CPT code 93295: Remote ICD check, defibrillator, professional review, up to 90 days2026 Medicare rate & RVUs in Baltimore area, MD

A physician or qualified clinician analyzes and reports remotely transmitted implantable defibrillator data for a monitoring period of up to 90 days.

CMS RVU26DEffective Oct 1, 2026One payment locality726.4K Medicare services in 2024

In Baltimore area, MD, Medicare pays $37.61 for 93295 in the office and $37.61 when it’s performed in a hospital or facility.

$37.61Office (non-facility)
$37.61Hospital or facility
+4.3%vs the national office rate ($36.07)

Check a contract rate as a % of Medicare · 93295 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 93295 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Baltimore area, MD
  2. What 93295 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 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.

How Baltimore area, MD compares for 93295

Across 109 of 109 payment localities, the office rate for 93295 runs from $33.80 in Arkansas to $48.02 in Alaska. Baltimore area, MD pays $37.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

93295 in Baltimore area, MD vs other payment areas
  1. Baltimore area, MD · this page$37.61
  2. Rest of Maryland · Maryland$36.30−$1.31
  3. Los Angeles, CA · California$38.39+$0.78
  4. Washington, DC area · District of Columbia$39.40+$1.79
  5. Miami, FL · Florida$39.05+$1.44
  6. Chicago, IL · Illinois$38.46+$0.85
  7. Manhattan, NY · New York$40.27+$2.66

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

Every other payment area

93295 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$48.02$48.02
AlabamaAlabama$34.05$34.05
ArkansasArkansas$33.80$33.80
ArizonaArizona$35.51$35.51
Bakersfield, CACalifornia$36.87$36.87
Chico, CACalifornia$36.70$36.70
El Centro, CACalifornia$36.71$36.71
Fresno, CACalifornia$36.70$36.70

93295 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$33.80

$48.02

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

View every state and territory as a table
93295 office rate range by state
State / territoryOffice rate rangeLocalities
AK$48.021
AL$34.051
AR$33.801
AZ$35.511
CA$36.70–$42.5229
CO$36.661
CT$37.701
DC$39.401
DE$35.901
FL$36.46–$39.053
GA$35.28–$36.652
GU$36.791
HI$36.791
IA$34.191
ID$34.361
IL$36.11–$38.464
IN$34.461
KS$34.251
KY$34.781
LA$34.81–$35.692
MA$36.67–$38.882
MD$36.30–$39.403
ME$34.61–$35.362
MI$35.39–$36.862
MN$35.201
MO$34.60–$35.583
MS$34.201
MT$36.071
NC$34.781
ND$35.081
NE$34.241
NH$36.291
NJ$38.15–$39.362
NM$35.551
NV$35.801
NY$35.06–$41.005
OH$35.191
OK$34.591
OR$35.54–$37.182
PA$35.13–$37.252
PR$36.161
RI$36.691
SC$35.041
SD$34.961
TN$34.361
TX$35.02–$36.828
UT$35.281
VA$35.41–$39.402
VI$36.161
VT$35.141
WA$36.54–$39.322
WI$34.481
WV$35.441
WY$35.641

See 93295 in every payment locality

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

Office or facility?

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.

The exact Baltimore area, MD inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,032

Code
93295
Physician work
0.72
Practice expense
0.31
Malpractice
0.05

GPCI2026.csv

60

Locality
Baltimore area, MD
Physician work
1.016
Practice expense
1.073
Malpractice
1.237
Office calculation for 93295 in Baltimore area, MD
ComponentRVULocality factorAdjusted
Physician work0.72× 1.0160.7315
Practice expense0.31× 1.0730.3326
Malpractice0.05× 1.2370.0619
Total RVUs1.1260
Conversion factor× 33.4009

Office rate, Baltimore area, MD$37.61

Office: (0.72 × 1.016 + 0.31 × 1.073 + 0.05 × 1.237) × $33.4009 = $37.61

Facility: (0.72 × 1.016 + 0.31 × 1.073 + 0.05 × 1.237) × $33.4009 = $37.61

Open 93295 in the RVU calculator

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

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.

How 93295 has changed in Baltimore area, MD

93295 · Office / nonfacility

$37.61

Effective 2026-10-01

The base rate is $1.39 higher than on 2025-10-01, moving from $36.22 to $37.61 (3.8%).

