CPT code 93297: Remote device monitoring, implantable cardiovascular physiologic monitor2026 Medicare rate & RVUs in Marin County, CA
Remote evaluation of data from an implantable cardiovascular physiologic monitor, such as heart failure trends, reported for an interval of up to 30 days.
In Marin County, CA, Medicare pays $79.39 for 93297 in the office.
Check a contract rate as a % of Medicare · 93297 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 93297 covers
This service evaluates data transmitted from an implantable cardiovascular physiologic monitor. Sensors, sometimes incorporated into a cardiac device, may track thoracic impedance as an indicator of fluid accumulation, heart rate variability, activity, or other heart failure trends. A home transmitter sends stored readings and alerts for review. A cardiologist, electrophysiologist, heart failure specialist, or other qualified practitioner analyzes the data and reports the findings, often through a device clinic following patients with heart failure.
Report one unit for a remote evaluation period of up to 30 days, rather than for each transmission. Documentation should identify the period, physiologic data reviewed, interpretation, and any resulting clinical action, such as a diuretic adjustment. This evaluation does not include device reprogramming. CMS prices 93297 as a diagnostic test with professional and technical components. Modifier 26 identifies the practitioner's interpretation and report; modifier TC identifies the equipment, transmission, and staff portion. When one entity provides both portions, report 93297 without either modifier as the global service.
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 Marin County, CA compares for 93297
Across 109 of 109 payment localities, the office rate for 93297 runs from $54.28 in Arkansas to $81.10 in San Benito County, CA. Marin County, CA pays $79.39. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Marin County, CA · this page$79.39
- Bakersfield, CA · California$64.83−$14.56
- Chico, CA · California$64.72−$14.67
- El Centro, CA · California$64.72−$14.67
- Fresno, CA · California$64.72−$14.67
- Hanford, CA · California$64.72−$14.67
- Los Angeles, CA · California$68.98−$10.41
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $64.72 | — |
| Merced, CACalifornia | $64.72 | — |
| Modesto, CACalifornia | $64.72 | — |
| Napa, CACalifornia | $74.97 | — |
| Oxnard, CACalifornia | $68.67 | — |
| Redding, CACalifornia | $64.72 | — |
| Rest of CaliforniaCalifornia | $64.72 | — |
| Riverside, CACalifornia | $65.05 | — |
| Sacramento, CACalifornia | $67.91 | — |
| Salinas, CACalifornia | $67.65 | — |
| San Diego, CACalifornia | $69.22 | — |
| San Francisco, CACalifornia | $79.36 | — |
| San Benito County, CACalifornia | $81.10 | — |
| Santa Clara County, CACalifornia | $80.96 | — |
| San Luis Obispo, CACalifornia | $66.56 | — |
| Santa Cruz, CACalifornia | $69.87 | — |
| Santa Maria, CACalifornia | $67.90 | — |
| Santa Rosa, CACalifornia | $70.58 | — |
| Stockton, CACalifornia | $64.72 | — |
| Vallejo, CACalifornia | $74.92 | — |
| Visalia, CACalifornia | $64.72 | — |
| Yuba City, CACalifornia | $64.72 | — |
| Washington, DC areaDistrict of Columbia | $69.43 | — |
| Miami, FLFlorida | $64.07 | — |
| Chicago, ILIllinois | $62.42 | — |
| Manhattan, NYNew York | $69.39 | — |
| AlaskaAlaska | $71.64 | — |
| AlabamaAlabama | $55.01 | — |
| ArkansasArkansas | $54.28 | — |
| ArizonaArizona | $59.32 | — |
| ColoradoColorado | $63.51 | — |
| ConnecticutConnecticut | $64.63 | — |
| DelawareDelaware | $60.26 | — |
| Fort Lauderdale, FLFlorida | $62.16 | — |
| Rest of FloridaFlorida | $59.41 | — |
| Atlanta, GAGeorgia | $61.73 | — |
| Rest of GeorgiaGeorgia | $56.36 | — |
| Hawaii, Guam, HIHawaii | $66.22 | — |
| IowaIowa | $56.55 | — |
| IdahoIdaho | $56.84 | — |
