$46.57
Both are peri-procedural device services. Choose 93287 for an ICD system and 93286 for a pacemaker system.
On this page
CMS RVU26D · Effective 2026-10-01
93287 ICD evaluation Medicare reimbursement rates in Colorado
In-person evaluation and programming of an implantable defibrillator around a procedure, including device analysis, review, and reporting. Compare 93287 office and facility rates across CMS payment localities in Colorado.
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 93287 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$54.04
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
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.
Cardiac device services
About 93287: Periprocedural ICD evaluation and programming
In-person evaluation and programming of an implantable defibrillator around a procedure, including device analysis, review, and reporting.
Code 93287 describes an in-person evaluation and programming of an implantable cardioverter-defibrillator (ICD) in the peri-procedural setting. A cardiologist, electrophysiologist, or qualified device clinician assesses the device and may adjust its settings for the procedure, then restore appropriate settings afterward. The service includes analysis, review, and a report, and applies to single-, dual-, and multiple-lead ICD systems. It is commonly performed when device settings need attention around surgery or another procedure that could affect ICD operation.
Report 93287 for the peri-procedural ICD service, not for routine device checks or programming unrelated to a procedure. Documentation should identify the procedure context, the ICD evaluation performed, any programming changes, and the findings and plan in the report. The service has professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the technical equipment and staff, and billing without a modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction applies to the technical component.
CMS billing rules for 93287
- 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 RVU0.44 · 28%
- Practice expense (office) RVU1.08 · 70%
- Malpractice RVU0.03 · 2%
14.1K
Medicare services in 2024 · #1288 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.
93287 compared with similar codes
Office rates for Colorado, from the same CMS release.
$74.05
93289 describes in-person interrogation of an ICD; 93287 is used when evaluation and programming occur in the peri-procedural setting.
$108.29
93284 is programming evaluation for a multiple-lead ICD outside the peri-procedural service. Use 93287 for the peri-procedural ICD service regardless of lead count.
Compare 93287 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.
1 of 1 payment localities
Colorado →
Office / nonfacility
$54.04
Facility
Unavailable
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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 93287 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
12,010
- Code
- 93287
- Physician work
- 0.44
- Practice expense
- 1.08
- Malpractice
- 0.03
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.44 | × 1.012 | 0.4453 |
| Practice expense | 1.08 | × 1.064 | 1.1491 |
| Malpractice | 0.03 | × 0.781 | 0.0234 |
| Total RVUs | 1.6178 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Colorado$54.04
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.44 | 1.012 |
| Practice expense | 1.08 | 1.064 |
| Malpractice | 0.03 | 0.781 |
(0.44 × 1.012 + 1.08 × 1.064 + 0.03 × 0.781) × $33.4009 = $54.04
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.
93287 billing questions
How is 93287 different from 93289?
93287 is for ICD evaluation and programming in the peri-procedural setting. Use 93289 for an in-person ICD interrogation when the service is not peri-procedural.
How does 93287 differ from 93286?
Both describe peri-procedural device evaluation and programming, but 93287 is for an ICD system and 93286 is for a pacemaker system.
Which modifier identifies the interpretation?
Append modifier 26 for the professional component. Modifier TC identifies the technical component; billing without either modifier represents the global service.
Does the multiple-procedure reduction affect both components?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component of 93287.
What should the record support?
Document the peri-procedural context, the ICD evaluation and any programming performed, and the resulting device findings and report.
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.
12,00793286,,Peri-px eval pm/ldls pm ip,A,,0.29,1.02,,1.02,NA,0.02,1.33,1.33,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00893286,26,Peri-px eval pm/ldls pm ip,A,,0.29,0.13,,0.13,,0.01,0.43,0.43,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00993286,TC,Peri-px eval pm/ldls pm ip,A,,0.00,0.89,,0.89,NA,0.01,0.90,0.90,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,01093287,,Peri-px device eval & prgr,A,,0.44,1.08,,1.08,NA,0.03,1.55,1.55,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,01193287,26,Peri-px device eval & prgr,A,,0.44,0.19,,0.19,,0.02,0.65,0.65,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,01293287,TC,Peri-px device eval & prgr,A,,0.00,0.89,,0.89,NA,0.01,0.90,0.90,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,01393288,,Interrog evl pm/ldls pm ip,A,,0.42,1.22,,1.22,NA,0.02,1.66,1.66,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899