CPT code 93745: Wearable defibrillator setup, initial setup and instruction2026 Medicare rate & RVUs in Michigan
Reports setup, configuration, and initial instruction for a wearable cardioverter-defibrillator used for temporary protection from sudden cardiac arrest.
CMS doesn’t publish an office rate for 93745 in Michigan.
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 8 sections
What 93745 covers
This service sets up a wearable cardioverter-defibrillator, configures it for use, and instructs the patient or caregiver. Cardiology teams use it for temporary protection from sudden cardiac arrest when risk is elevated but an implanted defibrillator is not yet appropriate, including periods of recovery or reassessment before an implant decision. Later in-person review of recorded wearable-device data is a separate service.
Medicare assigns CPT 93745 carrier-priced status (C): CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. For component billing, modifier 26 identifies the professional interpretation component, and modifier TC identifies the technical equipment-and-staff component; billing without either modifier represents the global service. Report initial wearable-device setup and instruction here, rather than an implanted-defibrillator programming visit.
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 93745 pays more and less in Michigan
| Payment locality | Office | Facility |
|---|---|---|
| Detroit, MI | Unavailable | Unavailable |
| Rest of Michigan | Unavailable | Unavailable |
How the 93745 rate is calculated
Each of 93745’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 · 93745
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93745
The CMS indicators that decide how 93745 is paid alongside other services.
CMS payment indicators · 93745
Wearable defibrillator setup, initial setup and instruction
| 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
93745 without 26 · national facility
$0.00
Wearable defibrillator setup, initial setup and instruction
93745-26 · Professional component
$0.00
Pays only the interpretation and report.
93745 compared with similar codes
Compare codes · National
93745 vs 93292 vs 93283: Medicare rates
How to choose
- 93292Device interrogationWearable defibrillator
- 93745 covers initial wearable defibrillator setup and instruction; 93292 covers in-person review of recorded wearable-device data.
- 93283ICD evaluationDual-lead system
- 93745 is for a wearable defibrillator. Code 93283 is an in-person programming evaluation of a dual-lead implanted defibrillator system.
93745 billing questions
When should 93745 be used instead of 93292?
Use 93745 for initial wearable defibrillator setup and instruction. Code 93292 is for in-person analysis, review, and reporting of data recorded by a wearable defibrillator.
Which modifier identifies the professional component?
Modifier 26 identifies the professional interpretation component. Modifier TC identifies the technical equipment-and-staff component; billing without either is the global service.
Does Medicare publish a national payment for 93745?
No. Its carrier-priced status means the Medicare Administrative Contractor sets payment for each claim.
Is 93745 for programming an implanted defibrillator?
No. It covers initial setup of a wearable cardioverter-defibrillator. Code 93283 addresses in-person programming evaluation of a dual-lead implanted defibrillator.
Does 93745 include patient or caregiver instruction?
Yes. Initial instruction in using the wearable defibrillator is part of the setup service.
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.
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