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

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 Puerto Rico, Medicare pays $36.16 for 93295 in the office and $36.16 when it’s performed in a hospital or facility.

$36.16Office (non-facility)
$36.16Hospital or facility
+0.2%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 Puerto Rico
  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 Puerto Rico 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. Puerto Rico pays $36.16. The RVUs are the same everywhere; the geographic indexes change the dollars.

93295 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$36.16
  2. Los Angeles, CA · California$38.39+$2.23
  3. Washington, DC area · District of Columbia$39.40+$3.24
  4. Miami, FL · Florida$39.05+$2.89
  5. Chicago, IL · Illinois$38.46+$2.30
  6. Manhattan, NY · New York$40.27+$4.11
  7. Alaska · Alaska$48.02+$11.86

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

Every other payment area

93295 in every other Medicare payment locality
Payment localityOfficeFacility
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
Hanford, CACalifornia$36.70$36.70

93295 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.

$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 Puerto Rico 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

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Office calculation for 93295 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work0.72× 1.0000.7200
Practice expense0.31× 1.0110.3134
Malpractice0.05× 0.9850.0493
Total RVUs1.0827
Conversion factor× 33.4009

Office rate, Puerto Rico$36.16

Office: (0.72 × 1 + 0.31 × 1.011 + 0.05 × 0.985) × $33.4009 = $36.16

Facility: (0.72 × 1 + 0.31 × 1.011 + 0.05 × 0.985) × $33.4009 = $36.16

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.

Codes related to 93295

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

Codes related to 93295
CodeHow it relatesOffice range, Puerto Rico
Often billed with
93296Remote device monitoring, pacemaker or ICD technical serviceTechnical remote interrogation service, separately reportable when its requirements are met for the same monitoring period.$32.07
Same family
93294Remote pacemaker check, professional review, up to 90 daysRemote professional review for pacemaker or leadless pacemaker systems instead of defibrillators.$29.46
Used instead
93289Device interrogation, implantable defibrillatorIn-person ICD interrogation instead of remote evaluation.$71.62

How 93295 has changed in Puerto Rico

93295 · Office / nonfacility

$36.16

Effective 2026-10-01

The base rate is $1.51 higher than on 2025-10-01, moving from $34.65 to $36.16 (4.4%).

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

    $34.65changed to$36.16

    • 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
    • Practice expense GPCI 1.007 changed to 1.011
    • Malpractice GPCI 0.982 changed to 0.985

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $35.99changed to$34.65

    • 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

    $35.40changed to$35.99

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $36.66changed to$35.40

    • 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
    • Practice expense GPCI 1.008 changed to 1.007
    • Malpractice GPCI 0.984 changed to 0.982

  5. October 1, 2023

    RVU23D

    $36.60changed to$36.66

    • Practice expense GPCI 1.000 changed to 1.008
    • Malpractice GPCI 1.000 changed to 0.984

  6. January 1, 2023

    RVU23A

    $37.78changed to$36.60

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.008 changed to 1.000
    • Malpractice GPCI 0.986 changed to 1.000

    Held through RVU23B, RVU23C.

  7. January 1, 2022

    RVU22A

    $38.09changed to$37.78

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  8. January 1, 2021

    RVU21A

    $39.40changed to$38.09

    • Conversion factor 36.0896 changed to 34.8931
    • Malpractice GPCI 0.988 changed to 0.986

    Held through RVU21B, RVU21C, RVU21D.

  9. January 1, 2020

    RVU20A

    $45.51changed to$39.40

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.47 changed to 0.30
    • Practice expense GPCI 1.007 changed to 1.008
    • Malpractice GPCI 0.990 changed to 0.988

    Held through RVU20B, RVU20C, RVU20D.

  10. January 1, 2019

    RVU19A

    $56.34changed to$45.51

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

    Held through RVU19B, RVU19C, RVU19D.

