CPT code 93623: Drug-provoked stimulation, after IV infusion2026 Medicare rate & RVUs in California

Reports additional programmed cardiac stimulation and pacing after an intravenous drug infusion during an invasive electrophysiology study or arrhythmia ablation.

CMS RVU26DEffective Oct 1, 202629 payment localities41.6K Medicare services in 2024

CMS doesn’t publish an office rate for 93623 in California.

—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 California
  2. What 93623 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 93623 covers

This add-on service covers programmed electrical stimulation and pacing performed after an intravenous drug infusion during invasive cardiac electrophysiology testing. An electrophysiologist may use the drug challenge, commonly with isoproterenol, to assess arrhythmia inducibility or provoke an arrhythmia that was not evident during baseline testing. The service is reported in an electrophysiology laboratory with a qualifying primary procedure, such as a comprehensive EP study or an ablation procedure that includes EP evaluation.

Medicare assigns status C: the Medicare Administrative Contractor determines payment for each claim rather than CMS publishing a national amount. The code is an add-on and must be reported with a primary procedure; CMS places its payment within that procedure’s global period. The diagnostic service has professional and technical components: modifier 26 identifies interpretation, modifier TC identifies equipment and staff, and no modifier represents the global service. This code reports the stimulation and pacing service, not a drug dose.

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 93623 pays more and less in California

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

29 of 29 payment localities

93623 office and facility rates by payment locality
Payment localityOfficeFacility
Bakersfield, CAUnavailableUnavailable
Chico, CAUnavailableUnavailable
El Centro, CAUnavailableUnavailable
Fresno, CAUnavailableUnavailable
Hanford, CAUnavailableUnavailable
Los Angeles, CAUnavailableUnavailable
Madera, CAUnavailableUnavailable
Marin County, CAUnavailableUnavailable
Merced, CAUnavailableUnavailable
Modesto, CAUnavailableUnavailable

How the 93623 rate is calculated

Each of 93623’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 · 93623

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 93623

The CMS indicators that decide how 93623 is paid alongside other services.

CMS payment indicators · 93623

Drug-provoked stimulation, after IV infusion

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

93623 without 26 · national facility

$0.00

Drug-provoked stimulation, after IV infusion

93623-26 · Professional component

$52.44

Pays only the interpretation and report.

When to use modifier 26

93623 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 93623

    Drug-provoked stimulation, after IV infusion0 wRVU

    Not priced

  • 93618

    Arrhythmia induction, electrical pacing0 wRVU

    Not priced

  • 93620

    EP evaluation, right-sided pacing0 wRVU

    Not priced

  • 93624

    EP follow-up study, pacing and recording0 wRVU

    Not priced

How to choose

93618Arrhythmia inductionElectrical pacing
93618 reports electrical induction of arrhythmia. Use 93623 when the programmed stimulation and pacing follow an intravenous drug infusion.
93620EP evaluationRight-sided pacing
93620 describes the comprehensive EP evaluation and is a primary procedure; 93623 is an add-on for stimulation and pacing after an IV drug infusion.
93624EP follow-up studyPacing and recording
93624 describes a follow-up EP study with pacing and recording. 93623 reports stimulation and pacing after an IV drug infusion as an add-on to a primary procedure.

93623 billing questions

What does this code add to an electrophysiology study?

It reports programmed stimulation and pacing performed after an intravenous drug infusion, beyond the primary EP procedure. It is not a code for the drug itself.

Can this code be reported by itself?

No. It is an add-on code and must be reported with a qualifying primary procedure, such as a comprehensive EP study or EP study with ablation.

How is it different from code 93618?

Code 93618 describes arrhythmia induction by electrical pacing. Code 93623 identifies programmed stimulation and pacing performed after an intravenous drug infusion.

Which modifier identifies the interpretation?

Modifier 26 identifies the professional interpretation. Modifier TC identifies the technical service; reporting without either modifier represents the global service.

How does Medicare price this code?

Medicare assigns status C, so the Medicare Administrative Contractor determines payment for the claim. The add-on payment is associated with 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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