CPT code 93613: 3D mapping, intracardiac electrophysiology2026 Medicare rate & RVUs in Washington, DC area
Report intracardiac three-dimensional electroanatomic mapping as an add-on when it is performed to guide a qualifying electrophysiology procedure, such as arrhythmia ablation.
In Washington, DC area, Medicare pays $268.20 for 93613 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 93613 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 93613 covers
An electrophysiologist uses a catheter-based mapping system to build a three-dimensional representation of cardiac anatomy and electrical activity. The map can show catheter position and activation patterns within a heart chamber, helping the physician locate arrhythmia pathways or tissue targeted during catheter ablation. This service is typically performed in a hospital electrophysiology lab during an invasive EP procedure.
Report 93613 only with a primary procedure, such as an ablation for supraventricular tachycardia, ventricular tachycardia, or atrial fibrillation; it is not a stand-alone service. The record should support that three-dimensional intracardiac mapping was performed and describe its role in the procedure. CMS treats this as an add-on code billed with the primary procedure and paid within that procedure’s global period. The mapping service is not selected by the number of map points or lesions documented.
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.
How Washington, DC area compares for 93613
Across 109 of 109 payment localities, the facility rate for 93613 runs from $218.31 in Wisconsin to $317.27 in Alaska. Washington, DC area pays $268.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$268.20
- Los Angeles, CA · California$248.02−$20.18
- Miami, FL · Florida$311.15+$42.95
- Chicago, IL · Illinois$301.55+$33.35
- Manhattan, NY · New York$288.43+$20.23
- Alaska · Alaska$317.27+$49.07
- Alabama · Alabama$225.66−$42.54
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $223.01 |
| ArizonaArizona | — | $240.87 |
| Bakersfield, CACalifornia | — | $238.83 |
| Chico, CACalifornia | — | $235.54 |
| El Centro, CACalifornia | — | $235.74 |
| Fresno, CACalifornia | — | $235.54 |
| Hanford, CACalifornia | — | $235.54 |
| Madera, CACalifornia | — | $235.54 |
| Merced, CACalifornia | — | $235.54 |
| Modesto, CACalifornia | — | $235.54 |
| Napa, CACalifornia | — | $250.47 |
| Oxnard, CACalifornia | — | $244.12 |
| Redding, CACalifornia | — | $235.54 |
| Rest of CaliforniaCalifornia | — | $235.54 |
| Riverside, CACalifornia | — | $248.52 |
| Sacramento, CACalifornia | — | $241.26 |
| Salinas, CACalifornia | — | $240.26 |
| San Diego, CACalifornia | — | $241.70 |
| Marin County, CACalifornia | — | $257.35 |
| San Francisco, CACalifornia | — | $255.98 |
| San Benito County, CACalifornia | — | $264.21 |
| Santa Clara County, CACalifornia | — | $258.59 |
| San Luis Obispo, CACalifornia | — | $237.13 |
| Santa Cruz, CACalifornia | — | $240.63 |
| Santa Maria, CACalifornia | — | $240.01 |
| Santa Rosa, CACalifornia | — | $242.65 |
| Stockton, CACalifornia | — | $235.54 |
| Vallejo, CACalifornia | — | $248.49 |
| Visalia, CACalifornia | — | $235.54 |
| Yuba City, CACalifornia | — | $235.54 |
| ColoradoColorado | — | $243.40 |
| ConnecticutConnecticut | — | $262.58 |
| DelawareDelaware | — | $244.16 |
| Fort Lauderdale, FLFlorida | — | $280.97 |
| Rest of FloridaFlorida | — | $266.53 |
| Atlanta, GAGeorgia | — | $257.06 |
| Rest of GeorgiaGeorgia | — | $251.59 |
| Hawaii, Guam, HIHawaii | — | $235.90 |
| IowaIowa | — | $220.31 |
