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

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 Austin, TX, Medicare pays $36.53 for 93295 in the office and $36.53 when it’s performed in a hospital or facility.

$36.53Office (non-facility)
$36.53Hospital or facility
+1.3%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 Austin, TX
  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 Austin, TX 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. Austin, TX pays $36.53. The RVUs are the same everywhere; the geographic indexes change the dollars.

93295 in Austin, TX vs other payment areas
  1. Austin, TX · this page$36.53
  2. Beaumont, TX · Texas$35.02−$1.51
  3. Brazoria, TX · Texas$35.80−$0.73
  4. Dallas, TX · Texas$36.01−$0.52
  5. Fort Worth, TX · Texas$35.93−$0.60
  6. Galveston, TX · Texas$35.91−$0.62
  7. Houston, TX · Texas$36.82+$0.29

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

Every other payment area

93295 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$35.38$35.38
Los Angeles, CACalifornia$38.39$38.39
Washington, DC areaDistrict of Columbia$39.40$39.40
Miami, FLFlorida$39.05$39.05
Chicago, ILIllinois$38.46$38.46
Manhattan, NYNew York$40.27$40.27
AlaskaAlaska$48.02$48.02
AlabamaAlabama$34.05$34.05

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 Austin, TX 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

96

Locality
Austin, TX
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office calculation for 93295 in Austin, TX
ComponentRVULocality factorAdjusted
Physician work0.72× 1.0020.7214
Practice expense0.31× 1.0580.3280
Malpractice0.05× 0.8860.0443
Total RVUs1.0937
Conversion factor× 33.4009

Office rate, Austin, TX$36.53

Office: (0.72 × 1.002 + 0.31 × 1.058 + 0.05 × 0.886) × $33.4009 = $36.53

Facility: (0.72 × 1.002 + 0.31 × 1.058 + 0.05 × 0.886) × $33.4009 = $36.53

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 Austin, TX

93295 · Office / nonfacility

$36.53

Effective 2026-10-01

The base rate is $1.60 higher than on 2025-10-01, moving from $34.93 to $36.53 (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

    $34.93changed to$36.53

    • 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 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $36.25changed to$34.93

    • 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

    $35.66changed to$36.25

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $36.77changed to$35.66

    • 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 1.053 changed to 1.046
    • Malpractice GPCI 0.727 changed to 0.914
  5. January 1, 2023

    RVU23A

    $37.54changed to$36.77

    • Conversion factor 34.6062 changed to 33.8872
    • Malpractice RVU 0.05 changed to 0.04
    • Practice expense GPCI 1.059 changed to 1.053
    • Malpractice GPCI 0.539 changed to 0.727

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $37.85changed to$37.54

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $39.13changed to$37.85

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense GPCI 1.040 changed to 1.059
    • Malpractice GPCI 0.643 changed to 0.539

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $45.31changed to$39.13

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 0.47 changed to 0.30
    • Practice expense GPCI 1.021 changed to 1.040
    • Malpractice GPCI 0.747 changed to 0.643

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $56.29changed to$45.31

    • 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

    $68.51changed to$56.29

    • 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 1.020 changed to 1.021
    • Malpractice GPCI 0.757 changed to 0.747

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $67.99changed to$68.51

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 0.53 changed to 0.54
    • Practice expense GPCI 1.019 changed to 1.020
    • Malpractice GPCI 0.766 changed to 0.757

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $68.24changed to$67.99

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $67.90changed to$68.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $67.28changed to$67.90

    • 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 1.014 changed to 1.019
    • Malpractice GPCI 0.759 changed to 0.766

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $63.78changed to$67.28

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense GPCI 1.009 changed to 1.014
    • Malpractice GPCI 0.751 changed to 0.759

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $63.78

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$36.53$36.53RVU26D
2026-07-01$36.53$36.53RVU26C
2026-04-01$36.53$36.53RVU26B
2026-01-01$36.53$36.53RVU26A
2025-10-01$34.93$34.93RVU25D
2025-07-01$34.93$34.93RVU25C
2025-04-01$34.93$34.93RVU25B
2025-01-01$34.93$34.93RVU25A
2024-10-01$36.25$36.25RVU24D
2024-07-01$36.25$36.25RVU24C
2024-04-01$36.25$36.25RVU24B
2024-03-09$36.25$36.25RVU24AR
2024-01-01$35.66$35.66RVU24A
2023-10-01$36.77$36.77RVU23D
2023-07-01$36.77$36.77RVU23C
2023-04-01$36.77$36.77RVU23B
2023-01-01$36.77$36.77RVU23A
2022-10-01$37.54$37.54RVU22D
2022-07-01$37.54$37.54RVU22C
2022-04-01$37.54$37.54RVU22B
2022-01-01$37.54$37.54RVU22A
2021-10-01$37.85$37.85RVU21D
2021-07-01$37.85$37.85RVU21C
2021-04-01$37.85$37.85RVU21B
2021-01-01$37.85$37.85RVU21A
2020-10-01$39.13$39.13RVU20D
2020-07-01$39.13$39.13RVU20C
2020-04-01$39.13$39.13RVU20B
2020-01-01$39.13$39.13RVU20A
2019-10-01$45.31$45.31RVU19D
2019-07-01$45.31$45.31RVU19C
2019-04-01$45.31$45.31RVU19B
2019-01-01$45.31$45.31RVU19A
2018-10-01$56.29$56.29RVU18D
2018-07-01$56.29$56.29RVU18C
2018-04-01$56.29$56.29RVU18B
2018-01-01$56.29$56.29RVU18AR1
2017-10-01$68.51$68.51RVU17D
2017-07-01$68.51$68.51RVU17C
2017-04-01$68.51$68.51RVU17B
2017-01-01$68.51$68.51RVU17A
2016-10-01$67.99$67.99RVU16D
2016-07-01$67.99$67.99RVU16C
2016-04-01$67.99$67.99RVU16B
2016-01-01$67.99$67.99RVU16A
2015-10-01$68.24$68.24RVU15D
2015-07-01$68.24$68.24RVU15C
2015-04-01$67.90$67.90RVU15B
2015-01-01$67.90$67.90RVU15A
2014-10-01$67.28$67.28RVU14D
2014-07-01$67.28$67.28RVU14C
2014-04-01$67.28$67.28RVU14B
2014-01-01$67.28$67.28RVU14A
2013-10-01$63.78$63.78RVU13D
2013-07-01$63.78$63.78RVU13C
2013-04-01$63.78$63.78RVU13B
2013-01-01$63.78$63.78RVU13AR

Price 93295 for an earlier date of service

Where the Austin, TX rate applies

Austin, TX is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

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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 Austin, TXGPCI2026.csv, line 96 (RVU26D)

Open CMS sourceHow we calculate rates

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