| East St. Louis, ILIllinois | $58.39 | — |
| Rest of IllinoisIllinois | $57.63 | — |
| Suburban Chicago, ILIllinois | $62.84 | — |
| IndianaIndiana | $57.15 | — |
| KansasKansas | $56.19 | — |
| KentuckyKentucky | $55.96 | — |
| New Orleans, LALouisiana | $58.40 | — |
| Rest of LouisianaLouisiana | $55.83 | — |
| Metropolitan Boston, MAMassachusetts | $69.67 | — |
| Rest of MassachusettsMassachusetts | $63.12 | — |
| Baltimore area, MDMaryland | $64.42 | — |
| Rest of MarylandMaryland | $61.39 | — |
| Rest of MaineMaine | $56.99 | — |
| Southern Maine, MEMaine | $60.04 | — |
| Detroit, MIMichigan | $59.98 | — |
| Rest of MichiganMichigan | $57.20 | — |
| MinnesotaMinnesota | $61.32 | — |
| Metropolitan Kansas City, MOMissouri | $58.16 | — |
| Metropolitan St. Louis, MOMissouri | $58.74 | — |
| Rest of MissouriMissouri | $54.86 | — |
| MississippiMississippi | $54.59 | — |
| MontanaMontana | $60.79 | — |
| North CarolinaNorth Carolina | $57.56 | — |
| North DakotaNorth Dakota | $60.19 | — |
| NebraskaNebraska | $56.87 | — |
| New HampshireNew Hampshire | $62.42 | — |
| Northern New JerseyNew Jersey | $68.77 | — |
| Rest of New JerseyNew Jersey | $65.50 | — |
| New MexicoNew Mexico | $57.44 | — |
| NevadaNevada | $60.67 | — |
| NYC suburbs and Long Island, NYNew York | $70.82 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $65.83 | — |
| Queens, NYNew York | $70.10 | — |
| Rest of New YorkNew York | $58.35 | — |
| OhioOhio | $57.08 | — |
| OklahomaOklahoma | $55.99 | — |
| Portland, OROregon | $65.55 | — |
| Rest of OregonOregon | $60.32 | — |
| Metropolitan Philadelphia, PAPennsylvania | $63.04 | — |
| Rest of PennsylvaniaPennsylvania | $57.23 | — |
| Puerto RicoPuerto Rico | $61.24 | — |
| Rhode IslandRhode Island | $62.42 | — |
| South CarolinaSouth Carolina | $57.39 | — |
| South DakotaSouth Dakota | $60.12 | — |
| TennesseeTennessee | $56.44 | — |
| Austin, TXTexas | $63.19 | — |
| Beaumont, TXTexas | $56.87 | — |
| Brazoria, TXTexas | $60.32 | — |
| Dallas, TXTexas | $60.63 | — |
| Fort Worth, TXTexas | $60.22 | — |
| Galveston, TXTexas | $60.45 | — |
| Houston, TXTexas | $61.00 | — |
| Rest of TexasTexas | $58.51 | — |
| UtahUtah | $58.12 | — |
| VirginiaVirginia | $59.77 | — |
| Virgin Islands, VIUnited States Virgin Islands | $61.24 | — |
| VermontVermont | $59.87 | — |
| Rest of WashingtonWashington | $63.04 | — |
| King County, WAWashington | $71.16 | — |
| WisconsinWisconsin | $58.30 | — |
| West VirginiaWest Virginia | $55.62 | — |
| WyomingWyoming | $60.53 | — |
93297 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$54.28
$72.91
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $71.64 | 1 |
| AL | $55.01 | 1 |
| AR | $54.28 | 1 |
| AZ | $59.32 | 1 |
| CA | $64.72–$81.10 | 29 |
| CO | $63.51 | 1 |
| CT | $64.63 | 1 |
| DC | $69.43 | 1 |
| DE | $60.26 | 1 |
| FL | $59.41–$64.07 | 3 |
| GA | $56.36–$61.73 | 2 |
| GU | $66.22 | 1 |
| HI | $66.22 | 1 |
| IA | $56.55 | 1 |
| ID | $56.84 | 1 |
| IL | $57.63–$62.84 | 4 |
| IN | $57.15 | 1 |
| KS | $56.19 | 1 |
| KY | $55.96 | 1 |
| LA | $55.83–$58.40 | 2 |
| MA | $63.12–$69.67 | 2 |
| MD | $61.39–$69.43 | 3 |
| ME | $56.99–$60.04 | 2 |
| MI | $57.20–$59.98 | 2 |
| MN | $61.32 | 1 |
| MO | $54.86–$58.74 | 3 |
| MS | $54.59 | 1 |
| MT | $60.79 | 1 |
| NC | $57.56 | 1 |
| ND | $60.19 | 1 |
| NE | $56.87 | 1 |
| NH | $62.42 | 1 |
| NJ | $65.50–$68.77 | 2 |
| NM | $57.44 | 1 |
| NV | $60.67 | 1 |
| NY | $58.35–$70.82 | 5 |
| OH | $57.08 | 1 |
| OK | $55.99 | 1 |
| OR | $60.32–$65.55 | 2 |
| PA | $57.23–$63.04 | 2 |
| PR | $61.24 | 1 |
| RI | $62.42 | 1 |
| SC | $57.39 | 1 |
| SD | $60.12 | 1 |
| TN | $56.44 | 1 |
| TX | $56.87–$63.19 | 8 |
| UT | $58.12 | 1 |
| VA | $59.77–$69.43 | 2 |
| VI | $61.24 | 1 |
| VT | $59.87 | 1 |
| WA | $63.04–$71.16 | 2 |
| WI | $58.30 | 1 |
| WV | $55.62 | 1 |
