Billing code 93286: Pacemaker managementMedicare rate & RVUs in Florida
Use this code for in-person evaluation and programming of a pacemaker system in connection with surgery or another procedure.
Medicare pays $43.26–$46.84 for 93286 in the office in Florida, from Rest Of Florida to Miami. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 93286 covers
This service covers an in-person check and programming of a single-, dual-, or multiple-lead pacemaker system in connection with surgery or another procedure. The clinician assesses the device and its settings and makes procedure-related programming changes when needed; the work includes analysis, review, and a report. It is commonly arranged for a patient with a pacemaker undergoing a procedure where device management is needed, such as a surgery involving electrosurgical equipment. A physician or other qualified health care professional supervises the service.
Report 93286 for the periprocedural service, rather than routine pacemaker programming or interrogation alone. Documentation should identify the procedure, the device system, the evaluation, any programming changes, and the resulting report. The code has professional and technical components: modifier 26 identifies the interpretation, modifier TC identifies equipment and staff, and billing without either modifier represents the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.
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.
Where 93286 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$43.26 to $46.84
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $45.41 | Unavailable |
| Miami | $46.84 | Unavailable |
| Rest Of Florida | $43.26 | Unavailable |
How the 93286 rate is calculated
Each of 93286’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93286
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.29Practice expense 1.02Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93286
The CMS indicators that decide how 93286 is paid alongside other services.
CMS payment indicators · 93286
Pacemaker management
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93286 without 26 · national office
$44.42
Pacemaker management
93286-26 · Professional component
$14.36
Pays only the interpretation and report.
93286 compared with similar codes
Compare codes
93286 vs 93287 vs 93288 vs 93280: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93287ICD evaluation
- Both describe periprocedural device management, but 93286 is for pacemaker systems and 93287 is for implantable defibrillator systems.
- 93288Pacemaker interrogation
- 93288 covers in-person pacemaker interrogation and evaluation. Choose 93286 when the service is periprocedural and includes programming.
- 93280Pacemaker programming check
- 93280 is routine programming evaluation for a dual-lead pacemaker. 93286 is for evaluation and programming tied to surgery or another procedure, across single-, dual-, or multiple-lead systems.
93286 billing questions
Can 93286 be used for routine pacemaker programming?
No. It describes device management in connection with surgery or another procedure. Routine pacemaker programming is represented by codes such as 93279, 93280, or 93281, depending on the system.
How is 93286 different from pacemaker interrogation?
93286 includes periprocedural programming as well as evaluation. Code 93288 describes in-person pacemaker interrogation and evaluation, rather than the periprocedural programming service.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical portion, including equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect the whole service?
The CMS cardiovascular diagnostic multiple procedure reduction applies to the technical component. It does not apply to the professional component under the rule listed for this code.
What documentation supports reporting 93286?
Document the procedure prompting device management, the pacemaker system evaluated, the review and analysis, any programming performed, and the resulting 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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