$55.96
Use 93290 when the physiologic monitor is interrogated in person; 93297 describes remote interrogation of that device type.
On this page
CMS RVU26D · Effective 2026-10-01
93290 Device interrogation Medicare reimbursement rates in Kentucky
In-person interrogation of an implantable cardiovascular physiologic monitor, with review and analysis of recorded data and a resulting report. Compare 93290 office and facility rates across CMS payment localities in Kentucky.
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 93290 in Kentucky?
Kentucky 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
$48.19
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 93290: In-person physiologic monitor interrogation
In-person interrogation of an implantable cardiovascular physiologic monitor, with review and analysis of recorded data and a resulting report.
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.
CMS billing rules for 93290
- 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 RVU0.42 · 27%
- Practice expense (office) RVU1.13 · 72%
- Malpractice RVU0.02 · 1%
72.6K
Medicare services in 2024 · #656 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.
93290 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$44.11
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.
$65.99
93289 is for interrogation of an implantable defibrillator. Select 93290 when the device being evaluated is an implantable cardiovascular physiologic monitor.
Compare 93290 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
Kentucky →
Office / nonfacility
$48.19
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 93290 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,019
- Code
- 93290
- Physician work
- 0.42
- Practice expense
- 1.13
- Malpractice
- 0.02
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.42 | × 1.000 | 0.4200 |
| Practice expense | 1.13 | × 0.889 | 1.0046 |
| Malpractice | 0.02 | × 0.915 | 0.0183 |
| Total RVUs | 1.4429 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$48.19
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.42 | 1 |
| Practice expense | 1.13 | 0.889 |
| Malpractice | 0.02 | 0.915 |
(0.42 × 1 + 1.13 × 0.889 + 0.02 × 0.915) × $33.4009 = $48.19
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.
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 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.
12,01693289,,Interrog device eval heart,A,,0.73,1.36,,1.36,NA,0.04,2.13,2.13,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,01793289,26,Interrog device eval heart,A,,0.73,0.30,,0.30,,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
12,01893289,TC,Interrog device eval heart,A,,0.00,1.06,,1.06,NA,0.01,1.07,1.07,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,01993290,,Interrog dev eval icpms ip,A,,0.42,1.13,,1.13,NA,0.02,1.57,1.57,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,02093290,26,Interrog dev eval icpms ip,A,,0.42,0.18,,0.18,,0.01,0.61,0.61,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,02193290,TC,Interrog dev eval icpms ip,A,,0.00,0.95,,0.95,NA,0.01,0.96,0.96,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,02293291,,Interrog dev eval scrms ip,A,,0.36,1.06,,1.06,NA,0.02,1.44,1.44,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631