CPT 93293Cardiology

Pm phone r-strip device eval

CPT 93293 covers telephone monitoring of a pacemaker with a rhythm strip tracing, where a technician remotely checks how well the device is working without the patient visiting the office.

Showing rates for

National Average

Base Medicare rate

$40.11

This calculator gives a typical-case estimate using standard Medicare modifier rules. Actual payment depends on payer policies, documentation, code-specific CMS status indicators, and locality. Verify before billing.

RVU breakdown

Work RVU

0.31

PE RVU (NF)

0.91

MP RVU

0.02

Total RVU

1.24

Conversion factor: 32.3465 · Source: CMS MPFS RVU25A · Confidence: High

NCCI bundling edits

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Billing tips

Bill 93293 only once per 90-day period per device; Medicare and most payers enforce strict frequency limitations
Impact: Prevents denials due to frequency edits; improper billing more than once per 90 days results in 100% denial of subsequent claims
Ensure rhythm strip is actually recorded and retained in medical record; this distinguishes 93293 from remote interrogation codes without strip
Impact: Documentation of rhythm strip is essential; absence can result in downcoding or denial, potentially losing the full $40.11 reimbursement
Do not bill 93293 during the first 90 days post-implant when comprehensive monitoring codes (93296-93298) apply instead
Impact: Initial 90-day monitoring codes reimburse significantly higher ($81-$166 range); billing 93293 instead leaves substantial revenue on table
Verify patient has single or dual-chamber pacemaker; ICDs and CRT-Ds require different code sets (93294-93296 family)
Impact: Device type mismatch results in denial or audit risk; ICD monitoring codes reimburse higher and should not be confused with pacemaker codes
Document the date of last monitoring service to prove 90-day interval compliance when claims are audited
Impact: Clear interval documentation prevents recovery demands; audits targeting frequency violations can result in recoupment of multiple claims
Coordinate with technical staff to ensure transmission quality meets interpretation standards before physician review
Impact: Poor quality transmissions requiring repeat attempts delay reimbursement and increase overhead costs without additional payment

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Frequently asked questions

How much does Medicare pay for CPT code 93293 in 2025?

Medicare pays $40.11 for CPT 93293 in 2025 (both facility and non-facility rates are identical). This is based on 1.24 total RVUs multiplied by the 2025 conversion factor of 32.3465.

How often can you bill CPT 93293 for pacemaker phone monitoring?

CPT 93293 can only be billed once per 90-day period per pacemaker device. Medicare and commercial payers enforce strict frequency edits, and billing more frequently will result in automatic denials.

What is the difference between CPT 93293 and 93294?

CPT 93293 is for pacemaker phone monitoring with rhythm strip, while 93294 is for ICD (implantable cardioverter-defibrillator) phone monitoring with rhythm strip. The device type determines which code to use; they cannot be used interchangeably.

Can you bill 93293 during the first 90 days after pacemaker implant?

No, CPT 93293 should not be billed during the initial 90-day post-implantation period. Instead, use comprehensive remote monitoring codes 93296-93298 which cover more intensive surveillance immediately following device placement and reimburse at higher rates.

What documentation is required to bill CPT 93293?

Required documentation includes the rhythm strip tracing, device parameters (battery, impedance, pacing/sensing values), physician interpretation with signature and date, and confirmation that 90 days have elapsed since the last monitoring service. Missing rhythm strip documentation is a common denial reason.

What are the RVUs for CPT code 93293?

CPT 93293 has 1.24 total RVUs for 2025, consisting of 0.31 work RVUs, 0.91 practice expense RVUs (both facility and non-facility), and 0.02 malpractice RVUs.

Does CPT 93293 require a modifier for professional component only?

Yes, use modifier 26 when billing only the physician interpretation (professional component) of the pacemaker phone monitoring. Use modifier TC for the technical component only. Most practices bill the global service without modifiers when providing both components.