Billing code 93264: PA pressure monitoringMedicare rate & RVUs in Guam
Remote monitoring of a wireless pulmonary artery pressure sensor, including data review and interpretation, is reported for a 30-day monitoring period.
Medicare pays $55.96 for 93264 in the office in Guam (Hawaii, Guam). 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 93264 covers
This service covers remote follow-up of a wireless pulmonary artery pressure sensor implanted for ongoing hemodynamic monitoring, commonly in patients with heart failure. A cardiologist or other qualified clinician reviews transmitted pressure data over the monitoring period, interprets trends, and prepares a report. Cardiology and heart-failure teams commonly use the information to follow changing pulmonary artery pressures between in-person visits.
Report 93264 for the 30-day service when the record supports monitoring of the implanted wireless pressure sensor and clinician review, interpretation, and reporting of its data. Documentation should identify the monitoring period, show that sensor data were received and reviewed, and support the resulting interpretation and report. Sensor calibration, data collection, monitoring, and reporting are part of this service; do not treat those activities as separate services under this code. Select this code for pulmonary artery pressure data, not ECG rhythm monitoring.
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.
93264 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $55.96 | $29.76 |
How the 93264 rate is calculated
Each of 93264’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 · 93264
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.68Practice expense 0.85Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93264
93264 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 93264
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$52.77
The facility rate would be $29.73 (+$23.04). In a facility, the facility bills its own costs separately.
93264 compared with similar codes
Compare codes
93264 vs 93297 vs 93268 vs 93270: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93297Remote device monitoring
- 93297 covers remote monitoring of a different implantable cardiovascular physiologic monitor system. Choose 93264 for the wireless pulmonary artery pressure sensor.
- 93268ECG monitoring
- 93268 describes external ECG event monitoring. Choose 93264 when the service is review of transmitted pulmonary artery pressure data from an implanted sensor.
- 93270ECG monitoring
- 93270 is part of external ECG event-monitoring services, not pressure-sensor follow-up. Use 93264 for the implanted wireless pulmonary artery pressure sensor.
93264 billing questions
When should 93264 be selected instead of an external ECG monitoring code?
Use 93264 for remote data from an implanted wireless pulmonary artery pressure sensor. External ECG monitoring codes describe evaluation of cardiac rhythm, not pulmonary artery pressure.
Can sensor calibration or data collection be billed separately?
No. Calibration, data collection, monitoring, clinician review and interpretation, and the report are included in the service.
What documentation supports reporting 93264?
Keep the monitoring-period dates, evidence of transmitted sensor data, documentation of clinician review and interpretation, and the resulting report.
How is the monitoring period represented?
The code represents a 30-day monitoring service. The record should support the period being reported.
Is 93264 the code for implanting the pressure sensor?
No. It represents remote monitoring after implantation. Code 33289 describes the sensor implantation service.
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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