CPT code 93612: Ventricular pacing, electrophysiology study2026 Medicare rate & RVUs in Missouri

Reports controlled electrical pacing within a heart ventricle during an invasive electrophysiology study to assess conduction and response to stimulation.

CMS RVU26DEffective Oct 1, 20263 payment localities323 Medicare services in 2024

CMS doesn’t publish an office rate for 93612 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 93612 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 93612 covers

An electrophysiologist delivers controlled electrical stimuli through an electrode catheter positioned in a heart ventricle during an invasive cardiac electrophysiology study. The pacing evaluates electrical conduction and the heart’s response to stimulation. This is intracardiac pacing performed as part of electrophysiologic testing, rather than pacing from an implanted device.

Medicare assigns physician fee schedule status C (carrier priced), so the Medicare Administrative Contractor sets payment for each claim and CMS publishes no national payment amount. The service has a 0-day global period, with same-day preoperative and postoperative care included. As a diagnostic test, it may be reported globally or split into professional interpretation with modifier 26 and technical service with modifier TC. Modifier-free reporting 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 93612 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.

93612 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Kansas City, MOUnavailableUnavailable
Metropolitan St. Louis, MOUnavailableUnavailable
Rest of MissouriUnavailableUnavailable

How the 93612 rate is calculated

Each of 93612’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 · 93612

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 93612

The CMS indicators that decide how 93612 is paid alongside other services.

CMS payment indicators · 93612

Ventricular pacing, electrophysiology study

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

93612 without 26 · national facility

$0.00

Ventricular pacing, electrophysiology study

93612-26 · Professional component

$156.98

Pays only the interpretation and report.

When to use modifier 26

93612 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 93612

    Ventricular pacing, electrophysiology study0 wRVU

    Not priced

  • 93610

    Intracardiac pacing, atrial chamber0 wRVU

    Not priced

  • 93603

    Ventricular recording, right ventricle0 wRVU

    Not priced

  • 93618

    Arrhythmia induction, electrical pacing0 wRVU

    Not priced

  • 93619

    EP evaluation, without arrhythmia induction0 wRVU

    Not priced

How to choose

93610Intracardiac pacingAtrial chamber
Use 93610 for pacing in an atrium; use 93612 for pacing in a ventricle.
93603Ventricular recordingRight ventricle
93603 reports right ventricular electrical recording. 93612 reports delivery of pacing stimuli within a ventricle.
93618Arrhythmia inductionElectrical pacing
93618 identifies electrical pacing to induce an arrhythmia; 93612 identifies intraventricular pacing.
93619EP evaluationWithout arrhythmia induction
93619 describes a comprehensive electrophysiology evaluation. 93612 identifies a specific ventricular pacing service, rather than the comprehensive evaluation.

93612 billing questions

How is this different from intra-atrial pacing?

This code identifies pacing delivered within a ventricle. Code 93610 identifies pacing within an atrium.

How is pacing different from right ventricular recording?

Code 93612 identifies delivery of electrical stimuli within a ventricle. Code 93603 identifies right ventricular recording.

Which modifiers identify the professional and technical services?

Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Without either modifier, the claim represents the global diagnostic test.

How does Medicare set payment for this code?

The physician fee schedule status is C, or carrier priced. The Medicare Administrative Contractor sets payment for each claim.

Does the code have a global period?

It has a 0-day global period, with same-day preoperative and postoperative care included.

How does this differ from arrhythmia-induction pacing?

Code 93618 identifies electrical pacing to induce an arrhythmia. Code 93612 identifies intraventricular pacing.

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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