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CMS RVU26D · Effective 2026-10-01

93283 in Modesto

Office / nonfacility

$101.90

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 management

About 93283: Dual-lead ICD programming evaluation

Reports an in-person programming evaluation of a dual-lead implantable defibrillator, including review of device function and programming parameters.

This service is an in-person evaluation of a dual-lead implantable cardioverter-defibrillator (ICD). The clinician reviews device and lead function, battery status, stored rhythm events and delivered therapies, and programming parameters; programming may be adjusted as clinically indicated. Cardiologists, electrophysiologists, or other qualified clinicians commonly provide the service in a device clinic or hospital outpatient setting, with device staff supporting the evaluation as appropriate.

Select this code for a dual-lead ICD system; the system’s lead configuration distinguishes it from single- and multiple-lead ICD evaluations. The record should support the device and lead assessment, findings reviewed, and programming work performed. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. The cardiovascular diagnostic multiple-procedure reduction applies to the technical component.

CMS billing rules for 93283

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 RVU1.12 · 39%
  • Practice expense (office) RVU1.72 · 60%
  • Malpractice RVU0.05 · 2%

138.4K

Medicare services in 2024 · #468 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.

93283 compared with similar codes

Office rates for Modesto, from the same CMS release.

93282

ICD programming

Single-lead system

$83.09

93282 is the ICD programming evaluation for a single-lead system; 93283 is for a dual-lead system.

93284

Defibrillator evaluation

Multiple-lead system

$110.06

93284 represents a multiple-lead ICD system. Use 93283 when the evaluated ICD system has two leads.

93289

Device interrogation

Implantable defibrillator

$75.30

93289 covers an in-person ICD interrogation evaluation without programming; 93283 is the programming evaluation for a dual-lead system.

93295

Remote ICD check

Defibrillator, professional review, up to 90 days

$36.70

93295 is for remote ICD interrogation. 93283 describes an in-person programming evaluation.

The same code, a different location

How does Modesto compare?

In Bakersfield, the office rate for 93283 is $102.10—$0.20 higher than the $101.90 rate in Modesto. Both use the same code, release and participation basis.

93283 across payment areas

Same release and payment basis · bars start at $0

  1. Modesto · This locality

    $101.90

  2. $0.20 higher than Modesto

  3. Chico

    $101.90

    The same base rate than Modesto

  4. El Centro

    $101.91

    $0.01 higher than Modesto

  5. Fresno

    $101.90

    The same base rate than Modesto

  6. The same base rate than Modesto

  7. $6.11 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, 93283 ranges from $87.62 in Arkansas to $125.26 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 · 93283

    Office

    $101.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Merced

    California · 93283

    Office

    $101.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Napa

    California · 93283

    Office

    $116.33

    Facility

    Unavailable

    $14.43 higher than Modesto for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 93283

    Office

    $107.40

    Facility

    Unavailable

    $5.50 higher than Modesto for the office setting.

  • Redding

    California · 93283

    Office

    $101.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Rest Of California

    California · 93283

    Office

    $101.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 93283

    Office

    $102.47

    Facility

    Unavailable

    $0.57 higher than Modesto for the office setting.

  • Sacramento-Roseville-Folsom

    California · 93283

    Office

    $106.46

    Facility

    Unavailable

    $4.56 higher than Modesto for the office setting.

  • Salinas

    California · 93283

    Office

    $106.05

    Facility

    Unavailable

    $4.15 higher than Modesto for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 93283

    Office

    $108.15

    Facility

    Unavailable

    $6.25 higher than Modesto for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 93283

    Office

    $122.73

    Facility

    Unavailable

    $20.83 higher than Modesto for the office setting.

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

    California · 93283

    Office

    $122.68

    Facility

    Unavailable

    $20.78 higher than Modesto for the office setting.

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

    California · 93283

    Office

    $125.26

    Facility

    Unavailable

    $23.36 higher than Modesto for the office setting.

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

    California · 93283

    Office

    $125.03

    Facility

    Unavailable

    $23.13 higher than Modesto for the office setting.

  • San Luis Obispo-Paso Robles

    California · 93283

    Office

    $104.38

    Facility

    Unavailable

    $2.48 higher than Modesto for the office setting.

