CPT code 93655: Catheter ablation, separate arrhythmia mechanism2026 Medicare rate & RVUs in Nebraska

Reports catheter ablation of an additional, distinct arrhythmia mechanism during a primary ablation procedure, such as atrial flutter treated during an atrial fibrillation ablation.

CMS RVU26DEffective Oct 1, 2026One payment locality60.2K Medicare services in 2024

In Nebraska, Medicare pays $231.44 for 93655 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$231.44Hospital or facility

Check a contract rate as a % of Medicare · 93655 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 93655 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 93655 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 93655 covers

An electrophysiologist reports this code when a catheter ablation session treats an arrhythmia mechanism distinct from the session’s primary ablation target. For example, an atrial flutter circuit may be treated during a procedure whose primary target is atrial fibrillation. The separate target must represent another mechanism, not simply additional lesions directed at the primary arrhythmia. These procedures are typically performed in a cardiac electrophysiology lab using intracardiac catheters and electrophysiologic mapping.

Report 93655 only with a qualifying primary ablation code: 93653, 93654, or 93656. The record should identify the separate arrhythmia mechanism and document its evaluation and ablation. This is an add-on service, not a stand-alone claim line; CMS pays it within the primary procedure’s global-period framework. Report the additional mechanism treated, rather than counting individual lesions as separate units.

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.

How Nebraska compares for 93655

Across 109 of 109 payment localities, the facility rate for 93655 runs from $229.85 in Wisconsin to $333.89 in Alaska. Nebraska pays $231.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

93655 in Nebraska vs other payment areas
  1. Nebraska · this page$231.44
  2. Los Angeles, CA · California$261.16+$29.72
  3. Washington, DC area · District of Columbia$282.34+$50.90
  4. Miami, FL · Florida$327.34+$95.90
  5. Chicago, IL · Illinois$317.24+$85.80
  6. Manhattan, NY · New York$303.56+$72.12
  7. Alaska · Alaska$333.89+$102.45

Other areas in Nebraska first, then benchmark localities. Bars start at $0.

Every other payment area

93655 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$237.52
ArkansasArkansas—$234.73
ArizonaArizona—$253.53
Bakersfield, CACalifornia—$251.46
Chico, CACalifornia—$248.01
El Centro, CACalifornia—$248.22
Fresno, CACalifornia—$248.01
Hanford, CACalifornia—$248.01

93655 rates by state

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

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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
93655 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

See 93655 in every payment locality

How the 93655 rate is calculated

Each of 93655’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 · 93655

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.36

5.36 RVUs× 1.000 GPCI

Practice expense1.18

1.18 RVUs× 1.000 GPCI

Malpractice1.27

1.27 RVUs× 1.000 GPCI

Adjusted RVUs

7.8100

Conversion factor

$33.4009

Medicare rate

$260.86

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

12,243

Code
93655
Physician work
5.36
Practice expense
1.18
Malpractice
1.27

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Facility calculation for 93655 in Nebraska
ComponentRVULocality factorAdjusted
Physician work5.36× 1.0005.3600
Practice expense1.18× 0.9231.0891
Malpractice1.27× 0.3780.4801
Total RVUs6.9292
Conversion factor× 33.4009

Facility rate, Nebraska$231.44

Facility: (5.36 × 1 + 1.18 × 0.923 + 1.27 × 0.378) × $33.4009 = $231.44

Open 93655 in the RVU calculator

Payment rules and modifiers for 93655

The CMS indicators that decide how 93655 is paid alongside other services.

CMS payment indicators · 93655

Catheter ablation, separate arrhythmia mechanism

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/technical0Physician service: no professional/technical split.

