$56.84
93297 covers remote monitoring of a different implantable cardiovascular physiologic monitor system. Choose 93264 for the wireless pulmonary artery pressure sensor.
On this page
CMS RVU26D · Effective 2026-10-01
93264 PA pressure monitoring Medicare reimbursement rates in Idaho
Remote monitoring of a wireless pulmonary artery pressure sensor, including data review and interpretation, is reported for a 30-day monitoring period. Compare 93264 office and facility rates across CMS payment localities in Idaho.
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 93264 in Idaho?
Idaho 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
$49.62
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$28.42
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
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.
Remote physiologic monitoring
About 93264: Wireless pulmonary artery pressure monitoring
Remote monitoring of a wireless pulmonary artery pressure sensor, including data review and interpretation, is reported for a 30-day monitoring period.
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.
Where the value comes from
- Work RVU0.68 · 43%
- Practice expense (office) RVU0.85 · 54%
- Malpractice RVU0.05 · 3%
41.9K
Medicare services in 2024 · #855 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.
93264 compared with similar codes
Office rates for Idaho, from the same CMS release.
$156.87
93268 describes external ECG event monitoring. Choose 93264 when the service is review of transmitted pulmonary artery pressure data from an implanted sensor.
$7.53
93270 is part of external ECG event-monitoring services, not pressure-sensor follow-up. Use 93264 for the implanted wireless pulmonary artery pressure sensor.
Compare 93264 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
Idaho →
Office / nonfacility
$49.62
Facility
$28.42
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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 93264 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
11,978
- Code
- 93264
- Physician work
- 0.68
- Practice expense
- 0.85
- Malpractice
- 0.05
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.68 | × 1.000 | 0.6800 |
| Practice expense | 0.85 | × 0.920 | 0.7820 |
| Malpractice | 0.05 | × 0.473 | 0.0237 |
| Total RVUs | 1.4857 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$49.62
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.68 | 1 |
| Practice expense | 0.85 | 0.92 |
| Malpractice | 0.05 | 0.473 |
(0.68 × 1 + 0.85 × 0.92 + 0.05 × 0.473) × $33.4009 = $49.62
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.68 | 1 |
| Practice expense | 0.16 | 0.92 |
| Malpractice | 0.05 | 0.473 |
(0.68 × 1 + 0.16 × 0.92 + 0.05 × 0.473) × $33.4009 = $28.42
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.
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 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.
11,97593261,,Interrogate subq defib,A,,0.72,1.33,,1.33,NA,0.04,2.09,2.09,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97693261,26,Interrogate subq defib,A,,0.72,0.31,,0.31,,0.03,1.06,1.06,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97793261,TC,Interrogate subq defib,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
11,97893264,,Rem mntr wrls p-art prs snr,A,,0.68,0.85,,0.16,,0.05,1.58,0.89,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97993268,,Ecg record/review,A,,0.51,4.53,,4.53,NA,0.04,5.08,5.08,4,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,98093270,,Remote 30 day ecg rev/report,A,,0.00,0.24,,0.24,NA,0.01,0.25,0.25,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,98193271,,Ecg/monitoring and analysis,A,,0.00,4.11,,4.11,NA,0.01,4.12,4.12,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772