| IdahoIdaho | — | $223.57 |
| East St. Louis, ILIllinois | — | $285.85 |
| Rest of IllinoisIllinois | — | $267.36 |
| Suburban Chicago, ILIllinois | — | $281.23 |
| IndianaIndiana | — | $224.35 |
| KansasKansas | — | $224.23 |
| KentuckyKentucky | — | $240.28 |
| New Orleans, LALouisiana | — | $251.14 |
| Rest of LouisianaLouisiana | — | $241.87 |
| Metropolitan Boston, MAMassachusetts | — | $257.57 |
| Rest of MassachusettsMassachusetts | — | $244.32 |
| Baltimore area, MDMaryland | — | $262.85 |
| Rest of MarylandMaryland | — | $246.67 |
| Rest of MaineMaine | — | $229.59 |
| Southern Maine, MEMaine | — | $232.59 |
| Detroit, MIMichigan | — | $274.26 |
| Rest of MichiganMichigan | — | $249.82 |
| MinnesotaMinnesota | — | $220.46 |
| Metropolitan Kansas City, MOMissouri | — | $244.64 |
| Metropolitan St. Louis, MOMissouri | — | $246.14 |
| Rest of MissouriMissouri | — | $241.67 |
| MississippiMississippi | — | $232.13 |
| MontanaMontana | — | $247.75 |
| North CarolinaNorth Carolina | — | $230.76 |
| North DakotaNorth Dakota | — | $223.83 |
| NebraskaNebraska | — | $219.84 |
| New HampshireNew Hampshire | — | $244.30 |
| Northern New JerseyNew Jersey | — | $267.25 |
| Rest of New JerseyNew Jersey | — | $261.98 |
| New MexicoNew Mexico | — | $252.88 |
| NevadaNevada | — | $241.12 |
| NYC suburbs and Long Island, NYNew York | — | $300.38 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $267.51 |
| Queens, NYNew York | — | $283.35 |
| Rest of New YorkNew York | — | $233.98 |
| OhioOhio | — | $244.93 |
| OklahomaOklahoma | — | $234.86 |
| Portland, OROregon | — | $244.33 |
| Rest of OregonOregon | — | $235.68 |
| Metropolitan Philadelphia, PAPennsylvania | — | $260.22 |
| Rest of PennsylvaniaPennsylvania | — | $242.57 |
| Puerto RicoPuerto Rico | — | $247.64 |
| Rhode IslandRhode Island | — | $247.93 |
| South CarolinaSouth Carolina | — | $238.95 |
| South DakotaSouth Dakota | — | $221.00 |
| TennesseeTennessee | — | $225.75 |
| Austin, TXTexas | — | $245.72 |
| Beaumont, TXTexas | — | $241.63 |
| Brazoria, TXTexas | — | $239.97 |
| Dallas, TXTexas | — | $243.48 |
| Fort Worth, TXTexas | — | $243.64 |
| Galveston, TXTexas | — | $241.99 |
| Houston, TXTexas | — | $264.13 |
| Rest of TexasTexas | — | $242.02 |
| UtahUtah | — | $241.49 |
| VirginiaVirginia | — | $235.32 |
| Virgin Islands, VIUnited States Virgin Islands | — | $247.64 |
| VermontVermont | — | $227.50 |
| Rest of WashingtonWashington | — | $242.35 |
| King County, WAWashington | — | $257.37 |
| WisconsinWisconsin | — | $218.31 |
| West VirginiaWest Virginia | — | $260.40 |
| WyomingWyoming | — | $237.33 |
93613 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 93613 rate is calculated
Each of 93613’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 · 93613
RVUs × geographic indexes × conversion factor
Work5.10
5.10 RVUs× 1.000 GPCI
Practice expense1.11
1.11 RVUs× 1.000 GPCI
Malpractice1.21
1.21 RVUs× 1.000 GPCI
Adjusted RVUs
7.4200
Conversion factor
$33.4009
Medicare rate
$247.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,197
- Code
- 93613
- Physician work
- 5.10
- Practice expense
- 1.11
- Malpractice
- 1.21
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.10 | × 1.054 | 5.3754 |
| Practice expense | 1.11 | × 1.178 | 1.3076 |
| Malpractice | 1.21 | × 1.113 | 1.3467 |
| Total RVUs | 8.0297 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$268.20
Facility: (5.1 × 1.054 + 1.11 × 1.178 + 1.21 × 1.113) × $33.4009 = $268.20
Payment rules and modifiers for 93613
The CMS indicators that decide how 93613 is paid alongside other services.
