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CMS RVU26D · Effective 2026-10-01

93280 in El Centro

Office / nonfacility

$83.31

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.

Cardiac device monitoring

About 93280: In-person dual-lead pacemaker programming evaluation

In-person iterative testing of a dual-lead pacemaker’s settings, reported when programming is evaluated to select optimal permanent settings.

This in-person evaluation tests a dual-lead pacemaker, typically with atrial and ventricular leads. A programmer measures battery status, lead impedance, sensing, and capture thresholds and reviews stored episodes and pacing data. Settings such as output, rate limits, AV delay, or pacing mode are adjusted iteratively to test performance and select optimal permanent values; the original settings may be retained. The service is performed in cardiology or electrophysiology clinics and hospitals. A technician or manufacturer representative may assist, while a physician or other qualified health care professional analyzes and reports the findings.

Select 93280 for iterative programming of an implanted dual-lead pacemaker, rather than interrogation alone. Document the implanted leads, measurements, settings tested, final programmed values, and the practitioner's analysis, review, and report. Medicare recognizes a professional component (modifier 26) for interpretation and a technical component (modifier TC) for equipment and staff; billing without either modifier represents the global service. Hospital-based physicians generally bill the professional component because the hospital supplies technical resources; offices providing both components may bill globally. When multiple eligible cardiovascular diagnostic services are furnished on the same date, CMS reduces the technical component under its cardiovascular multiple-procedure policy.

CMS billing rules for 93280

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 RVU0.75 · 32%
  • Practice expense (office) RVU1.56 · 66%
  • Malpractice RVU0.04 · 2%

731.1K

Medicare services in 2024 · #177 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.

93280 compared with similar codes

Office rates for El Centro, from the same CMS release.

93288

Pacemaker interrogation

In person, including leadless systems

$59.29

93288 covers in-person interrogation and review. Choose 93280 when settings are iteratively adjusted to test device function and select optimal values, even if the original settings are retained.

93279

Pacemaker programming

Single-lead or leadless system

$71.00

93279 applies to single-lead or leadless pacemakers; 93280 applies when the pacemaker system has two leads, typically atrial and ventricular.

93281

Pacemaker evaluation

Multiple-lead system

$87.85

93281 is for pacemaker systems with multiple leads, such as cardiac resynchronization pacemakers; 93280 is for dual-lead systems.

93283

ICD evaluation

Dual-lead system

$101.91

93283 covers a dual-lead implantable cardioverter-defibrillator; 93280 covers a dual-lead pacemaker without defibrillation capability.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 93280 is $83.45—$0.14 higher than the $83.31 rate in El Centro. Both use the same code, release and participation basis.

93280 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $83.31

  2. Bakersfield

    $83.45

    $0.14 higher than El Centro

  3. Chico

    $83.30

    $0.01 lower than El Centro

  4. Fresno

    $83.30

    $0.01 lower than El Centro

  5. Hanford-Corcoran

    $83.30

    $0.01 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $88.61

    $5.30 higher than El Centro

  7. Madera

    $83.30

    $0.01 lower than El Centro

Other payment areas listed in California 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, 93280 ranges from $70.50 in Arkansas to $103.66 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

  • Merced

    California · 93280

    Office

    $83.30

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Modesto

    California · 93280

    Office

    $83.30

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Napa

    California · 93280

    Office

    $95.98

    Facility

    Unavailable

    $12.67 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93280

    Office

    $88.17

    Facility

    Unavailable

    $4.86 higher than El Centro for the office setting.

  • Redding

    California · 93280

    Office

    $83.30

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Rest Of California

    California · 93280

    Office

    $83.30

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93280

    Office

    $83.75

    Facility

    Unavailable

    $0.44 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93280

    Office

    $87.27

    Facility

    Unavailable

    $3.96 higher than El Centro for the office setting.

  • Salinas

    California · 93280

    Office

    $86.93

    Facility

    Unavailable

    $3.62 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93280

    Office

    $88.84

    Facility

    Unavailable

    $5.53 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93280

    Office

    $101.51

    Facility

    Unavailable

    $18.20 higher than El Centro for the office setting.

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

    California · 93280

    Office

    $101.47

    Facility

    Unavailable

    $18.16 higher than El Centro for the office setting.

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

    California · 93280

    Office

    $103.66

    Facility

    Unavailable

    $20.35 higher than El Centro for the office setting.

