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CMS RVU26D · Effective 2026-10-01

93281 in Austin

Office / nonfacility

$85.86

Base rate per service

Facility setting

Not available in this setting

Base rate per service

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.

Cardiology

About 93281: Multi-lead pacemaker programming evaluation

Report this service for an in-person programming evaluation of a multiple-lead pacemaker, including device analysis, review, and a professional report.

A clinician evaluates an implanted multiple-lead pacemaker in person using a device programmer. The work includes assessing device function and available diagnostic information, reviewing the programmed settings, and making iterative adjustments when needed. This code is commonly relevant to cardiology and electrophysiology practices managing patients with a multiple-lead pacing system, such as a biventricular pacemaker. The evaluation produces a report of the findings and any programming performed.

Select this code based on the implanted device’s lead configuration, not simply the patient’s diagnosis or the number of settings changed. Documentation should identify the pacemaker system and support the evaluation, including relevant findings and any adjustments. CMS treats the service as a diagnostic test: report modifier 26 for the professional interpretation, modifier TC for the technical work, or no component modifier for the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.

CMS billing rules for 93281

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 RVU0.83 · 33%
  • Practice expense (office) RVU1.61 · 65%
  • Malpractice RVU0.04 · 2%

70.9K

Medicare services in 2024 · #667 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.

93281 compared with similar codes

Office rates for Austin, from the same CMS release.

93280

Pacemaker programming check

Dual-lead system, in person

$81.41

93280 is for a dual-lead pacemaker system. Use 93281 when the implanted pacemaker has a multiple-lead configuration.

93284

Defibrillator evaluation

Multiple-lead system

$107.69

93284 applies to programming evaluation of a multiple-lead implantable defibrillator. 93281 is for a multiple-lead pacemaker.

93288

Pacemaker interrogation

In person, including leadless systems

$57.76

93288 describes in-person pacemaker interrogation without the programming evaluation represented by 93281. Choose based on the service performed.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 93281 is $77.90—$7.96 lower than the $85.86 rate in Austin. Both use the same code, release and participation basis.

93281 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $85.86

  2. Beaumont

    $77.90

    $7.96 lower than Austin

  3. Brazoria

    $82.28

    $3.58 lower than Austin

  4. Dallas

    $82.68

    $3.18 lower than Austin

  5. Fort Worth

    $82.16

    $3.70 lower than Austin

  6. Galveston

    $82.45

    $3.41 lower than Austin

  7. Houston

    $83.18

    $2.68 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 93281 ranges from $74.60 in Arkansas to $109.03 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 93281

    Office

    $79.96

    Facility

    Unavailable

    $5.90 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 93281

    Office

    $93.36

    Facility

    Unavailable

    $7.50 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93281

    Office

    $94.05

    Facility

    Unavailable

    $8.19 higher than Austin for the office setting.

  • Miami

    Florida · 93281

    Office

    $87.08

    Facility

    Unavailable

    $1.22 higher than Austin for the office setting.

  • Chicago

    Illinois · 93281

    Office

    $85.03

    Facility

    Unavailable

    $0.83 lower than Austin for the office setting.

  • Manhattan

    New York · 93281

    Office

    $94.10

    Facility

    Unavailable

    $8.24 higher than Austin for the office setting.

  • Alaska*

    Alaska · 93281

    Office

    $99.59

    Facility

    Unavailable

    $13.73 higher than Austin for the office setting.

  • Alabama

    Alabama · 93281

    Office

    $75.53

    Facility

    Unavailable

    $10.33 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 93281

    Office

    $74.60

    Facility

    Unavailable

    $11.26 lower than Austin for the office setting.

  • Arizona

    Arizona · 93281

    Office

    $80.97

    Facility

    Unavailable

    $4.89 lower than Austin for the office setting.

  • Bakersfield

    California · 93281

    Office

    $88.00

    Facility

    Unavailable

    $2.14 higher than Austin for the office setting.

