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See a sample rate comparisonCPT 93286 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.
Peri Px Eval Pm Ldls Pm Ip, Peri Procedural Device Evaluation In Person And Programming Of Device System Parameters Before Or After A Surgery Procedure Or Test With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 26 - Professional component 76 - Repeat procedure by same physician |
| Complexity Level | Low |
| Medicare Fee Schedule | $44.42 national non-facility rate (2026) · View Medicare rates for 93286 |
| Medicaid Fee Schedule | $35.87 median of the 8 states in the free preview · View Medicaid rates for 93286 |
National average reimbursement for CPT 93286 by major payers:
$51.73
$44.68
$52.47
$71.96
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CPT 93286
5 of 25 sample ratesHigher to lower in this preview
Lauren Schumacher
$98.94Published rateStevan Weine
The Board Of Trustees Of The University Of Illinois
$41.40Published rateAnna Jeong
Pediatric Faculty Foundation In
$31.60Published rateMatthew Niedzwiecki
Loyola University Medical Center
$29.77Published rateNevada Eye Care Professionals Little & Stein, Ltd.
Nevada Eye Care Professionals
$12.03Published rate
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See a sample payer proposalCPT 93286 vs. Other Cardiovascular Procedures Codes
The CPT 93286 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 93286 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 |
|---|---|---|
| 93286-CPT | Low | Peri Px Eval Pm Ldls Pm Ip, Peri Procedural Device Evaluation In Person And Programming Of Device System Parameters Before Or After A Surgery Procedure Or Test With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System |
| 93287-CPT | Low | Peri-Procedural Device Evaluation (In Person) And Programming Of Device System Parameters Before Or After A Surgery Procedure Or Test With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional; Single Dual Or Multiple Lead Implantable Defibrillator System (Revised 01/01/15) |
| 93288-CPT | Low | Interrog Evl Pm Ldls Pm Ip, Interrogation Device Evaluation In Person With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Includes Connection Recording And Disconnection Per Patient Encounter Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System |
| 93289-CPT | Low | Interrog Device Eval Heart, Interrogation Device Evaluation In Person With Analysis Review And Report By A Physician Or Other Qualified Health Care Professional Includes Connection Recording And Disconnection Per Patient Encounter Single Dual Or Multiple Lead Transvenous Implantable Defibrillator System Including Analysis Of Heart Rhythm Derived Data Elements |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 93286. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93286 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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