$56.29
Both describe periprocedural device management, but 93286 is for pacemaker systems and 93287 is for implantable defibrillator systems.
On this page
CMS RVU26D · Effective 2026-10-01
93286 Pacemaker management Medicare reimbursement rates in Hawaii
Use this code for in-person evaluation and programming of a pacemaker system in connection with surgery or another procedure. Compare 93286 office and facility rates across CMS payment localities in Hawaii.
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 93286 in Hawaii?
Hawaii 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
$48.81
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
No supported rate
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.
Cardiac device services
About 93286: Periprocedural pacemaker evaluation and programming
Use this code for in-person evaluation and programming of a pacemaker system in connection with surgery or another procedure.
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.
CMS billing rules for 93286
- Professional and technical components
- Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.
- Multiple procedures
- Cardiovascular diagnostic multiple procedure reduction applies to the technical component.
Where the value comes from
- Work RVU0.29 · 22%
- Practice expense (office) RVU1.02 · 77%
- Malpractice RVU0.02 · 2%
34.1K
Medicare services in 2024 · #929 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.
93286 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$60.75
93288 covers in-person pacemaker interrogation and evaluation. Choose 93286 when the service is periprocedural and includes programming.
$85.07
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.
Compare 93286 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
Hawaii, Guam →
Office / nonfacility
$48.81
Facility
Unavailable
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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 93286 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
12,007
- Code
- 93286
- Physician work
- 0.29
- Practice expense
- 1.02
- Malpractice
- 0.02
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.29 | × 1.000 | 0.2900 |
| Practice expense | 1.02 | × 1.137 | 1.1597 |
| Malpractice | 0.02 | × 0.579 | 0.0116 |
| Total RVUs | 1.4613 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$48.81
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.29 | 1 |
| Practice expense | 1.02 | 1.137 |
| Malpractice | 0.02 | 0.579 |
(0.29 × 1 + 1.02 × 1.137 + 0.02 × 0.579) × $33.4009 = $48.81
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.
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 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.
12,00493285,,Prgrmg dev eval scrms ip,A,,0.51,1.24,,1.24,NA,0.03,1.78,1.78,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00593285,26,Prgrmg dev eval scrms ip,A,,0.51,0.22,,0.22,,0.02,0.75,0.75,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00693285,TC,Prgrmg dev eval scrms ip,A,,0.00,1.02,,1.02,NA,0.01,1.03,1.03,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,00793286,,Peri-px eval pm/ldls pm ip,A,,0.29,1.02,,1.02,NA,0.02,1.33,1.33,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00893286,26,Peri-px eval pm/ldls pm ip,A,,0.29,0.13,,0.13,,0.01,0.43,0.43,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00993286,TC,Peri-px eval pm/ldls pm ip,A,,0.00,0.89,,0.89,NA,0.01,0.90,0.90,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,01093287,,Peri-px device eval & prgr,A,,0.44,1.08,,1.08,NA,0.03,1.55,1.55,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014