| WY | $60.53 | 1 |
How the 93297 rate is calculated
Each of 93297’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 · 93297
RVUs × geographic indexes × conversion factor
Work0.51
0.51 RVUs× 1.000 GPCI
Practice expense1.28
1.28 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.8200
Conversion factor
$33.4009
Medicare rate
$60.79
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Marin County, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,034
- Code
- 93297
- Physician work
- 0.51
- Practice expense
- 1.28
- Malpractice
- 0.03
GPCI2026.csv
25
- Locality
- Marin County, CA
- Physician work
- 1.095
- Practice expense
- 1.410
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.51 | × 1.095 | 0.5585 |
| Practice expense | 1.28 | × 1.410 | 1.8048 |
| Malpractice | 0.03 | × 0.459 | 0.0138 |
| Total RVUs | 2.3770 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Marin County, CA$79.39
Office: (0.51 × 1.095 + 1.28 × 1.41 + 0.03 × 0.459) × $33.4009 = $79.39
Payment rules and modifiers for 93297
The CMS indicators that decide how 93297 is paid alongside other services.
CMS payment indicators · 93297
Remote device monitoring, implantable cardiovascular physiologic monitor
| 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93297 without 26 · national office
$60.79
Remote device monitoring, implantable cardiovascular physiologic monitor
93297-26 · Professional component
$24.38
Pays only the interpretation and report.
How 93297 has changed in Marin County, CA
93297 · Office / nonfacility
$79.39
Effective 2026-10-01
The base rate is $3.26 higher than on 2025-10-01, moving from $76.13 to $79.39 (4.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$76.13changed to$79.39
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 0.52 changed to 0.51
- Practice expense RVU 1.25 changed to 1.28
- Work GPCI 1.088 changed to 1.095
- Practice expense GPCI 1.419 changed to 1.410
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$78.82changed to$76.13
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.26 changed to 1.25
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$77.53changed to$78.82
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$29.04changed to$77.53
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 0.20 changed to 1.26
- Malpractice RVU 0.04 changed to 0.03
- Work GPCI 1.082 changed to 1.088
- Practice expense GPCI 1.374 changed to 1.419
- Malpractice GPCI 0.487 changed to 0.470
January 1, 2023
RVU23A
$29.74changed to$29.04
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.21 changed to 0.20
- Work GPCI 1.077 changed to 1.082
- Practice expense GPCI 1.329 changed to 1.374
- Malpractice GPCI 0.504 changed to 0.487
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$29.74changed to$29.74
- Conversion factor 34.8931 changed to 34.6062
- Work GPCI 1.071 changed to 1.077
- Practice expense GPCI 1.311 changed to 1.329
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$30.29changed to$29.74
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.20 changed to 0.21
- Malpractice RVU 0.05 changed to 0.04
- Work GPCI 1.068 changed to 1.071
- Practice expense GPCI 1.299 changed to 1.311
- Malpractice GPCI 0.481 changed to 0.504
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$29.76changed to$30.29
- Conversion factor 36.0391 changed to 36.0896
- Malpractice RVU 0.03 changed to 0.05
- Work GPCI 1.065 changed to 1.068
- Practice expense GPCI 1.291 changed to 1.299
- Malpractice GPCI 0.458 changed to 0.481
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$29.58changed to$29.76
- Conversion factor 35.9996 changed to 36.0391
- Work GPCI 1.062 changed to 1.065
- Practice expense GPCI 1.279 changed to 1.291
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$29.38changed to$29.58
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.058 changed to 1.062
