93641
No office rateEp evl 1/2chmb pac cvdfb tst
93641 is for electrophysiologic evaluation at ICD implantation or replacement. 93642 describes evaluation of a transvenous ICD outside that implant-or-replacement circumstance.
On this page
CMS RVU26D · Effective 2026-10-01
93642 in El Centro
Office / nonfacility
$332.36
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 electrophysiology
About 93642: Transvenous ICD electrophysiologic evaluation
Reports electrophysiologic assessment of a transvenous implantable cardioverter-defibrillator, including evaluation of its sensing and arrhythmia-termination functions.
93642 is for an electrophysiologic assessment of a transvenous implantable cardioverter-defibrillator (ICD). The electrophysiologist evaluates how the device senses cardiac signals and delivers pacing or therapy to terminate an arrhythmia, and may program or reprogram the device as part of that assessment. This work is distinct from a routine device check. It is typically performed by a cardiologist or electrophysiologist in a hospital or electrophysiology laboratory when testing of the ICD’s response is clinically needed.
Report the service for the transvenous ICD evaluation, not for a routine interrogation alone or an evaluation performed as part of implantation or replacement. Documentation should identify the device and record the testing performed, findings, and any programming changes. This diagnostic service may be billed globally or as the professional interpretation with modifier 26 or the technical service with modifier TC. Same-day preoperative and postoperative care is included in its 0-day global period. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; an assistant is paid only when medical necessity is documented, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 93642
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.51 · 46%
- Practice expense (office) RVU4.43 · 45%
- Malpractice RVU0.94 · 10%
473
Medicare services in 2024 · #3615 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.
93642 compared with similar codes
Office rates for El Centro, from the same CMS release.
$197.53
93644 is specific to evaluation of a subcutaneous implantable defibrillator system. 93642 is for a transvenous ICD.
$101.91
93283 is a device evaluation and programming service for a dual-lead ICD. 93642 represents electrophysiologic assessment of the transvenous ICD’s sensing and arrhythmia-termination functions.
The same code, a different location
How does El Centro compare?
In Bakersfield, the office rate for 93642 is $334.79—$2.43 higher than the $332.36 rate in El Centro. Both use the same code, release and participation basis.
93642 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
$332.36
$334.79
$2.43 higher than El Centro
$332.20
$0.16 lower than El Centro
$332.20
$0.16 lower than El Centro
$332.20
$0.16 lower than El Centro
$20.35 higher than El Centro
$332.20
$0.16 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, 93642 ranges from $293.91 in Arkansas to $400.84 in Alaska*. 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 · 93642
Office
$332.20
Facility
Unavailable
$0.16 lower than El Centro for the office setting.
Modesto
California · 93642
Office
$332.20
Facility
Unavailable
$0.16 lower than El Centro for the office setting.
Napa
California · 93642
Office
$371.10
Facility
Unavailable
$38.74 higher than El Centro for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 93642
Office
$349.31
Facility
Unavailable
$16.95 higher than El Centro for the office setting.
Redding
California · 93642
Office
$332.20
Facility
Unavailable
$0.16 lower than El Centro for the office setting.
Rest Of California
California · 93642
Office
$332.20
Facility
Unavailable
$0.16 lower than El Centro for the office setting.
Riverside-San Bernardino-Ontario
California · 93642
Office
$342.30
Facility
Unavailable
$9.94 higher than El Centro for the office setting.
Sacramento-Roseville-Folsom
California · 93642
Office
$344.97
Facility
Unavailable
$12.61 higher than El Centro for the office setting.
Salinas
California · 93642
Office
$343.63
Facility
Unavailable
$11.27 higher than El Centro for the office setting.
San Diego-Chula Vista-Carlsbad
California · 93642
Office
$349.14
Facility
Unavailable
$16.78 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 93642
Office
$387.99
Facility
Unavailable
$55.63 higher than El Centro for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 93642
Office
$386.92
Facility
Unavailable
$54.56 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 93642
Office
$397.40
Facility
Unavailable
$65.04 higher than El Centro for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 93642
Office
$393.04
Facility
Unavailable
$60.68 higher than El Centro for the office setting.
San Luis Obispo-Paso Robles
California · 93642
Office
$338.56
Facility
Unavailable
$6.20 higher than El Centro for the office setting.
Santa Cruz-Watsonville
California · 93642
Office
$350.41
Facility
Unavailable
$18.05 higher than El Centro for the office setting.
