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

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

CMS RVU26DEffective Oct 1, 20262 payment localities8K Medicare services in 2024

Medicare pays $36.38–$38.12 for 93293 in the office in Louisiana, from Rest of Louisiana to New Orleans, LA. Which amount applies depends on the service address.

$36.38–$38.12Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Louisiana
  2. What 93293 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. 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.

Where 93293 pays more and less in Louisiana

93293 office and facility rates by payment locality
Payment localityOfficeFacility
New Orleans, LA$38.12Unavailable
Rest of Louisiana$36.38Unavailable

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.

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

93293 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 93293

    Pacemaker rhythm review, telephone-transmitted rhythm strips0.3 wRVU

    $39.75

  • 93294

    Remote pacemaker check, professional review, up to 90 days0.59 wRVU

    $29.39−$10.36

  • 93288

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

    $55.45+$15.70

  • 93279

    Pacemaker programming, single-lead or leadless system0.63 wRVU

    $66.80+$27.05

How to choose

93294Remote pacemaker checkProfessional review, up to 90 days
Use 93293 for analysis and review of telephone-transmitted ECG rhythm strips. Use 93294 for remote interrogation of the pacemaker’s device data.
93288Pacemaker interrogationIn person, including leadless systems
Code 93288 applies to in-person pacemaker interrogation; 93293 applies to review of rhythm strips transmitted by telephone.
93279Pacemaker programmingSingle-lead or leadless system
Code 93279 covers pacemaker programming evaluation. Code 93293 covers rhythm-strip analysis and reporting, not device programming.

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)

Open CMS sourceHow we calculate rates

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