- Practice expense GPCI 1.271 changed to 1.279
- Malpractice GPCI 0.477 changed to 0.458
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$29.38
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $79.39 | Not available in this setting | RVU26D |
| 2026-07-01 | $79.39 | Not available in this setting | RVU26C |
| 2026-04-01 | $79.39 | Not available in this setting | RVU26B |
| 2026-01-01 | $79.39 | Not available in this setting | RVU26A |
| 2025-10-01 | $76.13 | Not available in this setting | RVU25D |
| 2025-07-01 | $76.13 | Not available in this setting | RVU25C |
| 2025-04-01 | $76.13 | Not available in this setting | RVU25B |
| 2025-01-01 | $76.13 | Not available in this setting | RVU25A |
| 2024-10-01 | $78.82 | Not available in this setting | RVU24D |
| 2024-07-01 | $78.82 | Not available in this setting | RVU24C |
| 2024-04-01 | $78.82 | Not available in this setting | RVU24B |
| 2024-03-09 | $78.82 | Not available in this setting | RVU24AR |
| 2024-01-01 | $77.53 | Not available in this setting | RVU24A |
| 2023-10-01 | $29.04 | $29.04 | RVU23D |
| 2023-07-01 | $29.04 | $29.04 | RVU23C |
| 2023-04-01 | $29.04 | $29.04 | RVU23B |
| 2023-01-01 | $29.04 | $29.04 | RVU23A |
| 2022-10-01 | $29.74 | $29.74 | RVU22D |
| 2022-07-01 | $29.74 | $29.74 | RVU22C |
| 2022-04-01 | $29.74 | $29.74 | RVU22B |
| 2022-01-01 | $29.74 | $29.74 | RVU22A |
| 2021-10-01 | $29.74 | $29.74 | RVU21D |
| 2021-07-01 | $29.74 | $29.74 | RVU21C |
| 2021-04-01 | $29.74 | $29.74 | RVU21B |
| 2021-01-01 | $29.74 | $29.74 | RVU21A |
| 2020-10-01 | $30.29 | $30.29 | RVU20D |
| 2020-07-01 | $30.29 | $30.29 | RVU20C |
| 2020-04-01 | $30.29 | $30.29 | RVU20B |
| 2020-01-01 | $30.29 | $30.29 | RVU20A |
| 2019-10-01 | $29.76 | $29.76 | RVU19D |
| 2019-07-01 | $29.76 | $29.76 | RVU19C |
| 2019-04-01 | $29.76 | $29.76 | RVU19B |
| 2019-01-01 | $29.76 | $29.76 | RVU19A |
| 2018-10-01 | $29.58 | $29.58 | RVU18D |
| 2018-07-01 | $29.58 | $29.58 | RVU18C |
| 2018-04-01 | $29.58 | $29.58 | RVU18B |
| 2018-01-01 | $29.58 | $29.58 | RVU18AR1 |
| 2017-10-01 | $29.38 | $29.38 | RVU17D |
| 2017-07-01 | $29.38 | $29.38 | RVU17C |
| 2017-04-01 | $29.38 | $29.38 | RVU17B |
| 2017-01-01 | $29.38 | $29.38 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Marin County, CA rate applies
Marin County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 31 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Alto
- Belvedere
- Black Point-Green Point
- Bolinas
- Corte Madera
- Dillon Beach
- Fairfax
- Inverness
93297 billing questions
How often can this code be reported?
Report one unit for an evaluated remote monitoring interval of up to 30 days. Multiple transmissions within that interval do not create additional units.
When should modifier 26 or TC be appended?
Use modifier 26 for the interpretation and report alone, or TC for the equipment and staff portion alone. Report 93297 without either modifier when the billing entity provides both portions.
Does this code cover remote interrogation of the pacemaker or defibrillator itself?
No. 93297 addresses physiologic monitoring data. Codes 93294 and 93295 describe professional remote evaluations of pacemaker and defibrillator function, respectively; 93296 describes the associated technical service.
How is this different from an in-person physiologic monitor check?
Use 93290 when the physiologic monitor is interrogated with the patient present. Use 93297 for remotely transmitted data evaluated over an interval of up to 30 days.
What documentation supports the claim?
Document the monitoring interval and physiologic parameters reviewed, along with the practitioner's interpretation and report. Record any management change if one was made.
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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