Santa Maria-Santa Barbara
California · 93642
Office
$344.21
Facility
Unavailable
$11.85 higher than El Centro for the office setting.
Santa Rosa-Petaluma
California · 93642
Office
$353.69
Facility
Unavailable
$21.33 higher than El Centro for the office setting.
Stockton
California · 93642
Office
$332.20
Facility
Unavailable
$0.16 lower than El Centro for the office setting.
Vallejo
California · 93642
Office
$369.56
Facility
Unavailable
$37.20 higher than El Centro for the office setting.
Visalia
California · 93642
Office
$332.20
Facility
Unavailable
$0.16 lower than El Centro for the office setting.
Yuba City
California · 93642
Office
$332.20
Facility
Unavailable
$0.16 lower than El Centro for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 93642
Office
$368.02
Facility
Unavailable
$35.66 higher than El Centro for the office setting.
Miami
Florida · 93642
Office
$384.07
Facility
Unavailable
$51.71 higher than El Centro for the office setting.
Chicago
Illinois · 93642
Office
$372.45
Facility
Unavailable
$40.09 higher than El Centro for the office setting.
Manhattan
New York · 93642
Office
$382.01
Facility
Unavailable
$49.65 higher than El Centro for the office setting.
Alaska*
Alaska · 93642
Office
$400.84
Facility
Unavailable
$68.48 higher than El Centro for the office setting.
Alabama
Alabama · 93642
Office
$297.88
Facility
Unavailable
$34.48 lower than El Centro for the office setting.
Arkansas
Arkansas · 93642
Office
$293.91
Facility
Unavailable
$38.45 lower than El Centro for the office setting.
Arizona
Arizona · 93642
Office
$320.89
Facility
Unavailable
$11.47 lower than El Centro for the office setting.
Colorado
Colorado · 93642
Office
$334.40
Facility
Unavailable
$2.04 higher than El Centro for the office setting.
Connecticut
Connecticut · 93642
Office
$351.00
Facility
Unavailable
$18.64 higher than El Centro for the office setting.
Delaware
Delaware · 93642
Office
$325.81
Facility
Unavailable
$6.55 lower than El Centro for the office setting.
Fort Lauderdale
Florida · 93642
Office
$357.29
Facility
Unavailable
$24.93 higher than El Centro for the office setting.
Rest Of Florida
Florida · 93642
Office
$339.28
Facility
Unavailable
$6.92 higher than El Centro for the office setting.
Atlanta
Georgia · 93642
Office
$339.13
Facility
Unavailable
$6.77 higher than El Centro for the office setting.
Rest Of Georgia
Georgia · 93642
Office
$320.05
Facility
Unavailable
$12.31 lower than El Centro for the office setting.
Hawaii, Guam
Hawaii · 93642
Office
$337.05
Facility
Unavailable
$4.69 higher than El Centro for the office setting.
Iowa
Iowa · 93642
Office
$298.49
Facility
Unavailable
$33.87 lower than El Centro for the office setting.
Idaho
Idaho · 93642
Office
$301.62
Facility
Unavailable
$30.74 lower than El Centro for the office setting.
East St. Louis
Illinois · 93642
Office
$350.00
Facility
Unavailable
$17.64 higher than El Centro for the office setting.
Rest Of Illinois
Illinois · 93642
Office
$334.80
Facility
Unavailable
$2.44 higher than El Centro for the office setting.
Suburban Chicago
Illinois · 93642
Office
$359.29
Facility
Unavailable
$26.93 higher than El Centro for the office setting.
Indiana
Indiana · 93642
Office
$303.06
Facility
Unavailable
$29.30 lower than El Centro for the office setting.
Kansas
Kansas · 93642
Office
$300.22
Facility
Unavailable
$32.14 lower than El Centro for the office setting.
Kentucky
Kentucky · 93642
Office
$310.91
Facility
Unavailable
$21.45 lower than El Centro for the office setting.
New Orleans
Louisiana · 93642
Office
$325.54
Facility
Unavailable
$6.82 lower than El Centro for the office setting.
Rest Of Louisiana
Louisiana · 93642
Office
$311.67
Facility
Unavailable
$20.69 lower than El Centro for the office setting.
Metropolitan Boston
Massachusetts · 93642
Office
$361.43
Facility
Unavailable
$29.07 higher than El Centro for the office setting.
