$54.28–$81.10
Use 93290 when the physiologic monitor is interrogated in person; 93297 describes remote interrogation of that device type.
On this page
CMS RVU26D · Effective 2026-10-01
93290 Device interrogation Medicare reimbursement rates
In-person interrogation of an implantable cardiovascular physiologic monitor, with review and analysis of recorded data and a resulting report. Compare 93290 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 93290?
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
$46.79–$70.35
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $23.56 per service.
Facility setting
No supported rate
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 93290 pays more and less
109 payment localities
$46.79 to $70.35
Cardiac device services
About 93290: In-person physiologic monitor interrogation
In-person interrogation of an implantable cardiovascular physiologic monitor, with review and analysis of recorded data and a resulting report.
This service is an in-person check of an implantable cardiovascular physiologic monitor, such as a system that records hemodynamic information used to manage heart failure. The clinician or device clinic team obtains the stored data for review; a qualified professional analyzes the findings and documents a report. It is distinct from checking a pacemaker, implantable defibrillator, or subcutaneous rhythm monitor, which are different device types.
Report the service for an in-person evaluation of the physiologic monitor, supported by documentation identifying the device, the data reviewed, the analysis, and the resulting report. It is a diagnostic test with separately priced professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the equipment and staff service, and no modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to this code’s technical component.
CMS billing rules for 93290
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU0.42 · 27%
- Practice expense (office) RVU1.13 · 72%
- Malpractice RVU0.02 · 1%
72.6K
Medicare services in 2024 · #656 by national volume
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.
93290 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$42.78–$64.76
93291 is for in-person interrogation of a subcutaneous cardiac rhythm monitor, such as an implantable loop recorder. 93290 is for an implantable cardiovascular physiologic monitor.
$64.09–$93.28
93289 is for interrogation of an implantable defibrillator. Select 93290 when the device being evaluated is an implantable cardiovascular physiologic monitor.
See how rates vary across the country
93290 · 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.
$46.79
$63.17
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 | $61.61 | 1 |
| AL | $47.43 | 1 |
| AR | $46.79 | 1 |
| AZ | $51.17 | 1 |
| CA | $55.99–$70.35 | 29 |
| CO | $54.88 | 1 |
| CT | $55.77 | 1 |
| DC | $59.99 | 1 |
| DE | $51.99 | 1 |
| FL | $51.11–$55.01 | 3 |
| GA | $48.49–$53.22 | 2 |
| GU | $57.33 | 1 |
| HI | $57.33 | 1 |
| IA | $48.83 | 1 |
| ID | $49.07 | 1 |
| IL | $49.53–$54.07 | 4 |
| IN | $49.34 | 1 |
| KS | $48.48 | 1 |
| KY | $48.19 | 1 |
| LA | $48.07–$50.30 | 2 |
| MA | $54.53–$60.26 | 2 |
| MD | $52.98–$59.99 | 3 |
| ME | $49.17–$51.85 | 2 |
| MI | $49.24–$51.58 | 2 |
| MN | $53.06 | 1 |
| MO | $47.21–$50.63 | 3 |
| MS | $47.02 | 1 |
| MT | $52.44 | 1 |
| NC | $49.67 | 1 |
| ND | $52.04 | 1 |
| NE | $49.12 | 1 |
| NH | $53.90 | 1 |
| NJ | $56.54–$59.41 | 2 |
| NM | $49.44 | 1 |
| NV | $52.37 | 1 |
| NY | $50.35–$61.04 | 5 |
| OH | $49.16 | 1 |
| OK | $48.25 | 1 |
| OR | $52.09–$56.68 | 2 |
| PA | $49.31–$54.37 | 2 |
| PR | $52.84 | 1 |
| RI | $53.88 | 1 |
| SC | $49.47 | 1 |
| SD | $52.00 | 1 |
| TN | $48.70 | 1 |
| TX | $49.00–$54.58 | 8 |
| UT | $50.11 | 1 |
| VA | $51.60–$59.99 | 2 |
| VI | $52.84 | 1 |
| VT | $51.73 | 1 |
| WA | $54.46–$61.59 | 2 |
| WI | $50.39 | 1 |
| WV | $47.78 | 1 |
| WY | $52.27 | 1 |
Compare 93290 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 $47.43 | Facility Unavailable |
