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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.

Find 93282 in your payment locality →

Where 93282 pays more and less in California

29 payment localities

$83.09 to $102.77

$83.09$92.93$102.77
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

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.

93283

ICD evaluation

Dual-lead system

$101.90–$125.26

Use 93283 for an ICD with a dual-lead system; use 93282 for a single-lead system.

93284

Defibrillator evaluation

Multiple-lead system

$110.06–$135.23

Use 93284 for a multiple-lead ICD system; 93282 is the single-lead system level.

93289

Device interrogation

Implantable defibrillator

$75.30–$93.28

93289 describes an in-person ICD interrogation evaluation. Report 93282 when the service includes iterative programming adjustment of a single-lead system.

93295

Remote ICD check

Defibrillator, professional review, up to 90 days

$36.70–$42.52

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

93282 office and facility rates by payment locality
Payment localityOfficeFacility
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.

RVUs for 93282PPRRVU2026_Oct_nonQPP.csv, line 11,995 (RVU26D)