Billing code 93293: Pacemaker rhythm reviewMedicare rate & RVUs
Reports analysis and interpretation of ECG rhythm strips transmitted by telephone for a patient with a pacemaker.
Medicare pays $39.75 for 93293 nationally in the office. Local office rates run $35.33–$53.38.
Medicare rate · 93293
Pacemaker rhythm review
Swap in your local Medicare rate.
- Work RVUs
- 0.3
- Total RVUs
- 1.19
- Global days
- XXX
National rate · 2026
$39.75
Office setting, before claim adjustments.
See every locality for 93293 → · 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 93293 covers
This service covers analysis and review of ECG rhythm strips sent through telephone-based monitoring for a patient with a pacemaker, followed by a report. A physician or other qualified health care professional typically evaluates the transmitted tracing to assess the recorded rhythm and pacing-related information. The patient may transmit a strip from home, with equipment and staff supporting receipt of the tracing.
Report the service for the transtelephonic rhythm-strip evaluation, not for remote electronic interrogation of the pacemaker’s stored device data. Documentation should identify the patient and pacemaker, the transmitted strip or strips reviewed, the interpretation, and the resulting report. CMS recognizes professional and technical components: modifier 26 represents the interpretation, while modifier TC represents equipment and staff; billing without a modifier represents the global service. The professional and technical components are separately priced when billed with their respective modifiers.
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 93293 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
$35.33 to $53.38
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $35.82 | Unavailable |
| Alaska* | $46.35 | Unavailable |
| Arizona | $38.75 | Unavailable |
| Arkansas | $35.33 | Unavailable |
| Atlanta | $40.38 | Unavailable |
| Austin | $41.38 | Unavailable |
| Bakersfield | $42.47 | Unavailable |
| Baltimore/Surr. Cntys | $42.19 | Unavailable |
| Beaumont | $37.08 | Unavailable |
| Brazoria | $39.42 | Unavailable |
| Chicago | $40.83 | Unavailable |
| Chico | $42.40 | Unavailable |
| Colorado | $41.58 | Unavailable |
| Connecticut | $42.33 | Unavailable |
| Dallas | $39.63 | Unavailable |
| Dc + Md/Va Suburbs | $45.54 | Unavailable |
| Delaware | $39.38 | Unavailable |
| Detroit | $39.19 | Unavailable |
| East St. Louis | $38.10 | Unavailable |
| El Centro | $42.40 | Unavailable |
| Fort Lauderdale | $40.66 | Unavailable |
| Fort Worth | $39.34 | Unavailable |
| Fresno | $42.40 | Unavailable |
| Galveston | $39.51 | Unavailable |
| Hanford-Corcoran | $42.40 | Unavailable |
| Hawaii, Guam | $43.45 | Unavailable |
| Houston | $39.87 | Unavailable |
| Idaho | $37.07 | Unavailable |
| Indiana | $37.28 | Unavailable |
| Iowa | $36.87 | Unavailable |
| Kansas | $36.63 | Unavailable |
| Kentucky | $36.46 | Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | $45.25 | Unavailable |
| Madera | $42.40 | Unavailable |
| Manhattan | $45.49 | Unavailable |
| Merced | $42.40 | Unavailable |
| Metropolitan Boston | $45.72 | Unavailable |
| Metropolitan Kansas City | $37.96 | Unavailable |
| Metropolitan Philadelphia | $41.25 | Unavailable |
| Metropolitan St. Louis | $38.35 | Unavailable |
| Miami | $41.96 | Unavailable |
| Minnesota | $40.12 | Unavailable |
| Mississippi | $35.53 | Unavailable |
| Modesto | $42.40 | Unavailable |
| Montana** | $39.75 | Unavailable |
| Napa | $49.29 | Unavailable |
| Nebraska | $37.09 | Unavailable |
| Nevada** | $39.66 | Unavailable |
| New Hampshire | $40.85 | Unavailable |
| New Mexico | $37.47 | Unavailable |
| New Orleans | $38.12 | Unavailable |
| North Carolina | $37.56 | Unavailable |
| North Dakota** | $39.35 | Unavailable |
| Northern Nj | $45.07 | Unavailable |
| Nyc Suburbs/Long Island | $46.45 | Unavailable |
| Ohio | $37.22 | Unavailable |
| Oklahoma | $36.49 | Unavailable |
| Oxnard-Thousand Oaks-Ventura | $45.06 | Unavailable |
| Portland | $42.96 | Unavailable |
| Poughkpsie/N Nyc Suburbs | $43.10 | Unavailable |
| Puerto Rico | $40.06 | Unavailable |
| Queens | $45.97 | Unavailable |
| Redding | $42.40 | Unavailable |
| Rest Of California | $42.40 | Unavailable |
| Rest Of Florida | $38.80 | Unavailable |
| Rest Of Georgia | $36.74 | Unavailable |
| Rest Of Illinois | $37.60 | Unavailable |
| Rest Of Louisiana | $36.38 | Unavailable |
| Rest Of Maine | $37.17 | Unavailable |
| Rest Of Maryland | $40.14 | Unavailable |
| Rest Of Massachusetts | $41.31 | Unavailable |
| Rest Of Michigan | $37.31 | Unavailable |
| Rest Of Missouri | $35.72 | Unavailable |
| Rest Of New Jersey | $42.89 | Unavailable |
| Rest Of New York | $38.10 | Unavailable |
| Rest Of Oregon | $39.43 | Unavailable |
| Rest Of Pennsylvania | $37.33 | Unavailable |
| Rest Of Texas | $38.20 | Unavailable |
| Rest Of Washington | $41.26 | Unavailable |
| Rhode Island | $40.82 | Unavailable |
| Riverside-San Bernardino-Ontario | $42.62 | Unavailable |
| Sacramento-Roseville-Folsom | $44.53 | Unavailable |
| Salinas | $44.37 | Unavailable |
| San Diego-Chula Vista-Carlsbad | $45.44 | Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | $52.25 | Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | $52.23 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | $53.38 | Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | $53.29 | Unavailable |
| San Luis Obispo-Paso Robles | $43.65 | Unavailable |
| Santa Cruz-Watsonville | $45.90 | Unavailable |
| Santa Maria-Santa Barbara | $44.54 | Unavailable |
| Santa Rosa-Petaluma | $46.36 | Unavailable |
| Seattle (King Cnty) | $46.72 | Unavailable |
| South Carolina | $37.44 | Unavailable |
| South Dakota** | $39.30 | Unavailable |
| Southern Maine | $39.24 | Unavailable |
| Stockton | $42.40 | Unavailable |
| Suburban Chicago | $41.12 | Unavailable |
| Tennessee | $36.79 | Unavailable |
| Utah | $37.94 | Unavailable |
| Vallejo | $49.26 | Unavailable |
| Vermont | $39.13 | Unavailable |
| Virgin Islands | $40.06 | Unavailable |
| Virginia | $39.06 | Unavailable |
| Visalia | $42.40 | Unavailable |
| West Virginia | $36.23 | Unavailable |
| Wisconsin | $38.06 | Unavailable |
| Wyoming** | $39.57 | Unavailable |
| Yuba City | $42.40 | Unavailable |
93293 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.
