CPT 93294Cardiology

Rem interrog evl pm/ldls pm

CPT code 93294 covers remote monitoring and evaluation of a pacemaker or leadless pacemaker system when a healthcare provider reviews transmitted data from the device without the patient being physically present in the office.

Showing rates for

National Average

Base Medicare rate

$28.14

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

0.6

PE RVU (NF)

0.23

MP RVU

0.04

Total RVU

0.87

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

NCCI bundling edits

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Billing tips

Observe the 90-day billing frequency limitation for remote interrogation services per Medicare and most commercial payers
Impact: Billing more frequently than every 90 days will result in denial; ensure at least 90 days have elapsed since the last billed remote interrogation (93294, 93296, 93298, etc.)
Do not bill 93294 in the same 90-day period as in-person device interrogation codes (93279-93281)
Impact: Bundling edits will deny 93294 if in-office interrogation is performed within the same period; results in $28.14 denial per occurrence
Ensure comprehensive documentation of all required elements including rhythm analysis, battery voltage, lead impedances, capture/sensing thresholds, and clinical interpretation with report
Impact: Missing required documentation elements may trigger audit recoupment of the full $28.14 payment plus potential extrapolation to similar claims
Verify patient enrollment in formal remote monitoring program and obtain signed consent for remote device monitoring services
Impact: Lack of documented patient consent may result in denial of all remote monitoring claims during audit review
Bill 93294 only when physician or qualified healthcare professional personally reviews data and generates a signed report; do not bill for automated transmissions without physician review
Impact: Automated device reports without professional interpretation are not billable; improper billing can result in compliance violations and repayment of $28.14 per claim
Confirm the device type is specifically a pacemaker or leadless pacemaker; use alternative codes for ICDs (93296) or loop recorders (93298)

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Frequently asked questions

What is CPT code 93294 used for?

CPT code 93294 is used for remote interrogation device evaluation of a pacemaker system or leadless pacemaker system. This includes physician analysis and interpretation of remotely transmitted device data including battery status, lead function, heart rhythm, and programmed parameters with generation of a written report.

How much does Medicare pay for CPT 93294 in 2025?

Medicare pays $28.14 for CPT 93294 in 2025 based on the national average non-facility rate. This is calculated using 0.87 total RVUs (0.6 work RVU + 0.23 practice expense RVU + 0.04 malpractice RVU) multiplied by the 2025 conversion factor of 32.3465.

How often can CPT 93294 be billed?

CPT 93294 can be billed once every 90 days per patient per pacemaker device according to Medicare guidelines. This frequency limitation applies across all remote and in-person device interrogation services, meaning you cannot bill both an in-office interrogation and a remote interrogation within the same 90-day period.

What is the difference between CPT 93294 and 93296?

CPT 93294 is for remote interrogation of pacemaker systems, while CPT 93296 is for remote interrogation of implantable cardioverter-defibrillator (ICD) systems. The key difference is the device type: 93294 applies to pacemakers (devices that only pace), while 93296 applies to ICDs (devices with defibrillation capability). Device complexity determines correct code selection.

Can CPT 93294 be billed with an office visit on the same day?

CPT 93294 represents remote interrogation performed without the patient present, so it typically would not occur on the same day as an office visit. If remote data review occurs coincident with an office visit, the in-person device interrogation code (93279, 93280, or 93281) would be more appropriate. Billing both remote and in-person interrogations on the same day would likely be denied as duplicative.

What documentation is required to bill CPT 93294?

Documentation must include the date of remote transmission, complete device parameters (battery voltage, lead impedances, capture/sensing thresholds, pacing parameters), rhythm analysis, review of any alerts or arrhythmias, physician interpretation with clinical assessment, and a signed physician report. Patient enrollment in the remote monitoring program and consent should also be documented.

Does CPT 93294 require the patient to be present?

No, CPT 93294 is specifically for remote interrogation where the patient transmits device data from home or another location using remote monitoring technology. The patient is not present in the office or clinic. If the patient is present for device interrogation, in-person evaluation codes (93279-93281) should be used instead.