93745 Set-up cardiovert-defibrill
What 93745 is
CMS fee schedule short descriptor: Set-up cardiovert-defibrill.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 93745 (CY2026)
This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps 93745 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 93745? These codes are bundled into it
93745 is a Column 1 code in 26 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
0733T | Rem r-t mtn nrehab ther sply | 0 - no modifier bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
93000 | Electrocardiogram complete | 1 - modifier may bypass | Check pair |
93005 | Electrocardiogram tracing | 1 - modifier may bypass | Check pair |
93010 | Electrocardiogram report | 1 - modifier may bypass | Check pair |
93040 | Rhythm ecg with report | 1 - modifier may bypass | Check pair |
93041 | Rhythm ecg tracing | 1 - modifier may bypass | Check pair |
93042 | Rhythm ecg report | 1 - modifier may bypass | Check pair |
96523 | Irrig drug delivery device | 0 - no modifier bypass | Check pair |
98975 | Rtm 1st set-up&pt educaj eqp | 0 - no modifier bypass | Check pair |
98976 | Rtm dev sply resp sys 16-30d | 0 - no modifier bypass | Check pair |
98977 | Rtm dev sply mscskl 16-30 d | 0 - no modifier bypass | Check pair |
99446 | Ntrprof ph1/ntrnet/ehr 5-10 | 1 - modifier may bypass | Check pair |
99447 | Ntrprof ph1/ntrnet/ehr 11-20 | 1 - modifier may bypass | Check pair |
99448 | Ntrprof ph1/ntrnet/ehr 21-30 | 1 - modifier may bypass | Check pair |
99449 | Ntrprof ph1/ntrnet/ehr 31/> | 1 - modifier may bypass | Check pair |
99451 | Ntrprof ph1/ntrnet/ehr 5/> | 1 - modifier may bypass | Check pair |
99452 | Ntrprof ph1/ntrnet/ehr rfrl | 1 - modifier may bypass | Check pair |
99453 | Rem mntr physiol param setup | 0 - no modifier bypass | Check pair |
99454 | Rem mntr physiol param 16-30 | 0 - no modifier bypass | Check pair |
99473 | Self-meas bp pt educaj/train | 0 - no modifier bypass | Check pair |
G0248 | Demonstrate use home inr mon | 0 - no modifier bypass | Check pair |
93745 is bundled into these codes
93745 appears as a Column 2 code in 5 active edits. Reported with one of these Column 1 codes on the same date of service, 93745 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0522T | Prgrmg dev eval wcs ip | 1 | Check pair |
0575T | Prgrmg dev eval icds ss ip | 1 | Check pair |
93260 | Prgrmg dev eval impltbl sys | 1 | Check pair |
93282 | Prgrmg eval implantable dfb | 1 | Check pair |
93292 | Wcd device interrogate | 1 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.