CPT code 93296: Remote device monitoring, pacemaker or ICD technical service2026 Medicare rate & RVUs in Missouri
Report 93296 for technical acquisition, technician review, support, and distribution of remotely transmitted pacemaker, leadless pacemaker, or implantable defibrillator data.
Medicare pays $27.39–$30.22 for 93296 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. 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 93296 covers
This service covers the technical work behind remote interrogation of an implanted single-, dual-, or multiple-lead pacemaker, leadless pacemaker, or implantable cardioverter-defibrillator. A home transmitter or app sends device data to a monitoring platform. Device clinic technicians or nurses receive transmissions, review information such as battery status, lead performance, and recorded arrhythmias, provide technical support, and route results for clinical interpretation. Cardiology and electrophysiology practices commonly furnish this work in the office setting.
Report one unit for the monitoring interval of up to 90 days, rather than one unit per scheduled or alert-triggered transmission. The corresponding professional interpretation is reported separately with 93294 for a pacemaker or leadless pacemaker, or 93295 for an implantable defibrillator. CMS classifies 93296 as a technical-component-only code with no physician work value; do not append modifier 26 or TC. Documentation should identify the device, monitoring dates, transmissions received, technician review, technical support, and distribution of results.
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 93296 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$27.39 to $30.22
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $29.81 | Unavailable |
| Metropolitan St. Louis, MO | $30.22 | Unavailable |
| Rest of Missouri | $27.39 | Unavailable |
How the 93296 rate is calculated
Each of 93296’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 · 93296
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.94
0.94 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.9500
Conversion factor
$33.4009
Medicare rate
$31.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93296
The CMS indicators that decide how 93296 is paid alongside other services.
CMS payment indicators · 93296
Remote device monitoring, pacemaker or ICD technical service
| 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 | 3 | Technical component only. |
93296 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93294Remote pacemaker checkProfessional review, up to 90 days
- 93294 covers the clinician's review and report of remote pacemaker or leadless pacemaker data. 93296 covers receipt of transmissions, technician review, technical support, and distribution of results.
- 93295Remote ICD checkDefibrillator, professional review, up to 90 days
- 93295 covers professional interpretation of remote implantable defibrillator data. 93296 covers the technical service for remote pacemaker, leadless pacemaker, or defibrillator interrogation.
- 93288Pacemaker interrogationIn person, including leadless systems
- 93288 covers an in-person pacemaker interrogation. Use 93296 for the technical work of receiving and processing pacemaker data transmitted remotely.
93296 billing questions
Does 93296 need modifier 26 or TC?
No. It is a technical-component-only code, so neither component modifier is appended. Report the professional interpretation separately with 93294 or 93295.
How many units of 93296 are reported?
Report one unit for the remote monitoring interval of up to 90 days, not one unit for each transmission received during that interval.
Which professional code pairs with 93296?
Use 93294 for interpretation of remote pacemaker or leadless pacemaker data and 93295 for interpretation of remote implantable defibrillator data from the corresponding monitoring interval.
Is 93296 used for implantable loop recorders or cardiac monitors?
No. Remote evaluation of an implantable cardiac rhythm monitor uses 93298 for the professional service; G2066 describes the associated Medicare technical service.
What documentation supports 93296?
Record the implanted device type, monitoring dates, transmissions received, technician review, technical support, and distribution of results.
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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