$49.54–$70.27
Both codes concern an in-person CRT-D interrogation. Choose 93146 when programming is performed; choose 93145 when the interrogation is without programming.
On this page
CMS RVU26D · Effective 2026-10-01
93146 CRT-D interrogation Medicare reimbursement rates
Report this service for an in-person evaluation of a cardiac resynchronization therapy defibrillator that includes device interrogation and programming. Compare 93146 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 93146?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$74.70–$107.65
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $32.95 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 93146 pays more and less
109 payment localities
$74.70 to $107.65
Cardiac device services
About 93146: In-person CRT-D interrogation with programming
Report this service for an in-person evaluation of a cardiac resynchronization therapy defibrillator that includes device interrogation and programming.
This service covers an in-person evaluation of an implanted cardiac resynchronization therapy defibrillator (CRT-D), including review of device information and programming. It is typically performed in a cardiology or electrophysiology device clinic by a qualified clinician using the device programmer. The review may include stored rhythm events, device function, battery information, and therapy settings; programming changes are made when indicated by the evaluation.
Choose this code when the CRT-D is assessed in person and programming is part of the service, rather than for an interrogation without programming. Documentation should identify the device, the interrogation findings, and any programming performed. For Medicare, the physician fee schedule assigns work and practice-expense values to this service. Report the code for the work documented, without separately reporting the interrogation portion of the same programming service.
Where the value comes from
- Work RVU0.90 · 36%
- Practice expense (office) RVU1.52 · 61%
- Malpractice RVU0.06 · 2%
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.
93146 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$94.69–$135.23
93284 is an in-person programming evaluation for a CRT-D. Compare the service performed and the applicable code descriptor rather than selecting solely by device type.
$33.80–$48.02
93295 concerns remote ICD monitoring. 93146 describes an in-person CRT-D evaluation that includes programming.
See how rates vary across the country
93146 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$74.70
$100.26
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $100.26 | 1 |
| AL | $75.62 | 1 |
| AR | $74.70 | 1 |
| AZ | $80.97 | 1 |
| CA | $87.29–$107.65 | 29 |
| CO | $86.01 | 1 |
| CT | $87.77 | 1 |
| DC | $93.72 | 1 |
| DE | $82.17 | 1 |
| FL | $81.61–$87.98 | 3 |
| GA | $77.74–$84.14 | 2 |
| GU | $88.95 | 1 |
| HI | $88.95 | 1 |
| IA | $77.31 | 1 |
| ID | $77.72 | 1 |
| IL | $79.55–$85.96 | 4 |
| IN | $78.10 | 1 |
| KS | $76.97 | 1 |
| KY | $77.03 | 1 |
| LA | $76.91–$80.11 | 2 |
| MA | $85.60–$93.70 | 2 |
| MD | $83.58–$93.72 | 3 |
| ME | $78.02–$81.64 | 2 |
| MI | $78.68–$82.43 | 2 |
| MN | $82.90 | 1 |
| MO | $75.78–$80.40 | 3 |
| MS | $75.25 | 1 |
| MT | $82.83 | 1 |
| NC | $78.71 | 1 |
| ND | $81.64 | 1 |
| NE | $77.68 | 1 |
| NH | $84.67 | 1 |
| NJ | $88.90–$92.99 | 2 |
| NM | $79.02 | 1 |
| NV | $82.55 | 1 |
| NY | $79.70–$96.07 | 5 |
| OH | $78.43 | 1 |
| OK | $76.96 | 1 |
| OR | $82.04–$88.44 | 2 |
| PA | $78.56–$85.84 | 2 |
| PR | $83.36 | 1 |
| RI | $84.86 | 1 |
| SC | $78.68 | 1 |
| SD | $81.50 | 1 |
| TN | $77.29 | 1 |
| TX | $78.12–$85.61 | 8 |
| UT | $79.58 | 1 |
| VA | $81.38–$93.72 | 2 |
| VI | $83.36 | 1 |
| VT | $81.34 | 1 |
| WA | $85.44–$95.50 | 2 |
| WI | $79.32 | 1 |
