FeeBase
Log inGet started
Menu

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

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 Virginia, Medicare pays $151.74 for 92960 in the office and $92.97 when it’s performed in a hospital or facility.

$151.74Office (non-facility)
$92.97Hospital or facility
−1.9%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 Virginia
  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 Virginia 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. Virginia pays $151.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

92960 in Virginia vs other payment areas
  1. Virginia · this page$151.74
  2. Los Angeles, CA · California$171.10+$19.36
  3. Washington, DC area · District of Columbia$173.77+$22.03
  4. Miami, FL · Florida$165.77+$14.03
  5. Chicago, IL · Illinois$162.01+$10.27
  6. Manhattan, NY · New York$175.44+$23.70
  7. Alaska · Alaska$190.46+$38.72

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 92960 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.95× 1.0001.9500
Practice expense2.53× 0.9832.4870
Malpractice0.15× 0.7060.1059
Total RVUs4.5429
Conversion factor× 33.4009

Office rate, Virginia$151.74

Office: (1.95 × 1 + 2.53 × 0.983 + 0.15 × 0.706) × $33.4009 = $151.74

Facility: (1.95 × 1 + 0.74 × 0.983 + 0.15 × 0.706) × $33.4009 = $92.97

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, Virginia
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.$6.80
93010ECG interpretation, interpretation and report onlyECG interpretation and report that may accompany cardioversion when separately performed and documented.$8.21

How 92960 has changed in Virginia

92960 · Office / nonfacility

$151.74

Effective 2026-10-01

The base rate is $5.98 higher than on 2025-10-01, moving from $145.76 to $151.74 (4.1%).

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

    $145.76changed to$151.74

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $150.40changed to$145.76

    • 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

    $147.95changed to$150.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $154.73changed to$147.95

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $158.26changed to$154.73

    • 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 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $160.93changed to$158.26

    • 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

    $161.54changed to$160.93

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $160.88changed to$161.54

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $161.41changed to$160.88

    • 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

    $159.20changed to$161.41

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.35 changed to 2.39
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $205.71changed to$159.20

    • 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 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $206.74changed to$205.71

    • 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

    $205.72changed to$206.74

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $202.53changed to$205.72

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $201.36changed to$202.53

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $201.36

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$151.74$92.97RVU26D
2026-07-01$151.74$92.97RVU26C
2026-04-01$151.74$92.97RVU26B
2026-01-01$151.74$92.97RVU26A
2025-10-01$145.76$102.15RVU25D
2025-07-01$145.76$102.15RVU25C
2025-04-01$145.76$102.15RVU25B
2025-01-01$145.76$102.15RVU25A
2024-10-01$150.40$104.22RVU24D
2024-07-01$150.40$104.22RVU24C
2024-04-01$150.40$104.22RVU24B
2024-03-09$150.40$104.22RVU24AR
2024-01-01$147.95$102.51RVU24A
2023-10-01$154.73$106.75RVU23D
2023-07-01$154.73$106.75RVU23C
2023-04-01$154.73$106.75RVU23B
2023-01-01$154.73$106.75RVU23A
2022-10-01$158.26$108.68RVU22D
2022-07-01$158.26$108.68RVU22C
2022-04-01$158.26$108.68RVU22B
2022-01-01$158.26$108.68RVU22A
2021-10-01$160.93$109.55RVU21D
2021-07-01$160.93$109.55RVU21C
2021-04-01$160.93$109.55RVU21B
2021-01-01$160.93$109.55RVU21A
2020-10-01$161.54$111.82RVU20D
2020-07-01$161.54$111.82RVU20C
2020-04-01$161.54$111.82RVU20B
2020-01-01$161.54$111.82RVU20A
2019-10-01$160.88$111.84RVU19D
2019-07-01$160.88$111.84RVU19C
2019-04-01$160.88$111.84RVU19B
2019-01-01$160.88$111.84RVU19A
2018-10-01$161.41$112.07RVU18D
2018-07-01$161.41$112.07RVU18C
2018-04-01$161.41$112.07RVU18B
2018-01-01$161.41$112.07RVU18AR1
2017-10-01$159.20$111.48RVU17D
2017-07-01$159.20$111.48RVU17C
2017-04-01$159.20$111.48RVU17B
2017-01-01$159.20$111.48RVU17A
2016-10-01$205.71$123.00RVU16D
2016-07-01$205.71$123.00RVU16C
2016-04-01$205.71$123.00RVU16B
2016-01-01$205.71$123.00RVU16A
2015-10-01$206.74$123.74RVU15D
2015-07-01$206.74$123.74RVU15C
2015-04-01$205.72$123.12RVU15B
2015-01-01$205.72$123.12RVU15A
2014-10-01$202.53$121.79RVU14D
2014-07-01$202.53$121.79RVU14C
2014-04-01$202.53$121.79RVU14B
2014-01-01$202.53$121.79RVU14A
2013-10-01$201.36$117.60RVU13D
2013-07-01$201.36$117.60RVU13C
2013-04-01$201.36$117.60RVU13B
2013-01-01$201.36$117.60RVU13AR

Price 92960 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 92960 pays in Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 92960 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist