CPT code 93610: Intracardiac pacing, atrial chamber2026 Medicare rate & RVUs in Missouri

Intracardiac electrical stimulation of the atrium is reported during an electrophysiology study to assess atrial response and conduction or evaluate arrhythmias.

CMS RVU26DEffective Oct 1, 20263 payment localities210 Medicare services in 2024

CMS doesn’t publish an office rate for 93610 in Missouri.

—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 Missouri
  2. What 93610 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 93610 covers

During an invasive cardiac electrophysiology study, the electrophysiologist delivers controlled electrical stimuli to atrial tissue through an intracardiac electrode catheter. These pacing maneuvers help assess the atrial electrical response and conduction and may help evaluate or provoke arrhythmias. The service is performed in a cardiac catheterization or electrophysiology laboratory, generally as part of a study that also involves catheter placement and intracardiac monitoring. This code identifies atrial pacing, not recording alone, ventricular pacing, or a complete EP evaluation.

For Medicare physician fee schedule purposes, 93610 has status C: CMS publishes no national payment, and the Medicare Administrative Contractor prices each claim. It is a diagnostic test with separately reportable professional (modifier 26) and technical (modifier TC) portions; reporting without either modifier represents the global service. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Documentation should identify the atrial pacing performed and support the interpretation when billing the professional portion.

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 93610 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.

93610 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Kansas City, MOUnavailableUnavailable
Metropolitan St. Louis, MOUnavailableUnavailable
Rest of MissouriUnavailableUnavailable

How the 93610 rate is calculated

Each of 93610’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 · 93610

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 93610

The CMS indicators that decide how 93610 is paid alongside other services.

CMS payment indicators · 93610

Intracardiac pacing, atrial chamber

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/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

93610 without 26 · national facility

$0.00

Intracardiac pacing, atrial chamber

93610-26 · Professional component

$156.98

Pays only the interpretation and report.

When to use modifier 26

93610 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 93610

    Intracardiac pacing, atrial chamber0 wRVU

    Not priced

  • 93602

    Atrial recording, intracardiac0 wRVU

    Not priced

  • 93612

    Ventricular pacing, electrophysiology study0 wRVU

    Not priced

  • 93618

    Arrhythmia induction, electrical pacing0 wRVU

    Not priced

  • 93620

    EP evaluation, right-sided pacing0 wRVU

    Not priced

How to choose

93602Atrial recordingIntracardiac
93602 describes recording electrical activity in the atrium; 93610 describes delivering electrical stimuli to the atrium.
93612Ventricular pacingElectrophysiology study
93612 is for intracardiac ventricular pacing. Choose 93610 when the paced chamber is the atrium.
93618Arrhythmia inductionElectrical pacing
93618 identifies electrical pacing to induce an arrhythmia; 93610 identifies intra-atrial pacing.
93620EP evaluationRight-sided pacing
93620 describes a comprehensive EP evaluation, while 93610 identifies intra-atrial pacing as a specific service.

93610 billing questions

How is 93610 different from intra-atrial recording?

93610 identifies electrical stimulation delivered to the atrium. Code 93602 describes recording atrial electrical activity rather than pacing.

When should 93612 be considered instead?

Use 93612 for intracardiac pacing of the ventricle. Code 93610 is for pacing the atrium.

Can modifier 26 or TC be reported?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion. Without either modifier, the code represents the global service.

How does Medicare price 93610?

Status C means CMS publishes no national payment amount for the physician fee schedule. The Medicare Administrative Contractor prices each claim.

How does 93610 differ from a comprehensive EP evaluation?

Codes 93619 and 93620 describe comprehensive EP evaluations, while 93610 identifies intra-atrial pacing as a specific service.

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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