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CMS RVU26D · Effective 2026-10-01

93750 VAD interrogation Medicare reimbursement rates in Pennsylvania

Reports an in-person assessment of ventricular assist device performance, including review of operating data and alarms during VAD follow-up. Compare 93750 office and facility rates across CMS payment localities in Pennsylvania.

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 93750 in Pennsylvania?

Pennsylvania 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

$50.87–$55.06

2 of 2 localities have a supported rate.

Lowest: Rest Of Pennsylvania

Highest: Metropolitan Philadelphia

A spread of $4.19 per service.

Facility setting

$33.39–$35.24

2 of 2 localities have a supported rate.

Lowest: Rest Of Pennsylvania

Highest: Metropolitan Philadelphia

A spread of $1.85 per service.

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.

Find 93750 in your payment locality →

Cardiovascular services

About 93750: In-person ventricular assist device interrogation

Reports an in-person assessment of ventricular assist device performance, including review of operating data and alarms during VAD follow-up.

This service covers an in-person check of a ventricular assist device, commonly an LVAD, with review of its operating information such as flow, power, alarms, and battery status. A physician or other qualified health care professional typically performs or directs the assessment in a VAD clinic, hospital, or outpatient setting. It supports follow-up for patients living with mechanical circulatory support and helps identify device-status concerns that need clinical attention.

Report 93750 for the in-person interrogation and the clinician’s analysis and report, rather than for VAD implantation or a different cardiac monitoring service. The documentation should identify the device, record the parameters reviewed and findings, and include the resulting assessment. Connection, recording, and disconnection are part of the reported interrogation; they are not separate services. The code is reported per day, so documentation should support the service provided on that date.

Where the value comes from

  • Work RVU0.75 · 47%
  • Practice expense (office) RVU0.77 · 48%
  • Malpractice RVU0.07 · 4%

75.9K

Medicare services in 2024 · #646 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.

93750 compared with similar codes

Office rates for Pennsylvania, from the same CMS release.

93745

Set-up cardiovert-defibrill

No office rate

93745 concerns setup of a cardioverter-defibrillator. Use 93750 for in-person review of a ventricular assist device’s operating information.

93290

Device interrogation

Implantable physiologic monitor

$49.31–$54.37

93290 is for in-person interrogation of an implantable cardiovascular physiologic monitor, not a ventricular assist device.

93799

Unlisted cv svc/procedure

No office rate

93799 is an unlisted cardiovascular service code. Use 93750 when the documented service is the defined in-person VAD interrogation.

Compare 93750 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

Office and facility base rates · shared scale starting at $0

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93750 billing questions

Does 93750 describe VAD implantation?

No. It reports in-person interrogation and analysis of an existing ventricular assist device; implantation is a separate surgical service.

What documentation supports an interrogation?

Record the VAD assessed, the device information reviewed, relevant findings such as alarms or battery status, and the clinician’s analysis.

Can connection and data capture be billed separately?

No. Connection, recording, and disconnection are included in the interrogation service.

How should units be reported when the device is checked more than once?

The service is reported per day. The code descriptor supports one daily service, not a separate unit for each connection or recording.

Is 93750 the same as setting up a defibrillator?

No. Code 93745 concerns setup of a cardioverter-defibrillator; 93750 concerns in-person interrogation of a ventricular assist device.

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.

RVUs for 93750PPRRVU2026_Oct_nonQPP.csv, line 12,262 (RVU26D)