Rest Of Massachusetts
Massachusetts · 93642
Office
$333.88
Facility
Unavailable
$1.52 higher than El Centro for the office setting.
Baltimore/Surr. Cntys
Maryland · 93642
Office
$350.65
Facility
Unavailable
$18.29 higher than El Centro for the office setting.
Rest Of Maryland
Maryland · 93642
Office
$330.71
Facility
Unavailable
$1.65 lower than El Centro for the office setting.
Rest Of Maine
Maine · 93642
Office
$306.30
Facility
Unavailable
$26.06 lower than El Centro for the office setting.
Southern Maine
Maine · 93642
Office
$317.08
Facility
Unavailable
$15.28 lower than El Centro for the office setting.
Detroit
Michigan · 93642
Office
$346.36
Facility
Unavailable
$14.00 higher than El Centro for the office setting.
Rest Of Michigan
Michigan · 93642
Office
$321.18
Facility
Unavailable
$11.18 lower than El Centro for the office setting.
Minnesota
Minnesota · 93642
Office
$312.19
Facility
Unavailable
$20.17 lower than El Centro for the office setting.
Metropolitan Kansas City
Missouri · 93642
Office
$320.25
Facility
Unavailable
$12.11 lower than El Centro for the office setting.
Metropolitan St. Louis
Missouri · 93642
Office
$322.96
Facility
Unavailable
$9.40 lower than El Centro for the office setting.
Rest Of Missouri
Missouri · 93642
Office
$308.77
Facility
Unavailable
$23.59 lower than El Centro for the office setting.
Mississippi
Mississippi · 93642
Office
$301.24
Facility
Unavailable
$31.12 lower than El Centro for the office setting.
Montana**
Montana · 93642
Office
$329.94
Facility
Unavailable
$2.42 lower than El Centro for the office setting.
North Carolina
North Carolina · 93642
Office
$308.75
Facility
Unavailable
$23.61 lower than El Centro for the office setting.
North Dakota**
North Dakota · 93642
Office
$311.35
Facility
Unavailable
$21.01 lower than El Centro for the office setting.
Nebraska
Nebraska · 93642
Office
$299.08
Facility
Unavailable
$33.28 lower than El Centro for the office setting.
New Hampshire
New Hampshire · 93642
Office
$332.14
Facility
Unavailable
$0.22 lower than El Centro for the office setting.
Northern Nj
New Jersey · 93642
Office
$365.30
Facility
Unavailable
$32.94 higher than El Centro for the office setting.
Rest Of New Jersey
New Jersey · 93642
Office
$352.68
Facility
Unavailable
$20.32 higher than El Centro for the office setting.
New Mexico
New Mexico · 93642
Office
$324.03
Facility
Unavailable
$8.33 lower than El Centro for the office setting.
Nevada**
Nevada · 93642
Office
$324.91
Facility
Unavailable
$7.45 lower than El Centro for the office setting.
Nyc Suburbs/Long Island
New York · 93642
Office
$394.51
Facility
Unavailable
$62.15 higher than El Centro for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 93642
Office
$357.43
Facility
Unavailable
$25.07 higher than El Centro for the office setting.
Queens
New York · 93642
Office
$380.45
Facility
Unavailable
$48.09 higher than El Centro for the office setting.
Rest Of New York
New York · 93642
Office
$313.28
Facility
Unavailable
$19.08 lower than El Centro for the office setting.
Ohio
Ohio · 93642
Office
$317.38
Facility
Unavailable
$14.98 lower than El Centro for the office setting.
Oklahoma
Oklahoma · 93642
Office
$307.17
Facility
Unavailable
$25.19 lower than El Centro for the office setting.
Portland
Oregon · 93642
Office
$340.80
Facility
Unavailable
$8.44 higher than El Centro for the office setting.
Rest Of Oregon
Oregon · 93642
Office
$320.08
Facility
Unavailable
$12.28 lower than El Centro for the office setting.
Metropolitan Philadelphia
Pennsylvania · 93642
Office
$344.84
Facility
Unavailable
$12.48 higher than El Centro for the office setting.
Rest Of Pennsylvania
Pennsylvania · 93642
Office
$316.14
Facility
Unavailable
$16.22 lower than El Centro for the office setting.
Puerto Rico
Puerto Rico · 93642
Office
$331.16
Facility
Unavailable
$1.20 lower than El Centro for the office setting.
