Billing code 93296: Remote device monitoringMedicare rate & RVUs in Oregon

Report 93296 for technical acquisition, technician review, support, and distribution of remotely transmitted pacemaker, leadless pacemaker, or implantable defibrillator data.

CMS RVU26DEffective Oct 1, 20262 payment localities2M Medicare services in 2024

Medicare pays $31.51–$35.13 for 93296 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.

$31.51–$35.13Office (non-facility)
—Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93296 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Oregon
  2. What 93296 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 93296 covers

This service covers the technical work behind remote interrogation of an implanted single-, dual-, or multiple-lead pacemaker, leadless pacemaker, or implantable cardioverter-defibrillator. A home transmitter or app sends device data to a monitoring platform. Device clinic technicians or nurses receive transmissions, review information such as battery status, lead performance, and recorded arrhythmias, provide technical support, and route results for clinical interpretation. Cardiology and electrophysiology practices commonly furnish this work in the office setting.

Report one unit for the monitoring interval of up to 90 days, rather than one unit per scheduled or alert-triggered transmission. The corresponding professional interpretation is reported separately with 93294 for a pacemaker or leadless pacemaker, or 93295 for an implantable defibrillator. CMS classifies 93296 as a technical-component-only code with no physician work value; do not append modifier 26 or TC. Documentation should identify the device, monitoring dates, transmissions received, technician review, technical support, and distribution of results.

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 93296 pays more and less in Oregon

93296 office and facility rates by payment locality
Payment localityOfficeFacility
Portland$35.13Unavailable
Rest Of Oregon$31.51Unavailable

How the 93296 rate is calculated

Each of 93296’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 · 93296

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 0.00Practice expense 0.94Malpractice 0.01

0.9500 adjusted RVUs×$33.4009 conversion factor=$31.73

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 93296

The CMS indicators that decide how 93296 is paid alongside other services.

CMS payment indicators · 93296

Remote device monitoring

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

93296 compared with similar codes

Compare codes

93296 vs 93294 vs 93295 vs 93288: national Medicare rates

Swap in your local Medicare rate.

  • 93296
    Remote device monitoring · 0 wRVU
    $31.73
  • 93294
    Remote pacemaker check · 0.59 wRVU
    $29.39−$2.34
  • 93295
    Remote ICD check · 0.72 wRVU
    $36.07+$4.34
  • 93288
    Pacemaker interrogation · 0.42 wRVU
    $55.45+$23.72

How to choose

93294Remote pacemaker check
93294 covers the clinician's review and report of remote pacemaker or leadless pacemaker data. 93296 covers receipt of transmissions, technician review, technical support, and distribution of results.
93295Remote ICD check
93295 covers professional interpretation of remote implantable defibrillator data. 93296 covers the technical service for remote pacemaker, leadless pacemaker, or defibrillator interrogation.
93288Pacemaker interrogation
93288 covers an in-person pacemaker interrogation. Use 93296 for the technical work of receiving and processing pacemaker data transmitted remotely.

93296 billing questions

Does 93296 need modifier 26 or TC?

No. It is a technical-component-only code, so neither component modifier is appended. Report the professional interpretation separately with 93294 or 93295.

How many units of 93296 are reported?

Report one unit for the remote monitoring interval of up to 90 days, not one unit for each transmission received during that interval.

Which professional code pairs with 93296?

Use 93294 for interpretation of remote pacemaker or leadless pacemaker data and 93295 for interpretation of remote implantable defibrillator data from the corresponding monitoring interval.

Is 93296 used for implantable loop recorders or cardiac monitors?

No. Remote evaluation of an implantable cardiac rhythm monitor uses 93298 for the professional service; G2066 describes the associated Medicare technical service.

What documentation supports 93296?

Record the implanted device type, monitoring dates, transmissions received, technician review, technical support, and distribution of results.

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
RVUs for 93296PPRRVU2026_Oct_nonQPP.csv, line 12,033 (RVU26D)

Open CMS sourceHow we calculate rates

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