CPT code 93294: Remote pacemaker check, professional review, up to 90 days2026 Medicare rate & RVUs in Utah
Professional review and reporting of remote interrogations from an implanted pacemaker or leadless pacemaker during an eligible monitoring period of up to 90 days.
In Utah, Medicare pays $28.76 for 93294 in the office and $28.76 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Utah 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. Utah pays $28.76. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$28.76
- Los Angeles, CA · California$31.28+$2.52
- Washington, DC area · District of Columbia$32.09+$3.33
- Miami, FL · Florida$31.78+$3.02
- Chicago, IL · Illinois$31.30+$2.54
- Manhattan, NY · New York$32.79+$4.03
- Alaska · Alaska$39.19+$10.43
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $29.91 | $29.91 |
| Merced, CACalifornia | $29.91 | $29.91 |
| Modesto, CACalifornia | $29.91 | $29.91 |
| Napa, CACalifornia | $32.63 | $32.63 |
| Oxnard, CACalifornia | $30.96 | $30.96 |
| Redding, CACalifornia | $29.91 | $29.91 |
| Rest of CaliforniaCalifornia | $29.91 | $29.91 |
| Riverside, CACalifornia | $30.35 | $30.35 |
| Sacramento, CACalifornia | $30.84 | $30.84 |
| Salinas, CACalifornia | $30.71 | $30.71 |
| San Diego, CACalifornia | $31.01 | $31.01 |
| Marin County, CACalifornia | $33.97 | $33.97 |
| San Francisco, CACalifornia | $33.92 | $33.92 |
| San Benito County, CACalifornia | $34.63 | $34.63 |
| Santa Clara County, CACalifornia | $34.45 | $34.45 |
| San Luis Obispo, CACalifornia | $30.27 | $30.27 |
| Santa Cruz, CACalifornia | $30.98 | $30.98 |
| Santa Maria, CACalifornia | $30.71 | $30.71 |
| Santa Rosa, CACalifornia | $31.27 | $31.27 |
| Stockton, CACalifornia | $29.91 | $29.91 |
| Vallejo, CACalifornia | $32.57 | $32.57 |
| Visalia, CACalifornia | $29.91 | $29.91 |
| Yuba City, CACalifornia | $29.91 | $29.91 |
| ColoradoColorado | $29.87 | $29.87 |
| ConnecticutConnecticut | $30.71 | $30.71 |
| DelawareDelaware | $29.26 | $29.26 |
| Fort Lauderdale, FLFlorida | $30.58 | $30.58 |
| Rest of FloridaFlorida | $29.70 | $29.70 |
| Atlanta, GAGeorgia | $29.85 | $29.85 |
| Rest of GeorgiaGeorgia | $28.75 | $28.75 |
| Hawaii, Guam, HIHawaii | $29.97 | $29.97 |
| IowaIowa | $27.88 | $27.88 |
| IdahoIdaho | $28.02 | $28.02 |
| East St. Louis, ILIllinois | $30.08 | $30.08 |
| Rest of IllinoisIllinois | $29.42 | $29.42 |
| Suburban Chicago, ILIllinois | $30.79 | $30.79 |
| IndianaIndiana | $28.10 | $28.10 |
| KansasKansas | $27.93 | $27.93 |
| KentuckyKentucky | $28.35 | $28.35 |
| New Orleans, LALouisiana | $29.08 | $29.08 |
| Rest of LouisianaLouisiana | $28.38 | $28.38 |
| Metropolitan Boston, MAMassachusetts | $31.67 | $31.67 |
| Rest of MassachusettsMassachusetts | $29.88 | $29.88 |
| Baltimore area, MDMaryland | $30.63 | $30.63 |
| Rest of MarylandMaryland | $29.58 | $29.58 |
| Rest of MaineMaine | $28.22 | $28.22 |
| Southern Maine, MEMaine | $28.82 | $28.82 |
| Detroit, MIMichigan | $30.02 | $30.02 |
| Rest of MichiganMichigan | $28.84 | $28.84 |
| MinnesotaMinnesota | $28.69 | $28.69 |
| Metropolitan Kansas City, MOMissouri | $28.85 | $28.85 |
| Metropolitan St. Louis, MOMissouri | $28.99 | $28.99 |
| Rest of MissouriMissouri | $28.21 | $28.21 |
| MississippiMississippi | $27.88 | $27.88 |
| MontanaMontana | $29.39 | $29.39 |
| North CarolinaNorth Carolina | $28.35 | $28.35 |
| North DakotaNorth Dakota | $28.60 | $28.60 |
| NebraskaNebraska | $27.92 | $27.92 |
| New HampshireNew Hampshire | $29.57 | $29.57 |
| Northern New JerseyNew Jersey | $32.06 | $32.06 |
| Rest of New JerseyNew Jersey | $31.08 | $31.08 |