  11. January 1, 2018

    RVU18AR1

    $64.96changed to$56.34

    • 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 0.856 changed to 1.007
    • Malpractice GPCI 0.642 changed to 0.990

    Held through RVU18B, RVU18C, RVU18D.

  12. January 1, 2017

    RVU17A

    $60.51changed to$64.96

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 0.705 changed to 0.856
    • Malpractice GPCI 0.293 changed to 0.642

    Held through RVU17B, RVU17C, RVU17D.

  13. January 1, 2016

    RVU16A

    $60.73changed to$60.51

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  14. July 1, 2015

    RVU15C

    $60.43changed to$60.73

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  15. January 1, 2015

    RVU15A

    $59.88changed to$60.43

    • 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
    • Practice expense GPCI 0.692 changed to 0.705
    • Malpractice GPCI 0.271 changed to 0.293

    Held through RVU15B.

  16. January 1, 2014

    RVU14A

    $56.56changed to$59.88

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense GPCI 0.678 changed to 0.692
    • Malpractice GPCI 0.249 changed to 0.271

    Held through RVU14B, RVU14C, RVU14D.

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: $56.56

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$36.16$36.16RVU26D
2026-07-01$36.16$36.16RVU26C
2026-04-01$36.16$36.16RVU26B
2026-01-01$36.16$36.16RVU26A
2025-10-01$34.65$34.65RVU25D
2025-07-01$34.65$34.65RVU25C
2025-04-01$34.65$34.65RVU25B
2025-01-01$34.65$34.65RVU25A
2024-10-01$35.99$35.99RVU24D
2024-07-01$35.99$35.99RVU24C
2024-04-01$35.99$35.99RVU24B
2024-03-09$35.99$35.99RVU24AR
2024-01-01$35.40$35.40RVU24A
2023-10-01$36.66$36.66RVU23D
2023-07-01$36.60$36.60RVU23C
2023-04-01$36.60$36.60RVU23B
2023-01-01$36.60$36.60RVU23A
2022-10-01$37.78$37.78RVU22D
2022-07-01$37.78$37.78RVU22C
2022-04-01$37.78$37.78RVU22B
2022-01-01$37.78$37.78RVU22A
2021-10-01$38.09$38.09RVU21D
2021-07-01$38.09$38.09RVU21C
2021-04-01$38.09$38.09RVU21B
2021-01-01$38.09$38.09RVU21A
2020-10-01$39.40$39.40RVU20D
2020-07-01$39.40$39.40RVU20C
2020-04-01$39.40$39.40RVU20B
2020-01-01$39.40$39.40RVU20A
2019-10-01$45.51$45.51RVU19D
2019-07-01$45.51$45.51RVU19C
2019-04-01$45.51$45.51RVU19B
2019-01-01$45.51$45.51RVU19A
2018-10-01$56.34$56.34RVU18D
2018-07-01$56.34$56.34RVU18C
2018-04-01$56.34$56.34RVU18B
2018-01-01$56.34$56.34RVU18AR1
2017-10-01$64.96$64.96RVU17D
2017-07-01$64.96$64.96RVU17C
2017-04-01$64.96$64.96RVU17B
2017-01-01$64.96$64.96RVU17A
2016-10-01$60.51$60.51RVU16D
2016-07-01$60.51$60.51RVU16C
2016-04-01$60.51$60.51RVU16B
2016-01-01$60.51$60.51RVU16A
2015-10-01$60.73$60.73RVU15D
2015-07-01$60.73$60.73RVU15C
2015-04-01$60.43$60.43RVU15B
2015-01-01$60.43$60.43RVU15A
2014-10-01$59.88$59.88RVU14D
2014-07-01$59.88$59.88RVU14C
2014-04-01$59.88$59.88RVU14B
2014-01-01$59.88$59.88RVU14A
2013-10-01$56.56$56.56RVU13D
2013-07-01$56.56$56.56RVU13C
2013-04-01$56.56$56.56RVU13B
2013-01-01$56.56$56.56RVU13AR

Price 93295 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

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 Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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