CPT code 92953: External pacing, temporary transcutaneous2026 Medicare rate & RVUs in Washington, DC area
Temporary transcutaneous pacing uses surface electrodes and an external pulse generator to support a patient with clinically significant bradycardia or conduction block.
In Washington, DC area, Medicare pays $1.12 for 92953 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 92953 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 92953 covers
CPT 92953 describes temporary cardiac pacing delivered through electrodes placed on the skin and connected to an external pulse generator. Emergency and critical care clinicians may use it as a bridge when severe bradycardia or heart block causes symptoms or hemodynamic instability, including while evaluating or arranging more definitive pacing. The service is distinct from placing a temporary pacing lead through a vein and from treating a shockable rhythm with cardioversion.
Report the service when external pacing is performed, with documentation of the clinical indication and the pacing intervention. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Washington, DC area compares for 92953
Across 109 of 109 payment localities, the facility rate for 92953 runs from $0.76 in Wisconsin to $1.53 in Miami, FL. Washington, DC area pays $1.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1.12
- Los Angeles, CA · California$0.96−$0.16
- Miami, FL · Florida$1.53+$0.41
- Chicago, IL · Illinois$1.44+$0.32
- Manhattan, NY · New York$1.27+$0.15
- Alaska · Alaska$1.04−$0.08
- Alabama · Alabama$0.82−$0.30
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $0.79 |
| ArizonaArizona | — | $0.94 |
| Bakersfield, CACalifornia | — | $0.91 |
| Chico, CACalifornia | — | $0.88 |
| El Centro, CACalifornia | — | $0.89 |
| Fresno, CACalifornia | — | $0.88 |
| Hanford, CACalifornia | — | $0.88 |
| Madera, CACalifornia | — | $0.88 |
| Merced, CACalifornia | — | $0.88 |
| Modesto, CACalifornia | — | $0.88 |
| Napa, CACalifornia | — | $0.96 |
| Oxnard, CACalifornia | — | $0.95 |
| Redding, CACalifornia | — | $0.88 |
| Rest of CaliforniaCalifornia | — | $0.88 |
| Riverside, CACalifornia | — | $0.99 |
| Sacramento, CACalifornia | — | $0.91 |
| Salinas, CACalifornia | — | $0.91 |
| San Diego, CACalifornia | — | $0.92 |
| Marin County, CACalifornia | — | $0.99 |
| San Francisco, CACalifornia | — | $0.98 |
| San Benito County, CACalifornia | — | $1.03 |
| Santa Clara County, CACalifornia | — | $0.98 |
| San Luis Obispo, CACalifornia | — | $0.90 |
| Santa Cruz, CACalifornia | — | $0.93 |
| Santa Maria, CACalifornia | — | $0.91 |
| Santa Rosa, CACalifornia | — | $0.93 |
| Stockton, CACalifornia | — | $0.88 |
| Vallejo, CACalifornia | — | $0.95 |
| Visalia, CACalifornia | — | $0.88 |
| Yuba City, CACalifornia | — | $0.88 |
| ColoradoColorado | — | $0.95 |
| ConnecticutConnecticut | — | $1.10 |
| DelawareDelaware | — | $0.97 |
| Fort Lauderdale, FLFlorida | — | $1.28 |
| Rest of FloridaFlorida | — | $1.16 |
| Atlanta, GAGeorgia | — | $1.08 |
| Rest of GeorgiaGeorgia | — | $1.03 |
| Hawaii, Guam, HIHawaii | — | $0.91 |
| IowaIowa | — | $0.77 |
| IdahoIdaho | — | $0.80 |
| East St. Louis, ILIllinois | — | $1.31 |
| Rest of IllinoisIllinois | — | $1.16 |
| Suburban Chicago, ILIllinois | — | $1.27 |