| Alaska* | Office $61.61 | Facility Unavailable |
| Arizona | Office $51.17 | Facility Unavailable |
| Arkansas | Office $46.79 | Facility Unavailable |
| Atlanta | Office $53.22 | Facility Unavailable |
| Austin | Office $54.58 | Facility Unavailable |
| Bakersfield | Office $56.07 | Facility Unavailable |
| Baltimore/Surr. Cntys | Office $55.58 | Facility Unavailable |
| Beaumont | Office $49.00 | Facility Unavailable |
| Brazoria | Office $52.06 | Facility Unavailable |
| Chicago | Office $53.59 | Facility Unavailable |
| Chico | Office $55.99 | Facility Unavailable |
| Colorado | Office $54.88 | Facility Unavailable |
| Connecticut | Office $55.77 | Facility Unavailable |
| Dallas | Office $52.32 | Facility Unavailable |
| Dc + Md/Va Suburbs | Office $59.99 | Facility Unavailable |
| Delaware | Office $51.99 | Facility Unavailable |
| Detroit | Office $51.58 | Facility Unavailable |
| East St. Louis | Office $50.10 | Facility Unavailable |
| El Centro | Office $55.99 | Facility Unavailable |
| Fort Lauderdale | Office $53.47 | Facility Unavailable |
| Fort Worth | Office $51.95 | Facility Unavailable |
| Fresno | Office $55.99 | Facility Unavailable |
| Galveston | Office $52.17 | Facility Unavailable |
| Hanford-Corcoran | Office $55.99 | Facility Unavailable |
| Hawaii, Guam | Office $57.33 | Facility Unavailable |
| Houston | Office $52.54 | Facility Unavailable |
| Idaho | Office $49.07 | Facility Unavailable |
| Indiana | Office $49.34 | Facility Unavailable |
| Iowa | Office $48.83 | Facility Unavailable |
| Kansas | Office $48.48 | Facility Unavailable |
| Kentucky | Office $48.19 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $59.70 | Facility Unavailable |
| Madera | Office $55.99 | Facility Unavailable |
| Manhattan | Office $59.84 | Facility Unavailable |
| Merced | Office $55.99 | Facility Unavailable |
| Metropolitan Boston | Office $60.26 | Facility Unavailable |
| Metropolitan Kansas City | Office $50.12 | Facility Unavailable |
| Metropolitan Philadelphia | Office $54.37 | Facility Unavailable |
| Metropolitan St. Louis | Office $50.63 | Facility Unavailable |
| Miami | Office $55.01 | Facility Unavailable |
| Minnesota | Office $53.06 | Facility Unavailable |
| Mississippi | Office $47.02 | Facility Unavailable |
| Modesto | Office $55.99 | Facility Unavailable |
| Montana** | Office $52.44 | Facility Unavailable |
| Napa | Office $65.00 | Facility Unavailable |
| Nebraska | Office $49.12 | Facility Unavailable |
| Nevada** | Office $52.37 | Facility Unavailable |
| New Hampshire | Office $53.90 | Facility Unavailable |
| New Mexico | Office $49.44 | Facility Unavailable |
| New Orleans | Office $50.30 | Facility Unavailable |
| North Carolina | Office $49.67 | Facility Unavailable |
| North Dakota** | Office $52.04 | Facility Unavailable |
| Northern Nj | Office $59.41 | Facility Unavailable |
| Nyc Suburbs/Long Island | Office $61.04 | Facility Unavailable |
| Ohio | Office $49.16 | Facility Unavailable |
| Oklahoma | Office $48.25 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $59.45 | Facility Unavailable |
| Portland | Office $56.68 | Facility Unavailable |
| Poughkpsie/N Nyc Suburbs | Office $56.80 | Facility Unavailable |
| Puerto Rico | Office $52.84 | Facility Unavailable |
| Queens | Office $60.50 | Facility Unavailable |
| Redding | Office $55.99 | Facility Unavailable |
| Rest Of California | Office $55.99 | Facility Unavailable |
| Rest Of Florida | Office $51.11 | Facility Unavailable |
| Rest Of Georgia | Office $48.49 | Facility Unavailable |
| Rest Of Illinois | Office $49.53 | Facility Unavailable |
| Rest Of Louisiana | Office $48.07 | Facility Unavailable |
| Rest Of Maine | Office $49.17 | Facility Unavailable |
| Rest Of Maryland | Office $52.98 | Facility Unavailable |
| Rest Of Massachusetts | Office $54.53 | Facility Unavailable |
| Rest Of Michigan | Office $49.24 | Facility Unavailable |
| Rest Of Missouri | Office $47.21 | Facility Unavailable |
| Rest Of New Jersey | Office $56.54 | Facility Unavailable |
