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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 11 - Office 99 - Other POS |
| Common Modifiers | TC - Technical component 26 - Professional component |
| Complexity Level | Low |
| Medicare Fee Schedule | $39.75 national non-facility rate (2026) · View Medicare rates for 93293 |
| Medicaid Fee Schedule | $35.58 median of the 8 states in the free preview · View Medicaid rates for 93293 |
National average reimbursement for CPT 93293 by major payers:

$60.10

$69.54

$64.89

$89.15
Choose a payer to see a sample of rates for CPT 93293.
Sulaiman Farooqui
Advocate Health And Hospitals Corporation
Victor Patron Romero
Victor Patron Romero
Dara Pumphrey-Ruiz
Edward Health Ventures
John Millichap
Grady Memorial Hospital Corporation
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Rate Benchmarking
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See a sample rate comparisonPayer Contract Negotiation
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See a sample payer proposalCPT 93293 vs. Other Cardiovascular Procedures Codes
The CPT 93293 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 93293 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 |
|---|---|---|
| 93292-CPT | Low | Wcd Device Interrogate, 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 Wearable Defibrillator System |
| 93293-CPT | Low | Pm Phone R Strip Device Eval, Transtelephonic Rhythm Strip Pacemaker Evaluation S Single Dual Or Multiple Lead Pacemaker System Includes Recording With And Without Magnet Application With Analysis Review And Report S By A Physician Or Other Qualified Health Care Professional Up To 90 Days |
| 93294-CPT | Low | Rem Interrog Evl Pm Ldls Pm, Interrogation Device Evaluation S Remote Up To 90 Days Single Dual Or Multiple Lead Pacemaker System Or Leadless Pacemaker System With Interim Analysis Review S And Report S By A Physician Or Other Qualified Health Care Professional |
| 93295-CPT | Low | Interrogation Device Evaluation(S) (Remote) Up To90 Days; Single Dual Or Multiple Lead Implantable Defibrillator System With Interim Analysis Review(S) And Report(S) By A Physician Or Other Qualified Health Care Professional (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 93293. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 93293 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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