  • Santa Cruz-Watsonville

    California · 93283

    Office

    $108.89

    Facility

    Unavailable

    $6.99 higher than Modesto for the office setting.

  • Santa Maria-Santa Barbara

    California · 93283

    Office

    $106.34

    Facility

    Unavailable

    $4.44 higher than Modesto for the office setting.

  • Santa Rosa-Petaluma

    California · 93283

    Office

    $109.97

    Facility

    Unavailable

    $8.07 higher than Modesto for the office setting.

  • Stockton

    California · 93283

    Office

    $101.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Vallejo

    California · 93283

    Office

    $116.25

    Facility

    Unavailable

    $14.35 higher than Modesto for the office setting.

  • Visalia

    California · 93283

    Office

    $101.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Yuba City

    California · 93283

    Office

    $101.90

    Facility

    Unavailable

    The same base rate than Modesto for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 93283

    Office

    $108.96

    Facility

    Unavailable

    $7.06 higher than Modesto for the office setting.

  • Miami

    Florida · 93283

    Office

    $101.44

    Facility

    Unavailable

    $0.46 lower than Modesto for the office setting.

  • Chicago

    Illinois · 93283

    Office

    $99.24

    Facility

    Unavailable

    $2.66 lower than Modesto for the office setting.

  • Manhattan

    New York · 93283

    Office

    $109.21

    Facility

    Unavailable

    $7.31 higher than Modesto for the office setting.

  • Alaska*

    Alaska · 93283

    Office

    $118.22

    Facility

    Unavailable

    $16.32 higher than Modesto for the office setting.

  • Alabama

    Alabama · 93283

    Office

    $88.62

    Facility

    Unavailable

    $13.28 lower than Modesto for the office setting.

  • Arkansas

    Arkansas · 93283

    Office

    $87.62

    Facility

    Unavailable

    $14.28 lower than Modesto for the office setting.

  • Arizona

    Arizona · 93283

    Office

    $94.51

    Facility

    Unavailable

    $7.39 lower than Modesto for the office setting.

  • Colorado

    Colorado · 93283

    Office

    $100.29

    Facility

    Unavailable

    $1.61 lower than Modesto for the office setting.

  • Connecticut

    Connecticut · 93283

    Office

    $102.05

    Facility

    Unavailable

    $0.15 higher than Modesto for the office setting.

  • Delaware

    Delaware · 93283

    Office

    $95.86

    Facility

    Unavailable

    $6.04 lower than Modesto for the office setting.

  • Fort Lauderdale

    Florida · 93283

    Office

    $98.62

    Facility

    Unavailable

    $3.28 lower than Modesto for the office setting.

  • Rest Of Florida

    Florida · 93283

    Office

    $94.84

    Facility

    Unavailable

    $7.06 lower than Modesto for the office setting.

  • Atlanta

    Georgia · 93283

    Office

    $97.90

    Facility

    Unavailable

    $4.00 lower than Modesto for the office setting.

  • Rest Of Georgia

    Georgia · 93283

    Office

    $90.64

    Facility

    Unavailable

    $11.26 lower than Modesto for the office setting.

  • Hawaii, Guam

    Hawaii · 93283

    Office

    $103.70

    Facility

    Unavailable

    $1.80 higher than Modesto for the office setting.

  • Iowa

    Iowa · 93283

    Office

    $90.64

    Facility

    Unavailable

    $11.26 lower than Modesto for the office setting.

  • Idaho

    Idaho · 93283

    Office

    $91.05

    Facility

    Unavailable

    $10.85 lower than Modesto for the office setting.

  • East St. Louis

    Illinois · 93283

    Office

    $93.63

    Facility

    Unavailable

    $8.27 lower than Modesto for the office setting.

  • Rest Of Illinois

    Illinois · 93283

    Office

    $92.47

    Facility

    Unavailable

    $9.43 lower than Modesto for the office setting.

  • Suburban Chicago

    Illinois · 93283

    Office

    $99.63

    Facility

    Unavailable

    $2.27 lower than Modesto for the office setting.

  • Indiana

    Indiana · 93283

    Office

    $91.48

    Facility

    Unavailable

    $10.42 lower than Modesto for the office setting.