| New MexicoNew Mexico | $28.97 | $28.97 |
| NevadaNevada | $29.18 | $29.18 |
| NYC suburbs and Long Island, NYNew York | $33.38 | $33.38 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $31.35 | $31.35 |
| Queens, NYNew York | $32.76 | $32.76 |
| Rest of New YorkNew York | $28.58 | $28.58 |
| OhioOhio | $28.68 | $28.68 |
| OklahomaOklahoma | $28.20 | $28.20 |
| Portland, OROregon | $30.29 | $30.29 |
| Rest of OregonOregon | $28.96 | $28.96 |
| Metropolitan Philadelphia, PAPennsylvania | $30.35 | $30.35 |
| Rest of PennsylvaniaPennsylvania | $28.63 | $28.63 |
| Puerto RicoPuerto Rico | $29.46 | $29.46 |
| Rhode IslandRhode Island | $29.90 | $29.90 |
| South CarolinaSouth Carolina | $28.56 | $28.56 |
| South DakotaSouth Dakota | $28.51 | $28.51 |
| TennesseeTennessee | $28.01 | $28.01 |
| Austin, TXTexas | $29.76 | $29.76 |
| Beaumont, TXTexas | $28.55 | $28.55 |
| Brazoria, TXTexas | $29.18 | $29.18 |
| Dallas, TXTexas | $29.35 | $29.35 |
| Fort Worth, TXTexas | $29.28 | $29.28 |
| Galveston, TXTexas | $29.26 | $29.26 |
| Houston, TXTexas | $29.99 | $29.99 |
| Rest of TexasTexas | $28.84 | $28.84 |
| VirginiaVirginia | $28.86 | $28.86 |
| Virgin Islands, VIUnited States Virgin Islands | $29.46 | $29.46 |
| VermontVermont | $28.65 | $28.65 |
| Rest of WashingtonWashington | $29.77 | $29.77 |
| King County, WAWashington | $32.03 | $32.03 |
| WisconsinWisconsin | $28.12 | $28.12 |
| West VirginiaWest Virginia | $28.87 | $28.87 |
| WyomingWyoming | $29.05 | $29.05 |
93294 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.
$27.57
$39.19
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 | $39.19 | 1 |
| AL | $27.77 | 1 |
| AR | $27.57 | 1 |
| AZ | $28.94 | 1 |
| CA | $29.91–$34.63 | 29 |
| CO | $29.87 | 1 |
| CT | $30.71 | 1 |
| DC | $32.09 | 1 |
| DE | $29.26 | 1 |
| FL | $29.70–$31.78 | 3 |
| GA | $28.75–$29.85 | 2 |
| GU | $29.97 | 1 |
| HI | $29.97 | 1 |
| IA | $27.88 | 1 |
| ID | $28.02 | 1 |
| IL | $29.42–$31.30 | 4 |
| IN | $28.10 | 1 |
| KS | $27.93 | 1 |
| KY | $28.35 | 1 |
| LA | $28.38–$29.08 | 2 |
| MA | $29.88–$31.67 | 2 |
| MD | $29.58–$32.09 | 3 |
| ME | $28.22–$28.82 | 2 |
| MI | $28.84–$30.02 | 2 |
| MN | $28.69 | 1 |
| MO | $28.21–$28.99 | 3 |
| MS | $27.88 | 1 |
| MT | $29.39 | 1 |
| NC | $28.35 | 1 |
| ND | $28.60 | 1 |
| NE | $27.92 | 1 |
| NH | $29.57 | 1 |
| NJ | $31.08–$32.06 | 2 |
| NM | $28.97 | 1 |
| NV | $29.18 | 1 |
| NY | $28.58–$33.38 | 5 |
| OH | $28.68 | 1 |
| OK | $28.20 | 1 |
| OR | $28.96–$30.29 | 2 |
| PA | $28.63–$30.35 | 2 |
| PR | $29.46 | 1 |
| RI | $29.90 | 1 |
| SC | $28.56 | 1 |
| SD | $28.51 | 1 |
| TN | $28.01 | 1 |
| TX | $28.55–$29.99 | 8 |
| UT | $28.76 | 1 |
| VA | $28.86–$32.09 | 2 |
| VI | $29.46 | 1 |
| VT | $28.65 | 1 |
| WA | $29.77–$32.03 | 2 |
| WI | $28.12 | 1 |
| WV | $28.87 | 1 |
| WY | $29.05 | 1 |
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
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 Utah 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
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 0.25 | × 0.940 | 0.2350 |
| Malpractice | 0.04 | × 0.898 | 0.0359 |
| Total RVUs | 0.8609 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$28.76
Office: (0.59 × 1 + 0.25 × 0.94 + 0.04 × 0.898) × $33.4009 = $28.76
Facility: (0.59 × 1 + 0.25 × 0.94 + 0.04 × 0.898) × $33.4009 = $28.76
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 2 | Professional component only. |
How 93294 has changed in Utah
93294 · Office / nonfacility
$28.76
Effective 2026-10-01
The base rate is $1.21 higher than on 2025-10-01, moving from $27.55 to $28.76 (4.4%).
