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CMS RVU26D · Effective 2026-10-01

93264 in Modesto

Office / nonfacility

$55.11

Base rate per service

Facility setting

$29.85

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.

Remote physiologic monitoring

About 93264: Wireless pulmonary artery pressure monitoring

Remote monitoring of a wireless pulmonary artery pressure sensor, including data review and interpretation, is reported for a 30-day monitoring period.

This service covers remote follow-up of a wireless pulmonary artery pressure sensor implanted for ongoing hemodynamic monitoring, commonly in patients with heart failure. A cardiologist or other qualified clinician reviews transmitted pressure data over the monitoring period, interprets trends, and prepares a report. Cardiology and heart-failure teams commonly use the information to follow changing pulmonary artery pressures between in-person visits.

Report 93264 for the 30-day service when the record supports monitoring of the implanted wireless pressure sensor and clinician review, interpretation, and reporting of its data. Documentation should identify the monitoring period, show that sensor data were received and reviewed, and support the resulting interpretation and report. Sensor calibration, data collection, monitoring, and reporting are part of this service; do not treat those activities as separate services under this code. Select this code for pulmonary artery pressure data, not ECG rhythm monitoring.

Where the value comes from

  • Work RVU0.68 · 43%
  • Practice expense (office) RVU0.85 · 54%
  • Malpractice RVU0.05 · 3%

41.9K

Medicare services in 2024 · #855 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.

93264 compared with similar codes

Office rates for Modesto, from the same CMS release.

93297

Remote device monitoring

Implantable cardiovascular physiologic monitor

$64.72

93297 covers remote monitoring of a different implantable cardiovascular physiologic monitor system. Choose 93264 for the wireless pulmonary artery pressure sensor.

93268

ECG monitoring

Up to 30 days

$183.87

93268 describes external ECG event monitoring. Choose 93264 when the service is review of transmitted pulmonary artery pressure data from an implanted sensor.

93270

ECG monitoring

Recording and connection

$8.96

93270 is part of external ECG event-monitoring services, not pressure-sensor follow-up. Use 93264 for the implanted wireless pulmonary artery pressure sensor.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 93264 is $55.28—$0.17 higher than the $55.11 rate in Modesto. Both use the same code, release and participation basis.

93264 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $55.11

  2. Bakersfield

    $55.28

    $0.17 higher than Modesto

  3. Chico

    $55.11

    The same base rate than Modesto

  4. El Centro

    $55.12

    $0.01 higher than Modesto

  5. Fresno

    $55.11

    The same base rate than Modesto

  6. Hanford-Corcoran

    $55.11

    The same base rate than Modesto

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

    $58.34

    $3.23 higher than Modesto

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, 93264 ranges from $47.96 in Arkansas to $67.05 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

  • Madera

    California · 93264

    Office

    $55.11

    Facility

    $29.85

    The same base rate than Modesto for the office setting.

  • Merced

    California · 93264

    Office

    $55.11

    Facility

    $29.85

    The same base rate than Modesto for the office setting.

  • Napa

    California · 93264

    Office

    $62.41

    Facility

    $32.04

    $7.30 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93264

    Office

    $57.95

    Facility

    $30.71

    $2.84 higher than Modesto for the office setting.

  • Redding

    California · 93264

    Office

    $55.11

    Facility

    $29.85

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 93264

    Office

    $55.11

    Facility

    $29.85

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93264

    Office

    $55.66

    Facility

    $30.40

    $0.55 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93264

    Office

    $57.44

    Facility

    $30.64

    $2.33 higher than Modesto for the office setting.

  • Salinas

    California · 93264

    Office

    $57.22

    Facility

    $30.51

    $2.11 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93264

    Office

    $58.25

    Facility

    $30.69

    $3.14 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93264

    Office

    $65.67

    Facility

    $33.17

    $10.56 higher than Modesto for the office setting.

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

    California · 93264

    Office

    $65.61

    Facility

    $33.12

    $10.50 higher than Modesto for the office setting.

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

    California · 93264

    Office

    $67.05

    Facility

    $33.81

    $11.94 higher than Modesto for the office setting.

