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CPT code 93622: LV pacing, comprehensive EP study2026 Medicare rate & RVUs

This add-on reports left ventricular pacing and recording performed as part of a comprehensive electrophysiology evaluation of cardiac arrhythmias.

CMS RVU26DEffective Oct 1, 2026109 payment localities12.4K Medicare services in 2024

Medicare rate · 93622

LV pacing, comprehensive EP study

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
ZZZ

National rate · 2026

—

Not priced in the facility setting.

See every locality for 93622 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 93622 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 93622 covers

During an electrophysiology study, a cardiologist or electrophysiologist uses intracardiac catheters to pace the left ventricle and record its electrical signals. This additional chamber assessment is reported when left ventricular pacing and recording are performed as part of a comprehensive EP evaluation. The service is performed in an electrophysiology laboratory, commonly in a hospital setting.

Medicare assigns status C: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. Code 93622 is an add-on and must be reported with a primary procedure; payment is within that procedure’s global period. For this diagnostic service, modifier 26 identifies the professional interpretation, modifier TC identifies the technical service, and reporting without either modifier 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 93622 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

93622 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

93622 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
93622 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 93622 rate is calculated

Each of 93622’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 · 93622

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 93622

The CMS indicators that decide how 93622 is paid alongside other services.

CMS payment indicators · 93622

LV pacing, comprehensive EP study

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
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

93622 without 26 · national facility

$0.00

LV pacing, comprehensive EP study

93622-26 · Professional component

$165.33

Pays only the interpretation and report.

When to use modifier 26

93622 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 93622

    LV pacing, comprehensive EP study0 wRVU

    Not priced

  • 93620

    EP evaluation, right-sided pacing0 wRVU

    Not priced

  • 93621

    Left atrial pacing, EP study add-on0 wRVU

    Not priced

  • 93612

    Ventricular pacing, electrophysiology study0 wRVU

    Not priced

  • 93654

    VT ablation, comprehensive EP evaluation17.65 wRVU

    Not priced

How to choose

93620EP evaluationRight-sided pacing
93620 describes the comprehensive evaluation with right atrial and ventricular pacing and His bundle recording. 93622 adds left ventricular pacing and recording to a primary procedure.
93621Left atrial pacingEP study add-on
93621 is the left atrial pacing and recording add-on; 93622 is for left ventricular pacing and recording.
93612Ventricular pacingElectrophysiology study
93612 describes intraventricular pacing. 93622 applies when left ventricular pacing and recording are performed as part of a comprehensive EP evaluation.
93654VT ablationComprehensive EP evaluation
93654 describes comprehensive EP evaluation with treatment of ventricular tachycardia by ablation. 93622 identifies the additional left ventricular pacing and recording service when performed.

Codes related to 93622

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 93622
CodeHow it relatesNational office range
Add-on codes
93620EP evaluation, right-sided pacingComprehensive evaluation with right atrial and ventricular pacing and His bundle recording; may serve as the primary procedure.No office rate
Same family
93621Left atrial pacing, EP study add-onAdds left atrial pacing and recording to a comprehensive electrophysiology evaluation.No office rate
Often billed with
93623Drug-provoked stimulation, after IV infusionMay be reported during the same EP study for programmed stimulation and pacing after intravenous drug infusion.No office rate

93622 billing questions

When should this code be reported instead of 93612?

Use 93622 for left ventricular pacing and recording added to a comprehensive electrophysiology evaluation. Code 93612 describes intraventricular pacing as a separate pacing service, not this comprehensive-study add-on.

Which primary procedure is required?

This add-on must be reported with a primary procedure, such as the comprehensive evaluation represented by 93620. It is not reported by itself.

How does it differ from 93621?

93622 represents left ventricular pacing and recording. 93621 represents left atrial pacing and recording from the coronary sinus or left atrium.

Can modifiers 26 and TC be used?

Yes. Modifier 26 identifies the professional interpretation, and modifier TC identifies the technical service. Reporting without either modifier represents the global diagnostic service.

How does Medicare price this code?

Medicare assigns status C, so CMS publishes no national payment. The Medicare Administrative Contractor sets payment for each claim, and the add-on is paid within the primary procedure’s global period.

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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