$77.89–$84.33
93280 is for a dual-lead pacemaker system. Use 93281 when the implanted pacemaker has a multiple-lead configuration.
On this page
CMS RVU26D · Effective 2026-10-01
93281 Pacemaker evaluation Medicare reimbursement rates in Oregon
Report this service for an in-person programming evaluation of a multiple-lead pacemaker, including device analysis, review, and a professional report. Compare 93281 office and facility rates across CMS payment localities in Oregon.
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 93281 in Oregon?
Oregon 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
$82.22–$88.90
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.
Cardiology
About 93281: Multi-lead pacemaker programming evaluation
Report this service for an in-person programming evaluation of a multiple-lead pacemaker, including device analysis, review, and a professional report.
A clinician evaluates an implanted multiple-lead pacemaker in person using a device programmer. The work includes assessing device function and available diagnostic information, reviewing the programmed settings, and making iterative adjustments when needed. This code is commonly relevant to cardiology and electrophysiology practices managing patients with a multiple-lead pacing system, such as a biventricular pacemaker. The evaluation produces a report of the findings and any programming performed.
Select this code based on the implanted device’s lead configuration, not simply the patient’s diagnosis or the number of settings changed. Documentation should identify the pacemaker system and support the evaluation, including relevant findings and any adjustments. CMS treats the service as a diagnostic test: report modifier 26 for the professional interpretation, modifier TC for the technical work, or no component modifier for the global service. The cardiovascular diagnostic multiple procedure reduction applies to the technical component.
CMS billing rules for 93281
- 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 · 33%
- Practice expense (office) RVU1.61 · 65%
- Malpractice RVU0.04 · 2%
70.9K
Medicare services in 2024 · #667 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.
93281 compared with similar codes
Office rates for Oregon, from the same CMS release.
$103.47–$111.29
93284 applies to programming evaluation of a multiple-lead implantable defibrillator. 93281 is for a multiple-lead pacemaker.
$55.08–$60.02
93288 describes in-person pacemaker interrogation without the programming evaluation represented by 93281. Choose based on the service performed.
Compare 93281 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
Portland →
Office / nonfacility
$88.90
Facility
Unavailable
Rest Of Oregon →
Office / nonfacility
$82.22
Facility
Unavailable
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93281 billing questions
How does 93281 differ from 93280?
Choose 93281 for a multiple-lead pacemaker system and 93280 for a dual-lead system. Base the choice on the implanted system’s configuration.
Can 93281 be reported if no settings are changed?
The evaluation includes review and analysis of the device, with programming adjustments when needed. Document the assessment and findings even when settings remain unchanged.
Can the interrogation work be billed separately?
The device analysis, review, and report are part of the programming evaluation. Do not separately itemize the same evaluation work as a separate interrogation service.
When should modifier 26 or TC be used?
Use modifier 26 for the professional interpretation and modifier TC for the technical work involving equipment and staff. Without either modifier, the claim 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.
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.
11,98993280,,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
11,99093280,26,Pm device progr eval dual,A,,0.75,0.32,,0.32,,0.03,1.10,1.10,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,99193280,TC,Pm device progr eval dual,A,,0.00,1.24,,1.24,NA,0.01,1.25,1.25,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00
11,99293281,,Pm device progr eval multi,A,,0.83,1.61,,1.61,NA,0.04,2.48,2.48,1,XXX,0.00,0.00,0.00,6,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,99393281,26,Pm device progr eval multi,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
11,99493281,TC,Pm device progr eval multi,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
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