  • Kansas

    Kansas · 93283

    Office

    $90.19

    Facility

    Unavailable

    $11.71 lower than Modesto for the office setting.

  • Kentucky

    Kentucky · 93283

    Office

    $90.01

    Facility

    Unavailable

    $11.89 lower than Modesto for the office setting.

  • New Orleans

    Louisiana · 93283

    Office

    $93.37

    Facility

    Unavailable

    $8.53 lower than Modesto for the office setting.

  • Rest Of Louisiana

    Louisiana · 93283

    Office

    $89.85

    Facility

    Unavailable

    $12.05 lower than Modesto for the office setting.

  • Metropolitan Boston

    Massachusetts · 93283

    Office

    $109.02

    Facility

    Unavailable

    $7.12 higher than Modesto for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 93283

    Office

    $99.83

    Facility

    Unavailable

    $2.07 lower than Modesto for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 93283

    Office

    $101.72

    Facility

    Unavailable

    $0.18 lower than Modesto for the office setting.

  • Rest Of Maryland

    Maryland · 93283

    Office

    $97.46

    Facility

    Unavailable

    $4.44 lower than Modesto for the office setting.

  • Rest Of Maine

    Maine · 93283

    Office

    $91.30

    Facility

    Unavailable

    $10.60 lower than Modesto for the office setting.

  • Southern Maine

    Maine · 93283

    Office

    $95.40

    Facility

    Unavailable

    $6.50 lower than Modesto for the office setting.

  • Detroit

    Michigan · 93283

    Office

    $95.66

    Facility

    Unavailable

    $6.24 lower than Modesto for the office setting.

  • Rest Of Michigan

    Michigan · 93283

    Office

    $91.75

    Facility

    Unavailable

    $10.15 lower than Modesto for the office setting.

  • Minnesota

    Minnesota · 93283

    Office

    $97.02

    Facility

    Unavailable

    $4.88 lower than Modesto for the office setting.

  • Metropolitan Kansas City

    Missouri · 93283

    Office

    $92.99

    Facility

    Unavailable

    $8.91 lower than Modesto for the office setting.

  • Metropolitan St. Louis

    Missouri · 93283

    Office

    $93.77

    Facility

    Unavailable

    $8.13 lower than Modesto for the office setting.

  • Rest Of Missouri

    Missouri · 93283

    Office

    $88.56

    Facility

    Unavailable

    $13.34 lower than Modesto for the office setting.

  • Mississippi

    Mississippi · 93283

    Office

    $88.11

    Facility

    Unavailable

    $13.79 lower than Modesto for the office setting.

  • Montana**

    Montana · 93283

    Office

    $96.53

    Facility

    Unavailable

    $5.37 lower than Modesto for the office setting.

  • North Carolina

    North Carolina · 93283

    Office

    $92.08

    Facility

    Unavailable

    $9.82 lower than Modesto for the office setting.

  • North Dakota**

    North Dakota · 93283

    Office

    $95.54

    Facility

    Unavailable

    $6.36 lower than Modesto for the office setting.

  • Nebraska

    Nebraska · 93283

    Office

    $91.07

    Facility

    Unavailable

    $10.83 lower than Modesto for the office setting.

  • New Hampshire

    New Hampshire · 93283

    Office

    $98.68

    Facility

    Unavailable

    $3.22 lower than Modesto for the office setting.

  • Northern Nj

    New Jersey · 93283

    Office

    $108.19

    Facility

    Unavailable

    $6.29 higher than Modesto for the office setting.

  • Rest Of New Jersey

    New Jersey · 93283

    Office

    $103.47

    Facility

    Unavailable

    $1.57 higher than Modesto for the office setting.

  • New Mexico

    New Mexico · 93283

    Office

    $92.10

    Facility

    Unavailable

    $9.80 lower than Modesto for the office setting.

  • Nevada**

    Nevada · 93283

    Office

    $96.31

    Facility

    Unavailable

    $5.59 lower than Modesto for the office setting.

  • Nyc Suburbs/Long Island

    New York · 93283

    Office

    $111.21

    Facility

    Unavailable

    $9.31 higher than Modesto for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 93283

    Office

    $104.02

    Facility

    Unavailable

    $2.12 higher than Modesto for the office setting.