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

    California · 93264

    Office

    $66.81

    Facility

    $33.58

    $11.70 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93264

    Office

    $56.33

    Facility

    $30.08

    $1.22 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 93264

    Office

    $58.58

    Facility

    $30.58

    $3.47 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 93264

    Office

    $57.35

    Facility

    $30.47

    $2.24 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 93264

    Office

    $59.15

    Facility

    $30.85

    $4.04 higher than Modesto for the office setting.

  • Stockton

    California · 93264

    Office

    $55.11

    Facility

    $29.85

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 93264

    Office

    $62.33

    Facility

    $31.95

    $7.22 higher than Modesto for the office setting.

  • Visalia

    California · 93264

    Office

    $55.11

    Facility

    $29.85

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 93264

    Office

    $55.11

    Facility

    $29.85

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93264

    Office

    $59.24

    Facility

    $32.09

    $4.13 higher than Modesto for the office setting.

  • Miami

    Florida · 93264

    Office

    $56.49

    Facility

    $32.50

    $1.38 higher than Modesto for the office setting.

  • Chicago

    Illinois · 93264

    Office

    $55.24

    Facility

    $32.08

    $0.13 higher than Modesto for the office setting.

  • Manhattan

    New York · 93264

    Office

    $59.80

    Facility

    $33.02

    $4.69 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 93264

    Office

    $65.23

    Facility

    $40.68

    $10.12 higher than Modesto for the office setting.

  • Alabama

    Alabama · 93264

    Office

    $48.50

    Facility

    $28.33

    $6.61 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 93264

    Office

    $47.96

    Facility

    $28.16

    $7.15 lower than Modesto for the office setting.

  • Arizona

    Arizona · 93264

    Office

    $51.65

    Facility

    $29.32

    $3.46 lower than Modesto for the office setting.

  • Colorado

    Colorado · 93264

    Office

    $54.50

    Facility

    $29.98

    $0.61 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 93264

    Office

    $55.76

    Facility

    $30.94

    $0.65 higher than Modesto for the office setting.

  • Delaware

    Delaware · 93264

    Office

    $52.38

    Facility

    $29.61

    $2.73 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 93264

    Office

    $54.49

    Facility

    $31.15

    $0.62 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 93264

    Office

    $52.36

    Facility

    $30.33

    $2.75 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 93264

    Office

    $53.63

    Facility

    $30.22

    $1.48 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 93264

    Office

    $50.03

    Facility

    $29.47

    $5.08 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 93264

    Office

    $55.96

    Facility

    $29.76

    $0.85 higher than Modesto for the office setting.

  • Iowa

    Iowa · 93264

    Office

    $49.35

    Facility

    $28.27

    $5.76 lower than Modesto for the office setting.

  • Idaho

    Idaho · 93264

    Office

    $49.62

    Facility

    $28.42

    $5.49 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 93264

    Office

    $52.20

    Facility

    $30.99

    $2.91 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 93264

    Office

    $51.24

    Facility

    $30.20

    $3.87 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 93264

    Office

    $54.99

    Facility

    $31.32

    $0.12 lower than Modesto for the office setting.

  • Indiana

    Indiana · 93264

    Office

    $49.84

    Facility

    $28.48

    $5.27 lower than Modesto for the office setting.

  • Kansas

    Kansas · 93264

    Office

    $49.22

    Facility

    $28.39

    $5.89 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 93264

    Office

    $49.48

    Facility

    $28.99

    $5.63 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 93264

    Office

    $51.33

    Facility

    $29.64

    $3.78 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 93264

    Office

    $49.44

    Facility

    $29.04

    $5.67 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 93264

    Office

    $59.03

    Facility

    $31.51

    $3.92 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93264

    Office

    $54.30

    Facility

    $30.03

    $0.81 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93264

    Office

    $55.61

    Facility

    $30.88

    $0.50 higher than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 93264

    Office

    $53.20

    Facility

    $29.88

    $1.91 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 93264

    Office

    $49.87

    Facility

    $28.67

    $5.24 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 93264

    Office

    $51.90

    Facility

    $29.06

    $3.21 lower than Modesto for the office setting.

