$34.78
Both cover professional review of remote device interrogations. Choose 93294 for a pacemaker or leadless pacemaker; choose 93295 for an implantable cardioverter-defibrillator.
On this page
CMS RVU26D · Effective 2026-10-01
93294 Remote pacemaker check Medicare reimbursement rates in Kentucky
Professional review and reporting of remote interrogations from an implanted pacemaker or leadless pacemaker during an eligible monitoring period of up to 90 days. Compare 93294 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 93294 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
$28.35
1 of 1 localities have a supported rate.
Payment area: Kentucky
One mapped payment locality.
Facility setting
$28.35
1 of 1 localities have a supported rate.
Payment area: Kentucky
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.
Cardiac device monitoring
About 93294: Remote pacemaker interrogation, professional interpretation
Professional review and reporting of remote interrogations from an implanted pacemaker or leadless pacemaker during an eligible monitoring period of up to 90 days.
This service covers a physician's or other qualified health care professional's interpretation of data transmitted from an implanted pacemaker, including single-, dual-, or multiple-lead systems and leadless pacemakers. A cardiologist or electrophysiologist may review transmissions handled by a practice or device clinic. The review assesses battery status, pacing and sensing, stored rhythm episodes, and lead or electrode information when those data are available. It results in clinical findings and a report, rather than a programming adjustment.
Report one unit for a 90-day remote monitoring period when at least 30 days of monitoring have occurred; additional transmissions within that period do not create additional units. The record should identify the device, transmission dates, findings, and the clinician's analysis and report. CMS prices 93294 as the professional interpretation and report, so modifier 26 is not appended. Code 93296 covers the separately reported technical work, including transmission handling and technical support. An in-person interrogation or transtelephonic check should not be billed again for the same work captured in the remote review.
CMS billing rules for 93294
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.59 · 67%
- Practice expense (office) RVU0.25 · 28%
- Malpractice RVU0.04 · 5%
1.9M
Medicare services in 2024 · #85 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.
93294 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$28.22
93294 covers the clinician's interpretation and report. 93296 covers technical transmission and monitoring work; the services may be reported by different entities.
$50.87
93288 describes an in-person pacemaker interrogation. Choose 93294 for the professional review of remote interrogations, without billing 93288 for that same work.
$36.46
93293 concerns transtelephonic pacemaker rhythm-strip evaluation. Choose 93294 for professional review of remote device interrogation data rather than a rhythm-strip check.
Compare 93294 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
$28.35
Facility
$28.35
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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 93294 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,031
- Code
- 93294
- Physician work
- 0.59
- Practice expense
- 0.25
- Malpractice
- 0.04
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.59 | × 1.000 | 0.5900 |
| Practice expense | 0.25 | × 0.889 | 0.2223 |
| Malpractice | 0.04 | × 0.915 | 0.0366 |
| Total RVUs | 0.8488 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$28.35
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 0.25 | 0.889 |
| Malpractice | 0.04 | 0.915 |
(0.59 × 1 + 0.25 × 0.889 + 0.04 × 0.915) × $33.4009 = $28.35
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.59 | 1 |
| Practice expense | 0.25 | 0.889 |
| Malpractice | 0.04 | 0.915 |
(0.59 × 1 + 0.25 × 0.889 + 0.04 × 0.915) × $33.4009 = $28.35
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.
93294 billing questions
How many units are reported for multiple transmissions?
Report one unit for the 90-day period after at least 30 days of monitoring. Multiple transmissions reviewed during that period do not each generate a unit of 93294.
Does 93294 need modifier 26?
No. CMS treats 93294 as the professional interpretation and report; 93296 covers the separately reported technical service.
Should 93294 or 93295 be used?
Use 93294 for remote interrogation review of a pacemaker or leadless pacemaker. Use 93295 for the professional review of an implantable cardioverter-defibrillator, including a CRT-D.
Is an in-office pacemaker interrogation also reported?
Code 93288 describes an in-person interrogation. Do not report it merely for reviewing the transmissions or duplicate the work reported with 93294.
What documentation supports 93294?
Document the pacemaker type, monitoring period, transmissions reviewed, available device measurements and stored events, and the clinician's analysis and report.
Who reports the technical service?
The entity furnishing the technical transmission and monitoring work reports 93296. It may be a different entity from the clinician reporting 93294.
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.
12,02893293,,Pm phone r-strip device eval,A,,0.30,0.87,,0.87,NA,0.02,1.19,1.19,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,02993293,26,Pm phone r-strip device eval,A,,0.30,0.09,,0.09,,0.01,0.40,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,03093293,TC,Pm phone r-strip device eval,A,,0.00,0.78,,0.78,NA,0.01,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,03193294,,Rem interrog evl pm/ldls pm,A,,0.59,0.25,,0.25,,0.04,0.88,0.88,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,03293295,,Dev interrog remote 1/2/mlt,A,,0.72,0.31,,0.31,,0.05,1.08,1.08,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,03393296,,Rem interrog evl pm/ids,A,,0.00,0.94,,0.94,NA,0.01,0.95,0.95,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,03493297,,Rem interrog dev eval icpms,A,,0.51,1.28,,1.28,NA,0.03,1.82,1.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,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