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

    $36.22changed to$37.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.74 changed to 0.72
    • Practice expense RVU 0.29 changed to 0.31
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.020 changed to 1.016
    • Practice expense GPCI 1.078 changed to 1.073
    • Malpractice GPCI 1.309 changed to 1.237

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $37.71changed to$36.22

    • Conversion factor 33.2875 changed to 32.3465
    • Malpractice RVU 0.05 changed to 0.04

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $37.09changed to$37.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $38.51changed to$37.09

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 0.30 changed to 0.29
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.087 changed to 1.078
    • Malpractice GPCI 1.311 changed to 1.309
  5. January 1, 2023

    RVU23A

    $39.98changed to$38.51

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.05 changed to 0.04
    • Work GPCI 1.028 changed to 1.024
    • Practice expense GPCI 1.096 changed to 1.087
    • Malpractice GPCI 1.313 changed to 1.311

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $40.31changed to$39.98

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $41.61changed to$40.31

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.026 changed to 1.028
    • Practice expense GPCI 1.095 changed to 1.096
    • Malpractice GPCI 1.304 changed to 1.313

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $48.16changed to$41.61

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.47 changed to 0.30
    • Work GPCI 1.023 changed to 1.026
    • Malpractice GPCI 1.295 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $59.94changed to$48.16

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 0.77 changed to 0.47

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $72.60changed to$59.94

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 1.29 changed to 0.74
    • Practice expense RVU 0.54 changed to 0.77
    • Malpractice RVU 0.09 changed to 0.05
    • Practice expense GPCI 1.096 changed to 1.095
    • Malpractice GPCI 1.238 changed to 1.295

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $71.87changed to$72.60

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 1.097 changed to 1.096
    • Malpractice GPCI 1.181 changed to 1.238

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $72.13changed to$71.87

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $71.77changed to$72.13

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $71.22changed to$71.77

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 0.52 changed to 0.53
    • Malpractice RVU 0.08 changed to 0.09
    • Work GPCI 1.025 changed to 1.023
    • Malpractice GPCI 1.194 changed to 1.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $67.77changed to$71.22

    • Conversion factor 34.0230 changed to 35.8228
    • Work GPCI 1.027 changed to 1.025
    • Malpractice GPCI 1.206 changed to 1.194

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $67.77

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$37.61$37.61RVU26D
2026-07-01$37.61$37.61RVU26C
2026-04-01$37.61$37.61RVU26B
2026-01-01$37.61$37.61RVU26A
2025-10-01$36.22$36.22RVU25D
2025-07-01$36.22$36.22RVU25C
2025-04-01$36.22$36.22RVU25B
2025-01-01$36.22$36.22RVU25A
2024-10-01$37.71$37.71RVU24D
2024-07-01$37.71$37.71RVU24C
2024-04-01$37.71$37.71RVU24B
2024-03-09$37.71$37.71RVU24AR
2024-01-01$37.09$37.09RVU24A
2023-10-01$38.51$38.51RVU23D
2023-07-01$38.51$38.51RVU23C
2023-04-01$38.51$38.51RVU23B
2023-01-01$38.51$38.51RVU23A
2022-10-01$39.98$39.98RVU22D
2022-07-01$39.98$39.98RVU22C
2022-04-01$39.98$39.98RVU22B
2022-01-01$39.98$39.98RVU22A
2021-10-01$40.31$40.31RVU21D
2021-07-01$40.31$40.31RVU21C
2021-04-01$40.31$40.31RVU21B
2021-01-01$40.31$40.31RVU21A
2020-10-01$41.61$41.61RVU20D
2020-07-01$41.61$41.61RVU20C
2020-04-01$41.61$41.61RVU20B
2020-01-01$41.61$41.61RVU20A
2019-10-01$48.16$48.16RVU19D
2019-07-01$48.16$48.16RVU19C
2019-04-01$48.16$48.16RVU19B
2019-01-01$48.16$48.16RVU19A
2018-10-01$59.94$59.94RVU18D
2018-07-01$59.94$59.94RVU18C
2018-04-01$59.94$59.94RVU18B
2018-01-01$59.94$59.94RVU18AR1
2017-10-01$72.60$72.60RVU17D
2017-07-01$72.60$72.60RVU17C
2017-04-01$72.60$72.60RVU17B
2017-01-01$72.60$72.60RVU17A
2016-10-01$71.87$71.87RVU16D
2016-07-01$71.87$71.87RVU16C
2016-04-01$71.87$71.87RVU16B
2016-01-01$71.87$71.87RVU16A
2015-10-01$72.13$72.13RVU15D
2015-07-01$72.13$72.13RVU15C
2015-04-01$71.77$71.77RVU15B
2015-01-01$71.77$71.77RVU15A
2014-10-01$71.22$71.22RVU14D
2014-07-01$71.22$71.22RVU14C
2014-04-01$71.22$71.22RVU14B
2014-01-01$71.22$71.22RVU14A
2013-10-01$67.77$67.77RVU13D
2013-07-01$67.77$67.77RVU13C
2013-04-01$67.77$67.77RVU13B
2013-01-01$67.77$67.77RVU13AR

Price 93295 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

  • Baltimore
  • Aberdeen
  • Aberdeen Proving Ground
  • Abingdon
  • Annapolis
  • Annapolis Neck
  • Arbutus
  • Arden on the Severn

Browse all communities in Maryland

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.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 93295PPRRVU2026_Oct_nonQPP.csv, line 12,032 (RVU26D)
Geographic factors for Baltimore area, MDGPCI2026.csv, line 60 (RVU26D)

Open CMS sourceHow we calculate rates

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