$66.12–$69.17
Use 93260 for an in-person S-ICD programming evaluation. Use 93261 for S-ICD interrogation when the service is device review without programming.
On this page
CMS RVU26D · Effective 2026-10-01
93260 S-ICD programming Medicare reimbursement rates in Michigan
Report this service for an in-person evaluation and programming of a subcutaneous implantable defibrillator, including review of device information and settings. Compare 93260 office and facility rates across CMS payment localities in Michigan.
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 93260 in Michigan?
Michigan 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
$71.62–$74.78
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 93260: In-person subcutaneous ICD programming evaluation
Report this service for an in-person evaluation and programming of a subcutaneous implantable defibrillator, including review of device information and settings.
This service covers an in-person programming evaluation of a subcutaneous implantable cardioverter-defibrillator (S-ICD). A cardiologist or electrophysiology clinician assesses the system, reviews available device information, and adjusts programmable settings when indicated. It is distinct from remote monitoring and from programming evaluations for ICD systems with transvenous leads. The service is typically performed in a cardiology or electrophysiology clinic, with device equipment and staff supporting the evaluation.
Choose 93260 for an S-ICD programming evaluation; use the interrogation service when the encounter involves device review without programming. Documentation should identify the S-ICD, record the evaluation and any programming changes, and support the clinician’s interpretation and report. The service has separately payable professional and technical components: report modifier 26 for the professional interpretation, modifier TC for the equipment and staff, or neither modifier for the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple procedure reduction applies to the technical component.
CMS billing rules for 93260
- 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 RVU0.83 · 37%
- Practice expense (office) RVU1.39 · 62%
- Malpractice RVU0.04 · 2%
2.1K
Medicare services in 2024 · #2429 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.
93260 compared with similar codes
Office rates for Michigan, from the same CMS release.
$74.36–$77.68
93282 covers programming evaluation of a single-lead implantable defibrillator system; 93260 is for a subcutaneous ICD.
$48.76–$51.20
93287 describes periprocedural implantable defibrillator evaluation and programming. 93260 is the in-person S-ICD programming evaluation outside that periprocedural context.
Compare 93260 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
Detroit →
Office / nonfacility
$74.78
Facility
Unavailable
Rest Of Michigan →
Office / nonfacility
$71.62
Facility
Unavailable
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93260 billing questions
How does 93260 differ from 93261?
93260 is for an in-person programming evaluation of a subcutaneous ICD. Use 93261 for interrogation of that system when the service is review without programming.
Which modifiers identify the components?
Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service, including equipment and staff. Billing without either modifier represents the global service.
Does the multiple procedure reduction affect the whole service?
The cardiovascular diagnostic multiple procedure reduction applies to the technical component. It does not apply to the professional component under the CMS facts for this code.
What documentation supports 93260?
Document that the device is a subcutaneous ICD, the in-person evaluation performed, the settings reviewed or changed, and the interpretation and report.
Can 93260 be used for a transvenous ICD?
No. The 93260 service is for a subcutaneous ICD; programming evaluations for transvenous ICD systems are selected according to the system configuration.
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.
11,96993246,,Ext ecg>7d<15d recording,A,,0.00,0.34,,0.34,NA,0.01,0.35,0.35,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,97093247,,Ext ecg>7d<15d scan a/r,A,,0.00,7.57,,7.57,NA,0.01,7.58,7.58,3,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,97193248,,Ext ecg>7d<15d rev&interpj,A,,0.54,0.18,,0.18,,0.02,0.74,0.74,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97293260,,Prgrmg dev eval impltbl sys,A,,0.83,1.39,,1.39,NA,0.04,2.26,2.26,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97393260,26,Prgrmg dev eval impltbl sys,A,,0.83,0.36,,0.36,,0.03,1.22,1.22,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,97493260,TC,Prgrmg dev eval impltbl sys,A,,0.00,1.03,,1.03,NA,0.01,1.04,1.04,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,97593261,,Interrogate subq defib,A,,0.72,1.33,,1.33,NA,0.04,2.09,2.09,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00