CPT code 93750: VAD interrogation, in person2026 Medicare rate & RVUs in Texas
Reports an in-person assessment of ventricular assist device performance, including review of operating data and alarms during VAD follow-up.
Medicare pays $50.63–$54.38 for 93750 in the office in Texas, from Beaumont, TX to Austin, TX. 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 93750 covers
This service covers an in-person check of a ventricular assist device, commonly an LVAD, with review of its operating information such as flow, power, alarms, and battery status. A physician or other qualified health care professional typically performs or directs the assessment in a VAD clinic, hospital, or outpatient setting. It supports follow-up for patients living with mechanical circulatory support and helps identify device-status concerns that need clinical attention.
Report 93750 for the in-person interrogation and the clinician’s analysis and report, rather than for VAD implantation or a different cardiac monitoring service. The documentation should identify the device, record the parameters reviewed and findings, and include the resulting assessment. Connection, recording, and disconnection are part of the reported interrogation; they are not separate services. The code is reported per day, so documentation should support the service provided on that date.
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 93750 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$50.63 to $54.38
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $54.38 | $34.24 |
| Beaumont, TX | $50.63 | $33.30 |
| Brazoria, TX | $52.56 | $33.69 |
| Dallas, TX | $52.90 | $33.94 |
| Fort Worth, TX | $52.67 | $33.90 |
| Galveston, TX | $52.73 | $33.82 |
| Houston, TX | $54.01 | $35.10 |
| Rest of Texas | $51.57 | $33.50 |
How the 93750 rate is calculated
Each of 93750’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 · 93750
RVUs × geographic indexes × conversion factor
Work0.75
0.75 RVUs× 1.000 GPCI
Practice expense0.77
0.77 RVUs× 1.000 GPCI
Malpractice0.07
0.07 RVUs× 1.000 GPCI
Adjusted RVUs
1.5900
Conversion factor
$33.4009
Medicare rate
$53.11
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93750
93750 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 93750
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$53.11
- Non-facility (office)
- $53.11
- Facility
- $34.07
Higher because the practice carries its own overhead.
93750 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93745Wearable defibrillator setupInitial setup and instruction
- 93745 concerns setup of a cardioverter-defibrillator. Use 93750 for in-person review of a ventricular assist device’s operating information.
- 93290Device interrogationImplantable physiologic monitor
- 93290 is for in-person interrogation of an implantable cardiovascular physiologic monitor, not a ventricular assist device.
- 93799Unlisted cardiovascularService or procedure
- 93799 is an unlisted cardiovascular service code. Use 93750 when the documented service is the defined in-person VAD interrogation.
93750 billing questions
Does 93750 describe VAD implantation?
No. It reports in-person interrogation and analysis of an existing ventricular assist device; implantation is a separate surgical service.
What documentation supports an interrogation?
Record the VAD assessed, the device information reviewed, relevant findings such as alarms or battery status, and the clinician’s analysis.
Can connection and data capture be billed separately?
No. Connection, recording, and disconnection are included in the interrogation service.
How should units be reported when the device is checked more than once?
The service is reported per day. The code descriptor supports one daily service, not a separate unit for each connection or recording.
Is 93750 the same as setting up a defibrillator?
No. Code 93745 concerns setup of a cardioverter-defibrillator; 93750 concerns in-person interrogation of a ventricular assist device.
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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