective Oct 1, 2026109 payment localities72.6K Medicare services in 2024

Medicare pays $52.44 for 93290 nationally in the office. Local office rates run $46.79–$70.35.

Medicare rate · 93290

Device interrogation, implantable physiologic monitor

Office or facility?

Work RVUs
0.42
Total RVUs
1.57
Global days
XXX

National rate · 2026

$52.44

Office setting, before claim adjustments.

See every locality for 93290 →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 93290 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 93290 covers

This service is an in-person check of an implantable cardiovascular physiologic monitor, such as a system that records hemodynamic information used to manage heart failure. The clinician or device clinic team obtains the stored data for review; a qualified professional analyzes the findings and documents a report. It is distinct from checking a pacemaker, implantable defibrillator, or subcutaneous rhythm monitor, which are different device types.

Report the service for an in-person evaluation of the physiologic monitor, supported by documentation identifying the device, the data reviewed, the analysis, and the resulting report. It is a diagnostic test with separately priced professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the equipment and staff service, and no modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to this code’s 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 93290 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

$46.79 to $70.35

$46.79$58.57$70.35
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

93290 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$47.43Unavailable
Alaska$61.61Unavailable
Arizona$51.17Unavailable
Arkansas$46.79Unavailable
Atlanta, GA$53.22Unavailable
Austin, TX$54.58Unavailable
Bakersfield, CA$56.07Unavailable
Baltimore area, MD$55.58Unavailable
Beaumont, TX$49.00Unavailable
Brazoria, TX$52.06Unavailable

93290 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.

$46.79

$63.17

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

View every state and territory as a table
93290 office rate range by state
State / territoryOffice rate rangeLocalities
AK$61.611
AL$47.431
AR$46.791
AZ$51.171
CA$55.99–$70.3529
CO$54.881
CT$55.771
DC$59.991
DE$51.991
FL$51.11–$55.013
GA$48.49–$53.222
GU$57.331
HI$57.331
IA$48.831
ID$49.071
IL$49.53–$54.074
IN$49.341
KS$48.481
KY$48.191
LA$48.07–$50.302
MA$54.53–$60.262
MD$52.98–$59.993
ME$49.17–$51.852
MI$49.24–$51.582
MN$53.061
MO$47.21–$50.633
MS$47.021
MT$52.441
NC$49.671
ND$52.041
NE$49.121
NH$53.901
NJ$56.54–$59.412
NM$49.441
NV$52.371
NY$50.35–$61.045
OH$49.161
OK$48.251
OR$52.09–$56.682
PA$49.31–$54.372
PR$52.841
RI$53.881
SC$49.471
SD$52.001
TN$48.701
TX$49.00–$54.588
UT$50.111
VA$51.60–$59.992
VI$52.841
VT$51.731
WA$54.46–$61.592
WI$50.391
WV$47.781
WY$52.271

How the 93290 rate is calculated

Each of 93290’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 · 93290

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.42

0.42 RVUs× 1.000 GPCI

Practice expense1.13

1.13 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.5700

Conversion factor

$33.4009

Medicare rate

$52.44

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

Payment rules and modifiers for 93290

The CMS indicators that decide how 93290 is paid alongside other services.

CMS payment indicators · 93290

Device interrogation, implantable physiologic monitor

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

93290 without 26 · national office

$52.44

Device interrogation, implantable physiologic monitor

93290-26 · Professional component

$20.37

Pays only the interpretation and report.

When to use modifier 26

93290 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 93290

    Device interrogation, implantable physiologic monitor0.42 wRVU

    $52.44

  • 93297

    Remote device monitoring, implantable cardiovascular physiologic monitor0.51 wRVU

    $60.79+$8.35

  • 93291

    Loop recorder check, in-person interrogation0.36 wRVU

    $48.10−$4.34

  • 93289

    Device interrogation, implantable defibrillator0.73 wRVU

    $71.14+$18.70

How to choose

93297Remote device monitoringImplantable cardiovascular physiologic monitor
Use 93290 when the physiologic monitor is interrogated in person; 93297 describes remote interrogation of that device type.
93291Loop recorder checkIn-person interrogation
93291 is for in-person interrogation of a subcutaneous cardiac rhythm monitor, such as an implantable loop recorder. 93290 is for an implantable cardiovascular physiologic monitor.
93289Device interrogationImplantable defibrillator
93289 is for interrogation of an implantable defibrillator. Select 93290 when the device being evaluated is an implantable cardiovascular physiologic monitor.

93290 billing questions

How is this different from remote physiologic monitor interrogation?

93290 is for the in-person interrogation and data review. Remote interrogation of the same type of monitor is reported with 93297.

Which modifiers identify the professional and technical services?

Use modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Report without either modifier for the global service.

Does the multiple procedure reduction affect both components?

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

What documentation supports reporting 93290?

Document that the evaluation was in person, identify the implantable cardiovascular physiologic monitor, and record the data reviewed, the analysis, and the report.

Is this the code for a pacemaker or loop recorder check?

No. 93290 is for an implantable cardiovascular physiologic monitor. Pacemakers and subcutaneous cardiac rhythm monitors have separate interrogation codes.

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 93290PPRRVU2026_Oct_nonQPP.csv, line 12,019 (RVU26D)

Open CMS sourceHow we calculate rates

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