Use 93291 for in-person interrogation and analysis of recorded events. Use 93285 when the service is an in-person programming evaluation of the subcutaneous monitor.
On this page
CMS RVU26D · Effective 2026-10-01
93291 Loop recorder check Medicare reimbursement rates in Maine
In-person interrogation of an implanted subcutaneous cardiac rhythm monitor to retrieve and analyze stored rhythm events and document device findings. Compare 93291 office and facility rates across CMS payment localities in Maine.
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 93291 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$45.01–$47.53
2 of 2 localities have a supported rate.
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 93291: In-person loop recorder interrogation
In-person interrogation of an implanted subcutaneous cardiac rhythm monitor to retrieve and analyze stored rhythm events and document device findings.
This service evaluates an implanted subcutaneous cardiac rhythm monitor, often called an implantable loop recorder, during an in-person device check. Device clinic staff retrieve stored information, and a physician or other qualified practitioner reviews and interprets recorded events and reports the findings. These monitors may be used to investigate intermittent symptoms such as syncope or palpitations when rhythm information is needed over time.
Report 93291 for the in-person interrogation and analysis of the subcutaneous monitor, not simply for changing its programmed settings. The record should identify the device and support the in-person evaluation, data review, interpretation, and report. Billing without a modifier represents the global service; modifier 26 identifies the professional interpretation, while modifier TC identifies the technical service, including equipment and staff. When multiple cardiovascular diagnostic procedures are performed, the CMS multiple-procedure reduction applies to this code’s technical component.
CMS billing rules for 93291
- 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 RVU0.36 · 25%
- Practice expense (office) RVU1.06 · 74%
- Malpractice RVU0.02 · 1%
57.5K
Medicare services in 2024 · #728 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.
93291 compared with similar codes
Office rates for Maine, from the same CMS release.
Both concern subcutaneous cardiac rhythm monitors, but 93291 is for an in-person interrogation and 93298 is for remote interrogation.
93290 concerns interrogation of an implantable cardiovascular physiologic monitor; 93291 is for a subcutaneous cardiac rhythm monitor.
93289 is used for interrogation of an implantable defibrillator system. 93291 is for an implanted subcutaneous cardiac rhythm monitor.
Compare 93291 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$45.01
Facility
Unavailable
Southern Maine →
Office / nonfacility
$47.53
Facility
Unavailable
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
93291 billing questions
How is 93291 different from 93285?
93291 represents in-person interrogation and analysis of a subcutaneous cardiac rhythm monitor. 93285 is for its in-person programming evaluation, such as device-setting adjustments.
When should 93298 be considered instead?
93298 is the remote interrogation code for a subcutaneous cardiac rhythm monitor. Use 93291 for the in-person interrogation.
Which modifiers identify the professional and technical services?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Billing without a modifier represents the global service.
Does the multiple-procedure reduction affect both components?
The CMS cardiovascular diagnostic multiple-procedure reduction applies to the technical component of 93291.
What documentation supports reporting 93291?
Document the implanted subcutaneous monitor, the in-person interrogation, the recorded data reviewed and analyzed, and the resulting findings or report.
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.
