CPT 93279 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimalpermanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Single Lead Pacemaker System Or Leadless Pacemaker System In One Cardiac Chamber (Desc Rvsd 1/1/19)

Key Fact	Detail
Service Type	• Medicine Services and Procedures • Cardiovascular Procedures
Common Place of Service	• 11 - Office • 22 - On Campus Outpatient Hospital
Common Modifiers	• None • 26 - Professional component • PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments
Complexity Level	Low

National average reimbursement for CPT 93279 by major payers:

$82.67

$74.84

$84.94

$110.97

Preview provider-level rates for...

For billing codeCPT 93279

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 93279
United	93279	$84.30	1225211600 - JOHN MILLICHAP	363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN	CO	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	93279	$116.91	1548279870 - VINOD ALLURI	364015560 - LOYOLA UNIVERSITY MEDICAL CENTER	IL	Psychiatry Physician (2084P0800X)
United	93279	$50.61	1114103249 - MONTIDA VEERAVIGROM	362177139 - UNIVERSITY OF CHICAGO	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	93279	$53.81	1174859284 - MATTHEW NIEDZWIECKI	364015560 - LOYOLA UNIVERSITY MEDICAL CENTER	CA	Psychiatry Physician (2084P0800X)
United	93279	$64.02	1255598512 - ASTRID HERARD	910844563	IL	Psychiatry Physician (2084P0800X)
United	93279	$84.41	1225211600 - JOHN MILLICHAP	841343242	IL	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	93279	$59.52	1952569758 - CHARLES HEBERT	911780160	CO	Psychiatry Physician (2084P0800X)
United	93279	$45.56	1225211600 - JOHN MILLICHAP	363279680 - (IL) PEDIATRIC FACULTY FOUNDATION IN	NC	Neurology with Special Qualifications in Child Neurology Physician (2084N0402X)
United	93279	$69.26	1811068554 - JAMES MACKENZIE	205547757 - (IL) LURIE CHILDRENS MEDICAL GROUP LLC	IL	Child & Adolescent Psychiatry Physician (2084P0804X)
United	93279	$57.00	1356352447 - MARLA HARTZEN	362169147 - ADVOCATE HEALTH AND HOSPITALS CORPORATION	IL	Psychiatry Physician (2084P0800X)
United	93279	$208.47	1871912683 - LAUREN SCHUMACHER	943281673	IL	Psychiatry Physician (2084P0800X)
United	93279	$50.49	1275562779 - BARRY RABIN	581672987 - (IL) EDWARD HEALTH VENTURES	IL	Psychiatry Physician (2084P0800X)
United	93279	$101.37	1134236565 - WARREN KAMMERER	611549647 - (IL) WARREN KAMMERER MD SC	IL	Psychiatry Physician (2084P0800X)
United	93279	$62.15	1336431667 - SURAYA KAWADRY	364015560 - LOYOLA UNIVERSITY MEDICAL CENTER	CA	Psychiatry Physician (2084P0800X)
United	93279	$75.13	1265698914 - NIMISHA PATEL	363383867	IL	Psychiatry Physician (2084P0800X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 93279 vs. Other Cardiovascular Procedures Codes

The CPT 93279 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 93279 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
93260-CPT	Low	Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimalpermanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Implantable Subcutaneouslead Defibrillator System
93261-CPT	Low	Interrogation Device Evaluation (In Person) With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Includesconnection Recording And Disconnection Per Patient Encounter; Implantable Subcutaneous Lead Defibrillator System
93268-CPT	Moderate	External Patient And When Performed Auto Activated Electrocardiographic Rhythm Derived Event Recording With Symptom-Related Memory Loop With Remote Download Capability Up To 30 Days 24-Hour Attended Monitoring; Includes Transmission Review And Interpretation By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13)
93279-CPT	Low	Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimalpermanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Single Lead Pacemaker System Or Leadless Pacemaker System In One Cardiac Chamber (Desc Rvsd 1/1/19)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93279. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 93279 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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