  • Queens

    New York · 93283

    Office

    $110.12

    Facility

    Unavailable

    $8.22 higher than Modesto for the office setting.

  • Rest Of New York

    New York · 93283

    Office

    $93.16

    Facility

    Unavailable

    $8.74 lower than Modesto for the office setting.

  • Ohio

    Ohio · 93283

    Office

    $91.54

    Facility

    Unavailable

    $10.36 lower than Modesto for the office setting.

  • Oklahoma

    Oklahoma · 93283

    Office

    $90.01

    Facility

    Unavailable

    $11.89 lower than Modesto for the office setting.

  • Portland

    Oregon · 93283

    Office

    $103.08

    Facility

    Unavailable

    $1.18 higher than Modesto for the office setting.

  • Rest Of Oregon

    Oregon · 93283

    Office

    $95.80

    Facility

    Unavailable

    $6.10 lower than Modesto for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 93283

    Office

    $99.88

    Facility

    Unavailable

    $2.02 lower than Modesto for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 93283

    Office

    $91.73

    Facility

    Unavailable

    $10.17 lower than Modesto for the office setting.

  • Puerto Rico

    Puerto Rico · 93283

    Office

    $97.14

    Facility

    Unavailable

    $4.76 lower than Modesto for the office setting.

  • Rhode Island

    Rhode Island · 93283

    Office

    $98.95

    Facility

    Unavailable

    $2.95 lower than Modesto for the office setting.

  • South Carolina

    South Carolina · 93283

    Office

    $91.91

    Facility

    Unavailable

    $9.99 lower than Modesto for the office setting.

  • South Dakota**

    South Dakota · 93283

    Office

    $95.42

    Facility

    Unavailable

    $6.48 lower than Modesto for the office setting.

  • Tennessee

    Tennessee · 93283

    Office

    $90.53

    Facility

    Unavailable

    $11.37 lower than Modesto for the office setting.

  • Austin

    Texas · 93283

    Office

    $99.75

    Facility

    Unavailable

    $2.15 lower than Modesto for the office setting.

  • Beaumont

    Texas · 93283

    Office

    $91.24

    Facility

    Unavailable

    $10.66 lower than Modesto for the office setting.

  • Brazoria

    Texas · 93283

    Office

    $95.94

    Facility

    Unavailable

    $5.96 lower than Modesto for the office setting.

  • Dallas

    Texas · 93283

    Office

    $96.40

    Facility

    Unavailable

    $5.50 lower than Modesto for the office setting.

  • Fort Worth

    Texas · 93283

    Office

    $95.85

    Facility

    Unavailable

    $6.05 lower than Modesto for the office setting.

  • Galveston

    Texas · 93283

    Office

    $96.14

    Facility

    Unavailable

    $5.76 lower than Modesto for the office setting.

  • Houston

    Texas · 93283

    Office

    $97.05

    Facility

    Unavailable

    $4.85 lower than Modesto for the office setting.

  • Rest Of Texas

    Texas · 93283

    Office

    $93.44

    Facility

    Unavailable

    $8.46 lower than Modesto for the office setting.

  • Utah

    Utah · 93283

    Office

    $92.91

    Facility

    Unavailable

    $8.99 lower than Modesto for the office setting.

  • Virginia

    Virginia · 93283

    Office

    $95.06

    Facility

    Unavailable

    $6.84 lower than Modesto for the office setting.

  • Virgin Islands

    United States Virgin Islands · 93283

    Office

    $97.14

    Facility

    Unavailable

    $4.76 lower than Modesto for the office setting.

  • Vermont

    Vermont · 93283

    Office

    $95.13

    Facility

    Unavailable

    $6.77 lower than Modesto for the office setting.

  • Rest Of Washington

    Washington · 93283

    Office

    $99.66

    Facility

    Unavailable

    $2.24 lower than Modesto for the office setting.

  • Seattle (King Cnty)

    Washington · 93283

    Office

    $111.13

    Facility

    Unavailable

    $9.23 higher than Modesto for the office setting.

  • Wisconsin

    Wisconsin · 93283

    Office

    $92.96

    Facility

    Unavailable

    $8.94 lower than Modesto for the office setting.