CMS payment indicators · 93613
3D mapping, intracardiac electrophysiology
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 93613 has changed in Washington, DC area
93613 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $268.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $268.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $268.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $268.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $304.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $304.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $304.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $304.37 | RVU25A |
| 2024-10-01 | Not available in this setting | $313.59 | RVU24D |
| 2024-07-01 | Not available in this setting | $313.59 | RVU24C |
| 2024-04-01 | Not available in this setting | $313.59 | RVU24B |
| 2024-03-09 | Not available in this setting | $313.59 | RVU24AR |
| 2024-01-01 | Not available in this setting | $308.47 | RVU24A |
| 2023-10-01 | Not available in this setting | $326.46 | RVU23D |
| 2023-07-01 | Not available in this setting | $326.46 | RVU23C |
| 2023-04-01 | Not available in this setting | $326.46 | RVU23B |
| 2023-01-01 | Not available in this setting | $326.46 | RVU23A |
| 2022-10-01 | Not available in this setting | $340.74 | RVU22D |
| 2022-07-01 | Not available in this setting | $340.74 | RVU22C |
| 2022-04-01 | Not available in this setting | $340.74 | RVU22B |
| 2022-01-01 | Not available in this setting | $340.74 | RVU22A |
| 2021-10-01 | Not available in this setting | $343.07 | RVU21D |
| 2021-07-01 | Not available in this setting | $343.07 | RVU21C |
| 2021-04-01 | Not available in this setting | $343.07 | RVU21B |
| 2021-01-01 | Not available in this setting | $343.07 | RVU21A |
| 2020-10-01 | Not available in this setting | $350.16 | RVU20D |
| 2020-07-01 | Not available in this setting | $350.16 | RVU20C |
| 2020-04-01 | Not available in this setting | $350.16 | RVU20B |
| 2020-01-01 | Not available in this setting | $350.16 | RVU20A |
| 2019-10-01 | Not available in this setting | $347.06 | RVU19D |
| 2019-07-01 | Not available in this setting | $347.06 | RVU19C |
| 2019-04-01 | Not available in this setting | $347.06 | RVU19B |
| 2019-01-01 | Not available in this setting | $347.06 | RVU19A |
| 2018-10-01 | Not available in this setting | $379.21 | RVU18D |
| 2018-07-01 | Not available in this setting | $379.21 | RVU18C |
| 2018-04-01 | Not available in this setting | $379.21 | RVU18B |
| 2018-01-01 | Not available in this setting | $379.21 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $465.22 | RVU17D |
| 2017-07-01 | Not available in this setting | $465.22 | RVU17C |
| 2017-04-01 | Not available in this setting | $465.22 | RVU17B |
| 2017-01-01 | Not available in this setting | $465.22 | RVU17A |
| 2016-10-01 | Not available in this setting | $463.26 | RVU16D |
| 2016-07-01 | Not available in this setting | $463.26 | RVU16C |
| 2016-04-01 | Not available in this setting | $463.26 | RVU16B |
| 2016-01-01 | Not available in this setting | $463.26 | RVU16A |
| 2015-10-01 | Not available in this setting | $463.15 | RVU15D |
| 2015-07-01 | Not available in this setting | $463.15 | RVU15C |
| 2015-04-01 | Not available in this setting | $460.84 | RVU15B |
| 2015-01-01 | Not available in this setting | $460.84 | RVU15A |
| 2014-10-01 | Not available in this setting | $446.51 | RVU14D |
| 2014-07-01 | Not available in this setting | $446.51 | RVU14C |
| 2014-04-01 | Not available in this setting | $446.51 | RVU14B |
| 2014-01-01 | Not available in this setting | $446.51 | RVU14A |
| 2013-10-01 | Not available in this setting | $420.82 | RVU13D |
| 2013-07-01 | Not available in this setting | $420.82 | RVU13C |
| 2013-04-01 | Not available in this setting | $420.82 | RVU13B |
| 2013-01-01 | Not available in this setting | $420.82 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
93613 billing questions
Can 93613 be reported by itself?
No. It is an add-on code and must be reported with a qualifying primary procedure, such as an EP ablation.
Which ablation procedures are commonly paired with 93613?
It may accompany procedures such as 93653 for supraventricular tachycardia ablation, 93654 for ventricular tachycardia ablation, or 93656 for atrial fibrillation ablation when three-dimensional mapping is performed.
How is 93613 different from 93609?
93613 represents intracardiac three-dimensional mapping. Code 93609 describes a different intracardiac mapping service; choose based on the mapping performed, not simply because an ablation took place.
What documentation supports 93613?
Document the three-dimensional mapping performed, the cardiac area mapped, and how the map supported the EP procedure or ablation.
Are units based on map points or lesions?
No. Map points and ablation lesions are not separate units of 93613; report the add-on service with its associated primary procedure.
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
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