CPT code 92961: Cardioversion, internal electrical method2026 Medicare rate & RVUs in California
Reports synchronized electrical cardioversion delivered through intracardiac electrodes to treat an arrhythmia, rather than through external chest pads.
CMS doesn’t publish an office rate for 92961 in California.
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 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 in California
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
29 of 29 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Bakersfield, CA | Unavailable | $209.30 |
| Chico, CA | Unavailable | $206.63 |
| El Centro, CA | Unavailable | $206.79 |
| Fresno, CA | Unavailable | $206.63 |
| Hanford, CA | Unavailable | $206.63 |
| Los Angeles, CA | Unavailable | $217.81 |
| Madera, CA | Unavailable | $206.63 |
| Marin County, CA | Unavailable | $228.13 |
| Merced, CA | Unavailable | $206.63 |
| Modesto, CA | Unavailable | $206.63 |
| Napa, CA | Unavailable | $221.40 |
| Oxnard, CA | Unavailable | $214.59 |
| Redding, CA | Unavailable | $206.63 |
| Rest of California | Unavailable | $206.63 |
| Riverside, CA | Unavailable | $217.14 |
| Sacramento, CA | Unavailable | $212.09 |
| Salinas, CA | Unavailable | $211.21 |
| San Benito County, CA | Unavailable | $234.10 |
| San Diego, CA | Unavailable | $212.80 |
| San Francisco, CA | Unavailable | $227.02 |
| San Luis Obispo, CA | Unavailable | $208.41 |
| Santa Clara County, CA | Unavailable | $229.55 |
| Santa Cruz, CA | Unavailable | $212.12 |
| Santa Maria, CA | Unavailable | $211.08 |
| Santa Rosa, CA | Unavailable | $213.93 |
| Stockton, CA | Unavailable | $206.63 |
| Vallejo, CA | Unavailable | $219.80 |
| Visalia, CA | Unavailable | $206.63 |
| Yuba City, CA | Unavailable | $206.63 |
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
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
| 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 | 9 | The concept doesn’t apply. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 9 | The concept doesn’t apply. |
| Co-surgeons (62) | 9 | The concept doesn’t apply. |
| Team surgery (66) | 9 | The concept doesn’t apply. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
92961 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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