| IndianaIndiana | — | $0.81 |
| KansasKansas | — | $0.80 |
| KentuckyKentucky | — | $0.94 |
| New Orleans, LALouisiana | — | $1.03 |
| Rest of LouisianaLouisiana | — | $0.95 |
| Metropolitan Boston, MAMassachusetts | — | $1.04 |
| Rest of MassachusettsMassachusetts | — | $0.96 |
| Baltimore area, MDMaryland | — | $1.11 |
| Rest of MarylandMaryland | — | $0.98 |
| Rest of MaineMaine | — | $0.85 |
| Southern Maine, MEMaine | — | $0.88 |
| Detroit, MIMichigan | — | $1.22 |
| Rest of MichiganMichigan | — | $1.02 |
| MinnesotaMinnesota | — | $0.78 |
| Metropolitan Kansas City, MOMissouri | — | $0.97 |
| Metropolitan St. Louis, MOMissouri | — | $0.99 |
| Rest of MissouriMissouri | — | $0.95 |
| MississippiMississippi | — | $0.87 |
| MontanaMontana | — | $1.00 |
| North CarolinaNorth Carolina | — | $0.86 |
| North DakotaNorth Dakota | — | $0.80 |
| NebraskaNebraska | — | $0.77 |
| New HampshireNew Hampshire | — | $0.97 |
| Northern New JerseyNew Jersey | — | $1.10 |
| Rest of New JerseyNew Jersey | — | $1.08 |
| New MexicoNew Mexico | — | $1.04 |
| NevadaNevada | — | $0.95 |
| NYC suburbs and Long Island, NYNew York | — | $1.37 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1.12 |
| Queens, NYNew York | — | $1.23 |
| Rest of New YorkNew York | — | $0.89 |
| OhioOhio | — | $0.98 |
| OklahomaOklahoma | — | $0.89 |
| Portland, OROregon | — | $0.96 |
| Rest of OregonOregon | — | $0.90 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1.09 |
| Rest of PennsylvaniaPennsylvania | — | $0.96 |
| Puerto RicoPuerto Rico | — | $1.00 |
| Rhode IslandRhode Island | — | $0.98 |
| South CarolinaSouth Carolina | — | $0.93 |
| South DakotaSouth Dakota | — | $0.78 |
| TennesseeTennessee | — | $0.82 |
| Austin, TXTexas | — | $0.98 |
| Beaumont, TXTexas | — | $0.95 |
| Brazoria, TXTexas | — | $0.93 |
| Dallas, TXTexas | — | $0.96 |
| Fort Worth, TXTexas | — | $0.96 |
| Galveston, TXTexas | — | $0.94 |
| Houston, TXTexas | — | $1.13 |
| Rest of TexasTexas | — | $0.95 |
| UtahUtah | — | $0.95 |
| VirginiaVirginia | — | $0.90 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1.00 |
| VermontVermont | — | $0.83 |
| Rest of WashingtonWashington | — | $0.94 |
| King County, WAWashington | — | $1.03 |
| WisconsinWisconsin | — | $0.76 |
| West VirginiaWest Virginia | — | $1.10 |
| WyomingWyoming | — | $0.92 |
92953 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 92953 rate is calculated
Each of 92953’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 92953
RVUs × geographic indexes × conversion factor
Work0.01
0.01 RVUs× 1.000 GPCI
Practice expense0.01
0.01 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.0300
Conversion factor
$33.4009
Medicare rate
$1.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
11,914
- Code
- 92953
- Physician work
- 0.01
- Practice expense
- 0.01
- Malpractice
- 0.01
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.01 | × 1.054 | 0.0105 |
| Practice expense | 0.01 | × 1.178 | 0.0118 |
| Malpractice | 0.01 | × 1.113 | 0.0111 |
| Total RVUs | 0.0335 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1.12
Facility: (0.01 × 1.054 + 0.01 × 1.178 + 0.01 × 1.113) × $33.4009 = $1.12
Payment rules and modifiers for 92953
The CMS indicators that decide how 92953 is paid alongside other services.
