$27.92
93294 applies when the remotely monitored device is a pacemaker or leadless pacemaker. Use 93295 when the device has defibrillator capability, including CRT-D.
On this page
CMS RVU26D · Effective 2026-10-01
93295 Remote ICD check Medicare reimbursement rates in Nebraska
A physician or qualified clinician analyzes and reports remotely transmitted implantable defibrillator data for a monitoring period of up to 90 days. Compare 93295 office and facility rates across CMS payment localities in Nebraska.
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 93295 in Nebraska?
Nebraska has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$34.24
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$34.24
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
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 monitoring
About 93295: Remote ICD interrogation, professional review up to 90 days
A physician or qualified clinician analyzes and reports remotely transmitted implantable defibrillator data for a monitoring period of up to 90 days.
This service covers professional review of data that a patient's implantable cardioverter-defibrillator transmits from home through a bedside or wireless transmitter. A cardiologist, electrophysiologist, or other qualified clinician, such as a nurse practitioner or physician assistant, reviews device function and stored events. Findings may include battery status, lead impedance and sensing, arrhythmia episodes, shocks, and antitachycardia pacing. The clinician provides an interim analysis and report. Single-, dual-, and multiple-lead defibrillator systems, including cardiac resynchronization defibrillators, use this code.
Report 93295 once for a remote interrogation period of up to 90 days, rather than once per transmission. Documentation should support the device type, review of transmitted findings, and the clinician's analysis and report. CMS classifies 93295 as a professional-component-only code. Code 93296 separately describes remote data acquisition, receipt of transmissions, technician review, technical support, and distribution of results. An entity furnishing both services may report both codes when it meets each code's requirements. Remote pacemaker review uses 93294 instead; other implanted monitor types have separate remote review codes.
CMS billing rules for 93295
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.72 · 67%
- Practice expense (office) RVU0.31 · 29%
- Malpractice RVU0.05 · 5%
726.4K
Medicare services in 2024 · #181 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.
93295 compared with similar codes
Office rates for Nebraska, from the same CMS release.
$29.11
93296 covers remote data acquisition and related technical work. 93295 covers the clinician's analysis and report. They are separate codes, not services distinguished by appending modifier 26.
$66.82
93289 covers an in-person ICD interrogation. Use 93295 for professional review of data transmitted remotely during a period of up to 90 days.
$95.85
93298 covers remote professional review of a subcutaneous cardiac rhythm monitor for a period of up to 30 days. 93295 covers an implanted defibrillator.
Compare 93295 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.
1 of 1 payment localities
Nebraska →
Office / nonfacility
$34.24
Facility
$34.24
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93295 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
12,032
- Code
- 93295
- Physician work
- 0.72
- Practice expense
- 0.31
- Malpractice
- 0.05
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.72 | × 1.000 | 0.7200 |
| Practice expense | 0.31 | × 0.923 | 0.2861 |
| Malpractice | 0.05 | × 0.378 | 0.0189 |
| Total RVUs | 1.0250 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$34.24
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.72 | 1 |
| Practice expense | 0.31 | 0.923 |
| Malpractice | 0.05 | 0.378 |
(0.72 × 1 + 0.31 × 0.923 + 0.05 × 0.378) × $33.4009 = $34.24
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.72 | 1 |
| Practice expense | 0.31 | 0.923 |
| Malpractice | 0.05 | 0.378 |
(0.72 × 1 + 0.31 × 0.923 + 0.05 × 0.378) × $33.4009 = $34.24
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
93295 billing questions
How often can this code be reported?
Report it once for a remote interrogation period of up to 90 days, not for each transmission or interim report. Document the clinician's review and report for the period billed.
Does this code include the technical service?
No. Code 93295 covers the clinician's analysis and report; 93296 separately covers remote data acquisition and related technical work.
Should 93294 or 93295 be used for a patient with a CRT device?
Code by device type. A cardiac resynchronization defibrillator (CRT-D) uses 93295, while a cardiac resynchronization pacemaker without defibrillation capability (CRT-P) uses 93294.
Is modifier 26 needed?
No. Code 93295 already represents only the professional interpretation and report, so do not append modifier 26.
Do single-, dual-, and multiple-lead ICDs use different remote professional codes?
No. Code 93295 covers remote professional review for all three lead configurations; in-person programming evaluations are distinguished by lead 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.
12,02993293,26,Pm phone r-strip device eval,A,,0.30,0.09,,0.09,,0.01,0.40,0.40,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,03093293,TC,Pm phone r-strip device eval,A,,0.00,0.78,,0.78,NA,0.01,0.79,0.79,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,03193294,,Rem interrog evl pm/ldls pm,A,,0.59,0.25,,0.25,,0.04,0.88,0.88,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,03293295,,Dev interrog remote 1/2/mlt,A,,0.72,0.31,,0.31,,0.05,1.08,1.08,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,03393296,,Rem interrog evl pm/ids,A,,0.00,0.94,,0.94,NA,0.01,0.95,0.95,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,03493297,,Rem interrog dev eval icpms,A,,0.51,1.28,,1.28,NA,0.03,1.82,1.82,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,03593297,26,Rem interrog dev eval icpms,A,,0.51,0.20,,0.20,,0.02,0.73,0.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068