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See a sample rate comparisonCPT 93281 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.
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
| 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 | $82.83 national non-facility rate (2026) · View Medicare rates for 93281 |
| Medicaid Fee Schedule | $67.135 median of the 8 states in the free preview · View Medicaid rates for 93281 |
National average reimbursement for CPT 93281 by major payers:
$104.91
$97.64
$109.18
$137.17
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CPT 93281
5 of 25 sample ratesHigher to lower in this preview
Geraldo Ramos
Baycare Medical Group Inc
$102.29Published rateMacy Bosshard
Town Center Orthopaedic Associates, P.C.
$71.62Published rateDeepika Misra
$60.40Published rateBarry Harris
Luis F. Tami, PA
$38.25Published rateLawrence Berger
$20.26Published rate
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See a sample payer proposalCPT 93281 vs. Other Cardiovascular Procedures Codes
The CPT 93281 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 93281 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 93281. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93281 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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