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CPT code 92960: Cardioversion, external electrical conversion2026 Medicare rate & RVUs in Iowa

Reports planned external electrical cardioversion to restore an organized rhythm, commonly for atrial fibrillation or atrial flutter.

CMS RVU26DEffective Oct 1, 2026One payment locality218.1K Medicare services in 2024

In Iowa, Medicare pays $144.44 for 92960 in the office and $89.74 when it’s performed in a hospital or facility.

$144.44Office (non-facility)
$89.74Hospital or facility
−6.6%vs the national office rate ($154.65)

Check a contract rate as a % of Medicare · 92960 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 92960 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 92960 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 92960 covers

92960 represents external electrical cardioversion: synchronized electrical energy delivered through chest electrodes to terminate an arrhythmia and restore an organized rhythm. It is commonly used for planned cardioversion of atrial fibrillation or atrial flutter. Cardiologists and other qualified physicians typically perform it in a hospital outpatient department or monitored procedural setting, with rhythm and vital-sign monitoring and sedation as appropriate.

Report the procedure performed, not simply rhythm monitoring or medication-based conversion. Documentation should identify the arrhythmia, the external approach, the procedure, and the resulting rhythm or response; distinguish it from internal cardioversion reported with 92961. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Co-surgeons and team surgery are not permitted; assistant-at-surgery payment requires documentation of medical necessity.

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 Iowa compares for 92960

Across 109 of 109 payment localities, the office rate for 92960 runs from $140.30 in Arkansas to $196.84 in San Benito County, CA. Iowa pays $144.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

92960 in Iowa vs other payment areas
  1. Iowa · this page$144.44
  2. Los Angeles, CA · California$171.10+$26.66
  3. Washington, DC area · District of Columbia$173.77+$29.33
  4. Miami, FL · Florida$165.77+$21.33
  5. Chicago, IL · Illinois$162.01+$17.57
  6. Manhattan, NY · New York$175.44+$31.00
  7. Alaska · Alaska$190.46+$46.02

Other areas in Iowa first, then benchmark localities. Bars start at $0.

Every other payment area

92960 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$141.91$89.59
ArkansasArkansas$140.30$88.94
ArizonaArizona$151.31$93.37
Bakersfield, CACalifornia$162.04$96.51
Chico, CACalifornia$161.54$96.01
El Centro, CACalifornia$161.57$96.04
Fresno, CACalifornia$161.54$96.01
Hanford, CACalifornia$161.54$96.01

92960 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$140.30

$190.46

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
92960 office rate range by state
State / territoryOffice rate rangeLocalities
AK$190.461
AL$141.911
AR$140.301
AZ$151.311
CA$161.54–$196.8429
CO$159.741
CT$163.511
DC$173.771
DE$153.451
FL$153.45–$165.773
GA$146.48–$157.202
GU$164.111
HI$164.111
IA$144.441
ID$145.251
IL$150.12–$162.014
IN$145.901
KS$144.051
KY$144.841
LA$144.72–$150.342
MA$159.15–$173.162
MD$155.90–$173.773
ME$145.99–$152.042
MI$147.94–$155.132
MN$153.571
MO$142.85–$150.603
MS$141.591
MT$154.641
NC$147.181
ND$151.671
NE$145.021
NH$157.481
NJ$165.51–$172.612
NM$148.641
NV$153.891
NY$148.93–$179.085
OH$147.331
OK$144.491
OR$152.82–$163.792
PA$147.44–$160.252
PR$155.501
RI$158.131
SC$147.471
SD$151.321
TN$144.641
TX$146.69–$159.118
UT$149.061
VA$151.74–$173.772
VI$155.501
VT$151.331
WA$158.77–$176.172
WI$147.631
WV$145.741
WY$153.341

See 92960 in every payment locality

How the 92960 rate is calculated

Each of 92960’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 · 92960

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.95

1.95 RVUs× 1.000 GPCI

Practice expense2.53

2.53 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

4.6300

Conversion factor

$33.4009

Medicare rate

$154.65

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

11,915

Code
92960
Physician work
1.95
Practice expense
2.53
Malpractice
0.15

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 92960 in Iowa
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0001.9500
Practice expense2.53× 0.9152.3150
Malpractice0.15× 0.3970.0595
Total RVUs4.3245
Conversion factor× 33.4009

Office rate, Iowa$144.44

Office: (1.95 × 1 + 2.53 × 0.915 + 0.15 × 0.397) × $33.4009 = $144.44

Facility: (1.95 × 1 + 0.74 × 0.915 + 0.15 × 0.397) × $33.4009 = $89.74

Open 92960 in the RVU calculator

Payment rules and modifiers for 92960

The CMS indicators that decide how 92960 is paid alongside other services.

CMS payment indicators · 92960

Cardioversion, external electrical conversion

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

Codes related to 92960

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 92960
CodeHow it relatesOffice range, Iowa
Used instead
92961Cardioversion, internal electrical methodInternal electrical cardioversion, rather than the external approach reported with 92960.No office rate
Often billed with
93005ECG tracing, tracing onlyECG tracing service that may accompany cardioversion when separately performed and documented.$6.24
93010ECG interpretation, interpretation and report onlyECG interpretation and report that may accompany cardioversion when separately performed and documented.$7.95

How 92960 has changed in Iowa

92960 · Office / nonfacility

$144.44

Effective 2026-10-01

The base rate is $5.91 higher than on 2025-10-01, moving from $138.53 to $144.44 (4.3%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $138.53changed to$144.44

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.00 changed to 1.95
    • Practice expense RVU 2.42 changed to 2.53
    • Malpractice RVU 0.16 changed to 0.15
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $143.01changed to$138.53

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.44 changed to 2.42
    • Malpractice RVU 0.15 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $140.68changed to$143.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $145.87changed to$140.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.45 changed to 2.44
    • Malpractice RVU 0.17 changed to 0.15
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $148.49changed to$145.87

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.46 changed to 2.45
    • Malpractice RVU 0.14 changed to 0.17
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $150.81changed to$148.49

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.49 changed to 2.46
    • Malpractice RVU 0.15 changed to 0.14

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $152.07changed to$150.81

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.38 changed to 2.49
    • Malpractice RVU 0.13 changed to 0.15
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $151.68changed to$152.07

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.37 changed to 2.38
    • Malpractice RVU 0.14 changed to 0.13
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $152.17changed to$151.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.39 changed to 2.37

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $150.15changed to$152.17

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.35 changed to 2.39
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $193.24changed to$150.15

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 2.25 changed to 2.00
    • Practice expense RVU 3.43 changed to 2.35
    • Malpractice RVU 0.15 changed to 0.14
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $194.12changed to$193.24

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.16 changed to 0.15

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $193.15changed to$194.12

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $190.50changed to$193.15

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.37 changed to 3.43
    • Malpractice RVU 0.13 changed to 0.16
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $188.87changed to$190.50

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.65 changed to 3.37
    • Malpractice RVU 0.14 changed to 0.13
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $188.87

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$144.44$89.74RVU26D
2026-07-01$144.44$89.74RVU26C
2026-04-01$144.44$89.74RVU26B
2026-01-01$144.44$89.74RVU26A
2025-10-01$138.53$98.07RVU25D
2025-07-01$138.53$98.07RVU25C
2025-04-01$138.53$98.07RVU25B
2025-01-01$138.53$98.07RVU25A
2024-10-01$143.01$100.16RVU24D
2024-07-01$143.01$100.16RVU24C
2024-04-01$143.01$100.16RVU24B
2024-03-09$143.01$100.16RVU24AR
2024-01-01$140.68$98.53RVU24A
2023-10-01$145.87$101.77RVU23D
2023-07-01$145.87$101.77RVU23C
2023-04-01$145.87$101.77RVU23B
2023-01-01$145.87$101.77RVU23A
2022-10-01$148.49$103.29RVU22D
2022-07-01$148.49$103.29RVU22C
2022-04-01$148.49$103.29RVU22B
2022-01-01$148.49$103.29RVU22A
2021-10-01$150.81$103.98RVU21D
2021-07-01$150.81$103.98RVU21C
2021-04-01$150.81$103.98RVU21B
2021-01-01$150.81$103.98RVU21A
2020-10-01$152.07$106.57RVU20D
2020-07-01$152.07$106.57RVU20C
2020-04-01$152.07$106.57RVU20B
2020-01-01$152.07$106.57RVU20A
2019-10-01$151.68$106.57RVU19D
2019-07-01$151.68$106.57RVU19C
2019-04-01$151.68$106.57RVU19B
2019-01-01$151.68$106.57RVU19A
2018-10-01$152.17$106.78RVU18D
2018-07-01$152.17$106.78RVU18C
2018-04-01$152.17$106.78RVU18B
2018-01-01$152.17$106.78RVU18AR1
2017-10-01$150.15$106.45RVU17D
2017-07-01$150.15$106.45RVU17C
2017-04-01$150.15$106.45RVU17B
2017-01-01$150.15$106.45RVU17A
2016-10-01$193.24$117.85RVU16D
2016-07-01$193.24$117.85RVU16C
2016-04-01$193.24$117.85RVU16B
2016-01-01$193.24$117.85RVU16A
2015-10-01$194.12$118.46RVU15D
2015-07-01$194.12$118.46RVU15C
2015-04-01$193.15$117.87RVU15B
2015-01-01$193.15$117.87RVU15A
2014-10-01$190.50$117.00RVU14D
2014-07-01$190.50$117.00RVU14C
2014-04-01$190.50$117.00RVU14B
2014-01-01$190.50$117.00RVU14A
2013-10-01$188.87$112.83RVU13D
2013-07-01$188.87$112.83RVU13C
2013-04-01$188.87$112.83RVU13B
2013-01-01$188.87$112.83RVU13AR

Price 92960 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

92960 billing questions

How does 92960 differ from 92961?

92960 is for external electrical cardioversion using chest electrodes. 92961 is for internal electrical cardioversion.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for 92960.

Can an assistant-at-surgery be paid?

Assistant-at-surgery payment is limited to cases with documented medical necessity. Co-surgeons and team surgery are not permitted.

Are same-day evaluation and recovery services included?

The 0-day global period includes same-day preoperative and postoperative care.

What documentation supports reporting 92960?

Document the arrhythmia treated, that external electrical cardioversion was performed, and the rhythm or response afterward.

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
RVUs for 92960PPRRVU2026_Oct_nonQPP.csv, line 11,915 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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