CPT code 93282: ICD programming2026 Medicare rate & RVUs in Massachusetts
In-person programming evaluation tests and optimizes a single-lead implantable defibrillator system through iterative adjustment and supports device management.
Medicare pays $81.28–$89.07 for 93282 in the office in Massachusetts, from Rest Of Massachusetts to Metropolitan Boston. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 93282 covers
A physician or other qualified health care professional evaluates a single-lead implantable cardioverter-defibrillator (ICD) in person, reviews device diagnostics and recorded events, tests device operation, and adjusts programming to establish appropriate settings. This service is commonly performed in a cardiology or electrophysiology office, device clinic, or hospital outpatient setting. It is distinct from checking a pacemaker or evaluating an ICD remotely.
Report this code for an in-person programming evaluation of a single-lead ICD system; lead configuration, rather than the number of settings changed, distinguishes it from the dual- and multiple-lead codes. Documentation should identify the device and lead configuration, describe the evaluation and any adjustments, and record the resulting settings and interpretation. Modifier 26 represents the professional interpretation, while modifier TC represents the technical equipment and staff; without either modifier, the code represents the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.
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.
Where 93282 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston | $89.07 | Unavailable |
| Rest Of Massachusetts | $81.28 | Unavailable |
How the 93282 rate is calculated
Each of 93282’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 93282
RVUs × geographic indexes × conversion factor
Work0.83
0.83 RVUs× 1.000 GPCI
Practice expense1.48
1.48 RVUs× 1.000 GPCI
Malpractice0.04
0.04 RVUs× 1.000 GPCI
Adjusted RVUs
2.3500
Conversion factor
$33.4009
Medicare rate
$78.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93282
The CMS indicators that decide how 93282 is paid alongside other services.
CMS payment indicators · 93282
ICD programming
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93282 without 26 · national office
$78.49
ICD programming
93282-26 · Professional component
$40.42
Pays only the interpretation and report.
93282 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 93283ICD evaluation
- Use 93283 for an ICD with a dual-lead system; use 93282 for a single-lead system.
- 93284Defibrillator evaluation
- Use 93284 for a multiple-lead ICD system; 93282 is the single-lead system level.
- 93289Device interrogation
- 93289 describes an in-person ICD interrogation evaluation. Report 93282 when the service includes iterative programming adjustment of a single-lead system.
- 93295Remote ICD check
- 93295 is for remote ICD interrogation evaluation. Use 93282 for the in-person programming evaluation of a single-lead system.
93282 billing questions
How is this code distinguished from 93283 and 93284?
Choose by the ICD system's lead configuration: 93282 is for a single-lead system, 93283 for a dual-lead system, and 93284 for a multiple-lead system.
Can this code be used when the ICD is only interrogated?
This code represents an in-person programming evaluation that includes iterative adjustment. For an in-person ICD evaluation without programming, compare the service with 93289.
When should modifier 26 or TC be reported?
Use modifier 26 for the professional interpretation and modifier TC for the technical equipment and staff. Report the code 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. It does not apply to the professional component under the CMS rule provided for this code.
What documentation supports reporting this service?
Document the ICD and single-lead configuration, the device evaluation and any programming adjustments, the resulting settings, and the professional 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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