CPT code 93622: LV pacing, comprehensive EP study2026 Medicare rate & RVUs in Maryland
This add-on reports left ventricular pacing and recording performed as part of a comprehensive electrophysiology evaluation of cardiac arrhythmias.
CMS doesn’t publish an office rate for 93622 in Maryland.
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 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 in Maryland
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Baltimore area, MD | Unavailable | Unavailable |
| Rest of Maryland | Unavailable | Unavailable |
| Washington, DC area | Unavailable | Unavailable |
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
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
| 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 | 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
93622 without 26 · national facility
$0.00
LV pacing, comprehensive EP study
93622-26 · Professional component
$165.33
Pays only the interpretation and report.
93622 compared with similar codes
Compare codes · National
5 codes, side by side
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.
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.
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