CPT code 93293: Pacemaker rhythm review, telephone-transmitted rhythm strips2026 Medicare rate & RVUs in Madera, CA

Reports analysis and interpretation of ECG rhythm strips transmitted by telephone for a patient with a pacemaker.

CMS RVU26DEffective Oct 1, 2026One payment locality8K Medicare services in 2024

In Madera, CA, Medicare pays $42.40 for 93293 in the office.

$42.40Office (non-facility)
Not available in this settingHospital or facility
+6.7%vs the national office rate ($39.75)

Check a contract rate as a % of Medicare · 93293 nationwide

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

We’ll open 93293 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Madera, CA
  2. What 93293 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 93293 covers

This service covers analysis and review of ECG rhythm strips sent through telephone-based monitoring for a patient with a pacemaker, followed by a report. A physician or other qualified health care professional typically evaluates the transmitted tracing to assess the recorded rhythm and pacing-related information. The patient may transmit a strip from home, with equipment and staff supporting receipt of the tracing.

Report the service for the transtelephonic rhythm-strip evaluation, not for remote electronic interrogation of the pacemaker’s stored device data. Documentation should identify the patient and pacemaker, the transmitted strip or strips reviewed, the interpretation, and the resulting report. CMS recognizes professional and technical components: modifier 26 represents the interpretation, while modifier TC represents equipment and staff; billing without a modifier represents the global service. The professional and technical components are separately priced when billed with their respective modifiers.

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 Madera, CA compares for 93293

Across 109 of 109 payment localities, the office rate for 93293 runs from $35.33 in Arkansas to $53.38 in San Benito County, CA. Madera, CA pays $42.40. The RVUs are the same everywhere; the geographic indexes change the dollars.

93293 in Madera, CA vs other payment areas
  1. Madera, CA · this page$42.40
  2. Bakersfield, CA · California$42.47+$0.07
  3. Chico, CA · California$42.40
  4. El Centro, CA · California$42.40
  5. Fresno, CA · California$42.40
  6. Hanford, CA · California$42.40
  7. Los Angeles, CA · California$45.25+$2.85

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

93293 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$42.40—
Modesto, CACalifornia$42.40—
Napa, CACalifornia$49.29—
Oxnard, CACalifornia$45.06—
Redding, CACalifornia$42.40—
Rest of CaliforniaCalifornia$42.40—
Riverside, CACalifornia$42.62—
Sacramento, CACalifornia$44.53—

93293 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.

$35.33

$47.89

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

View every state and territory as a table
93293 office rate range by state
State / territoryOffice rate rangeLocalities
AK$46.351
AL$35.821
AR$35.331
AZ$38.751
CA$42.40–$53.3829
CO$41.581
CT$42.331
DC$45.541
DE$39.381
FL$38.80–$41.963
GA$36.74–$40.382
GU$43.451
HI$43.451
IA$36.871
ID$37.071
IL$37.60–$41.124
IN$37.281
KS$36.631
KY$36.461
LA$36.38–$38.122
MA$41.31–$45.722
MD$40.14–$45.543
ME$37.17–$39.242
MI$37.31–$39.192
MN$40.121
MO$35.72–$38.353
MS$35.531
MT$39.751
NC$37.561
ND$39.351
NE$37.091
NH$40.851
NJ$42.89–$45.072
NM$37.471
NV$39.661
NY$38.10–$46.455
OH$37.221
OK$36.491
OR$39.43–$42.962
PA$37.33–$41.252
PR$40.061
RI$40.821
SC$37.441
SD$39.301
TN$36.791
TX$37.08–$41.388
UT$37.941
VA$39.06–$45.542
VI$40.061
VT$39.131
WA$41.26–$46.722
WI$38.061
WV$36.231
WY$39.571

See 93293 in every payment locality

How the 93293 rate is calculated

Each of 93293’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 · 93293

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.30

0.30 RVUs× 1.000 GPCI

Practice expense0.87

0.87 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

1.1900

Conversion factor

$33.4009

Medicare rate

$39.75

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

The exact Madera, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,028

Code
93293
Physician work
0.30
Practice expense
0.87
Malpractice
0.02

GPCI2026.csv

14

Locality
Madera, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 93293 in Madera, CA
ComponentRVULocality factorAdjusted
Physician work0.30× 1.0170.3051
Practice expense0.87× 1.0960.9535
Malpractice0.02× 0.5360.0107
Total RVUs1.2693
Conversion factor× 33.4009

Office rate, Madera, CA$42.40

Office: (0.3 × 1.017 + 0.87 × 1.096 + 0.02 × 0.536) × $33.4009 = $42.40

Open 93293 in the RVU calculator

Payment rules and modifiers for 93293

The CMS indicators that decide how 93293 is paid alongside other services.

CMS payment indicators · 93293

Pacemaker rhythm review, telephone-transmitted rhythm strips

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
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

93293 without 26 · national office

$39.75

Pacemaker rhythm review, telephone-transmitted rhythm strips

93293-26 · Professional component

$13.36

Pays only the interpretation and report.

