93294 covers the clinician's review and report of remote pacemaker or leadless pacemaker data. 93296 covers receipt of transmissions, technician review, technical support, and distribution of results.
On this page
CMS RVU26D · Effective 2026-10-01
93296 Remote device monitoring Medicare reimbursement rates in Kentucky
Report 93296 for technical acquisition, technician review, support, and distribution of remotely transmitted pacemaker, leadless pacemaker, or implantable defibrillator data. Compare 93296 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 93296 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
$28.22
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 monitoring
About 93296: Remote pacemaker or defibrillator monitoring, technical service
Report 93296 for technical acquisition, technician review, support, and distribution of remotely transmitted pacemaker, leadless pacemaker, or implantable defibrillator data.
This service covers the technical work behind remote interrogation of an implanted single-, dual-, or multiple-lead pacemaker, leadless pacemaker, or implantable cardioverter-defibrillator. A home transmitter or app sends device data to a monitoring platform. Device clinic technicians or nurses receive transmissions, review information such as battery status, lead performance, and recorded arrhythmias, provide technical support, and route results for clinical interpretation. Cardiology and electrophysiology practices commonly furnish this work in the office setting.
Report one unit for the monitoring interval of up to 90 days, rather than one unit per scheduled or alert-triggered transmission. The corresponding professional interpretation is reported separately with 93294 for a pacemaker or leadless pacemaker, or 93295 for an implantable defibrillator. CMS classifies 93296 as a technical-component-only code with no physician work value; do not append modifier 26 or TC. Documentation should identify the device, monitoring dates, transmissions received, technician review, technical support, and distribution of results.
CMS billing rules for 93296
- Professional and technical components
- Technical-component-only code: a separate code covers interpretation.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU0.94 · 99%
- Malpractice RVU0.01 · 1%
2M
Medicare services in 2024 · #83 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.
93296 compared with similar codes
Office rates for Kentucky, from the same CMS release.
93295 covers professional interpretation of remote implantable defibrillator data. 93296 covers the technical service for remote pacemaker, leadless pacemaker, or defibrillator interrogation.
93288 covers an in-person pacemaker interrogation. Use 93296 for the technical work of receiving and processing pacemaker data transmitted remotely.
Compare 93296 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
$28.22
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 93296 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,033
- Code
- 93296
- Physician work
- 0.00
- Practice expense
- 0.94
- Malpractice
- 0.01
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.94 | × 0.889 | 0.8357 |
| Malpractice | 0.01 | × 0.915 | 0.0092 |
| Total RVUs | 0.8448 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$28.22
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 0.94 | 0.889 |
| Malpractice | 0.01 | 0.915 |
(0 × 1 + 0.94 × 0.889 + 0.01 × 0.915) × $33.4009 = $28.22
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.
93296 billing questions
Does 93296 need modifier 26 or TC?
No. It is a technical-component-only code, so neither component modifier is appended. Report the professional interpretation separately with 93294 or 93295.
How many units of 93296 are reported?
Report one unit for the remote monitoring interval of up to 90 days, not one unit for each transmission received during that interval.
Which professional code pairs with 93296?
Use 93294 for interpretation of remote pacemaker or leadless pacemaker data and 93295 for interpretation of remote implantable defibrillator data from the corresponding monitoring interval.
Is 93296 used for implantable loop recorders or cardiac monitors?
No. Remote evaluation of an implantable cardiac rhythm monitor uses 93298 for the professional service; G2066 describes the associated Medicare technical service.
What documentation supports 93296?
Record the implanted device type, monitoring dates, transmissions received, technician review, technical support, and distribution of results.
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.
