$81.28–$89.07
93282 is the ICD programming evaluation for a single-lead system; 93283 is for a dual-lead system.
On this page
CMS RVU26D · Effective 2026-10-01
93283 ICD evaluation Medicare reimbursement rates in Massachusetts
Reports an in-person programming evaluation of a dual-lead implantable defibrillator, including review of device function and programming parameters. Compare 93283 office and facility rates across CMS payment localities in Massachusetts.
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 93283 in Massachusetts?
Massachusetts 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
$99.83–$109.02
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 management
About 93283: Dual-lead ICD programming evaluation
Reports an in-person programming evaluation of a dual-lead implantable defibrillator, including review of device function and programming parameters.
This service is an in-person evaluation of a dual-lead implantable cardioverter-defibrillator (ICD). The clinician reviews device and lead function, battery status, stored rhythm events and delivered therapies, and programming parameters; programming may be adjusted as clinically indicated. Cardiologists, electrophysiologists, or other qualified clinicians commonly provide the service in a device clinic or hospital outpatient setting, with device staff supporting the evaluation as appropriate.
Select this code for a dual-lead ICD system; the system’s lead configuration distinguishes it from single- and multiple-lead ICD evaluations. The record should support the device and lead assessment, findings reviewed, and programming work performed. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. The cardiovascular diagnostic multiple-procedure reduction applies to the technical component.
CMS billing rules for 93283
- 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 RVU1.12 · 39%
- Practice expense (office) RVU1.72 · 60%
- Malpractice RVU0.05 · 2%
138.4K
Medicare services in 2024 · #468 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.
93283 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
$107.80–$117.69
93284 represents a multiple-lead ICD system. Use 93283 when the evaluated ICD system has two leads.
$73.67–$80.81
93289 covers an in-person ICD interrogation evaluation without programming; 93283 is the programming evaluation for a dual-lead system.
$36.67–$38.88
93295 is for remote ICD interrogation. 93283 describes an in-person programming evaluation.
Compare 93283 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
Metropolitan Boston →
Office / nonfacility
$109.02
Facility
Unavailable
Rest Of Massachusetts →
Office / nonfacility
$99.83
Facility
Unavailable
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93283 billing questions
How does this differ from 93282 or 93284?
Choose 93283 for a dual-lead ICD system. The related codes represent single-lead and multiple-lead ICD programming evaluations, respectively.
Does the clinician have to change a setting?
A programming change is not necessarily required when the evaluation supports the reported service. Document the review and any programming performed, including when settings remain unchanged.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion involving equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple-procedure reduction affect both portions?
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.
When would 93289 be a better fit?
Use 93289 for an in-person ICD interrogation evaluation when programming is not part of the service. Use 93283 when the dual-lead system receives a programming evaluation.
Is a remote device transmission reported with this code?
No. This code describes an in-person programming evaluation; remote ICD interrogation is represented by a different service, such as 93295.
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.
11,99593282,,Prgrmg eval implantable dfb,A,,0.83,1.48,,1.48,NA,0.04,2.35,2.35,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,99693282,26,Prgrmg eval implantable dfb,A,,0.83,0.35,,0.35,,0.03,1.21,1.21,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,99793282,TC,Prgrmg eval implantable dfb,A,,0.00,1.13,,1.13,NA,0.01,1.14,1.14,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,99893283,,Prgrmg eval implantable dfb,A,,1.12,1.72,,1.72,NA,0.05,2.89,2.89,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,99993283,26,Prgrmg eval implantable dfb,A,,1.12,0.47,,0.47,,0.04,1.63,1.63,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,00093283,TC,Prgrmg eval implantable dfb,A,,0.00,1.25,,1.25,NA,0.01,1.26,1.26,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
12,00193284,,Prgrmg eval implantable dfb,A,,1.22,1.85,,1.85,NA,0.05,3.12,3.12,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00