  • Detroit

    Michigan · 93264

    Office

    $52.93

    Facility

    $30.69

    $2.18 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 93264

    Office

    $50.52

    Facility

    $29.48

    $4.59 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 93264

    Office

    $52.42

    Facility

    $28.71

    $2.69 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 93264

    Office

    $51.00

    Facility

    $29.36

    $4.11 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 93264

    Office

    $51.41

    Facility

    $29.47

    $3.70 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 93264

    Office

    $48.81

    Facility

    $28.95

    $6.30 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 93264

    Office

    $48.39

    Facility

    $28.55

    $6.72 lower than Modesto for the office setting.

  • Montana**

    Montana · 93264

    Office

    $52.77

    Facility

    $29.72

    $2.34 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 93264

    Office

    $50.27

    Facility

    $28.77

    $4.84 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 93264

    Office

    $51.78

    Facility

    $28.73

    $3.33 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 93264

    Office

    $49.55

    Facility

    $28.28

    $5.56 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 93264

    Office

    $53.73

    Facility

    $29.74

    $1.38 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 93264

    Office

    $58.86

    Facility

    $32.13

    $3.75 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 93264

    Office

    $56.46

    Facility

    $31.29

    $1.35 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 93264

    Office

    $50.75

    Facility

    $29.62

    $4.36 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 93264

    Office

    $52.52

    Facility

    $29.45

    $2.59 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93264

    Office

    $61.02

    Facility

    $33.62

    $5.91 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93264

    Office

    $56.84

    Facility

    $31.61

    $1.73 higher than Modesto for the office setting.

  • Queens

    New York · 93264

    Office

    $60.13

    Facility

    $32.89

    $5.02 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 93264

    Office

    $50.86

    Facility

    $28.96

    $4.25 lower than Modesto for the office setting.

  • Ohio

    Ohio · 93264

    Office

    $50.32

    Facility

    $29.28

    $4.79 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 93264

    Office

    $49.36

    Facility

    $28.78

    $5.75 lower than Modesto for the office setting.

  • Portland

    Oregon · 93264

    Office

    $55.86

    Facility

    $30.26

    $0.75 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 93264

    Office

    $52.16

    Facility

    $29.21

    $2.95 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93264

    Office

    $54.67

    Facility

    $30.68

    $0.44 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93264

    Office

    $50.35

    Facility

    $29.20

    $4.76 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 93264

    Office

    $53.06

    Facility

    $29.76

    $2.05 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 93264

    Office

    $53.96

    Facility

    $30.15

    $1.15 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 93264

    Office

    $50.37

    Facility

    $29.07

    $4.74 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 93264

    Office

    $51.66

    Facility

    $28.62

    $3.45 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 93264

    Office

    $49.42

    Facility

    $28.47

    $5.69 lower than Modesto for the office setting.

  • Austin

    Texas · 93264

    Office

    $54.28

    Facility

    $29.89

    $0.83 lower than Modesto for the office setting.

  • Beaumont

    Texas · 93264

    Office

    $50.10

    Facility

    $29.13

    $5.01 lower than Modesto for the office setting.

  • Brazoria

    Texas · 93264

    Office

    $52.33

    Facility

    $29.49

    $2.78 lower than Modesto for the office setting.

  • Dallas

    Texas · 93264

    Office

    $52.63

    Facility

    $29.67

    $2.48 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 93264

    Office

    $52.36

    Facility

    $29.64

    $2.75 lower than Modesto for the office setting.

  • Galveston

    Texas · 93264

    Office

    $52.47

    Facility

    $29.58

    $2.64 lower than Modesto for the office setting.

  • Houston

    Texas · 93264

    Office

    $53.38

    Facility

    $30.50

    $1.73 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 93264

    Office

    $51.16

    Facility

    $29.29

    $3.95 lower than Modesto for the office setting.

  • Utah

    Utah · 93264

    Office

    $50.90

    Facility

    $29.24

    $4.21 lower than Modesto for the office setting.

  • Virginia

    Virginia · 93264

    Office

    $51.80

    Facility

    $29.14

    $3.31 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93264

    Office

    $53.06

    Facility

    $29.76

    $2.05 lower than Modesto for the office setting.

  • Vermont

    Vermont · 93264

    Office

    $51.66

    Facility

    $28.85

    $3.45 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 93264

    Office

    $54.17

    Facility

    $29.91

    $0.94 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 93264

    Office

    $60.05

    Facility

    $31.77

    $4.94 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 93264

    Office

    $50.43

    Facility

    $28.35

    $4.68 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 93264

    Office

    $49.77

    Facility

    $29.75

    $5.34 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 93264

    Office

    $52.34

    Facility

    $29.29

    $2.77 lower than Modesto for the office setting.

