CPT code 93295: Remote ICD check, defibrillator, professional review, up to 90 days2026 Medicare rate & RVUs in Florida
A physician or qualified clinician analyzes and reports remotely transmitted implantable defibrillator data for a monitoring period of up to 90 days.
Medicare pays $36.46–$39.05 for 93295 in the office in Florida, from Rest of Florida to Miami, FL. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 93295 covers
This service covers professional review of data that a patient's implantable cardioverter-defibrillator transmits from home through a bedside or wireless transmitter. A cardiologist, electrophysiologist, or other qualified clinician, such as a nurse practitioner or physician assistant, reviews device function and stored events. Findings may include battery status, lead impedance and sensing, arrhythmia episodes, shocks, and antitachycardia pacing. The clinician provides an interim analysis and report. Single-, dual-, and multiple-lead defibrillator systems, including cardiac resynchronization defibrillators, use this code.
Report 93295 once for a remote interrogation period of up to 90 days, rather than once per transmission. Documentation should support the device type, review of transmitted findings, and the clinician's analysis and report. CMS classifies 93295 as a professional-component-only code. Code 93296 separately describes remote data acquisition, receipt of transmissions, technician review, technical support, and distribution of results. An entity furnishing both services may report both codes when it meets each code's requirements. Remote pacemaker review uses 93294 instead; other implanted monitor types have separate remote review codes.
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 93295 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$36.46 to $39.05
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale, FL | $37.56 | $37.56 |
| Miami, FL | $39.05 | $39.05 |
| Rest of Florida | $36.46 | $36.46 |
How the 93295 rate is calculated
Each of 93295’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 · 93295
RVUs × geographic indexes × conversion factor
Work0.72
0.72 RVUs× 1.000 GPCI
Practice expense0.31
0.31 RVUs× 1.000 GPCI
Malpractice0.05
0.05 RVUs× 1.000 GPCI
Adjusted RVUs
1.0800
Conversion factor
$33.4009
Medicare rate
$36.07
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93295
The CMS indicators that decide how 93295 is paid alongside other services.
CMS payment indicators · 93295
Remote ICD check, defibrillator, 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. |
93295 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93294Remote pacemaker checkProfessional review, up to 90 days
- 93294 applies when the remotely monitored device is a pacemaker or leadless pacemaker. Use 93295 when the device has defibrillator capability, including CRT-D.
- 93296Remote device monitoringPacemaker or ICD technical service
- 93296 covers remote data acquisition and related technical work. 93295 covers the clinician's analysis and report. They are separate codes, not services distinguished by appending modifier 26.
- 93289Device interrogationImplantable defibrillator
- 93289 covers an in-person ICD interrogation. Use 93295 for professional review of data transmitted remotely during a period of up to 90 days.
- 93298Remote loop recorder checkSubcutaneous monitor, up to 30 days
- 93298 covers remote professional review of a subcutaneous cardiac rhythm monitor for a period of up to 30 days. 93295 covers an implanted defibrillator.
93295 billing questions
How often can this code be reported?
Report it once for a remote interrogation period of up to 90 days, not for each transmission or interim report. Document the clinician's review and report for the period billed.
Does this code include the technical service?
No. Code 93295 covers the clinician's analysis and report; 93296 separately covers remote data acquisition and related technical work.
Should 93294 or 93295 be used for a patient with a CRT device?
Code by device type. A cardiac resynchronization defibrillator (CRT-D) uses 93295, while a cardiac resynchronization pacemaker without defibrillation capability (CRT-P) uses 93294.
Is modifier 26 needed?
No. Code 93295 already represents only the professional interpretation and report, so do not append modifier 26.
Do single-, dual-, and multiple-lead ICDs use different remote professional codes?
No. Code 93295 covers remote professional review for all three lead configurations; in-person programming evaluations are distinguished by lead configuration.
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.
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