Billing code 93284: Defibrillator evaluationMedicare rate & RVUs
Reports an in-person evaluation and programming of a multiple-lead implantable defibrillator, including review of device and rhythm data and any needed setting adjustments.
Medicare pays $104.21 for 93284 nationally in the office. Local office rates run $94.69–$135.23.
Medicare rate · 93284
Defibrillator evaluation
Swap in your local Medicare rate.
- Work RVUs
- 1.22
- Total RVUs
- 3.12
- Global days
- XXX
National rate · 2026
$104.21
Office setting, before claim adjustments.
See every locality for 93284 → · Billed by an NP, PA or therapist? →
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 10 sections
What 93284 covers
This service is an in-person evaluation of a multiple-lead implantable cardioverter-defibrillator, including a CRT-D. The clinician reviews stored rhythm and device information, assesses device and lead function, and adjusts programming when indicated. It is commonly performed by a cardiologist or electrophysiologist in an office or device clinic, with technical work supported by qualified device-clinic staff. The code is selected for the multiple-lead system, not simply because several settings or stored events are reviewed.
The record should support an in-person evaluation, the multiple-lead system, review of relevant device and rhythm data, and any programming performed. Report the global service without a component modifier, or identify the professional interpretation with modifier 26 and the technical service with modifier TC when billing the components separately. The cardiovascular diagnostic multiple procedure reduction applies to the technical component. The professional component is not subject to that reduction under the CMS rule supplied for this code.
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 93284 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$94.69 to $135.23
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $95.76 | Unavailable |
| Alaska* | $127.85 | Unavailable |
| Arizona | $102.05 | Unavailable |
| Arkansas | $94.69 | Unavailable |
| Atlanta | $105.66 | Unavailable |
| Austin | $107.69 | Unavailable |
| Bakersfield | $110.26 | Unavailable |
| Baltimore/Surr. Cntys | $109.77 | Unavailable |
| Beaumont | $98.53 | Unavailable |
| Brazoria | $103.61 | Unavailable |
| Chicago | $106.97 | Unavailable |
| Chico | $110.06 | Unavailable |
| Colorado | $108.29 | Unavailable |
| Connecticut | $110.13 | Unavailable |
| Dallas | $104.09 | Unavailable |
| Dc + Md/Va Suburbs | $117.60 | Unavailable |
| Delaware | $103.50 | Unavailable |
| Detroit | $103.19 | Unavailable |
| East St. Louis | $100.96 | Unavailable |
| El Centro | $110.07 | Unavailable |
| Fort Lauderdale | $106.36 | Unavailable |
| Fort Worth | $103.50 | Unavailable |
| Fresno | $110.06 | Unavailable |
| Galveston | $103.82 | Unavailable |
| Hanford-Corcoran | $110.06 | Unavailable |
| Hawaii, Guam | $111.97 | Unavailable |
| Houston | $104.73 | Unavailable |
| Idaho | $98.39 | Unavailable |
| Indiana | $98.84 | Unavailable |
| Iowa | $97.95 | Unavailable |
| Kansas | $97.45 | Unavailable |
| Kentucky | $97.21 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $116.63 | Unavailable |
| Madera | $110.06 | Unavailable |
| Manhattan | $117.81 | Unavailable |
| Merced | $110.06 | Unavailable |
| Metropolitan Boston | $117.69 | Unavailable |
| Metropolitan Kansas City | $100.40 | Unavailable |
| Metropolitan Philadelphia | $107.80 | Unavailable |
| Metropolitan St. Louis | $101.25 | Unavailable |
| Miami | $109.30 | Unavailable |
| Minnesota | $104.83 | Unavailable |
| Mississippi | $95.19 | Unavailable |
| Modesto | $110.06 | Unavailable |
| Montana** | $104.21 | Unavailable |
| Napa | $125.61 | Unavailable |
| Nebraska | $98.41 | Unavailable |
| Nevada** | $103.99 | Unavailable |
| New Hampshire | $106.54 | Unavailable |
| New Mexico | $99.42 | Unavailable |
| New Orleans | $100.79 | Unavailable |
| North Carolina | $99.47 | Unavailable |
| North Dakota** | $103.22 | Unavailable |
| Northern Nj | $116.78 | Unavailable |
| Nyc Suburbs/Long Island | $119.93 | Unavailable |
| Ohio | $98.85 | Unavailable |
| Oklahoma | $97.23 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $115.97 | Unavailable |
| Portland | $111.29 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $112.27 | Unavailable |
| Puerto Rico | $104.87 | Unavailable |
| Queens | $118.80 | Unavailable |
| Redding | $110.06 | Unavailable |
| Rest Of California | $110.06 | Unavailable |
| Rest Of Florida | $102.33 | Unavailable |
| Rest Of Georgia | $97.86 | Unavailable |
| Rest Of Illinois | $99.78 | Unavailable |
| Rest Of Louisiana | $97.03 | Unavailable |
| Rest Of Maine | $98.64 | Unavailable |
| Rest Of Maryland | $105.22 | Unavailable |
| Rest Of Massachusetts | $107.80 | Unavailable |
| Rest Of Michigan | $99.05 | Unavailable |
| Rest Of Missouri | $95.64 | Unavailable |
| Rest Of New Jersey | $111.69 | Unavailable |
| Rest Of New York | $100.63 | Unavailable |
| Rest Of Oregon | $103.47 | Unavailable |
| Rest Of Pennsylvania | $99.05 | Unavailable |
| Rest Of Texas | $100.90 | Unavailable |
| Rest Of Washington | $107.62 | Unavailable |
| Rhode Island | $106.84 | Unavailable |
| Riverside-San Bernardino-Ontario | $110.63 | Unavailable |
| Sacramento-Roseville-Folsom | $114.97 | Unavailable |
| Salinas | $114.52 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $116.78 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $132.51 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $132.46 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $135.23 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $135.00 | Unavailable |
| San Luis Obispo-Paso Robles | $112.72 | Unavailable |
| Santa Cruz-Watsonville | $117.58 | Unavailable |
| Santa Maria-Santa Barbara | $114.83 | Unavailable |
| Santa Rosa-Petaluma | $118.75 | Unavailable |
| Seattle (King Cnty) | $119.97 | Unavailable |
| South Carolina | $99.26 | Unavailable |
| South Dakota** | $103.10 | Unavailable |
| Southern Maine | $103.04 | Unavailable |
| Stockton | $110.06 | Unavailable |
| Suburban Chicago | $107.45 | Unavailable |
| Tennessee | $97.81 | Unavailable |
| Utah | $100.33 | Unavailable |
| Vallejo | $125.52 | Unavailable |
| Vermont | $102.77 | Unavailable |
| Virgin Islands | $104.87 | Unavailable |
| Virginia | $102.67 | Unavailable |
| Visalia | $110.06 | Unavailable |
| West Virginia | $96.84 | Unavailable |
| Wisconsin | $100.46 | Unavailable |
| Wyoming** | $103.78 | Unavailable |
| Yuba City | $110.06 | Unavailable |
93284 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.
