$90.64
Use 93284 for an in-person multiple-lead defibrillator system evaluation; use 93283 when the evaluated system is dual lead.
On this page
CMS RVU26D · Effective 2026-10-01
93284 Defibrillator evaluation Medicare reimbursement rates in Iowa
Reports an in-person evaluation and programming of a multiple-lead implantable defibrillator, including review of device and rhythm data and any needed setting adjustments. Compare 93284 office and facility rates across CMS payment localities in Iowa.
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 93284 in Iowa?
Iowa 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
$97.95
1 of 1 localities have a supported rate.
Payment area: Iowa
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 evaluation
About 93284: In-person multilead defibrillator programming evaluation
Reports an in-person evaluation and programming of a multiple-lead implantable defibrillator, including review of device and rhythm data and any needed setting adjustments.
This service is an in-person evaluation of a multiple-lead implantable cardioverter-defibrillator, including a CRT-D. The clinician reviews stored rhythm and device information, assesses device and lead function, and adjusts programming when indicated. It is commonly performed by a cardiologist or electrophysiologist in an office or device clinic, with technical work supported by qualified device-clinic staff. The code is selected for the multiple-lead system, not simply because several settings or stored events are reviewed.
The record should support an in-person evaluation, the multiple-lead system, review of relevant device and rhythm data, and any programming performed. Report the global service without a component modifier, or identify the professional interpretation with modifier 26 and the technical service with modifier TC when billing the components separately. The cardiovascular diagnostic multiple procedure reduction applies to the technical component. The professional component is not subject to that reduction under the CMS rule supplied for this code.
CMS billing rules for 93284
- 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 RVU1.22 · 39%
- Practice expense (office) RVU1.85 · 59%
- Malpractice RVU0.05 · 2%
169.6K
Medicare services in 2024 · #416 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.
93284 compared with similar codes
Office rates for Iowa, from the same CMS release.
$73.48
93282 is for an in-person single-lead defibrillator system. The lead configuration, not the amount of data reviewed, distinguishes it from 93284.
$66.48
93289 reports in-person defibrillator interrogation and evaluation without the programming evaluation represented by 93284.
$34.19
93295 covers remote defibrillator interrogation and evaluation; 93284 is for an in-person multiple-lead programming evaluation.
Compare 93284 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
Iowa →
Office / nonfacility
$97.95
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 93284 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
12,001
- Code
- 93284
- Physician work
- 1.22
- Practice expense
- 1.85
- Malpractice
- 0.05
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.22 | × 1.000 | 1.2200 |
| Practice expense | 1.85 | × 0.915 | 1.6928 |
| Malpractice | 0.05 | × 0.397 | 0.0199 |
| Total RVUs | 2.9326 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$97.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.22 | 1 |
| Practice expense | 1.85 | 0.915 |
| Malpractice | 0.05 | 0.397 |
(1.22 × 1 + 1.85 × 0.915 + 0.05 × 0.397) × $33.4009 = $97.95
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.
93284 billing questions
How does 93284 differ from 93283?
93284 is for an implantable defibrillator with a multiple-lead system; 93283 is the dual-lead defibrillator evaluation. Select based on the device system evaluated.
Can the professional and technical services be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global service.
Does the multiple procedure reduction affect both components?
The CMS multiple procedure reduction applies to the technical component. It does not apply to the professional component under the rule supplied for this code.
What documentation supports 93284?
Document the in-person evaluation, the multiple-lead defibrillator system, the device and rhythm information reviewed, and any programming changes made.
Can 93284 be used for a remote device check?
No. 93284 describes an in-person programming evaluation. Remote defibrillator interrogation is represented by a different service, such as 93295.
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.
11,99893283,,Prgrmg eval implantable dfb,A,,1.12,1.72,,1.72,NA,0.05,2.89,2.89,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,99993283,26,Prgrmg eval implantable dfb,A,,1.12,0.47,,0.47,,0.04,1.63,1.63,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00093283,TC,Prgrmg eval implantable dfb,A,,0.00,1.25,,1.25,NA,0.01,1.26,1.26,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,00193284,,Prgrmg eval implantable dfb,A,,1.22,1.85,,1.85,NA,0.05,3.12,3.12,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00293284,26,Prgrmg eval implantable dfb,A,,1.22,0.51,,0.51,,0.04,1.77,1.77,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00393284,TC,Prgrmg eval implantable dfb,A,,0.00,1.34,,1.34,NA,0.01,1.35,1.35,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,00493285,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136