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See a sample rate comparisonCPT 93280 Fee Schedule
Last Verified: October 2026
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 Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Dual Lead Pacemaker System (Revised 01/01/13)
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 26 - Professional component PO - Services, procedures and/or surgeries furnished at off-campus provider-based outpatient departments |
| Complexity Level | Low |
| Medicare Fee Schedule | $78.49 national non-facility rate (2026) · View Medicare rates for 93280 |
| Medicaid Fee Schedule | $63.555 median of the 8 states in the free preview · View Medicaid rates for 93280 |
National average reimbursement for CPT 93280 by major payers:
$97.02
$88.08
$100.24
$126.67
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CPT 93280
5 of 25 sample ratesHigher to lower in this preview
Matthew Lilley
Bend Memorial Clinic, PC
$206.24Published rateRobert Egel
Robert T Egel M D S C
$114.83Published rateRhonda Lampen
$77.69Published rateMary Lake
$53.02Published rateJohn Millichap
$19.35Published rate
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See a sample payer proposalCPT 93280 vs. Other Cardiovascular Procedures Codes
The CPT 93280 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 93280 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 |
|---|---|---|
| 93280-CPT | Low | Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Dual Lead Pacemaker System (Revised 01/01/13) |
| 93281-CPT | Low | Pm Device Progr Eval Multi, Programming Device Evaluation In Person With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Multiple Lead Pacemaker System |
| 93282-CPT | Low | Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Single Lead Transvenous Implantable Defibrillator System (Revised 01/01/15) |
| 93283-CPT | Low | Programming Device Evaluation (In Person) With Iterative Adjustment Of The Implantable Device To Test The Function Of The Device And Select Optimal Permanent Programmed Values With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Dual Lead Transvenous Implantable Defibrillator System (Revised 01/01/15) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93280 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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Frequently Asked Questions
CPT (Current Procedural Terminology) codes are a standardized set of five-digit alphanumeric codes used by healthcare providers to describe medical, surgical, and diagnostic services. They are crucial for billing and reimbursement processes, ensuring consistent communication between providers, payers, and patients regarding the services rendered.
Finding the exact cost of a medical procedure can be complex due to variations in insurance plans, provider fees, and geographic location. For an estimate, you can contact your insurance company or the healthcare provider directly. For a more detailed lookup of specific CPT code pricing based on your location, you can utilize tools like Payerprice.
A healthcare fee schedule is a comprehensive list of fees used by healthcare providers and insurance companies to determine the allowable payment for specific medical services and procedures. It typically includes CPT codes and the corresponding payment amounts, serving as a basis for billing and reimbursement.
Healthcare costs can vary significantly for the same procedure due to several factors, including geographic location, the type of facility (e.g., hospital vs. outpatient clinic), the specific provider's negotiated rates with insurers, the patient's insurance plan, the complexity of the procedure, and market dynamics.
For looking up specific CPT code pricing tailored to your location, you can use specialized tools. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and your specific location to find relevant pricing information. This can help you understand potential costs before receiving care.