  • Chico

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • El Centro

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Fresno

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Madera

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Merced

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Modesto

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Napa

    California · 93281

    Office

    $101.02

    Facility

    Unavailable

    $15.16 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93281

    Office

    $92.89

    Facility

    Unavailable

    $7.03 higher than Austin for the office setting.

  • Redding

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Rest Of California

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93281

    Office

    $88.30

    Facility

    Unavailable

    $2.44 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93281

    Office

    $91.98

    Facility

    Unavailable

    $6.12 higher than Austin for the office setting.

  • Salinas

    California · 93281

    Office

    $91.62

    Facility

    Unavailable

    $5.76 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93281

    Office

    $93.59

    Facility

    Unavailable

    $7.73 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93281

    Office

    $106.79

    Facility

    Unavailable

    $20.93 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 93281

    Office

    $106.75

    Facility

    Unavailable

    $20.89 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 93281

    Office

    $109.03

    Facility

    Unavailable

    $23.17 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 93281

    Office

    $108.85

    Facility

    Unavailable

    $22.99 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93281

    Office

    $90.16

    Facility

    Unavailable

    $4.30 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 93281

    Office

    $94.36

    Facility

    Unavailable

    $8.50 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 93281

    Office

    $91.92

    Facility

    Unavailable

    $6.06 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 93281

    Office

    $95.31

    Facility

    Unavailable

    $9.45 higher than Austin for the office setting.

  • Stockton

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Vallejo

    California · 93281

    Office

    $100.96

    Facility

    Unavailable

    $15.10 higher than Austin for the office setting.

  • Visalia

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Yuba City

    California · 93281

    Office

    $87.85

    Facility

    Unavailable

    $1.99 higher than Austin for the office setting.

  • Colorado

    Colorado · 93281

    Office

    $86.32

    Facility

    Unavailable

    $0.46 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 93281

    Office

    $87.81

    Facility

    Unavailable

    $1.95 higher than Austin for the office setting.

  • Delaware

    Delaware · 93281

    Office

    $82.19

    Facility

    Unavailable

    $3.67 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 93281

    Office

    $84.61

    Facility

    Unavailable

    $1.25 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 93281

    Office

    $81.14

    Facility

    Unavailable

    $4.72 lower than Austin for the office setting.

  • Atlanta

    Georgia · 93281

    Office

    $84.05

    Facility

    Unavailable

    $1.81 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 93281

    Office

    $77.28

    Facility

    Unavailable

    $8.58 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 93281

    Office

    $89.64

    Facility

    Unavailable

    $3.78 higher than Austin for the office setting.

  • Iowa

    Iowa · 93281

    Office

    $77.46

    Facility

    Unavailable

    $8.40 lower than Austin for the office setting.

  • Idaho

    Idaho · 93281

    Office

    $77.83

    Facility

    Unavailable

    $8.03 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 93281

    Office

    $79.89

    Facility

    Unavailable

    $5.97 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 93281

    Office

    $78.91

    Facility

    Unavailable

    $6.95 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 93281

    Office

    $85.51

    Facility

    Unavailable

    $0.35 lower than Austin for the office setting.

  • Indiana

    Indiana · 93281

    Office

    $78.22

    Facility

    Unavailable

    $7.64 lower than Austin for the office setting.

  • Kansas

    Kansas · 93281

    Office

    $77.01

    Facility

    Unavailable

    $8.85 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 93281

    Office

    $76.75

    Facility

    Unavailable

    $9.11 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 93281

    Office

    $79.84

    Facility

    Unavailable

    $6.02 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 93281

    Office

    $76.59

    Facility

    Unavailable

    $9.27 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 93281

    Office

    $94.26

    Facility

    Unavailable

    $8.40 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93281

    Office

    $85.86

    Facility

    Unavailable

    The same base rate than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93281

    Office

    $87.52

    Facility

    Unavailable

    $1.66 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 93281

    Office

    $83.65

    Facility

    Unavailable

    $2.21 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 93281

    Office

    $78.03

    Facility

    Unavailable

    $7.83 lower than Austin for the office setting.