$94.69
$127.85
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 | $127.85 | 1 |
| AL | $95.76 | 1 |
| AR | $94.69 | 1 |
| AZ | $102.05 | 1 |
| CA | $110.06–$135.23 | 29 |
| CO | $108.29 | 1 |
| CT | $110.13 | 1 |
| DC | $117.60 | 1 |
| DE | $103.50 | 1 |
| FL | $102.33–$109.30 | 3 |
| GA | $97.86–$105.66 | 2 |
| GU | $111.97 | 1 |
| HI | $111.97 | 1 |
| IA | $97.95 | 1 |
| ID | $98.39 | 1 |
| IL | $99.78–$107.45 | 4 |
| IN | $98.84 | 1 |
| KS | $97.45 | 1 |
| KY | $97.21 | 1 |
| LA | $97.03–$100.79 | 2 |
| MA | $107.80–$117.69 | 2 |
| MD | $105.22–$117.60 | 3 |
| ME | $98.64–$103.04 | 2 |
| MI | $99.05–$103.19 | 2 |
| MN | $104.83 | 1 |
| MO | $95.64–$101.25 | 3 |
| MS | $95.19 | 1 |
| MT | $104.21 | 1 |
| NC | $99.47 | 1 |
| ND | $103.22 | 1 |
| NE | $98.41 | 1 |
| NH | $106.54 | 1 |
| NJ | $111.69–$116.78 | 2 |
| NM | $99.42 | 1 |
| NV | $103.99 | 1 |
| NY | $100.63–$119.93 | 5 |
| OH | $98.85 | 1 |
| OK | $97.23 | 1 |
| OR | $103.47–$111.29 | 2 |
| PA | $99.05–$107.80 | 2 |
| PR | $104.87 | 1 |
| RI | $106.84 | 1 |
| SC | $99.26 | 1 |
| SD | $103.10 | 1 |
| TN | $97.81 | 1 |
| TX | $98.53–$107.69 | 8 |
| UT | $100.33 | 1 |
| VA | $102.67–$117.60 | 2 |
| VI | $104.87 | 1 |
| VT | $102.77 | 1 |
| WA | $107.62–$119.97 | 2 |
| WI | $100.46 | 1 |
| WV | $96.84 | 1 |
| WY | $103.78 | 1 |
How the 93284 rate is calculated
Each of 93284’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 · 93284
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.22Practice expense 1.85Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93284
The CMS indicators that decide how 93284 is paid alongside other services.
CMS payment indicators · 93284
Defibrillator evaluation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| 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
93284 without 26 · national office
$104.21
Defibrillator evaluation
93284-26 · Professional component
$59.12
Pays only the interpretation and report.
93284 compared with similar codes
Compare codes
93284 vs 93283 vs 93282 vs 93289 vs 93295: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93283ICD evaluation
- Use 93284 for an in-person multiple-lead defibrillator system evaluation; use 93283 when the evaluated system is dual lead.
- 93282ICD programming
- 93282 is for an in-person single-lead defibrillator system. The lead configuration, not the amount of data reviewed, distinguishes it from 93284.
- 93289Device interrogation
- 93289 reports in-person defibrillator interrogation and evaluation without the programming evaluation represented by 93284.
- 93295Remote ICD check
- 93295 covers remote defibrillator interrogation and evaluation; 93284 is for an in-person multiple-lead programming evaluation.
93284 billing questions
How does 93284 differ from 93283?
93284 is for an implantable defibrillator with a multiple-lead system; 93283 is the dual-lead defibrillator evaluation. Select based on the device system evaluated.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect both components?
The CMS multiple procedure reduction applies to the technical component. It does not apply to the professional component under the rule supplied for this code.
What documentation supports 93284?
Document the in-person evaluation, the multiple-lead defibrillator system, the device and rhythm information reviewed, and any programming changes made.
Can 93284 be used for a remote device check?
No. 93284 describes an in-person programming evaluation. Remote defibrillator interrogation is represented by a different service, such as 93295.
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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