| WV | $77.05 | 1 |
| WY | $82.31 | 1 |
Compare 93146 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $75.62 | Facility $37.33 |
| Alaska* | Office $100.26 | Facility $53.67 |
| Arizona | Office $80.97 | Facility $38.57 |
| Arkansas | Office $74.70 | Facility $37.12 |
| Atlanta | Office $84.14 | Facility $39.68 |
| Austin | Office $85.61 | Facility $39.32 |
| Bakersfield | Office $87.50 | Facility $39.54 |
| Baltimore/Surr. Cntys | Office $87.50 | Facility $40.55 |
| Beaumont | Office $78.12 | Facility $38.31 |
| Brazoria | Office $82.18 | Facility $38.82 |
| Chicago | Office $85.89 | Facility $41.92 |
| Chico | Office $87.29 | Facility $39.33 |
| Colorado | Office $86.01 | Facility $39.45 |
| Connecticut | Office $87.77 | Facility $40.64 |
| Dallas | Office $82.62 | Facility $39.04 |
| Dc + Md/Va Suburbs | Office $93.72 | Facility $42.18 |
| Delaware | Office $82.17 | Facility $38.94 |
| Detroit | Office $82.43 | Facility $40.21 |
| East St. Louis | Office $80.80 | Facility $40.55 |
| El Centro | Office $87.30 | Facility $39.34 |
| Fort Lauderdale | Office $85.11 | Facility $40.79 |
| Fort Worth | Office $82.14 | Facility $38.99 |
| Fresno | Office $87.29 | Facility $39.33 |
| Galveston | Office $82.37 | Facility $38.93 |
| Hanford-Corcoran | Office $87.29 | Facility $39.33 |
| Hawaii, Guam | Office $88.95 | Facility $39.20 |
| Houston | Office $83.47 | Facility $40.02 |
| Idaho | Office $77.72 | Facility $37.46 |
| Indiana | Office $78.10 | Facility $37.54 |
| Iowa | Office $77.31 | Facility $37.27 |
| Kansas | Office $76.97 | Facility $37.41 |
| Kentucky | Office $77.03 | Facility $38.13 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $92.68 | Facility $40.92 |
| Madera | Office $87.29 | Facility $39.33 |
| Manhattan | Office $94.16 | Facility $43.31 |
| Merced | Office $87.29 | Facility $39.33 |
| Metropolitan Boston | Office $93.70 | Facility $41.45 |
| Metropolitan Kansas City | Office $79.69 | Facility $38.61 |
| Metropolitan Philadelphia | Office $85.84 | Facility $40.29 |
| Metropolitan St. Louis | Office $80.40 | Facility $38.75 |
| Miami | Office $87.98 | Facility $42.43 |
| Minnesota | Office $82.90 | Facility $37.87 |
| Mississippi | Office $75.25 | Facility $37.58 |
| Modesto | Office $87.29 | Facility $39.33 |
| Montana** | Office $82.83 | Facility $39.08 |
| Napa | Office $99.89 | Facility $42.22 |
| Nebraska | Office $77.68 | Facility $37.29 |
| Nevada** | Office $82.55 | Facility $38.75 |
| New Hampshire | Office $84.67 | Facility $39.12 |
| New Mexico | Office $79.02 | Facility $38.90 |
| New Orleans | Office $80.11 | Facility $38.94 |
| North Carolina | Office $78.71 | Facility $37.89 |
| North Dakota** | Office $81.64 | Facility $37.89 |
| Northern Nj | Office $92.99 | Facility $42.23 |
| Nyc Suburbs/Long Island | Office $96.07 | Facility $44.05 |
| Ohio | Office $78.43 | Facility $38.48 |
| Oklahoma | Office $76.96 | Facility $37.88 |
| Oxnard-Thousand Oaks-Ventura | Office $92.16 | Facility $40.44 |
| Portland | Office $88.44 | Facility $39.83 |
| Poughkpsie/N Nyc Suburbs | Office $89.43 | Facility $41.52 |
| Puerto Rico | Office $83.36 | Facility $39.13 |
| Queens | Office $94.88 | Facility $43.17 |
| Redding | Office $87.29 | Facility $39.33 |
| Rest Of California | Office $87.29 | Facility $39.33 |
| Rest Of Florida | Office $81.61 | Facility $39.78 |
| Rest Of Georgia | Office $77.74 | Facility $38.71 |
| Rest Of Illinois | Office $79.55 | Facility $39.60 |
| Rest Of Louisiana | Office $76.91 | Facility $38.19 |
| Rest Of Maine | Office $78.02 | Facility $37.76 |
| Rest Of Maryland | Office $83.58 | Facility $39.30 |
| Rest Of Massachusetts | Office $85.60 | Facility $39.52 |
| Rest Of Michigan | Office $78.68 | Facility $38.73 |
| Rest Of Missouri | Office $75.78 | Facility $38.06 |
