Use 93283 for an ICD with a dual-lead system; use 93282 for a single-lead system.
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CMS RVU26D · Effective 2026-10-01
93282 ICD programming Medicare reimbursement rates in California
In-person programming evaluation tests and optimizes a single-lead implantable defibrillator system through iterative adjustment and supports device management. Compare 93282 office and facility rates across CMS payment localities in California.
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.
What does Medicare pay for 93282 in California?
California has 29 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 29 payment areas shown below, using the same CMS release.
Office / nonfacility
$83.09–$102.77
29 of 29 localities have a supported rate.
Lowest: Chico
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $19.68 per service.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 93282 pays more and less in California
29 payment localities
$83.09 to $102.77
Cardiac device evaluation
About 93282: Single-lead ICD programming evaluation
In-person programming evaluation tests and optimizes a single-lead implantable defibrillator system through iterative adjustment and supports device management.
A physician or other qualified health care professional evaluates a single-lead implantable cardioverter-defibrillator (ICD) in person, reviews device diagnostics and recorded events, tests device operation, and adjusts programming to establish appropriate settings. This service is commonly performed in a cardiology or electrophysiology office, device clinic, or hospital outpatient setting. It is distinct from checking a pacemaker or evaluating an ICD remotely.
Report this code for an in-person programming evaluation of a single-lead ICD system; lead configuration, rather than the number of settings changed, distinguishes it from the dual- and multiple-lead codes. Documentation should identify the device and lead configuration, describe the evaluation and any adjustments, and record the resulting settings and interpretation. Modifier 26 represents the professional interpretation, while modifier TC represents the technical equipment and staff; without either modifier, the code represents the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.
CMS billing rules for 93282
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU0.83 · 35%
- Practice expense (office) RVU1.48 · 63%
- Malpractice RVU0.04 · 2%
61.4K
Medicare services in 2024 · #705 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.
93282 compared with similar codes
Office rates for California, from the same CMS release.
Use 93284 for a multiple-lead ICD system; 93282 is the single-lead system level.
93289 describes an in-person ICD interrogation evaluation. Report 93282 when the service includes iterative programming adjustment of a single-lead system.
93295 is for remote ICD interrogation evaluation. Use 93282 for the in-person programming evaluation of a single-lead system.
Compare 93282 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield | Office $83.24 | Facility Unavailable |
| Chico | Office $83.09 | Facility Unavailable |
| El Centro | Office $83.10 | Facility Unavailable |
| Fresno | Office $83.09 | Facility Unavailable |
| Hanford-Corcoran | Office $83.09 | Facility Unavailable |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $88.23 | Facility Unavailable |
| Madera | Office $83.09 | Facility Unavailable |
| Merced | Office $83.09 | Facility Unavailable |
| Modesto | Office $83.09 | Facility Unavailable |
| Napa | Office $95.30 | Facility Unavailable |
| Oxnard-Thousand Oaks-Ventura | Office $87.76 | Facility Unavailable |
| Redding | Office $83.09 | Facility Unavailable |
| Rest Of California | Office $83.09 | Facility Unavailable |
| Riverside-San Bernardino-Ontario | Office $83.54 | Facility Unavailable |
| Sacramento-Roseville-Folsom | Office $86.93 | Facility Unavailable |
| Salinas | Office $86.59 | Facility Unavailable |
| San Diego-Chula Vista-Carlsbad | Office $88.40 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $100.67 | Facility Unavailable |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $100.63 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $102.77 | Facility Unavailable |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $102.59 | Facility Unavailable |
| San Luis Obispo-Paso Robles | Office $85.21 | Facility Unavailable |
| Santa Cruz-Watsonville | Office $89.08 | Facility Unavailable |
| Santa Maria-Santa Barbara | Office $86.85 | Facility Unavailable |
| Santa Rosa-Petaluma | Office $89.97 | Facility Unavailable |
| Stockton | Office $83.09 | Facility Unavailable |
| Vallejo | Office $95.24 | Facility Unavailable |
| Visalia | Office $83.09 | Facility Unavailable |
| Yuba City | Office $83.09 | Facility Unavailable |
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93282 billing questions
How is this code distinguished from 93283 and 93284?
Choose by the ICD system's lead configuration: 93282 is for a single-lead system, 93283 for a dual-lead system, and 93284 for a multiple-lead system.
Can this code be used when the ICD is only interrogated?
This code represents an in-person programming evaluation that includes iterative adjustment. For an in-person ICD evaluation without programming, compare the service with 93289.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical equipment and staff. Report the code without either modifier for the global service.
Does the multiple procedure reduction affect both components?
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.
What documentation supports reporting this service?
Document the ICD and single-lead configuration, the device evaluation and any programming adjustments, the resulting settings, and the professional interpretation.
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.