Rhode Island
Rhode Island · 93642
Office
$334.36
Facility
Unavailable
$2.00 higher than El Centro for the office setting.
South Carolina
South Carolina · 93642
Office
$314.05
Facility
Unavailable
$18.31 lower than El Centro for the office setting.
South Dakota**
South Dakota · 93642
Office
$309.15
Facility
Unavailable
$23.21 lower than El Centro for the office setting.
Tennessee
Tennessee · 93642
Office
$302.00
Facility
Unavailable
$30.36 lower than El Centro for the office setting.
Austin
Texas · 93642
Office
$335.30
Facility
Unavailable
$2.94 higher than El Centro for the office setting.
Beaumont
Texas · 93642
Office
$314.45
Facility
Unavailable
$17.91 lower than El Centro for the office setting.
Brazoria
Texas · 93642
Office
$322.97
Facility
Unavailable
$9.39 lower than El Centro for the office setting.
Dallas
Texas · 93642
Office
$326.31
Facility
Unavailable
$6.05 lower than El Centro for the office setting.
Fort Worth
Texas · 93642
Office
$325.23
Facility
Unavailable
$7.13 lower than El Centro for the office setting.
Galveston
Texas · 93642
Office
$324.77
Facility
Unavailable
$7.59 lower than El Centro for the office setting.
Houston
Texas · 93642
Office
$341.98
Facility
Unavailable
$9.62 higher than El Centro for the office setting.
Rest Of Texas
Texas · 93642
Office
$319.41
Facility
Unavailable
$12.95 lower than El Centro for the office setting.
Utah
Utah · 93642
Office
$317.92
Facility
Unavailable
$14.44 lower than El Centro for the office setting.
Virginia
Virginia · 93642
Office
$318.25
Facility
Unavailable
$14.11 lower than El Centro for the office setting.
Virgin Islands
United States Virgin Islands · 93642
Office
$331.16
Facility
Unavailable
$1.20 lower than El Centro for the office setting.
Vermont
Vermont · 93642
Office
$313.01
Facility
Unavailable
$19.35 lower than El Centro for the office setting.
Rest Of Washington
Washington · 93642
Office
$332.30
Facility
Unavailable
$0.06 lower than El Centro for the office setting.
Seattle (King Cnty)
Washington · 93642
Office
$365.38
Facility
Unavailable
$33.02 higher than El Centro for the office setting.
Wisconsin
Wisconsin · 93642
Office
$302.06
Facility
Unavailable
$30.30 lower than El Centro for the office setting.
West Virginia
West Virginia · 93642
Office
$324.15
Facility
Unavailable
$8.21 lower than El Centro for the office setting.
Wyoming**
Wyoming · 93642
Office
$321.84
Facility
Unavailable
$10.52 lower than El Centro for the office setting.
See how rates vary across the country
93642 · 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.
$293.91
$400.84
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 | $400.84 | 1 |
| AL | $297.88 | 1 |
| AR | $293.91 | 1 |
| AZ | $320.89 | 1 |
| CA | $332.20–$397.40 | 29 |
| CO | $334.40 | 1 |
| CT | $351.00 | 1 |
| DC | $368.02 | 1 |
| DE | $325.81 | 1 |
| FL | $339.28–$384.07 | 3 |
| GA | $320.05–$339.13 | 2 |
| GU | $337.05 | 1 |
| HI | $337.05 | 1 |
| IA | $298.49 | 1 |
| ID | $301.62 | 1 |
| IL | $334.80–$372.45 | 4 |
| IN | $303.06 | 1 |
| KS | $300.22 | 1 |
| KY | $310.91 | 1 |
| LA | $311.67–$325.54 | 2 |
| MA | $333.88–$361.43 | 2 |
| MD | $330.71–$368.02 | 3 |
| ME | $306.30–$317.08 | 2 |
| MI | $321.18–$346.36 | 2 |
| MN | $312.19 | 1 |
| MO | $308.77–$322.96 | 3 |
| MS | $301.24 | 1 |
| MT | $329.94 | 1 |
| NC | $308.75 | 1 |
| ND | $311.35 | 1 |
| NE | $299.08 | 1 |
| NH | $332.14 | 1 |
| NJ | $352.68–$365.30 | 2 |
| NM | $324.03 | 1 |
| NV | $324.91 | 1 |
| NY | $313.28–$394.51 | 5 |
| OH | $317.38 | 1 |
| OK | $307.17 | 1 |
| OR | $320.08–$340.80 | 2 |
| PA | $316.14–$344.84 | 2 |
| PR | $331.16 | 1 |
| RI | $334.36 | 1 |
| SC | $314.05 | 1 |
| SD | $309.15 | 1 |
| TN | $302.00 | 1 |
| TX | $314.45–$341.98 | 8 |
| UT | $317.92 | 1 |
| VA | $318.25–$368.02 | 2 |
| VI | $331.16 | 1 |
| VT | $313.01 | 1 |
| WA | $332.30–$365.38 | 2 |
| WI | $302.06 | 1 |
| WV | $324.15 | 1 |
| WY | $321.84 | 1 |
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 93642 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$365.60
$332.36 × 110% = $365.60
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.
