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CPT code 93294: Remote pacemaker check, professional review, up to 90 days2026 Medicare rate & RVUs in Tennessee

Professional review and reporting of remote interrogations from an implanted pacemaker or leadless pacemaker during an eligible monitoring period of up to 90 days.

CMS RVU26DEffective Oct 1, 2026One payment locality1.9M Medicare services in 2024

In Tennessee, Medicare pays $28.01 for 93294 in the office and $28.01 when it’s performed in a hospital or facility.

$28.01Office (non-facility)
$28.01Hospital or facility
−4.7%vs the national office rate ($29.39)

Check a contract rate as a % of Medicare · 93294 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 93294 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 93294 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 93294 covers

This service covers a physician's or other qualified health care professional's interpretation of data transmitted from an implanted pacemaker, including single-, dual-, or multiple-lead systems and leadless pacemakers. A cardiologist or electrophysiologist may review transmissions handled by a practice or device clinic. The review assesses battery status, pacing and sensing, stored rhythm episodes, and lead or electrode information when those data are available. It results in clinical findings and a report, rather than a programming adjustment.

Report one unit for a 90-day remote monitoring period when at least 30 days of monitoring have occurred; additional transmissions within that period do not create additional units. The record should identify the device, transmission dates, findings, and the clinician's analysis and report. CMS prices 93294 as the professional interpretation and report, so modifier 26 is not appended. Code 93296 covers the separately reported technical work, including transmission handling and technical support. An in-person interrogation or transtelephonic check should not be billed again for the same work captured in the remote review.

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 Tennessee compares for 93294

Across 109 of 109 payment localities, the office rate for 93294 runs from $27.57 in Arkansas to $39.19 in Alaska. Tennessee pays $28.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

93294 in Tennessee vs other payment areas
  1. Tennessee · this page$28.01
  2. Los Angeles, CA · California$31.28+$3.27
  3. Washington, DC area · District of Columbia$32.09+$4.08
  4. Miami, FL · Florida$31.78+$3.77
  5. Chicago, IL · Illinois$31.30+$3.29
  6. Manhattan, NY · New York$32.79+$4.78
  7. Alaska · Alaska$39.19+$11.18

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

Every other payment area

93294 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$27.77$27.77
ArkansasArkansas$27.57$27.57
ArizonaArizona$28.94$28.94
Bakersfield, CACalifornia$30.05$30.05
Chico, CACalifornia$29.91$29.91
El Centro, CACalifornia$29.92$29.92
Fresno, CACalifornia$29.91$29.91
Hanford, CACalifornia$29.91$29.91

93294 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$27.57

$39.19

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

View every state and territory as a table
93294 office rate range by state
State / territoryOffice rate rangeLocalities
AK$39.191
AL$27.771
AR$27.571
AZ$28.941
CA$29.91–$34.6329
CO$29.871
CT$30.711
DC$32.091
DE$29.261
FL$29.70–$31.783
GA$28.75–$29.852
GU$29.971
HI$29.971
IA$27.881
ID$28.021
IL$29.42–$31.304
IN$28.101
KS$27.931
KY$28.351
LA$28.38–$29.082
MA$29.88–$31.672
MD$29.58–$32.093
ME$28.22–$28.822
MI$28.84–$30.022
MN$28.691
MO$28.21–$28.993
MS$27.881
MT$29.391
NC$28.351
ND$28.601
NE$27.921
NH$29.571
NJ$31.08–$32.062
NM$28.971
NV$29.181
NY$28.58–$33.385
OH$28.681
OK$28.201
OR$28.96–$30.292
PA$28.63–$30.352
PR$29.461
RI$29.901
SC$28.561
SD$28.511
TN$28.011
TX$28.55–$29.998
UT$28.761
VA$28.86–$32.092
VI$29.461
VT$28.651
WA$29.77–$32.032
WI$28.121
WV$28.871
WY$29.051

See 93294 in every payment locality

How the 93294 rate is calculated

Each of 93294’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 · 93294

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.59

0.59 RVUs× 1.000 GPCI

Practice expense0.25

0.25 RVUs× 1.000 GPCI

Malpractice0.04

0.04 RVUs× 1.000 GPCI

Adjusted RVUs

0.8800

Conversion factor

$33.4009

Medicare rate

$29.39

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

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,031

Code
93294
Physician work
0.59
Practice expense
0.25
Malpractice
0.04

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Office calculation for 93294 in Tennessee
ComponentRVULocality factorAdjusted
Physician work0.59× 1.0000.5900
Practice expense0.25× 0.9090.2273
Malpractice0.04× 0.5370.0215
Total RVUs0.8387
Conversion factor× 33.4009

Office rate, Tennessee$28.01

Office: (0.59 × 1 + 0.25 × 0.909 + 0.04 × 0.537) × $33.4009 = $28.01

Facility: (0.59 × 1 + 0.25 × 0.909 + 0.04 × 0.537) × $33.4009 = $28.01

Open 93294 in the RVU calculator

Payment rules and modifiers for 93294

The CMS indicators that decide how 93294 is paid alongside other services.

CMS payment indicators · 93294

Remote pacemaker check, professional review, up to 90 days

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/technical2Professional component only.