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

    California · 93280

    Office

    $103.47

    Facility

    Unavailable

    $20.16 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93280

    Office

    $85.54

    Facility

    Unavailable

    $2.23 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 93280

    Office

    $89.60

    Facility

    Unavailable

    $6.29 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 93280

    Office

    $87.22

    Facility

    Unavailable

    $3.91 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 93280

    Office

    $90.50

    Facility

    Unavailable

    $7.19 higher than El Centro for the office setting.

  • Stockton

    California · 93280

    Office

    $83.30

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Vallejo

    California · 93280

    Office

    $95.92

    Facility

    Unavailable

    $12.61 higher than El Centro for the office setting.

  • Visalia

    California · 93280

    Office

    $83.30

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Yuba City

    California · 93280

    Office

    $83.30

    Facility

    Unavailable

    $0.01 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93280

    Office

    $89.27

    Facility

    Unavailable

    $5.96 higher than El Centro for the office setting.

  • Miami

    Florida · 93280

    Office

    $82.67

    Facility

    Unavailable

    $0.64 lower than El Centro for the office setting.

  • Chicago

    Illinois · 93280

    Office

    $80.66

    Facility

    Unavailable

    $2.65 lower than El Centro for the office setting.

  • Manhattan

    New York · 93280

    Office

    $89.32

    Facility

    Unavailable

    $6.01 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 93280

    Office

    $93.80

    Facility

    Unavailable

    $10.49 higher than El Centro for the office setting.

  • Alabama

    Alabama · 93280

    Office

    $71.40

    Facility

    Unavailable

    $11.91 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 93280

    Office

    $70.50

    Facility

    Unavailable

    $12.81 lower than El Centro for the office setting.

  • Arizona

    Arizona · 93280

    Office

    $76.68

    Facility

    Unavailable

    $6.63 lower than El Centro for the office setting.

  • Colorado

    Colorado · 93280

    Office

    $81.83

    Facility

    Unavailable

    $1.48 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 93280

    Office

    $83.29

    Facility

    Unavailable

    $0.02 lower than El Centro for the office setting.

  • Delaware

    Delaware · 93280

    Office

    $77.86

    Facility

    Unavailable

    $5.45 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 93280

    Office

    $80.25

    Facility

    Unavailable

    $3.06 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 93280

    Office

    $76.87

    Facility

    Unavailable

    $6.44 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 93280

    Office

    $79.67

    Facility

    Unavailable

    $3.64 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 93280

    Office

    $73.12

    Facility

    Unavailable

    $10.19 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 93280

    Office

    $85.07

    Facility

    Unavailable

    $1.76 higher than El Centro for the office setting.

  • Iowa

    Iowa · 93280

    Office

    $73.26

    Facility

    Unavailable

    $10.05 lower than El Centro for the office setting.

  • Idaho

    Idaho · 93280

    Office

    $73.62

    Facility

    Unavailable

    $9.69 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 93280

    Office

    $75.68

    Facility

    Unavailable

    $7.63 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 93280

    Office

    $74.71

    Facility

    Unavailable

    $8.60 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 93280

    Office

    $81.11

    Facility

    Unavailable

    $2.20 lower than El Centro for the office setting.

  • Indiana

    Indiana · 93280

    Office

    $74.00

    Facility

    Unavailable

    $9.31 lower than El Centro for the office setting.

  • Kansas

    Kansas · 93280

    Office

    $72.83

    Facility

    Unavailable

    $10.48 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 93280

    Office

    $72.59

    Facility

    Unavailable

    $10.72 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 93280

    Office

    $75.60

    Facility

    Unavailable

    $7.71 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 93280

    Office

    $72.44

    Facility

    Unavailable

    $10.87 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 93280

    Office

    $89.48

    Facility

    Unavailable

    $6.17 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93280

    Office

    $81.38

    Facility

    Unavailable

    $1.93 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93280

    Office

    $83.01

    Facility

    Unavailable

    $0.30 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 93280

    Office

    $79.26

    Facility

    Unavailable

    $4.05 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 93280

    Office

    $73.82

    Facility

    Unavailable

    $9.49 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 93280

    Office

    $77.53

    Facility

    Unavailable

    $5.78 lower than El Centro for the office setting.

