CPT code 93609: Ventricular mapping, tachycardia site2026 Medicare rate & RVUs in Florida

Reports catheter-based mapping inside a ventricle to locate a tachycardia site during an associated electrophysiology study or ablation procedure.

CMS RVU26DEffective Oct 1, 20263 payment localities7.5K Medicare services in 2024

CMS doesn’t publish an office rate for 93609 in Florida.

—Office (non-facility)
—Hospital or facility

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 9 sections
  1. Rate in Florida
  2. What 93609 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 93609 covers

During an invasive electrophysiology study, the physician uses intracardiac catheter recordings and pacing information to map a tachycardia site within a ventricle. The mapping helps localize the area involved in the abnormal rhythm, commonly while evaluating or treating ventricular tachycardia. An electrophysiologist typically performs the service in a hospital electrophysiology laboratory alongside the primary diagnostic or ablation procedure. This code describes ventricular tachycardia-site mapping, rather than three-dimensional reconstruction of cardiac anatomy.

This is an add-on code and is reported only with an eligible primary procedure; Medicare treats it as paid within that procedure’s global period. Its physician fee schedule status is carrier priced (status C): CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for the claim. The service has professional and technical components. Modifier 26 identifies the professional interpretation, modifier TC identifies the technical component, including equipment and staff, and no modifier represents the global service.

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 93609 pays more and less in Florida

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

93609 office and facility rates by payment locality
Payment localityOfficeFacility
Fort Lauderdale, FLUnavailableUnavailable
Miami, FLUnavailableUnavailable
Rest of FloridaUnavailableUnavailable

How the 93609 rate is calculated

Each of 93609’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 · 93609

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense0.00

0.00 RVUs× 1.000 GPCI

Malpractice0.00

0.00 RVUs× 1.000 GPCI

Adjusted RVUs

0.0000

Conversion factor

$33.4009

Medicare rate

$0.00

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

Payment rules and modifiers for 93609

The CMS indicators that decide how 93609 is paid alongside other services.

CMS payment indicators · 93609

Ventricular mapping, tachycardia site

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
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/technical1Diagnostic test with separate professional (26) and technical (TC) components.

What modifiers do to the payment

Modifier 26 · payment effect

With and without the modifier

93609 without 26 · national facility

$0.00

Ventricular mapping, tachycardia site

93609-26 · Professional component

$267.88

Pays only the interpretation and report.

When to use modifier 26

93609 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 93609

    Ventricular mapping, tachycardia site0 wRVU

    Not priced

  • 93613

    3D mapping, intracardiac electrophysiology5.1 wRVU

    Not priced

  • 93612

    Ventricular pacing, electrophysiology study0 wRVU

    Not priced

  • 93654

    VT ablation, comprehensive EP evaluation17.65 wRVU

    Not priced

How to choose

936133D mappingIntracardiac electrophysiology
93613 describes intracardiac three-dimensional mapping. This code describes mapping a tachycardia site within a ventricle.
93612Ventricular pacingElectrophysiology study
93612 reports intraventricular pacing. This code reports mapping a ventricular tachycardia site, not pacing alone.
93654VT ablationComprehensive EP evaluation
93654 describes a comprehensive evaluation with treatment of ventricular tachycardia. This code is the add-on for ventricular tachycardia-site mapping when performed.

93609 billing questions

When is this code appropriate?

Use it for mapping a tachycardia site within a ventricle during an associated electrophysiology procedure. It is an add-on, not a stand-alone procedure code.

How does it differ from 93613?

This code describes mapping a ventricular tachycardia site. Code 93613 describes intracardiac three-dimensional mapping, a distinct mapping service.

Can it be reported by itself?

No. It must be reported with an eligible primary procedure and is paid within that procedure’s global period.

Which component modifiers can be used?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical component, including equipment and staff. Without either modifier, the code represents the global service.

How does Medicare determine payment?

The physician fee schedule status is carrier priced (status C). CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim.

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

Open CMS sourceHow we calculate rates

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