CPT code 93297: Remote device monitoring, implantable cardiovascular physiologic monitor2026 Medicare rate & RVUs in Missouri
Remote evaluation of data from an implantable cardiovascular physiologic monitor, such as heart failure trends, reported for an interval of up to 30 days.
Medicare pays $54.86–$58.74 for 93297 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 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.
Where 93297 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
$54.86 to $58.74
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $58.16 | Unavailable |
| Metropolitan St. Louis, MO | $58.74 | Unavailable |
| Rest of Missouri | $54.86 | Unavailable |
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.
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.
93297 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93290Device interrogationImplantable physiologic monitor
- Use 93290 when the patient is present for interrogation of the physiologic monitor. Use 93297 for evaluation of remotely transmitted data over an interval of up to 30 days.
- 93298Remote loop recorder checkSubcutaneous monitor, up to 30 days
- 93298 covers remote evaluation of an insertable cardiac rhythm monitor, such as a loop recorder, for arrhythmia data. 93297 covers physiologic trends such as fluid status.
- 93295Remote ICD checkDefibrillator, professional review, up to 90 days
- 93295 covers the professional remote evaluation of an implantable defibrillator's function. 93297 evaluates physiologic monitoring data and can be reported as a global service or by professional and technical components.
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
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