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
$27.55changed to$28.76
- 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 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$28.35changed to$27.55
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$27.89changed to$28.35
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$29.04changed to$27.89
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.24 changed to 0.23
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$29.50changed to$29.04
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$29.75changed to$29.50
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$31.42changed to$29.75
- Conversion factor 36.0896 changed to 34.8931
- Malpractice RVU 0.05 changed to 0.04
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$30.99changed to$31.42
- 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 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$30.95changed to$30.99
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$33.97changed to$30.95
- Conversion factor 35.8887 changed to 35.9996
- Work RVU 0.65 changed to 0.60
- Practice expense RVU 0.27 changed to 0.23
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$33.86changed to$33.97
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$33.98changed to$33.86
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$33.81changed to$33.98
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$33.47changed to$33.81
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.26 changed to 0.27
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$32.03changed to$33.47
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.27 changed to 0.26
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $32.03
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $28.76 | $28.76 | RVU26D |
| 2026-07-01 | $28.76 | $28.76 | RVU26C |
| 2026-04-01 | $28.76 | $28.76 | RVU26B |
| 2026-01-01 | $28.76 | $28.76 | RVU26A |
| 2025-10-01 | $27.55 | $27.55 | RVU25D |
| 2025-07-01 | $27.55 | $27.55 | RVU25C |
| 2025-04-01 | $27.55 | $27.55 | RVU25B |
| 2025-01-01 | $27.55 | $27.55 | RVU25A |
| 2024-10-01 | $28.35 | $28.35 | RVU24D |
| 2024-07-01 | $28.35 | $28.35 | RVU24C |
| 2024-04-01 | $28.35 | $28.35 | RVU24B |
| 2024-03-09 | $28.35 | $28.35 | RVU24AR |
| 2024-01-01 | $27.89 | $27.89 | RVU24A |
| 2023-10-01 | $29.04 | $29.04 | RVU23D |
| 2023-07-01 | $29.04 | $29.04 | RVU23C |
| 2023-04-01 | $29.04 | $29.04 | RVU23B |
| 2023-01-01 | $29.04 | $29.04 | RVU23A |
| 2022-10-01 | $29.50 | $29.50 | RVU22D |
| 2022-07-01 | $29.50 | $29.50 | RVU22C |
| 2022-04-01 | $29.50 | $29.50 | RVU22B |
| 2022-01-01 | $29.50 | $29.50 | RVU22A |
| 2021-10-01 | $29.75 | $29.75 | RVU21D |
| 2021-07-01 | $29.75 | $29.75 | RVU21C |
| 2021-04-01 | $29.75 | $29.75 | RVU21B |
| 2021-01-01 | $29.75 | $29.75 | RVU21A |
| 2020-10-01 | $31.42 | $31.42 | RVU20D |
| 2020-07-01 | $31.42 | $31.42 | RVU20C |
| 2020-04-01 | $31.42 | $31.42 | RVU20B |
| 2020-01-01 | $31.42 | $31.42 | RVU20A |
| 2019-10-01 | $30.99 | $30.99 | RVU19D |
| 2019-07-01 | $30.99 | $30.99 | RVU19C |
| 2019-04-01 | $30.99 | $30.99 | RVU19B |
| 2019-01-01 | $30.99 | $30.99 | RVU19A |
| 2018-10-01 | $30.95 | $30.95 | RVU18D |
| 2018-07-01 | $30.95 | $30.95 | RVU18C |
| 2018-04-01 | $30.95 | $30.95 | RVU18B |
| 2018-01-01 | $30.95 | $30.95 | RVU18AR1 |
| 2017-10-01 | $33.97 | $33.97 | RVU17D |
| 2017-07-01 | $33.97 | $33.97 | RVU17C |
| 2017-04-01 | $33.97 | $33.97 | RVU17B |
| 2017-01-01 | $33.97 | $33.97 | RVU17A |
| 2016-10-01 | $33.86 | $33.86 | RVU16D |
| 2016-07-01 | $33.86 | $33.86 | RVU16C |
| 2016-04-01 | $33.86 | $33.86 | RVU16B |
| 2016-01-01 | $33.86 | $33.86 | RVU16A |
| 2015-10-01 | $33.98 | $33.98 | RVU15D |
| 2015-07-01 | $33.98 | $33.98 | RVU15C |
| 2015-04-01 | $33.81 | $33.81 | RVU15B |
| 2015-01-01 | $33.81 | $33.81 | RVU15A |
| 2014-10-01 | $33.47 | $33.47 | RVU14D |
| 2014-07-01 | $33.47 | $33.47 | RVU14C |
| 2014-04-01 | $33.47 | $33.47 | RVU14B |
| 2014-01-01 | $33.47 | $33.47 | RVU14A |
| 2013-10-01 | $32.03 | $32.03 | RVU13D |
| 2013-07-01 | $32.03 | $32.03 | RVU13C |
| 2013-04-01 | $32.03 | $32.03 | RVU13B |
| 2013-01-01 | $32.03 | $32.03 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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
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