  • West Virginia

    West Virginia · 93283

    Office

    $89.72

    Facility

    Unavailable

    $12.18 lower than Modesto for the office setting.

  • Wyoming**

    Wyoming · 93283

    Office

    $96.09

    Facility

    Unavailable

    $5.81 lower than Modesto for the office setting.

See how rates vary across the country

93283 · 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.

$87.62

$118.22

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$118.221
AL$88.621
AR$87.621
AZ$94.511
CA$101.90–$125.2629
CO$100.291
CT$102.051
DC$108.961
DE$95.861
FL$94.84–$101.443
GA$90.64–$97.902
GU$103.701
HI$103.701
IA$90.641
ID$91.051
IL$92.47–$99.634
IN$91.481
KS$90.191
KY$90.011
LA$89.85–$93.372
MA$99.83–$109.022
MD$97.46–$108.963
ME$91.30–$95.402
MI$91.75–$95.662
MN$97.021
MO$88.56–$93.773
MS$88.111
MT$96.531
NC$92.081
ND$95.541
NE$91.071
NH$98.681
NJ$103.47–$108.192
NM$92.101
NV$96.311
NY$93.16–$111.215
OH$91.541
OK$90.011
OR$95.80–$103.082
PA$91.73–$99.882
PR$97.141
RI$98.951
SC$91.911
SD$95.421
TN$90.531
TX$91.24–$99.758
UT$92.911
VA$95.06–$108.962
VI$97.141
VT$95.131
WA$99.66–$111.132
WI$92.961
WV$89.721
WY$96.091

Explore 93283 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.

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 93283 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$112.09

$101.90 × 110% = $112.09

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 93283 in Modesto.

PPRRVU2026_Oct_nonQPP.csv

11,998

Code
93283
Physician work
1.12
Practice expense
1.72
Malpractice
0.05

GPCI2026.csv

16

Locality
Modesto
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 93283 in Modesto
ComponentRVULocality factorAdjusted
Physician work1.12× 1.0171.1390
Practice expense1.72× 1.0961.8851
Malpractice0.05× 0.5360.0268
Total RVUs3.0510
Conversion factor× 33.4009

Office / nonfacility rate, Modesto$101.90

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

Open 93283 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.121.017
Practice expense1.721.096
Malpractice0.050.536

(1.12 × 1.017 + 1.72 × 1.096 + 0.05 × 0.536) × $33.4009 = $101.90

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

93283 · Office / nonfacility

$101.90

Effective 2026-10-01

The base rate is $3.53 higher than on 2025-10-01, moving from $98.37 to $101.90 (3.6%).

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

    $98.37changed to$101.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.15 changed to 1.12
    • Practice expense RVU 1.69 changed to 1.72
    • 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: $98.37

    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$101.90Not available in this settingRVU26D
2026-07-01$101.90Not available in this settingRVU26C
2026-04-01$101.90Not available in this settingRVU26B
2026-01-01$101.90Not available in this settingRVU26A
2025-10-01$98.37Not available in this settingRVU25D
2025-07-01$98.37Not available in this settingRVU25C
2025-04-01$98.37Not available in this settingRVU25B
2025-01-01$98.37Not available in this settingRVU25A

93283 billing questions

How does this differ from 93282 or 93284?

Choose 93283 for a dual-lead ICD system. The related codes represent single-lead and multiple-lead ICD programming evaluations, respectively.

Does the clinician have to change a setting?

A programming change is not necessarily required when the evaluation supports the reported service. Document the review and any programming performed, including when settings remain unchanged.

Can the professional and technical portions be billed separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion involving equipment and staff. Without either modifier, the claim represents the global service.

Does the multiple-procedure reduction affect both portions?

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

When would 93289 be a better fit?

Use 93289 for an in-person ICD interrogation evaluation when programming is not part of the service. Use 93283 when the dual-lead system receives a programming evaluation.

Is a remote device transmission reported with this code?

No. This code describes an in-person programming evaluation; remote ICD interrogation is represented by a different service, such as 93295.

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 93283PPRRVU2026_Oct_nonQPP.csv, line 11,998 (RVU26D)
Geographic factors for ModestoGPCI2026.csv, line 16 (RVU26D)