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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.

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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 codeShort descriptionModifier indicator
0733TRem r-t mtn nrehab ther sply0 - no modifier bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
93000Electrocardiogram complete1 - modifier may bypassCheck pair
93005Electrocardiogram tracing1 - modifier may bypassCheck pair
93010Electrocardiogram report1 - modifier may bypassCheck pair
93040Rhythm ecg with report1 - modifier may bypassCheck pair
93041Rhythm ecg tracing1 - modifier may bypassCheck pair
93042Rhythm ecg report1 - modifier may bypassCheck pair
96523Irrig drug delivery device0 - no modifier bypassCheck pair
98975Rtm 1st set-up&pt educaj eqp0 - no modifier bypassCheck pair
98976Rtm dev sply resp sys 16-30d0 - no modifier bypassCheck pair
98977Rtm dev sply mscskl 16-30 d0 - no modifier bypassCheck pair
99446Ntrprof ph1/ntrnet/ehr 5-101 - modifier may bypassCheck pair
99447Ntrprof ph1/ntrnet/ehr 11-201 - modifier may bypassCheck pair
99448Ntrprof ph1/ntrnet/ehr 21-301 - modifier may bypassCheck pair
99449Ntrprof ph1/ntrnet/ehr 31/>1 - modifier may bypassCheck pair
99451Ntrprof ph1/ntrnet/ehr 5/>1 - modifier may bypassCheck pair
99452Ntrprof ph1/ntrnet/ehr rfrl1 - modifier may bypassCheck pair
99453Rem mntr physiol param setup0 - no modifier bypassCheck pair
99454Rem mntr physiol param 16-300 - no modifier bypassCheck pair
99473Self-meas bp pt educaj/train0 - no modifier bypassCheck pair
G0248Demonstrate use home inr mon0 - no modifier bypassCheck 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 codeShort descriptionModifier indicator
0522TPrgrmg dev eval wcs ip1Check pair
0575TPrgrmg dev eval icds ss ip1Check pair
93260Prgrmg dev eval impltbl sys1Check pair
93282Prgrmg eval implantable dfb1Check pair
93292Wcd device interrogate1Check 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.