  • Southern Maine

    Maine · 93281

    Office

    $81.86

    Facility

    Unavailable

    $4.00 lower than Austin for the office setting.

  • Detroit

    Michigan · 93281

    Office

    $81.87

    Facility

    Unavailable

    $3.99 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 93281

    Office

    $78.33

    Facility

    Unavailable

    $7.53 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 93281

    Office

    $83.45

    Facility

    Unavailable

    $2.41 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 93281

    Office

    $79.52

    Facility

    Unavailable

    $6.34 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 93281

    Office

    $80.26

    Facility

    Unavailable

    $5.60 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 93281

    Office

    $75.38

    Facility

    Unavailable

    $10.48 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 93281

    Office

    $75.01

    Facility

    Unavailable

    $10.85 lower than Austin for the office setting.

  • Montana**

    Montana · 93281

    Office

    $82.83

    Facility

    Unavailable

    $3.03 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 93281

    Office

    $78.75

    Facility

    Unavailable

    $7.11 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 93281

    Office

    $82.04

    Facility

    Unavailable

    $3.82 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 93281

    Office

    $77.86

    Facility

    Unavailable

    $8.00 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 93281

    Office

    $84.87

    Facility

    Unavailable

    $0.99 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 93281

    Office

    $93.28

    Facility

    Unavailable

    $7.42 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 93281

    Office

    $89.02

    Facility

    Unavailable

    $3.16 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 93281

    Office

    $78.64

    Facility

    Unavailable

    $7.22 lower than Austin for the office setting.

  • Nevada**

    Nevada · 93281

    Office

    $82.66

    Facility

    Unavailable

    $3.20 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93281

    Office

    $95.92

    Facility

    Unavailable

    $10.06 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93281

    Office

    $89.47

    Facility

    Unavailable

    $3.61 higher than Austin for the office setting.

  • Queens

    New York · 93281

    Office

    $94.99

    Facility

    Unavailable

    $9.13 higher than Austin for the office setting.

  • Rest Of New York

    New York · 93281

    Office

    $79.75

    Facility

    Unavailable

    $6.11 lower than Austin for the office setting.

  • Ohio

    Ohio · 93281

    Office

    $78.17

    Facility

    Unavailable

    $7.69 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 93281

    Office

    $76.78

    Facility

    Unavailable

    $9.08 lower than Austin for the office setting.

  • Portland

    Oregon · 93281

    Office

    $88.90

    Facility

    Unavailable

    $3.04 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 93281

    Office

    $82.22

    Facility

    Unavailable

    $3.64 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93281

    Office

    $85.80

    Facility

    Unavailable

    $0.06 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93281

    Office

    $78.35

    Facility

    Unavailable

    $7.51 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 93281

    Office

    $83.41

    Facility

    Unavailable

    $2.45 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 93281

    Office

    $84.99

    Facility

    Unavailable

    $0.87 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 93281

    Office

    $78.55

    Facility

    Unavailable

    $7.31 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 93281

    Office

    $81.95

    Facility

    Unavailable

    $3.91 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 93281

    Office

    $77.32

    Facility

    Unavailable

    $8.54 lower than Austin for the office setting.

  • Utah

    Utah · 93281

    Office

    $79.47

    Facility

    Unavailable

    $6.39 lower than Austin for the office setting.

  • Virginia

    Virginia · 93281

    Office

    $81.53

    Facility

    Unavailable

    $4.33 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93281

    Office

    $83.41

    Facility

    Unavailable

    $2.45 lower than Austin for the office setting.

  • Vermont

    Vermont · 93281

    Office

    $81.64

    Facility

    Unavailable

    $4.22 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 93281

    Office

    $85.73

    Facility

    Unavailable

    $0.13 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 93281

    Office

    $96.18

    Facility

    Unavailable

    $10.32 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 93281

    Office

    $79.65

    Facility

    Unavailable

    $6.21 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 93281

    Office

    $76.37

    Facility

    Unavailable

    $9.49 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 93281

    Office

    $82.49

    Facility

    Unavailable

    $3.37 lower than Austin for the office setting.