| Rest Of New Jersey | Office $88.90 | Facility $41.12 |
| Rest Of New York | Office $79.70 | Facility $38.13 |
| Rest Of Oregon | Office $82.04 | Facility $38.46 |
| Rest Of Pennsylvania | Office $78.56 | Facility $38.39 |
| Rest Of Texas | Office $80.05 | Facility $38.53 |
| Rest Of Washington | Office $85.44 | Facility $39.36 |
| Rhode Island | Office $84.86 | Facility $39.67 |
| Riverside-San Bernardino-Ontario | Office $87.95 | Facility $40.00 |
| Sacramento-Roseville-Folsom | Office $91.26 | Facility $40.37 |
| Salinas | Office $90.91 | Facility $40.20 |
| San Diego-Chula Vista-Carlsbad | Office $92.77 | Facility $40.44 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $105.42 | Facility $43.73 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $105.35 | Facility $43.66 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $107.65 | Facility $44.56 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $107.37 | Facility $44.28 |
| San Luis Obispo-Paso Robles | Office $89.47 | Facility $39.64 |
| Santa Cruz-Watsonville | Office $93.45 | Facility $40.29 |
| Santa Maria-Santa Barbara | Office $91.17 | Facility $40.16 |
| Santa Rosa-Petaluma | Office $94.38 | Facility $40.65 |
| Seattle (King Cnty) | Office $95.50 | Facility $41.81 |
| South Carolina | Office $78.68 | Facility $38.25 |
| South Dakota** | Office $81.50 | Facility $37.75 |
| Southern Maine | Office $81.64 | Facility $38.28 |
| Stockton | Office $87.29 | Facility $39.33 |
| Suburban Chicago | Office $85.96 | Facility $41.03 |
| Tennessee | Office $77.29 | Facility $37.51 |
| Utah | Office $79.58 | Facility $38.45 |
| Vallejo | Office $99.79 | Facility $42.12 |
| Vermont | Office $81.34 | Facility $38.02 |
| Virgin Islands | Office $83.36 | Facility $39.13 |
| Virginia | Office $81.38 | Facility $38.37 |
| Visalia | Office $87.29 | Facility $39.33 |
| West Virginia | Office $77.05 | Facility $39.02 |
| Wisconsin | Office $79.32 | Facility $37.40 |
| Wyoming** | Office $82.31 | Facility $38.56 |
| Yuba City | Office $87.29 | Facility $39.33 |
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
93146 billing questions
How does this differ from 93145?
93146 includes programming with the in-person CRT-D interrogation. Use 93145 when the in-person interrogation is performed without programming.
What should the record document?
Document the CRT-D evaluated, the device findings reviewed, and the programming performed. The record should make clear that the service was an in-person evaluation.
Can the interrogation and programming be billed as separate services?
The interrogation is part of this service when it is performed with programming. Do not report a second code for the same interrogation work.
Is this code for remote monitoring?
No. This code describes an in-person CRT-D evaluation with programming; remote device monitoring is a different 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
11,95093050,26,Art pressure waveform analys,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95193050,TC,Art pressure waveform analys,A,,0.00,0.25,,0.25,NA,0.01,0.26,0.26,1,XXX,0.00,0.00,0.00,6,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95293145,,Interrog crtd sins bat ip wo,A,,0.65,0.94,,0.13,,0.05,1.64,0.83,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95393146,,Interrog crtd sins bat ip w/,A,,0.90,1.52,,0.21,,0.06,2.48,1.17,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95493150,,Therapy activation ipnss,A,,0.83,2.42,,0.19,,0.07,3.32,1.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95593151,,Interrog&prgrmg ipnss,A,,0.78,1.99,,0.19,,0.06,2.83,1.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95693152,,Interrog&prgrmg ipnss polysm,A,,1.77,2.45,,0.36,,0.14,4.36,2.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00