CMS payment indicators · 92953
External pacing, temporary transcutaneous
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 92953 has changed in Washington, DC area
92953 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $1.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $1.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $1.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $1.11 | RVU25D |
| 2025-07-01 | Not available in this setting | $1.11 | RVU25C |
| 2025-04-01 | Not available in this setting | $1.11 | RVU25B |
| 2025-01-01 | Not available in this setting | $1.11 | RVU25A |
| 2024-10-01 | Not available in this setting | $1.14 | RVU24D |
| 2024-07-01 | Not available in this setting | $1.14 | RVU24C |
| 2024-04-01 | Not available in this setting | $1.14 | RVU24B |
| 2024-03-09 | Not available in this setting | $1.14 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1.12 | RVU24A |
| 2023-10-01 | Not available in this setting | $1.19 | RVU23D |
| 2023-07-01 | Not available in this setting | $1.19 | RVU23C |
| 2023-04-01 | Not available in this setting | $1.19 | RVU23B |
| 2023-01-01 | Not available in this setting | $1.19 | RVU23A |
| 2022-10-01 | Not available in this setting | $1.24 | RVU22D |
| 2022-07-01 | Not available in this setting | $1.24 | RVU22C |
| 2022-04-01 | Not available in this setting | $1.24 | RVU22B |
| 2022-01-01 | Not available in this setting | $1.24 | RVU22A |
| 2021-10-01 | Not available in this setting | $1.25 | RVU21D |
| 2021-07-01 | Not available in this setting | $1.25 | RVU21C |
| 2021-04-01 | Not available in this setting | $1.25 | RVU21B |
| 2021-01-01 | Not available in this setting | $1.25 | RVU21A |
| 2020-10-01 | Not available in this setting | $1.28 | RVU20D |
| 2020-07-01 | Not available in this setting | $1.28 | RVU20C |
| 2020-04-01 | Not available in this setting | $1.28 | RVU20B |
| 2020-01-01 | Not available in this setting | $1.28 | RVU20A |
| 2019-10-01 | Not available in this setting | $1.27 | RVU19D |
| 2019-07-01 | Not available in this setting | $1.27 | RVU19C |
| 2019-04-01 | Not available in this setting | $1.27 | RVU19B |
| 2019-01-01 | Not available in this setting | $1.27 | RVU19A |
| 2018-10-01 | Not available in this setting | $1.26 | RVU18D |
| 2018-07-01 | Not available in this setting | $1.26 | RVU18C |
| 2018-04-01 | Not available in this setting | $1.26 | RVU18B |
| 2018-01-01 | Not available in this setting | $1.26 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1.26 | RVU17D |
| 2017-07-01 | Not available in this setting | $1.26 | RVU17C |
| 2017-04-01 | Not available in this setting | $1.26 | RVU17B |
| 2017-01-01 | Not available in this setting | $1.26 | RVU17A |
| 2016-10-01 | Not available in this setting | $12.59 | RVU16D |
| 2016-07-01 | Not available in this setting | $12.59 | RVU16C |
| 2016-04-01 | Not available in this setting | $12.59 | RVU16B |
| 2016-01-01 | Not available in this setting | $12.59 | RVU16A |
| 2015-10-01 | Not available in this setting | $12.64 | RVU15D |
| 2015-07-01 | Not available in this setting | $12.64 | RVU15C |
| 2015-04-01 | Not available in this setting | $12.57 | RVU15B |
| 2015-01-01 | Not available in this setting | $12.57 | RVU15A |
| 2014-10-01 | Not available in this setting | $12.10 | RVU14D |
| 2014-07-01 | Not available in this setting | $12.10 | RVU14C |
| 2014-04-01 | Not available in this setting | $12.10 | RVU14B |
| 2014-01-01 | Not available in this setting | $12.10 | RVU14A |
| 2013-10-01 | Not available in this setting | $11.45 | RVU13D |
| 2013-07-01 | Not available in this setting | $11.45 | RVU13C |
| 2013-04-01 | Not available in this setting | $11.45 | RVU13B |
| 2013-01-01 | Not available in this setting | $11.45 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
92953 billing questions
How does 92953 differ from temporary transvenous pacing?
92953 is for pacing delivered through surface electrodes and an external generator. Codes 33210 and 33211 describe temporary transvenous pacing electrode services.
Does 92953 include CPR?
No. 92953 represents external pacing, while 92950 represents cardiopulmonary resuscitation. Document the distinct services performed.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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