Billing code 93283: ICD evaluationMedicare rate & RVUs in Utah
Reports an in-person programming evaluation of a dual-lead implantable defibrillator, including review of device function and programming parameters.
Medicare pays $92.91 for 93283 in the office in Utah (Utah). 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 93283 covers
This service is an in-person evaluation of a dual-lead implantable cardioverter-defibrillator (ICD). The clinician reviews device and lead function, battery status, stored rhythm events and delivered therapies, and programming parameters; programming may be adjusted as clinically indicated. Cardiologists, electrophysiologists, or other qualified clinicians commonly provide the service in a device clinic or hospital outpatient setting, with device staff supporting the evaluation as appropriate.
Select this code for a dual-lead ICD system; the system’s lead configuration distinguishes it from single- and multiple-lead ICD evaluations. The record should support the device and lead assessment, findings reviewed, and programming work performed. CMS recognizes professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. The cardiovascular diagnostic multiple-procedure reduction applies to the technical component.
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.
93283 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $92.91 | Unavailable |
How the 93283 rate is calculated
Each of 93283’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 · 93283
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 1.12Practice expense 1.72Malpractice 0.05
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93283
The CMS indicators that decide how 93283 is paid alongside other services.
CMS payment indicators · 93283
ICD evaluation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| 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
93283 without 26 · national office
$96.53
ICD evaluation
93283-26 · Professional component
$54.44
Pays only the interpretation and report.
93283 compared with similar codes
Compare codes
93283 vs 93282 vs 93284 vs 93289 vs 93295: national Medicare rates
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How to choose
- 93282ICD programming
- 93282 is the ICD programming evaluation for a single-lead system; 93283 is for a dual-lead system.
- 93284Defibrillator evaluation
- 93284 represents a multiple-lead ICD system. Use 93283 when the evaluated ICD system has two leads.
- 93289Device interrogation
- 93289 covers an in-person ICD interrogation evaluation without programming; 93283 is the programming evaluation for a dual-lead system.
- 93295Remote ICD check
- 93295 is for remote ICD interrogation. 93283 describes an in-person programming evaluation.
93283 billing questions
How does this differ from 93282 or 93284?
Choose 93283 for a dual-lead ICD system. The related codes represent single-lead and multiple-lead ICD programming evaluations, respectively.
Does the clinician have to change a setting?
A programming change is not necessarily required when the evaluation supports the reported service. Document the review and any programming performed, including when settings remain unchanged.
Can the professional and technical portions be billed separately?
Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion involving equipment and staff. Without either modifier, the claim represents the global service.
Does the multiple-procedure reduction affect both portions?
The cardiovascular diagnostic multiple-procedure reduction applies to the technical component. It does not apply to the professional component under the CMS rule provided for this code.
When would 93289 be a better fit?
Use 93289 for an in-person ICD interrogation evaluation when programming is not part of the service. Use 93283 when the dual-lead system receives a programming evaluation.
Is a remote device transmission reported with this code?
No. This code describes an in-person programming evaluation; remote ICD interrogation is represented by a different service, such as 93295.
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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