Billing code 93294: Remote pacemaker checkMedicare rate & RVUs in Utah
Professional review and reporting of remote interrogations from an implanted pacemaker or leadless pacemaker during an eligible monitoring period of up to 90 days.
Medicare pays $28.76 for 93294 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 93294 covers
This service covers a physician's or other qualified health care professional's interpretation of data transmitted from an implanted pacemaker, including single-, dual-, or multiple-lead systems and leadless pacemakers. A cardiologist or electrophysiologist may review transmissions handled by a practice or device clinic. The review assesses battery status, pacing and sensing, stored rhythm episodes, and lead or electrode information when those data are available. It results in clinical findings and a report, rather than a programming adjustment.
Report one unit for a 90-day remote monitoring period when at least 30 days of monitoring have occurred; additional transmissions within that period do not create additional units. The record should identify the device, transmission dates, findings, and the clinician's analysis and report. CMS prices 93294 as the professional interpretation and report, so modifier 26 is not appended. Code 93296 covers the separately reported technical work, including transmission handling and technical support. An in-person interrogation or transtelephonic check should not be billed again for the same work captured in the remote review.
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.
93294 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | $28.76 | $28.76 |
How the 93294 rate is calculated
Each of 93294’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 · 93294
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.59Practice expense 0.25Malpractice 0.04
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 93294
The CMS indicators that decide how 93294 is paid alongside other services.
CMS payment indicators · 93294
Remote pacemaker check
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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 | 2 | Professional component only. |
93294 compared with similar codes
Compare codes
93294 vs 93295 vs 93296 vs 93288 vs 93293: national Medicare rates
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How to choose
- 93295Remote ICD check
- Both cover professional review of remote device interrogations. Choose 93294 for a pacemaker or leadless pacemaker; choose 93295 for an implantable cardioverter-defibrillator.
- 93296Remote device monitoring
- 93294 covers the clinician's interpretation and report. 93296 covers technical transmission and monitoring work; the services may be reported by different entities.
- 93288Pacemaker interrogation
- 93288 describes an in-person pacemaker interrogation. Choose 93294 for the professional review of remote interrogations, without billing 93288 for that same work.
- 93293Pacemaker rhythm review
- 93293 concerns transtelephonic pacemaker rhythm-strip evaluation. Choose 93294 for professional review of remote device interrogation data rather than a rhythm-strip check.
93294 billing questions
How many units are reported for multiple transmissions?
Report one unit for the 90-day period after at least 30 days of monitoring. Multiple transmissions reviewed during that period do not each generate a unit of 93294.
Does 93294 need modifier 26?
No. CMS treats 93294 as the professional interpretation and report; 93296 covers the separately reported technical service.
Should 93294 or 93295 be used?
Use 93294 for remote interrogation review of a pacemaker or leadless pacemaker. Use 93295 for the professional review of an implantable cardioverter-defibrillator, including a CRT-D.
Is an in-office pacemaker interrogation also reported?
Code 93288 describes an in-person interrogation. Do not report it merely for reviewing the transmissions or duplicate the work reported with 93294.
What documentation supports 93294?
Document the pacemaker type, monitoring period, transmissions reviewed, available device measurements and stored events, and the clinician's analysis and report.
Who reports the technical service?
The entity furnishing the technical transmission and monitoring work reports 93296. It may be a different entity from the clinician reporting 93294.
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
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