When to use modifier 26

How 93293 has changed in Madera, CA

93293 · Office / nonfacility

$42.40

Effective 2026-10-01

The base rate is $0.30 lower than on 2025-10-01, moving from $42.70 to $42.40 (0.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $42.70changed to$42.40

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.31 changed to 0.30
    • Practice expense RVU 0.91 changed to 0.87
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $46.86changed to$42.70

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.99 changed to 0.91

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $46.09changed to$46.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $48.78changed to$46.09

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 1.03 changed to 0.99
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $51.23changed to$48.78

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.08 changed to 1.03
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $54.26changed to$51.23

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.15 changed to 1.08

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $55.51changed to$54.26

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.13 changed to 1.15
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $56.31changed to$55.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 1.15 changed to 1.13
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $57.41changed to$56.31

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.18 changed to 1.15

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $57.89changed to$57.41

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 0.32 changed to 0.31
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$57.89

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$42.40Not available in this settingRVU26D
2026-07-01$42.40Not available in this settingRVU26C
2026-04-01$42.40Not available in this settingRVU26B
2026-01-01$42.40Not available in this settingRVU26A
2025-10-01$42.70Not available in this settingRVU25D
2025-07-01$42.70Not available in this settingRVU25C
2025-04-01$42.70Not available in this settingRVU25B
2025-01-01$42.70Not available in this settingRVU25A
2024-10-01$46.86Not available in this settingRVU24D
2024-07-01$46.86Not available in this settingRVU24C
2024-04-01$46.86Not available in this settingRVU24B
2024-03-09$46.86Not available in this settingRVU24AR
2024-01-01$46.09Not available in this settingRVU24A
2023-10-01$48.78Not available in this settingRVU23D
2023-07-01$48.78Not available in this settingRVU23C
2023-04-01$48.78Not available in this settingRVU23B
2023-01-01$48.78Not available in this settingRVU23A
2022-10-01$51.23Not available in this settingRVU22D
2022-07-01$51.23Not available in this settingRVU22C
2022-04-01$51.23Not available in this settingRVU22B
2022-01-01$51.23Not available in this settingRVU22A
2021-10-01$54.26Not available in this settingRVU21D
2021-07-01$54.26Not available in this settingRVU21C
2021-04-01$54.26Not available in this settingRVU21B
2021-01-01$54.26Not available in this settingRVU21A
2020-10-01$55.51Not available in this settingRVU20D
2020-07-01$55.51Not available in this settingRVU20C
2020-04-01$55.51Not available in this settingRVU20B
2020-01-01$55.51Not available in this settingRVU20A
2019-10-01$56.31Not available in this settingRVU19D
2019-07-01$56.31Not available in this settingRVU19C
2019-04-01$56.31Not available in this settingRVU19B
2019-01-01$56.31Not available in this settingRVU19A
2018-10-01$57.41Not available in this settingRVU18D
2018-07-01$57.41Not available in this settingRVU18C
2018-04-01$57.41Not available in this settingRVU18B
2018-01-01$57.41Not available in this settingRVU18AR1
2017-10-01$57.89Not available in this settingRVU17D
2017-07-01$57.89Not available in this settingRVU17C
2017-04-01$57.89Not available in this settingRVU17B
2017-01-01$57.89Not available in this settingRVU17A
2016-10-01Rate data unavailableNot available in this settingRVU16D
2016-07-01Rate data unavailableNot available in this settingRVU16C
2016-04-01Rate data unavailableNot available in this settingRVU16B
2016-01-01Rate data unavailableNot available in this settingRVU16A
2015-10-01Rate data unavailableNot available in this settingRVU15D
2015-07-01Rate data unavailableNot available in this settingRVU15C
2015-04-01Rate data unavailableNot available in this settingRVU15B
2015-01-01Rate data unavailableNot available in this settingRVU15A
2014-10-01Rate data unavailableNot available in this settingRVU14D
2014-07-01Rate data unavailableNot available in this settingRVU14C
2014-04-01Rate data unavailableNot available in this settingRVU14B
2014-01-01Rate data unavailableNot available in this settingRVU14A
2013-10-01Rate data unavailableNot available in this settingRVU13D
2013-07-01Rate data unavailableNot available in this settingRVU13C
2013-04-01Rate data unavailableNot available in this settingRVU13B
2013-01-01Rate data unavailableNot available in this settingRVU13AR

Price 93293 for an earlier date of service

Where the Madera, CA rate applies

Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Madera
  • Ahwahnee
  • Bass Lake
  • Bonadelle Ranchos
  • Chowchilla
  • Coarsegold
  • Fairmead
  • La Vina

Browse all communities in California

93293 billing questions

How does this differ from code 93294?

Code 93293 covers review of telephone-transmitted ECG rhythm strips. Code 93294 is for remote interrogation of pacemaker device data.

What work is included in this service?

The service includes analysis and review of the transmitted rhythm strip or strips and preparation of the report.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Without either modifier, the claim represents the global service.

What documentation supports reporting this code?

Keep the transmitted tracing or its identifying details, the interpretation, and the report. The record should make clear that the service involved telephone-transmitted rhythm strips for a pacemaker patient.

Is this the right code for an in-person pacemaker interrogation?

No. Code 93293 is for telephone-transmitted rhythm-strip evaluation; code 93288 describes in-person pacemaker interrogation.

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 93293PPRRVU2026_Oct_nonQPP.csv, line 12,028 (RVU26D)
Geographic factors for Madera, CAGPCI2026.csv, line 14 (RVU26D)

Open CMS sourceHow we calculate rates

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