Billing code 93290: Device interrogationMedicare rate & RVUs in Guam
In-person interrogation of an implantable cardiovascular physiologic monitor, with review and analysis of recorded data and a resulting report.
Medicare pays $57.33 for 93290 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 93290 covers
This service is an in-person check of an implantable cardiovascular physiologic monitor, such as a system that records hemodynamic information used to manage heart failure. The clinician or device clinic team obtains the stored data for review; a qualified professional analyzes the findings and documents a report. It is distinct from checking a pacemaker, implantable defibrillator, or subcutaneous rhythm monitor, which are different device types.
Report the service for an in-person evaluation of the physiologic monitor, supported by documentation identifying the device, the data reviewed, the analysis, and the resulting report. It is a diagnostic test with separately priced professional and technical components: modifier 26 identifies the professional interpretation, modifier TC identifies the equipment and staff service, and no modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to this code’s 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.
93290 in Hawaii, Guam
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam | $57.33 | Unavailable |
How the 93290 rate is calculated
Each of 93290’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 · 93290
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.42Practice expense 1.13Malpractice 0.02
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93290
The CMS indicators that decide how 93290 is paid alongside other services.
CMS payment indicators · 93290
Device interrogation
| 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
93290 without 26 · national office
$52.44
Device interrogation
93290-26 · Professional component
$20.37
Pays only the interpretation and report.
93290 compared with similar codes
Compare codes
93290 vs 93297 vs 93291 vs 93289: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93297Remote device monitoring
- Use 93290 when the physiologic monitor is interrogated in person; 93297 describes remote interrogation of that device type.
- 93291Loop recorder check
- 93291 is for in-person interrogation of a subcutaneous cardiac rhythm monitor, such as an implantable loop recorder. 93290 is for an implantable cardiovascular physiologic monitor.
- 93289Device interrogation
- 93289 is for interrogation of an implantable defibrillator. Select 93290 when the device being evaluated is an implantable cardiovascular physiologic monitor.
93290 billing questions
How is this different from remote physiologic monitor interrogation?
93290 is for the in-person interrogation and data review. Remote interrogation of the same type of monitor is reported with 93297.
Which modifiers identify the professional and technical services?
Use modifier 26 for the professional interpretation and modifier TC for the technical service involving equipment and staff. Report without either modifier for the global service.
Does the multiple procedure reduction affect both components?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. The CMS rule supplied for this code does not extend that reduction to the professional component.
What documentation supports reporting 93290?
Document that the evaluation was in person, identify the implantable cardiovascular physiologic monitor, and record the data reviewed, the analysis, and the report.
Is this the code for a pacemaker or loop recorder check?
No. 93290 is for an implantable cardiovascular physiologic monitor. Pacemakers and subcutaneous cardiac rhythm monitors have separate interrogation codes.
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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