How 93655 has changed in Nebraska

93655 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$231.44RVU26D
2026-07-01Not available in this setting$231.44RVU26C
2026-04-01Not available in this setting$231.44RVU26B
2026-01-01Not available in this setting$231.44RVU26A
2025-10-01Not available in this setting$256.34RVU25D
2025-07-01Not available in this setting$256.34RVU25C
2025-04-01Not available in this setting$256.34RVU25B
2025-01-01Not available in this setting$256.34RVU25A
2024-10-01Not available in this setting$262.88RVU24D
2024-07-01Not available in this setting$262.88RVU24C
2024-04-01Not available in this setting$262.88RVU24B
2024-03-09Not available in this setting$262.88RVU24AR
2024-01-01Not available in this setting$258.59RVU24A
2023-10-01Not available in this setting$270.12RVU23D
2023-07-01Not available in this setting$270.12RVU23C
2023-04-01Not available in this setting$270.12RVU23B
2023-01-01Not available in this setting$270.12RVU23A
2022-10-01Not available in this setting$275.21RVU22D
2022-07-01Not available in this setting$275.21RVU22C
2022-04-01Not available in this setting$275.21RVU22B
2022-01-01Not available in this setting$275.21RVU22A
2021-10-01Not available in this setting$379.00RVU21D
2021-07-01Not available in this setting$379.00RVU21C
2021-04-01Not available in this setting$379.00RVU21B
2021-01-01Not available in this setting$379.00RVU21A
2020-10-01Not available in this setting$392.77RVU20D
2020-07-01Not available in this setting$392.77RVU20C
2020-04-01Not available in this setting$392.77RVU20B
2020-01-01Not available in this setting$392.77RVU20A
2019-10-01Not available in this setting$393.87RVU19D
2019-07-01Not available in this setting$393.87RVU19C
2019-04-01Not available in this setting$393.87RVU19B
2019-01-01Not available in this setting$393.87RVU19A
2018-10-01Not available in this setting$393.65RVU18D
2018-07-01Not available in this setting$393.65RVU18C
2018-04-01Not available in this setting$393.65RVU18B
2018-01-01Not available in this setting$393.65RVU18AR1
2017-10-01Not available in this setting$393.81RVU17D
2017-07-01Not available in this setting$393.81RVU17C
2017-04-01Not available in this setting$393.81RVU17B
2017-01-01Not available in this setting$393.81RVU17A
2016-10-01Not available in this setting$390.89RVU16D
2016-07-01Not available in this setting$390.89RVU16C
2016-04-01Not available in this setting$390.89RVU16B
2016-01-01Not available in this setting$390.89RVU16A
2015-10-01Not available in this setting$391.72RVU15D
2015-07-01Not available in this setting$391.72RVU15C
2015-04-01Not available in this setting$389.77RVU15B
2015-01-01Not available in this setting$389.77RVU15A
2014-10-01Not available in this setting$385.47RVU14D
2014-07-01Not available in this setting$385.47RVU14C
2014-04-01Not available in this setting$385.47RVU14B
2014-01-01Not available in this setting$385.47RVU14A
2013-10-01Not available in this setting$364.07RVU13D
2013-07-01Not available in this setting$364.07RVU13C
2013-04-01Not available in this setting$364.07RVU13B
2013-01-01Not available in this setting$364.07RVU13AR

Price 93655 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

  • Abie
  • Adams
  • Agnew
  • Ainsworth
  • Albion
  • Alda
  • Alexandria
  • Allen

Browse all communities in Nebraska

93655 billing questions

Which primary codes can accompany 93655?

Report it with 93653, 93654, or 93656. It is an add-on code and cannot stand alone.

Can 93655 be used for atrial flutter treated during an atrial fibrillation ablation?

Yes, when the flutter is a separately identified arrhythmia mechanism treated during the session, in addition to the primary atrial fibrillation target.

How is 93655 different from 93657?

93655 addresses ablation of a distinct arrhythmia mechanism. 93657 addresses additional atrial ablation for atrial fibrillation after the primary AF ablation.

Is 93655 reported for each lesion?

No. The code represents treatment of an additional discrete mechanism, not the number of lesions delivered.

What documentation supports 93655?

Document the separate arrhythmia mechanism, the findings that identify it, and the ablation performed for that target, alongside the primary ablation.

How does CMS handle payment for this add-on?

CMS pays 93655 within the primary procedure’s global-period framework. The code must be reported with a qualifying primary ablation.

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

Show the CMS file lines behind this rate
RVUs for 93655PPRRVU2026_Oct_nonQPP.csv, line 12,243 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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