  • Detroit

    Michigan · 93280

    Office

    $77.58

    Facility

    Unavailable

    $5.73 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 93280

    Office

    $74.13

    Facility

    Unavailable

    $9.18 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 93280

    Office

    $79.06

    Facility

    Unavailable

    $4.25 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 93280

    Office

    $75.28

    Facility

    Unavailable

    $8.03 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 93280

    Office

    $75.99

    Facility

    Unavailable

    $7.32 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 93280

    Office

    $71.27

    Facility

    Unavailable

    $12.04 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 93280

    Office

    $70.90

    Facility

    Unavailable

    $12.41 lower than El Centro for the office setting.

  • Montana**

    Montana · 93280

    Office

    $78.49

    Facility

    Unavailable

    $4.82 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 93280

    Office

    $74.52

    Facility

    Unavailable

    $8.79 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 93280

    Office

    $77.70

    Facility

    Unavailable

    $5.61 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 93280

    Office

    $73.65

    Facility

    Unavailable

    $9.66 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 93280

    Office

    $80.46

    Facility

    Unavailable

    $2.85 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 93280

    Office

    $88.50

    Facility

    Unavailable

    $5.19 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 93280

    Office

    $84.42

    Facility

    Unavailable

    $1.11 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 93280

    Office

    $74.44

    Facility

    Unavailable

    $8.87 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 93280

    Office

    $78.32

    Facility

    Unavailable

    $4.99 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93280

    Office

    $91.09

    Facility

    Unavailable

    $7.78 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93280

    Office

    $84.85

    Facility

    Unavailable

    $1.54 higher than El Centro for the office setting.

  • Queens

    New York · 93280

    Office

    $90.17

    Facility

    Unavailable

    $6.86 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 93280

    Office

    $75.49

    Facility

    Unavailable

    $7.82 lower than El Centro for the office setting.

  • Ohio

    Ohio · 93280

    Office

    $73.97

    Facility

    Unavailable

    $9.34 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 93280

    Office

    $72.62

    Facility

    Unavailable

    $10.69 lower than El Centro for the office setting.

  • Portland

    Oregon · 93280

    Office

    $84.33

    Facility

    Unavailable

    $1.02 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 93280

    Office

    $77.89

    Facility

    Unavailable

    $5.42 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93280

    Office

    $81.34

    Facility

    Unavailable

    $1.97 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93280

    Office

    $74.15

    Facility

    Unavailable

    $9.16 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 93280

    Office

    $79.05

    Facility

    Unavailable

    $4.26 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 93280

    Office

    $80.54

    Facility

    Unavailable

    $2.77 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 93280

    Office

    $74.33

    Facility

    Unavailable

    $8.98 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 93280

    Office

    $77.60

    Facility

    Unavailable

    $5.71 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 93280

    Office

    $73.13

    Facility

    Unavailable

    $10.18 lower than El Centro for the office setting.

  • Austin

    Texas · 93280

    Office

    $81.41

    Facility

    Unavailable

    $1.90 lower than El Centro for the office setting.

  • Beaumont

    Texas · 93280

    Office

    $73.71

    Facility

    Unavailable

    $9.60 lower than El Centro for the office setting.

  • Brazoria

    Texas · 93280

    Office

    $77.93

    Facility

    Unavailable

    $5.38 lower than El Centro for the office setting.

  • Dallas

    Texas · 93280

    Office

    $78.32

    Facility

    Unavailable

    $4.99 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 93280

    Office

    $77.82

    Facility

    Unavailable

    $5.49 lower than El Centro for the office setting.

  • Galveston

    Texas · 93280

    Office

    $78.10

    Facility

    Unavailable

    $5.21 lower than El Centro for the office setting.

  • Houston

    Texas · 93280

    Office

    $78.83

    Facility

    Unavailable

    $4.48 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 93280

    Office

    $75.71

    Facility

    Unavailable

    $7.60 lower than El Centro for the office setting.

  • Utah

    Utah · 93280

    Office

    $75.23

    Facility

    Unavailable

    $8.08 lower than El Centro for the office setting.

  • Virginia

    Virginia · 93280

    Office

    $77.21

    Facility

    Unavailable

    $6.10 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93280

    Office

    $79.05

    Facility

    Unavailable

    $4.26 lower than El Centro for the office setting.