See how rates vary across the country

93264 · 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.

$47.96

$65.23

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$65.231
AL$48.501
AR$47.961
AZ$51.651
CA$55.11–$67.0529
CO$54.501
CT$55.761
DC$59.241
DE$52.381
FL$52.36–$56.493
GA$50.03–$53.632
GU$55.961
HI$55.961
IA$49.351
ID$49.621
IL$51.24–$55.244
IN$49.841
KS$49.221
KY$49.481
LA$49.44–$51.332
MA$54.30–$59.032
MD$53.20–$59.243
ME$49.87–$51.902
MI$50.52–$52.932
MN$52.421
MO$48.81–$51.413
MS$48.391
MT$52.771
NC$50.271
ND$51.781
NE$49.551
NH$53.731
NJ$56.46–$58.862
NM$50.751
NV$52.521
NY$50.86–$61.025
OH$50.321
OK$49.361
OR$52.16–$55.862
PA$50.35–$54.672
PR$53.061
RI$53.961
SC$50.371
SD$51.661
TN$49.421
TX$50.10–$54.288
UT$50.901
VA$51.80–$59.242
VI$53.061
VT$51.661
WA$54.17–$60.052
WI$50.431
WV$49.771
WY$52.341

Explore 93264 on the national rate map →

Where does this rate apply?

Modesto is a Medicare payment area. Our Census mapping connects it to 33 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 →

Why are the office and facility amounts different?

For 93264 in Modesto, the physician’s office rate is $55.11 and the facility-setting rate is $29.85: a difference of $25.26.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93264 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$60.62

$55.11 × 110% = $60.62

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 93264 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

11,978

Code
93264
Physician work
0.68
Practice expense
0.85
Malpractice
0.05

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 93264 in Modesto
ComponentRVULocality factorAdjusted
Physician work0.68× 1.0170.6916
Practice expense0.85× 1.0960.9316
Malpractice0.05× 0.5360.0268
Total RVUs1.6500
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$55.11

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 93264 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.681.017
Practice expense0.851.096
Malpractice0.050.536

(0.68 × 1.017 + 0.85 × 1.096 + 0.05 × 0.536) × $33.4009 = $55.11

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.681.017
Practice expense0.161.096
Malpractice0.050.536

(0.68 × 1.017 + 0.16 × 1.096 + 0.05 × 0.536) × $33.4009 = $29.85

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

93264 · Office / nonfacility

$55.11

Effective 2026-10-01

The base rate is $3.31 higher than on 2025-10-01, moving from $51.80 to $55.11 (6.4%).

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

    $51.80changed to$55.11

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.70 changed to 0.68
    • Practice expense RVU 0.78 changed to 0.85
    • Malpractice RVU 0.07 changed to 0.05
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $51.80

    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$55.11$29.85RVU26D
2026-07-01$55.11$29.85RVU26C
2026-04-01$55.11$29.85RVU26B
2026-01-01$55.11$29.85RVU26A
2025-10-01$51.80$34.13RVU25D
2025-07-01$51.80$34.13RVU25C
2025-04-01$51.80$34.13RVU25B
2025-01-01$51.80$34.13RVU25A

93264 billing questions

When should 93264 be selected instead of an external ECG monitoring code?

Use 93264 for remote data from an implanted wireless pulmonary artery pressure sensor. External ECG monitoring codes describe evaluation of cardiac rhythm, not pulmonary artery pressure.

Can sensor calibration or data collection be billed separately?

No. Calibration, data collection, monitoring, clinician review and interpretation, and the report are included in the service.

What documentation supports reporting 93264?

Keep the monitoring-period dates, evidence of transmitted sensor data, documentation of clinician review and interpretation, and the resulting report.

How is the monitoring period represented?

The code represents a 30-day monitoring service. The record should support the period being reported.

Is 93264 the code for implanting the pressure sensor?

No. It represents remote monitoring after implantation. Code 33289 describes the sensor implantation service.

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 93264PPRRVU2026_Oct_nonQPP.csv, line 11,978 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet