CPT code 92960: Cardioversion, external electrical conversion2026 Medicare rate & RVUs in Missouri
Reports planned external electrical cardioversion to restore an organized rhythm, commonly for atrial fibrillation or atrial flutter.
Medicare pays $142.85–$150.60 for 92960 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
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.
Where 92960 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$142.85 to $150.60
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $149.38 | $93.24 |
| Metropolitan St. Louis, MO | $150.60 | $93.68 |
| Rest of Missouri | $142.85 | $91.32 |
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
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.
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
| 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. |
92960 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 92961CardioversionInternal electrical method
- Use 92961 for internal cardioversion; use 92960 when electrical energy is delivered externally through chest electrodes.
- 92950CPR
- 92950 reports CPR. It describes resuscitation, not planned external electrical cardioversion.
- 92953External pacingTemporary transcutaneous
- 92953 reports temporary external cardiac pacing. Pacing supports the heart rate; 92960 delivers a shock to convert an arrhythmia.
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
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