  • Vermont

    Vermont · 93280

    Office

    $77.31

    Facility

    Unavailable

    $6.00 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 93280

    Office

    $81.26

    Facility

    Unavailable

    $2.05 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 93280

    Office

    $91.33

    Facility

    Unavailable

    $8.02 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 93280

    Office

    $75.38

    Facility

    Unavailable

    $7.93 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 93280

    Office

    $72.24

    Facility

    Unavailable

    $11.07 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 93280

    Office

    $78.14

    Facility

    Unavailable

    $5.17 lower than El Centro for the office setting.

See how rates vary across the country

93280 · 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.

$70.50

$93.80

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$93.801
AL$71.401
AR$70.501
AZ$76.681
CA$83.30–$103.6629
CO$81.831
CT$83.291
DC$89.271
DE$77.861
FL$76.87–$82.673
GA$73.12–$79.672
GU$85.071
HI$85.071
IA$73.261
ID$73.621
IL$74.71–$81.114
IN$74.001
KS$72.831
KY$72.591
LA$72.44–$75.602
MA$81.38–$89.482
MD$79.26–$89.273
ME$73.82–$77.532
MI$74.13–$77.582
MN$79.061
MO$71.27–$75.993
MS$70.901
MT$78.491
NC$74.521
ND$77.701
NE$73.651
NH$80.461
NJ$84.42–$88.502
NM$74.441
NV$78.321
NY$75.49–$91.095
OH$73.971
OK$72.621
OR$77.89–$84.332
PA$74.15–$81.342
PR$79.051
RI$80.541
SC$74.331
SD$77.601
TN$73.131
TX$73.71–$81.418
UT$75.231
VA$77.21–$89.272
VI$79.051
VT$77.311
WA$81.26–$91.332
WI$75.381
WV$72.241
WY$78.141

Explore 93280 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93280 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$91.64

$83.31 × 110% = $91.64

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.

Compare your contract offer →

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 93280 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

11,989

Code
93280
Physician work
0.75
Practice expense
1.56
Malpractice
0.04

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 93280 in El Centro
ComponentRVULocality factorAdjusted
Physician work0.75× 1.0170.7627
Practice expense1.56× 1.0961.7098
Malpractice0.04× 0.5410.0216
Total RVUs2.4942
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$83.31

Open 93280 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.751.017
Practice expense1.561.096
Malpractice0.040.541

(0.75 × 1.017 + 1.56 × 1.096 + 0.04 × 0.541) × $33.4009 = $83.31

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

93280 · Office / nonfacility

$83.31

Effective 2026-10-01

The base rate is $3.76 higher than on 2025-10-01, moving from $79.55 to $83.31 (4.7%).

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

    $79.55changed to$83.31

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.77 changed to 0.75
    • Practice expense RVU 1.52 changed to 1.56
    • Malpractice RVU 0.03 changed to 0.04
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $79.55

    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$83.31Not available in this settingRVU26D
2026-07-01$83.31Not available in this settingRVU26C
2026-04-01$83.31Not available in this settingRVU26B
2026-01-01$83.31Not available in this settingRVU26A
2025-10-01$79.55Not available in this settingRVU25D
2025-07-01$79.55Not available in this settingRVU25C
2025-04-01$79.55Not available in this settingRVU25B
2025-01-01$79.55Not available in this settingRVU25A

93280 billing questions

When is this code chosen over 93288?

Use 93280 when dual-lead pacemaker settings are iteratively adjusted to test function and select optimal values, even if the original settings are retained. Use 93288 for in-person interrogation and review without iterative programming; do not report both for the same session.

Does lead count determine the code even if only one lead is adjusted?

Yes. Code selection follows the implanted system: a dual-lead pacemaker uses 93280 regardless of how many leads are adjusted. Single-lead or leadless pacemakers use 93279, and multiple-lead systems use 93281.

Which modifier is used when the evaluation happens in a hospital outpatient department?

The physician typically appends modifier 26 for the analysis and report when the hospital supplies the equipment and staff. The hospital submits its facility claim separately.

Can a manufacturer representative assist with the programming?

A representative may operate the programmer, but the billing practitioner must analyze, review, and report the evaluation. The representative's work alone does not support the professional component.

What documentation supports this code?

Record the implanted lead configuration, device and lead measurements, settings tested through iterative adjustment, final programmed values, and the practitioner's signed analysis and report.

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 93280PPRRVU2026_Oct_nonQPP.csv, line 11,989 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet