$71.27–$75.99
93280 is for programming evaluation of a dual-lead pacemaker system; 93279 is for a single-lead or leadless system.
On this page
CMS RVU26D · Effective 2026-10-01
93279 Pacemaker programming Medicare reimbursement rates in Missouri
Reports in-person testing and iterative programming of a single-lead or leadless pacemaker when device settings are adjusted and evaluated. Compare 93279 office and facility rates across CMS payment localities in Missouri.
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 93279 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$60.60–$64.66
3 of 3 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.
Where 93279 pays more and less in Missouri
3 payment localities
$60.60 to $64.66
Cardiac device management
About 93279: Single-lead pacemaker programming evaluation
Reports in-person testing and iterative programming of a single-lead or leadless pacemaker when device settings are adjusted and evaluated.
This service covers an in-person evaluation in which a clinician uses a programmer to test a single-lead or leadless pacemaker and iteratively adjust settings to assess function and select appropriate permanent settings. It is commonly performed by a cardiologist, electrophysiologist, or other qualified clinician in a device clinic, office, or facility. A routine check that only interrogates the device, without programming changes, is a different service.
Select this code for the single-lead or leadless system configuration; dual- and multiple-lead systems have separate programming codes. The record should identify the device configuration, testing performed, settings reviewed or changed, the response to adjustments, and the evaluation findings. This diagnostic service may be billed globally without a modifier, or as a professional component with modifier 26 and a technical component with modifier TC. The cardiovascular diagnostic multiple-procedure reduction applies to the technical component.
CMS billing rules for 93279
- 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 RVU0.63 · 32%
- Practice expense (office) RVU1.34 · 67%
- Malpractice RVU0.03 · 2%
105.6K
Medicare services in 2024 · #540 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.
93279 compared with similar codes
Office rates for Missouri, from the same CMS release.
$75.38–$80.26
93281 applies to a multiple-lead pacemaker system. Choose 93279 for a single-lead or leadless system.
$49.80–$53.49
93288 reports in-person pacemaker interrogation without programming adjustments. Use 93279 when iterative programming is performed.
$39.70–$42.79
93286 describes a pacemaker evaluation in the periprocedural setting. 93279 describes an in-person programming evaluation outside that specific context.
Compare 93279 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$64.05
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$64.66
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$60.60
Facility
Unavailable
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93279 billing questions
When should 93279 be selected instead of 93288?
Use 93279 when the in-person evaluation includes iterative programming adjustments. Use 93288 for an in-person pacemaker interrogation when programming is not performed.
Which pacemaker configurations fit this code?
This code is for a single-lead pacemaker system or a leadless pacemaker system. Dual- and multiple-lead systems are reported with their corresponding programming evaluation codes.
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 a modifier, the claim represents the global service.
Does a multiple-procedure reduction affect 93279?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not change how the professional component is identified.
What documentation supports reporting 93279?
Document the single-lead or leadless device configuration, the testing and iterative adjustments performed, the settings evaluated or changed, and the findings.
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.
11,98393278,,Ecg/signal-averaged,A,,0.24,0.73,,0.73,NA,0.02,0.99,0.99,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,98493278,26,Ecg/signal-averaged,A,,0.24,0.12,,0.12,,0.01,0.37,0.37,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,98593278,TC,Ecg/signal-averaged,A,,0.00,0.61,,0.61,NA,0.01,0.62,0.62,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
11,98693279,,Prgrmg dev eval pm/ldls pm,A,,0.63,1.34,,1.34,NA,0.03,2.00,2.00,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,98793279,26,Prgrmg dev eval pm/ldls pm,A,,0.63,0.27,,0.27,,0.02,0.92,0.92,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,98893279,TC,Prgrmg dev eval pm/ldls pm,A,,0.00,1.07,,1.07,NA,0.01,1.08,1.08,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,98993280,,Pm device progr eval dual,A,,0.75,1.56,,1.56,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