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 93642 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
12,234
- Code
- 93642
- Physician work
- 4.51
- Practice expense
- 4.43
- Malpractice
- 0.94
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.51 | × 1.017 | 4.5867 |
| Practice expense | 4.43 | × 1.096 | 4.8553 |
| Malpractice | 0.94 | × 0.541 | 0.5085 |
| Total RVUs | 9.9505 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, El Centro$332.36
Open 93642 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.51 | 1.017 |
| Practice expense | 4.43 | 1.096 |
| Malpractice | 0.94 | 0.541 |
(4.51 × 1.017 + 4.43 × 1.096 + 0.94 × 0.541) × $33.4009 = $332.36
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
93642 · Office / nonfacility
$332.36
Effective 2026-10-01
The base rate is $13.29 higher than on 2025-10-01, moving from $319.07 to $332.36 (4.2%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$319.07changed to$332.36
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 4.63 changed to 4.51
- Practice expense RVU 4.26 changed to 4.43
- Malpractice RVU 0.90 changed to 0.94
- 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.
January 1, 2025
RVU25A
Earliest loaded release: $319.07
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $332.36 | Not available in this setting | RVU26D |
| 2026-07-01 | $332.36 | Not available in this setting | RVU26C |
| 2026-04-01 | $332.36 | Not available in this setting | RVU26B |
| 2026-01-01 | $332.36 | Not available in this setting | RVU26A |
| 2025-10-01 | $319.07 | Not available in this setting | RVU25D |
| 2025-07-01 | $319.07 | Not available in this setting | RVU25C |
| 2025-04-01 | $319.07 | Not available in this setting | RVU25B |
| 2025-01-01 | $319.07 | Not available in this setting | RVU25A |
93642 billing questions
How is 93642 different from a routine ICD check?
93642 describes electrophysiologic assessment of a transvenous ICD’s sensing and arrhythmia-termination functions. A routine device evaluation or programming service does not, by itself, support this code.
Can device programming be reported separately?
Programming or reprogramming performed as part of the electrophysiologic evaluation is included in 93642. Do not separately report that work as a routine device programming service for the same work.
When should 93641 be considered instead?
93641 applies to an electrophysiologic evaluation performed at the time of ICD implantation or replacement. Use 93642 for the transvenous ICD evaluation when the service is not that implant-or-replacement evaluation.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service; billing without either modifier represents the global service.
Can modifier 50 or an assistant modifier be used?
Modifier 50 is inappropriate for this code. Assistant-at-surgery payment is available only when medical necessity is documented.
What should the record include?
Document the transvenous ICD, the electrophysiologic testing and evaluation performed, the findings, and any programming changes. The record should distinguish this assessment from routine device follow-up.
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.
12,23193641,,Ep evl 1/2chmb pac cvdfb tst,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,23293641,26,Ep evl 1/2chmb pac cvdfb tst,A,,5.53,2.37,,2.37,,1.11,9.01,9.01,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,23393641,TC,Ep evl 1/2chmb pac cvdfb tst,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,23493642,,Ep evl 1/2chmb trnsvns cvdfb,A,,4.51,4.43,,4.43,NA,0.94,9.88,9.88,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,23593642,26,Ep evl 1/2chmb trnsvns cvdfb,A,,4.51,1.96,,1.96,,0.91,7.38,7.38,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,23693642,TC,Ep evl 1/2chmb trnsvns cvdfb,A,,0.00,2.47,,2.47,NA,0.03,2.50,2.50,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,23793644,,Ep eval subq impl dfb,A,,2.96,2.60,,2.60,NA,0.10,5.66,5.66,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664