CPT code 93620: EP evaluation, right-sided pacing2026 Medicare rate & RVUs in Missouri

A comprehensive invasive electrophysiology study with right atrial and ventricular pacing and recording, reported to evaluate and provoke cardiac arrhythmias.

CMS RVU26DEffective Oct 1, 20263 payment localities5.4K Medicare services in 2024

CMS doesn’t publish an office rate for 93620 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 93620 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 93620 covers

An electrophysiologist performs this invasive study in an electrophysiology lab to investigate a suspected or documented rhythm disorder. Multiple electrode catheters are inserted and repositioned to record electrical activity and deliver pacing. The evaluation includes right atrial, right ventricular, and His bundle recording, along with pacing and recording from the right atrium and right ventricle. Arrhythmia induction or attempted induction is part of the study.

Medicare assigns physician fee schedule status C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The service may be reported globally or divided into the professional interpretation with modifier 26 and the technical portion with modifier TC. Its 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the 50% multiple-procedure reduction.

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 93620 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.

93620 office and facility rates by payment locality
Payment localityOfficeFacility
Metropolitan Kansas City, MOUnavailableUnavailable
Metropolitan St. Louis, MOUnavailableUnavailable
Rest of MissouriUnavailableUnavailable

How the 93620 rate is calculated

Each of 93620’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 · 93620

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 93620

The CMS indicators that decide how 93620 is paid alongside other services.

CMS payment indicators · 93620

EP evaluation, right-sided pacing

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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

93620 without 26 · national facility

$0.00

EP evaluation, right-sided pacing

93620-26 · Professional component

$603.22

Pays only the interpretation and report.

When to use modifier 26

93620 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 93620

    EP evaluation, right-sided pacing0 wRVU

    Not priced

  • 93619

    EP evaluation, without arrhythmia induction0 wRVU

    Not priced

  • 93621

    Left atrial pacing, EP study add-on0 wRVU

    Not priced

  • 93622

    LV pacing, comprehensive EP study0 wRVU

    Not priced

  • 93653

    SVT ablation, comprehensive EP evaluation14.63 wRVU

    Not priced

How to choose

93619EP evaluationWithout arrhythmia induction
93619 reports a comprehensive EP evaluation with right atrial, right ventricular, and His bundle recording. 93620 also includes right atrial and right ventricular pacing and recording.
93621Left atrial pacingEP study add-on
93621 is an add-on for left atrial pacing and recording during the comprehensive evaluation; 93620 reports the primary evaluation with right-sided pacing and recording.
93622LV pacingComprehensive EP study
93622 is an add-on for left ventricular pacing and recording during the comprehensive evaluation; 93620 reports the primary evaluation with right-sided pacing and recording.
93653SVT ablationComprehensive EP evaluation
93653 describes a comprehensive EP evaluation with catheter ablation treatment for supraventricular tachycardia. 93620 reports a diagnostic evaluation.

93620 billing questions

What distinguishes 93620 from 93619?

93620 includes right atrial and right ventricular pacing and recording along with right atrial, right ventricular, and His bundle recording. 93619 reports the comprehensive evaluation without that added right-sided pacing and recording.

Can the professional and technical portions be reported separately?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical portion; without either modifier, the claim represents the global service.

What should the procedure note document?

Document catheter placement and repositioning, the cardiac sites recorded and paced, and whether arrhythmia was induced or induction was attempted.

How does Medicare price 93620?

Medicare assigns physician fee schedule status C. The MAC sets payment for each claim rather than CMS publishing a national payment.

Does same-day care fall within the global period?

Yes. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the 50% reduction.

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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