Billing code 93297: Remote device monitoringMedicare rate & RVUs

Medicare pays $60.79 for 93297 nationally in the office. Local office rates run $54.28–$81.10.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 93297 covers

This service evaluates data transmitted from an implantable cardiovascular physiologic monitor. Sensors, sometimes incorporated into a cardiac device, may track thoracic impedance as an indicator of fluid accumulation, heart rate variability, activity, or other heart failure trends. A home transmitter sends stored readings and alerts for review. A cardiologist, electrophysiologist, heart failure specialist, or other qualified practitioner analyzes the data and reports the findings, often through a device clinic following patients with heart failure.

Report one unit for a remote evaluation period of up to 30 days, rather than for each transmission. Documentation should identify the period, physiologic data reviewed, interpretation, and any resulting clinical action, such as a diuretic adjustment. This evaluation does not include device reprogramming. CMS prices 93297 as a diagnostic test with professional and technical components. Modifier 26 identifies the practitioner's interpretation and report; modifier TC identifies the equipment, transmission, and staff portion. When one entity provides both portions, report 93297 without either modifier as the global service.

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 93297 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93297 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 93297 rate is calculated

Each of 93297’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.

Payment rules and modifiers for 93297

The CMS indicators that decide how 93297 is paid alongside other services.

What modifiers do to the payment

When to use modifier 26

93297 compared with similar codes

How to choose

93290Device interrogation

Use 93290 when the patient is present for interrogation of the physiologic monitor. Use 93297 for evaluation of remotely transmitted data over an interval of up to 30 days.

93298Remote loop recorder check

93298 covers remote evaluation of an insertable cardiac rhythm monitor, such as a loop recorder, for arrhythmia data. 93297 covers physiologic trends such as fluid status.

93295Remote ICD check

93295 covers the professional remote evaluation of an implantable defibrillator's function. 93297 evaluates physiologic monitoring data and can be reported as a global service or by professional and technical components.

Codes related to 93297

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates