$72.89
93282 describes programming and evaluation of a single-lead ICD system. Use 93724 for an antitachycardia pacemaker system.
On this page
CMS RVU26D · Effective 2026-10-01
93724 Pacemaker analysis Medicare reimbursement rates in Kentucky
Analysis of an implanted antitachycardia pacemaker, including ECG review and device reprogramming, reported when the system is evaluated and its settings adjusted. Compare 93724 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 93724 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
$264.25
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.
Cardiovascular diagnostics
About 93724: Antitachycardia pacemaker system analysis
Analysis of an implanted antitachycardia pacemaker, including ECG review and device reprogramming, reported when the system is evaluated and its settings adjusted.
This service evaluates an implanted antitachycardia pacing system, typically in a cardiology or electrophysiology office or hospital device clinic. A qualified clinician reviews device information and electrocardiographic findings, assesses pacing and sensing performance, and reprograms settings when needed, such as after device-recorded tachyarrhythmia episodes or a change in clinical status. It involves more than a basic device check because programming is part of the service.
Report the code for the antitachycardia pacemaker system service, with documentation of the device, findings, clinical reason for evaluation, settings before and after programming, and interpretation. The 0-day global period includes same-day preoperative and postoperative care. Modifier 26 identifies interpretation; TC identifies equipment and staff; no modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction affects the technical component. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 93724
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.76 · 57%
- Practice expense (office) RVU3.37 · 41%
- Malpractice RVU0.17 · 2%
520
Medicare services in 2024 · #3530 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.
93724 compared with similar codes
Office rates for Kentucky, from the same CMS release.
$90.01
93283 is for programming and evaluation of a dual-lead ICD system, not an antitachycardia pacemaker.
$65.99
93289 is an in-person ICD interrogation service. Choose 93724 for an antitachycardia pacemaker system evaluation that includes reprogramming.
Compare 93724 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
$264.25
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 93724 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
12,255
- Code
- 93724
- Physician work
- 4.76
- Practice expense
- 3.37
- Malpractice
- 0.17
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.76 | × 1.000 | 4.7600 |
| Practice expense | 3.37 | × 0.889 | 2.9959 |
| Malpractice | 0.17 | × 0.915 | 0.1556 |
| Total RVUs | 7.9115 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Kentucky$264.25
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.76 | 1 |
| Practice expense | 3.37 | 0.889 |
| Malpractice | 0.17 | 0.915 |
(4.76 × 1 + 3.37 × 0.889 + 0.17 × 0.915) × $33.4009 = $264.25
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.
93724 billing questions
How is this different from ICD system programming?
Use this code for an antitachycardia pacemaker system. ICD programming codes are selected for an implantable cardioverter-defibrillator system, based on its lead configuration.
Does the service include reprogramming?
Yes. Reprogramming is part of the service, along with device analysis and electrocardiographic assessment.
Can the professional and technical services be billed separately?
Yes. Report modifier 26 for the interpretation or TC for the equipment and staff; billing without either modifier represents the global service.
How does the multiple-procedure reduction affect this code?
When multiple cardiovascular diagnostic procedures are reported, the reduction applies to this code's technical component.
What documentation supports reporting this service?
Document the implanted system, reason for evaluation, device and ECG findings, settings before and after any changes, and the clinician's interpretation.
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.
12,25293668,,Peripheral vascular rehab,A,,0.00,0.45,,0.45,NA,0.01,0.46,0.46,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,25393701,,Bioimpedance cv analysis,A,,0.00,0.80,,0.80,NA,0.01,0.81,0.81,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,25493702,,Bis xtracell fluid analysis,A,,0.00,3.95,,3.95,NA,0.02,3.97,3.97,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,25593724,,Elec alys antitchycar pm sys,A,,4.76,3.37,,3.37,NA,0.17,8.30,8.30,1,000,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,25693724,26,Elec alys antitchycar pm sys,A,,4.76,1.99,,1.99,,0.16,6.91,6.91,1,000,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,25793724,TC,Elec alys antitchycar pm sys,A,,0.00,1.38,,1.38,NA,0.01,1.39,1.39,1,000,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,25893740,,Temperature gradient studies,B,+,0.16,0.07,,0.03,,0.01,0.24,0.20,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,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