Billing code 93287: ICD evaluationMedicare rate & RVUs in Florida
In-person evaluation and programming of an implantable defibrillator around a procedure, including device analysis, review, and reporting.
Medicare pays $50.69–$54.78 for 93287 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 93287 covers
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.
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 93287 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
$50.69 to $54.78
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | $53.05 | Unavailable |
| Miami | $54.78 | Unavailable |
| Rest Of Florida | $50.69 | Unavailable |
How the 93287 rate is calculated
Each of 93287’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 · 93287
RVUs × geographic indexes × conversion factor
Work0.44
0.44 RVUs× 1.000 GPCI
Practice expense1.08
1.08 RVUs× 1.000 GPCI
Malpractice0.03
0.03 RVUs× 1.000 GPCI
Adjusted RVUs
1.5500
Conversion factor
$33.4009
Medicare rate
$51.77
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93287
The CMS indicators that decide how 93287 is paid alongside other services.
CMS payment indicators · 93287
ICD evaluation
| 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
93287 without 26 · national office
$51.77
ICD evaluation
93287-26 · Professional component
$21.71
Pays only the interpretation and report.
93287 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93286Pacemaker management
- Both are peri-procedural device services. Choose 93287 for an ICD system and 93286 for a pacemaker system.
- 93289Device interrogation
- 93289 describes in-person interrogation of an ICD; 93287 is used when evaluation and programming occur in the peri-procedural setting.
- 93284Defibrillator evaluation
- 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.
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 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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