$35.33
$47.89
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 | $46.35 | 1 |
| AL | $35.82 | 1 |
| AR | $35.33 | 1 |
| AZ | $38.75 | 1 |
| CA | $42.40–$53.38 | 29 |
| CO | $41.58 | 1 |
| CT | $42.33 | 1 |
| DC | $45.54 | 1 |
| DE | $39.38 | 1 |
| FL | $38.80–$41.96 | 3 |
| GA | $36.74–$40.38 | 2 |
| GU | $43.45 | 1 |
| HI | $43.45 | 1 |
| IA | $36.87 | 1 |
| ID | $37.07 | 1 |
| IL | $37.60–$41.12 | 4 |
| IN | $37.28 | 1 |
| KS | $36.63 | 1 |
| KY | $36.46 | 1 |
| LA | $36.38–$38.12 | 2 |
| MA | $41.31–$45.72 | 2 |
| MD | $40.14–$45.54 | 3 |
| ME | $37.17–$39.24 | 2 |
| MI | $37.31–$39.19 | 2 |
| MN | $40.12 | 1 |
| MO | $35.72–$38.35 | 3 |
| MS | $35.53 | 1 |
| MT | $39.75 | 1 |
| NC | $37.56 | 1 |
| ND | $39.35 | 1 |
| NE | $37.09 | 1 |
| NH | $40.85 | 1 |
| NJ | $42.89–$45.07 | 2 |
| NM | $37.47 | 1 |
| NV | $39.66 | 1 |
| NY | $38.10–$46.45 | 5 |
| OH | $37.22 | 1 |
| OK | $36.49 | 1 |
| OR | $39.43–$42.96 | 2 |
| PA | $37.33–$41.25 | 2 |
| PR | $40.06 | 1 |
| RI | $40.82 | 1 |
| SC | $37.44 | 1 |
| SD | $39.30 | 1 |
| TN | $36.79 | 1 |
| TX | $37.08–$41.38 | 8 |
| UT | $37.94 | 1 |
| VA | $39.06–$45.54 | 2 |
| VI | $40.06 | 1 |
| VT | $39.13 | 1 |
| WA | $41.26–$46.72 | 2 |
| WI | $38.06 | 1 |
| WV | $36.23 | 1 |
| WY | $39.57 | 1 |
How the 93293 rate is calculated
Each of 93293’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 · 93293
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.30Practice expense 0.87Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93293
The CMS indicators that decide how 93293 is paid alongside other services.
CMS payment indicators · 93293
Pacemaker rhythm review
| 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
93293 without 26 · national office
$39.75
Pacemaker rhythm review
93293-26 · Professional component
$13.36
Pays only the interpretation and report.
93293 compared with similar codes
Compare codes
93293 vs 93294 vs 93288 vs 93279: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93294Remote pacemaker check
- Use 93293 for analysis and review of telephone-transmitted ECG rhythm strips. Use 93294 for remote interrogation of the pacemaker’s device data.
- 93288Pacemaker interrogation
- Code 93288 applies to in-person pacemaker interrogation; 93293 applies to review of rhythm strips transmitted by telephone.
- 93279Pacemaker programming
- Code 93279 covers pacemaker programming evaluation. Code 93293 covers rhythm-strip analysis and reporting, not device programming.
93293 billing questions
How does this differ from code 93294?
Code 93293 covers review of telephone-transmitted ECG rhythm strips. Code 93294 is for remote interrogation of pacemaker device data.
What work is included in this service?
The service includes analysis and review of the transmitted rhythm strip or strips and preparation of the report.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Without either modifier, the claim represents the global service.
What documentation supports reporting this code?
Keep the transmitted tracing or its identifying details, the interpretation, and the report. The record should make clear that the service involved telephone-transmitted rhythm strips for a pacemaker patient.
Is this the right code for an in-person pacemaker interrogation?
No. Code 93293 is for telephone-transmitted rhythm-strip evaluation; code 93288 describes in-person pacemaker interrogation.
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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