Billing code 93145: Device interrogationMedicare rate & RVUs in Oregon
In-person interrogation of a cranial responsive therapy device without programming, used to review device status and stored information during a specialist visit.
Medicare pays $54.16–$58.18 for 93145 in the office in Oregon, from Rest Of Oregon to Portland. 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 93145 covers
This service is an in-person review of a cranial responsive therapy device (CRTD) without changing its settings. A neurologist or other clinician managing the implanted system may perform it during follow-up for a patient receiving cranial neurostimulation, such as treatment for epilepsy. The review may include device status and available stored information; it does not include programming adjustments.
Report this code when the encounter includes the specified in-person interrogation and no programming. The device record should identify the system and document the interrogation performed and its findings. If settings are changed as part of the encounter, distinguish that work from an interrogation without programming and consider the applicable programming code. The CMS facts supplied for this code list no payment rules; they do not specify a global period, component split, or payment reduction for this service.
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 93145 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $58.18 | $28.12 |
| Rest Of Oregon | $54.16 | $27.21 |
How the 93145 rate is calculated
Each of 93145’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 · 93145
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.65Practice expense 0.94Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93145
93145 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · 93145
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
Non-facility (office) rate · national
$54.78
The facility rate would be $27.72 (+$27.06). In a facility, the facility bills its own costs separately.
93145 compared with similar codes
Compare codes
93145 vs 93146 vs 93153 vs 93151: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 93146CRT-D interrogation
- Both concern in-person CRTD interrogation; choose 93145 when no programming occurs and 93146 when programming is performed.
- 93153Device interrogation
- 93153 concerns interrogation without programming of an implantable neurostimulator pulse-generator system; 93145 identifies the CRTD service.
- 93151Neurostimulator programming
- 93151 includes interrogation and programming for an implantable neurostimulator pulse-generator system, unlike the no-programming CRTD service represented by 93145.
93145 billing questions
When should this code be selected instead of 93146?
Use 93145 for an in-person CRTD interrogation without programming. Code 93146 is the related option when programming is performed.
Can this code be reported when device settings are changed?
No. This code describes interrogation without programming; document any programming separately and select the code that represents the work performed.
What documentation supports the service?
Record the implanted CRTD system, the in-person interrogation, and the findings reviewed, such as device status and stored information.
Does this code describe a remote device check?
No. The descriptor identifies an in-person interrogation.
Is this a component code or does it have a listed add-on pairing?
The supplied CMS facts list no component or add-on rule for 93145.
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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