FeeBase
Log inGet started
Menu

CPT code 92961: Cardioversion, internal electrical method2026 Medicare rate & RVUs

Reports synchronized electrical cardioversion delivered through intracardiac electrodes to treat an arrhythmia, rather than through external chest pads.

CMS RVU26DEffective Oct 1, 2026109 payment localities470 Medicare services in 2024

Medicare pays $215.44 for 92961 nationally in a facility.

Medicare rate · 92961

Cardioversion, internal electrical method

Office or facility?

Work RVUs
4.23
Total RVUs
6.45
Global days
000

National rate · 2026

$215.44

Facility setting, before claim adjustments.

See every locality for 92961 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 92961 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 92961 covers

This service uses an internally placed electrode, such as a catheter electrode, to deliver a synchronized electrical shock intended to restore a normal rhythm. Cardiologists and electrophysiologists typically perform it in a cardiac catheterization or electrophysiology laboratory. It may be used for atrial fibrillation or another arrhythmia when the internal method is selected, including situations where external cardioversion has not restored the rhythm.

Report 92961 for the internal electrical method; external shocks delivered through chest pads are reported with 92960 instead. Documentation should identify the arrhythmia, the internal electrode method, the cardioversion performed, and the rhythm response. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included in the procedure payment. The code does not carry a longer postoperative care period.

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 92961 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

92961 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$196.05
AlaskaUnavailable$274.07
ArizonaUnavailable$209.44
ArkansasUnavailable$193.72
Atlanta, GAUnavailable$223.10
Austin, TXUnavailable$214.39
Bakersfield, CAUnavailable$209.30
Baltimore area, MDUnavailable$228.48
Beaumont, TXUnavailable$209.38
Brazoria, TXUnavailable$208.99

92961 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.

View every state and territory as a table
92961 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 92961 rate is calculated

Each of 92961’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 · 92961

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.23

4.23 RVUs× 1.000 GPCI

Practice expense1.24

1.24 RVUs× 1.000 GPCI

Malpractice0.98

0.98 RVUs× 1.000 GPCI

Adjusted RVUs

6.4500

Conversion factor

$33.4009

Medicare rate

$215.44

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

Payment rules and modifiers for 92961

The CMS indicators that decide how 92961 is paid alongside other services.

CMS payment indicators · 92961

Cardioversion, internal electrical method

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures9The concept doesn’t apply.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)9The concept doesn’t apply.
Co-surgeons (62)9The concept doesn’t apply.
Team surgery (66)9The concept doesn’t apply.
Professional/technical0Physician service: no professional/technical split.

92961 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 92961

    Cardioversion, internal electrical method4.23 wRVU

    Not priced

  • 92960

    Cardioversion, external electrical conversion1.95 wRVU

    $154.65

  • 93656

    AF ablation, pulmonary vein isolation16.58 wRVU

    Not priced

  • 93620

    EP evaluation, right-sided pacing0 wRVU

    Not priced

How to choose

92960CardioversionExternal electrical conversion
92960 describes external cardioversion using chest pads. Use 92961 when the shock is delivered through an internal electrode.
93656AF ablationPulmonary vein isolation
93656 reports catheter ablation for atrial fibrillation. Cardioversion restores rhythm with a shock; it is not the ablation service.
93620EP evaluationRight-sided pacing
93620 describes a comprehensive electrophysiology evaluation. It is diagnostic testing, whereas 92961 reports the internal electrical cardioversion.

Codes related to 92961

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

Codes related to 92961
CodeHow it relatesNational office range
Same family
92960Cardioversion, external electrical conversionSibling code for external electrical cardioversion delivered through chest pads.$140.30–$196.84
Often billed with
93656AF ablation, pulmonary vein isolationAtrial fibrillation ablation may occur in the same electrophysiology encounter.No office rate
93620EP evaluation, right-sided pacingA comprehensive electrophysiology evaluation may be performed during the same laboratory encounter.No office rate

92961 billing questions

Should each shock be reported as a separate unit?

Do not count individual shocks as separate services. Document the cardioversion session and the method used.

What documentation supports 92961?

Record the arrhythmia treated, use of an internal electrode, the cardioversion performed, and the resulting rhythm or response.

Is same-day preoperative or postoperative care included?

Yes. CMS assigns this minor procedure a 0-day global period, which includes same-day preoperative and postoperative care.

Can 92961 be reported with an atrial fibrillation ablation?

An internal cardioversion may occur during an electrophysiology encounter that also includes ablation. Report each service only when the documentation supports that it was performed.

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 92961PPRRVU2026_Oct_nonQPP.csv, line 11,916 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 92961 pays?

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 92961 and the rest of your codes on one sheet

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

Join the waitlist