$109.82
Use 93150 for therapy activation of the implanted system. Use 93153 for a device check without activation or programming.
On this page
CMS RVU26D · Effective 2026-10-01
93153 Device interrogation Medicare reimbursement rates in Delaware
Report 93153 for reviewing an implanted peripheral nerve neurostimulator’s function and stored information when the device is checked without changing its settings. Compare 93153 office and facility rates across CMS payment localities in Delaware.
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 93153 in Delaware?
Delaware 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
$57.57
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
Facility setting
$18.63
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
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.
Neurostimulation
About 93153: Implanted nerve stimulator interrogation without programming
Report 93153 for reviewing an implanted peripheral nerve neurostimulator’s function and stored information when the device is checked without changing its settings.
This service is a device check for an implanted peripheral nerve neurostimulator system, commonly an upper-airway stimulation system used to treat obstructive sleep apnea. A sleep medicine clinician, otolaryngologist, or other clinician managing the implant may interrogate the system during an outpatient follow-up to review device status and available operating information. The defining feature is that the clinician checks the device without programming or changing its settings.
Select 93153 when the documented service is interrogation alone. Use the programming-related sibling when the clinician interrogates and adjusts the system, and the polysomnography-related sibling when that service is performed in conjunction with a sleep study. Documentation should identify the implanted system, describe the interrogation and information reviewed, record relevant findings, and make clear whether settings were changed. The CMS physician fee schedule assigns value to physician work, practice expense, and malpractice; its practice-expense valuation differs between office and facility settings.
Where the value comes from
- Work RVU0.42 · 24%
- Practice expense (office) RVU1.29 · 74%
- Malpractice RVU0.03 · 2%
60
Medicare services in 2024 · #5248 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.
93153 compared with similar codes
Office rates for Delaware, from the same CMS release.
$93.65
93151 covers interrogation with programming. 93153 is the better fit when the clinician reviews the device but leaves its settings unchanged.
$144.47
93152 describes interrogation and programming in conjunction with polysomnography; 93153 describes interrogation without programming.
Compare 93153 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
Delaware →
Office / nonfacility
$57.57
Facility
$18.63
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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 93153 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
11,957
- Code
- 93153
- Physician work
- 0.42
- Practice expense
- 1.29
- Malpractice
- 0.03
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.42 | × 1.005 | 0.4221 |
| Practice expense | 1.29 | × 0.988 | 1.2745 |
| Malpractice | 0.03 | × 0.899 | 0.0270 |
| Total RVUs | 1.7236 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$57.57
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.42 | 1.005 |
| Practice expense | 1.29 | 0.988 |
| Malpractice | 0.03 | 0.899 |
(0.42 × 1.005 + 1.29 × 0.988 + 0.03 × 0.899) × $33.4009 = $57.57
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.42 | 1.005 |
| Practice expense | 0.11 | 0.988 |
| Malpractice | 0.03 | 0.899 |
(0.42 × 1.005 + 0.11 × 0.988 + 0.03 × 0.899) × $33.4009 = $18.63
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.
93153 billing questions
How does 93153 differ from 93151?
93153 represents interrogation without changing device settings. When the clinician interrogates and programs the implanted system, consider 93151 instead.
Can 93153 be used when the device is reprogrammed?
No. This code is for an interrogation without programming; document whether any device settings were changed.
How does 93153 differ from 93152?
93152 is the related interrogation-and-programming service performed in conjunction with polysomnography. 93153 describes interrogation without programming.
What should the record include?
Identify the implanted neurostimulator, describe the interrogation and information reviewed, document the findings, and indicate that settings were not changed.
Is 93153 the device activation service?
No. Device activation is represented by 93150; 93153 is for a later interrogation without programming.
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.
11,95493150,,Therapy activation ipnss,A,,0.83,2.42,,0.19,,0.07,3.32,1.09,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95593151,,Interrog&prgrmg ipnss,A,,0.78,1.99,,0.19,,0.06,2.83,1.03,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95693152,,Interrog&prgrmg ipnss polysm,A,,1.77,2.45,,0.36,,0.14,4.36,2.27,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95793153,,Interrog w/o prgrmg ipnss,A,,0.42,1.29,,0.11,,0.03,1.74,0.56,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,95893224,,Xtrnl ecg rec up to 48 hrs,A,,0.38,1.70,,1.70,NA,0.03,2.11,2.11,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,95993225,,Xtrnl ecg rec<48 hrs rec,A,,0.00,0.53,,0.53,NA,0.01,0.54,0.54,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,96093226,,Xtrnl ecg rec<48 hr scan a/r,A,,0.00,1.03,,1.03,NA,0.01,1.04,1.04,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
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
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503