CPT code 93616: Esophageal EP study, with pacing2026 Medicare rate & RVUs in Massachusetts
Reports esophageal recording of cardiac electrical activity with pacing during evaluation of rhythm disturbances using a transesophageal electrode catheter.
CMS doesn’t publish an office rate for 93616 in Massachusetts.
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 93616 covers
A clinician places an electrode catheter in the esophagus to record cardiac electrical signals and deliver pacing stimuli. Cardiologists and electrophysiologists may use this transesophageal approach to evaluate rhythm disturbances, including when assessing how the heart responds to pacing. The service is performed in a setting equipped for cardiac rhythm testing, such as a hospital electrophysiology laboratory.
Medicare assigns this CPT code physician fee schedule status C, or carrier priced: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The diagnostic test has professional and technical portions. Modifier 26 identifies the interpretation; modifier TC identifies the equipment and staff. Without either modifier, the claim represents the global service. The service has a 0-day global period, so same-day preoperative and postoperative care is included.
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 93616 pays more and less in Massachusetts
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Boston, MA | Unavailable | Unavailable |
| Rest of Massachusetts | Unavailable | Unavailable |
How the 93616 rate is calculated
Each of 93616’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 · 93616
RVUs × geographic indexes × conversion factor
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 93616
The CMS indicators that decide how 93616 is paid alongside other services.
CMS payment indicators · 93616
Esophageal EP study, with pacing
| 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 | 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 | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
93616 without 26 · national facility
$0.00
Esophageal EP study, with pacing
93616-26 · Professional component
$58.45
Pays only the interpretation and report.
93616 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 93615Esophageal recordingWithout pacing
- Choose 93616 when esophageal pacing accompanies the recording. Choose 93615 for esophageal recording without pacing.
- 93610Intracardiac pacingAtrial chamber
- 93610 describes intra-atrial pacing with an intracardiac approach. This code is for esophageal recording with pacing.
- 93602Atrial recordingIntracardiac
- 93602 reports intra-atrial recording using an intracardiac approach. This code involves esophageal recording and pacing.
93616 billing questions
How does this differ from 93615?
93616 includes esophageal pacing as well as recording. 93615 describes esophageal recording without pacing.
How does this differ from intra-atrial pacing?
93616 uses an esophageal electrode for pacing and recording. Code 93610 describes intra-atrial pacing, a different catheter approach.
When should modifier 26 or TC be reported?
Use modifier 26 for the interpretation and modifier TC for the technical service, including equipment and staff. Report the global service without either modifier.
Does Medicare publish a national payment for 93616?
No. Its physician fee schedule status is C, or carrier priced, so the Medicare Administrative Contractor sets payment for each claim.
What same-day care is included in the global service?
The code has a 0-day global period, which includes same-day preoperative and postoperative care.
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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