CPT code 93724: Pacemaker analysis2026 Medicare rate & RVUs in Oregon
Analysis of an implanted antitachycardia pacemaker, including ECG review and device reprogramming, reported when the system is evaluated and its settings adjusted.
Medicare pays $275.09–$290.81 for 93724 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 93724 covers
This service evaluates an implanted antitachycardia pacing system, typically in a cardiology or electrophysiology office or hospital device clinic. A qualified clinician reviews device information and electrocardiographic findings, assesses pacing and sensing performance, and reprograms settings when needed, such as after device-recorded tachyarrhythmia episodes or a change in clinical status. It involves more than a basic device check because programming is part of the service.
Report the code for the antitachycardia pacemaker system service, with documentation of the device, findings, clinical reason for evaluation, settings before and after programming, and interpretation. The 0-day global period includes same-day preoperative and postoperative care. Modifier 26 identifies interpretation; TC identifies equipment and staff; no modifier represents the global service. When multiple cardiovascular diagnostic procedures are performed, the multiple-procedure reduction affects the technical component. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeon and team-surgery billing are not permitted.
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 93724 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $290.81 | Unavailable |
| Rest Of Oregon | $275.09 | Unavailable |
How the 93724 rate is calculated
Each of 93724’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 · 93724
RVUs × geographic indexes × conversion factor
Work4.76
4.76 RVUs× 1.000 GPCI
Practice expense3.37
3.37 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
8.3000
Conversion factor
$33.4009
Medicare rate
$277.23
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 93724
The CMS indicators that decide how 93724 is paid alongside other services.
CMS payment indicators · 93724
Pacemaker analysis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 6 | Diagnostic cardiovascular reduction applies to the technical component. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93724 without 26 · national office
$277.23
Pacemaker analysis
93724-26 · Professional component
$230.80
Pays only the interpretation and report.
93724 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93282ICD programming
- 93282 describes programming and evaluation of a single-lead ICD system. Use 93724 for an antitachycardia pacemaker system.
- 93283ICD evaluation
- 93283 is for programming and evaluation of a dual-lead ICD system, not an antitachycardia pacemaker.
- 93289Device interrogation
- 93289 is an in-person ICD interrogation service. Choose 93724 for an antitachycardia pacemaker system evaluation that includes reprogramming.
93724 billing questions
How is this different from ICD system programming?
Use this code for an antitachycardia pacemaker system. ICD programming codes are selected for an implantable cardioverter-defibrillator system, based on its lead configuration.
Does the service include reprogramming?
Yes. Reprogramming is part of the service, along with device analysis and electrocardiographic assessment.
Can the professional and technical services be billed separately?
Yes. Report modifier 26 for the interpretation or TC for the equipment and staff; billing without either modifier represents the global service.
How does the multiple-procedure reduction affect this code?
When multiple cardiovascular diagnostic procedures are reported, the reduction applies to this code's technical component.
What documentation supports reporting this service?
Document the implanted system, reason for evaluation, device and ECG findings, settings before and after any changes, and the clinician's interpretation.
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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