| Rest Of New York | Office $50.35 | Facility Unavailable |
| Rest Of Oregon | Office $52.09 | Facility Unavailable |
| Rest Of Pennsylvania | Office $49.31 | Facility Unavailable |
| Rest Of Texas | Office $50.45 | Facility Unavailable |
| Rest Of Washington | Office $54.46 | Facility Unavailable |
| Rhode Island | Office $53.88 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $56.22 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $58.79 | Facility Unavailable |
| Salinas | Office $58.57 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $59.95 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $68.89 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $68.86 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $70.35 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $70.26 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $57.61 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $60.54 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $58.79 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $61.16 | Facility Unavailable |
| Seattle (King Cnty) | Office $61.59 | Facility Unavailable |
| South Carolina | Office $49.47 | Facility Unavailable |
| South Dakota** | Office $52.00 | Facility Unavailable |
| Southern Maine | Office $51.85 | Facility Unavailable |
| Stockton | Office $55.99 | Facility Unavailable |
| Suburban Chicago | Office $54.07 | Facility Unavailable |
| Tennessee | Office $48.70 | Facility Unavailable |
| Utah | Office $50.11 | Facility Unavailable |
| Vallejo | Office $64.96 | Facility Unavailable |
| Vermont | Office $51.73 | Facility Unavailable |
| Virgin Islands | Office $52.84 | Facility Unavailable |
| Virginia | Office $51.60 | Facility Unavailable |
| Visalia | Office $55.99 | Facility Unavailable |
| West Virginia | Office $47.78 | Facility Unavailable |
| Wisconsin | Office $50.39 | Facility Unavailable |
| Wyoming** | Office $52.27 | Facility Unavailable |
| Yuba City | Office $55.99 | Facility Unavailable |
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93290 billing questions
How is this different from remote physiologic monitor interrogation?
93290 is for the in-person interrogation and data review. Remote interrogation of the same type of monitor is reported with 93297.
Which modifiers identify the professional and technical services?
Use modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Report without either modifier for the global service.
Does the multiple procedure reduction affect both components?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. The CMS rule supplied for this code does not extend that reduction to the professional component.
What documentation supports reporting 93290?
Document that the evaluation was in person, identify the implantable cardiovascular physiologic monitor, and record the data reviewed, the analysis, and the report.
Is this the code for a pacemaker or loop recorder check?
No. 93290 is for an implantable cardiovascular physiologic monitor. Pacemakers and subcutaneous cardiac rhythm monitors have separate interrogation codes.
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.
12,01693289,,Interrog device eval heart,A,,0.73,1.36,,1.36,NA,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,01793289,26,Interrog device eval heart,A,,0.73,0.30,,0.30,,0.03,1.06,1.06,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,01893289,TC,Interrog device eval heart,A,,0.00,1.06,,1.06,NA,0.01,1.07,1.07,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,01993290,,Interrog dev eval icpms ip,A,,0.42,1.13,,1.13,NA,0.02,1.57,1.57,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,02093290,26,Interrog dev eval icpms ip,A,,0.42,0.18,,0.18,,0.01,0.61,0.61,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,02193290,TC,Interrog dev eval icpms ip,A,,0.00,0.95,,0.95,NA,0.01,0.96,0.96,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,02293291,,Interrog dev eval scrms ip,A,,0.36,1.06,,1.06,NA,0.02,1.44,1.44,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00