Codes related to 93294

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 93294
CodeHow it relatesOffice range, Tennessee
Often billed with
93296Remote device monitoring, pacemaker or ICD technical serviceSeparately reported technical work for remote pacemaker or defibrillator interrogation.$28.72
Used instead
93295Remote ICD check, defibrillator, professional review, up to 90 daysProfessional remote interrogation review when the implanted device is a defibrillator instead of a pacemaker.$34.36
93288Pacemaker interrogation, in person, including leadless systemsIn-person pacemaker interrogation when the evaluation is performed face to face rather than remotely.$51.43
93293Pacemaker rhythm review, telephone-transmitted rhythm stripsTranstelephonic pacemaker rhythm-strip evaluation rather than remote device interrogation.$36.79

How 93294 has changed in Tennessee

93294 · Office / nonfacility

$28.01

Effective 2026-10-01

The base rate is $1.23 higher than on 2025-10-01, moving from $26.78 to $28.01 (4.6%).

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

    $26.78changed to$28.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.60 changed to 0.59
    • Practice expense RVU 0.23 changed to 0.25
    • Practice expense GPCI 0.896 changed to 0.909
    • Malpractice GPCI 0.544 changed to 0.537

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $27.56changed to$26.78

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $27.11changed to$27.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $28.31changed to$27.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.24 changed to 0.23
    • Practice expense GPCI 0.894 changed to 0.896
    • Malpractice GPCI 0.518 changed to 0.544

  5. January 1, 2023

    RVU23A

    $28.85changed to$28.31

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 0.892 changed to 0.894
    • Malpractice GPCI 0.492 changed to 0.518

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $29.09changed to$28.85

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $30.34changed to$29.09

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 0.897 changed to 0.892
    • Malpractice GPCI 0.509 changed to 0.492

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $29.85changed to$30.34

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.23 changed to 0.24
    • Malpractice RVU 0.04 changed to 0.05
    • Practice expense GPCI 0.901 changed to 0.897
    • Malpractice GPCI 0.526 changed to 0.509

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $29.82changed to$29.85

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. April 1, 2018

    RVU18B

    No ratechanged to$29.82

    Held through RVU18C, RVU18D.

  11. 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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$28.01$28.01RVU26D
2026-07-01$28.01$28.01RVU26C
2026-04-01$28.01$28.01RVU26B
2026-01-01$28.01$28.01RVU26A
2025-10-01$26.78$26.78RVU25D
2025-07-01$26.78$26.78RVU25C
2025-04-01$26.78$26.78RVU25B
2025-01-01$26.78$26.78RVU25A
2024-10-01$27.56$27.56RVU24D
2024-07-01$27.56$27.56RVU24C
2024-04-01$27.56$27.56RVU24B
2024-03-09$27.56$27.56RVU24AR
2024-01-01$27.11$27.11RVU24A
2023-10-01$28.31$28.31RVU23D
2023-07-01$28.31$28.31RVU23C
2023-04-01$28.31$28.31RVU23B
2023-01-01$28.31$28.31RVU23A
2022-10-01$28.85$28.85RVU22D
2022-07-01$28.85$28.85RVU22C
2022-04-01$28.85$28.85RVU22B
2022-01-01$28.85$28.85RVU22A
2021-10-01$29.09$29.09RVU21D
2021-07-01$29.09$29.09RVU21C
2021-04-01$29.09$29.09RVU21B
2021-01-01$29.09$29.09RVU21A
2020-10-01$30.34$30.34RVU20D
2020-07-01$30.34$30.34RVU20C
2020-04-01$30.34$30.34RVU20B
2020-01-01$30.34$30.34RVU20A
2019-10-01$29.85$29.85RVU19D
2019-07-01$29.85$29.85RVU19C
2019-04-01$29.85$29.85RVU19B
2019-01-01$29.85$29.85RVU19A
2018-10-01$29.82$29.82RVU18D
2018-07-01$29.82$29.82RVU18C
2018-04-01$29.82$29.82RVU18B
2018-01-01Rate data unavailableRate data unavailableRVU18AR1
2017-10-01Rate data unavailableRate data unavailableRVU17D
2017-07-01Rate data unavailableRate data unavailableRVU17C
2017-04-01Rate data unavailableRate data unavailableRVU17B
2017-01-01Rate data unavailableRate data unavailableRVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 93294 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

93294 billing questions

How many units are reported for multiple transmissions?

Report one unit for the 90-day period after at least 30 days of monitoring. Multiple transmissions reviewed during that period do not each generate a unit of 93294.

Does 93294 need modifier 26?

No. CMS treats 93294 as the professional interpretation and report; 93296 covers the separately reported technical service.

Should 93294 or 93295 be used?

Use 93294 for remote interrogation review of a pacemaker or leadless pacemaker. Use 93295 for the professional review of an implantable cardioverter-defibrillator, including a CRT-D.

Is an in-office pacemaker interrogation also reported?

Code 93288 describes an in-person interrogation. Do not report it merely for reviewing the transmissions or duplicate the work reported with 93294.

What documentation supports 93294?

Document the pacemaker type, monitoring period, transmissions reviewed, available device measurements and stored events, and the clinician's analysis and report.

Who reports the technical service?

The entity furnishing the technical transmission and monitoring work reports 93296. It may be a different entity from the clinician reporting 93294.

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 93294PPRRVU2026_Oct_nonQPP.csv, line 12,031 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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