See how rates vary across the country

93281 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$74.60

$99.59

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$99.591
AL$75.531
AR$74.601
AZ$80.971
CA$87.85–$109.0329
CO$86.321
CT$87.811
DC$94.051
DE$82.191
FL$81.14–$87.083
GA$77.28–$84.052
GU$89.641
HI$89.641
IA$77.461
ID$77.831
IL$78.91–$85.514
IN$78.221
KS$77.011
KY$76.751
LA$76.59–$79.842
MA$85.86–$94.262
MD$83.65–$94.053
ME$78.03–$81.862
MI$78.33–$81.872
MN$83.451
MO$75.38–$80.263
MS$75.011
MT$82.831
NC$78.751
ND$82.041
NE$77.861
NH$84.871
NJ$89.02–$93.282
NM$78.641
NV$82.661
NY$79.75–$95.925
OH$78.171
OK$76.781
OR$82.22–$88.902
PA$78.35–$85.802
PR$83.411
RI$84.991
SC$78.551
SD$81.951
TN$77.321
TX$77.90–$85.868
UT$79.471
VA$81.53–$94.052
VI$83.411
VT$81.641
WA$85.73–$96.182
WI$79.651
WV$76.371
WY$82.491

Explore 93281 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93281 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$94.45

$85.86 × 110% = $94.45

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

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How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93281 in Austin.

PPRRVU2026_Oct_nonQPP.csv

11,992

Code
93281
Physician work
0.83
Practice expense
1.61
Malpractice
0.04

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 93281 in Austin
ComponentRVULocality factorAdjusted
Physician work0.83× 1.0020.8317
Practice expense1.61× 1.0581.7034
Malpractice0.04× 0.8860.0354
Total RVUs2.5705
Conversion factor× 33.4009

Office / nonfacility rate, Austin$85.86

Open 93281 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.831.002
Practice expense1.611.058
Malpractice0.040.886

(0.83 × 1.002 + 1.61 × 1.058 + 0.04 × 0.886) × $33.4009 = $85.86

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

93281 · Office / nonfacility

$85.86

Effective 2026-10-01

The base rate is $3.72 higher than on 2025-10-01, moving from $82.14 to $85.86 (4.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $82.14changed to$85.86

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.85 changed to 0.83
    • Practice expense RVU 1.58 changed to 1.61
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $82.14

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$85.86Not available in this settingRVU26D
2026-07-01$85.86Not available in this settingRVU26C
2026-04-01$85.86Not available in this settingRVU26B
2026-01-01$85.86Not available in this settingRVU26A
2025-10-01$82.14Not available in this settingRVU25D
2025-07-01$82.14Not available in this settingRVU25C
2025-04-01$82.14Not available in this settingRVU25B
2025-01-01$82.14Not available in this settingRVU25A

93281 billing questions

How does 93281 differ from 93280?

Choose 93281 for a multiple-lead pacemaker system and 93280 for a dual-lead system. Base the choice on the implanted system’s configuration.

Can 93281 be reported if no settings are changed?

The evaluation includes review and analysis of the device, with programming adjustments when needed. Document the assessment and findings even when settings remain unchanged.

Can the interrogation work be billed separately?

The device analysis, review, and report are part of the programming evaluation. Do not separately itemize the same evaluation work as a separate interrogation service.

When should modifier 26 or TC be used?

Use modifier 26 for the professional interpretation and modifier TC for the technical work involving equipment and staff. Without either modifier, the claim represents the global service.

Does the multiple procedure reduction affect the whole service?

The cardiovascular diagnostic multiple procedure reduction applies to the technical component. It does not apply to the professional component under the CMS facts for this code.

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.

RVUs for 93281PPRRVU2026_Oct_nonQPP.csv, line 11,992 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet