CPT code 93655: Catheter ablation, separate arrhythmia mechanism2026 Medicare rate & RVUs in New Mexico
Reports catheter ablation of an additional, distinct arrhythmia mechanism during a primary ablation procedure, such as atrial flutter treated during an atrial fibrillation ablation.
In New Mexico, Medicare pays $266.12 for 93655 in a facility. There’s no office rate.
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.
On this page 11 sections
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 New Mexico 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. New Mexico pays $266.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$266.12
- Los Angeles, CA · California$261.16−$4.96
- Washington, DC area · District of Columbia$282.34+$16.22
- Miami, FL · Florida$327.34+$61.22
- Chicago, IL · Illinois$317.24+$51.12
- Manhattan, NY · New York$303.56+$37.44
- Alaska · Alaska$333.89+$67.77
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $248.01 |
| Merced, CACalifornia | — | $248.01 |
| Modesto, CACalifornia | — | $248.01 |
| Napa, CACalifornia | — | $263.80 |
| Oxnard, CACalifornia | — | $257.05 |
| Redding, CACalifornia | — | $248.01 |
| Rest of CaliforniaCalifornia | — | $248.01 |
| Riverside, CACalifornia | — | $261.63 |
| Sacramento, CACalifornia | — | $254.05 |
| Salinas, CACalifornia | — | $253.00 |
| San Diego, CACalifornia | — | $254.53 |
| Marin County, CACalifornia | — | $271.08 |
| San Francisco, CACalifornia | — | $269.64 |
| San Benito County, CACalifornia | — | $278.29 |
| Santa Clara County, CACalifornia | — | $272.40 |
| San Luis Obispo, CACalifornia | — | $249.70 |
| Santa Cruz, CACalifornia | — | $253.41 |
| Santa Maria, CACalifornia | — | $252.73 |
| Santa Rosa, CACalifornia | — | $255.54 |
| Stockton, CACalifornia | — | $248.01 |
| Vallejo, CACalifornia | — | $261.72 |
| Visalia, CACalifornia | — | $248.01 |
| Yuba City, CACalifornia | — | $248.01 |
| ColoradoColorado | — | $256.24 |
| ConnecticutConnecticut | — | $276.38 |
| DelawareDelaware | — | $257.00 |
| Fort Lauderdale, FLFlorida | — | $295.65 |
| Rest of FloridaFlorida | — | $280.46 |
| Atlanta, GAGeorgia | — | $270.55 |
| Rest of GeorgiaGeorgia | — | $264.75 |
| Hawaii, Guam, HIHawaii | — | $248.40 |
| IowaIowa | — | $231.93 |
| IdahoIdaho | — | $235.35 |
| East St. Louis, ILIllinois | — | $300.72 |
| Rest of IllinoisIllinois | — | $281.31 |
| Suburban Chicago, ILIllinois | — | $295.93 |
| IndianaIndiana | — | $236.18 |
| KansasKansas | — | $236.04 |
| KentuckyKentucky | — | $252.88 |
| New Orleans, LALouisiana | — | $264.30 |
| Rest of LouisianaLouisiana | — | $254.55 |
| Metropolitan Boston, MAMassachusetts | — | $271.18 |
| Rest of MassachusettsMassachusetts | — | $257.20 |
| Baltimore area, MDMaryland | — | $276.66 |
| Rest of MarylandMaryland | — | $259.65 |
| Rest of MaineMaine | — | $241.67 |
| Southern Maine, MEMaine | — | $244.85 |
| Detroit, MIMichigan | — | $288.58 |
| Rest of MichiganMichigan | — | $262.90 |
| MinnesotaMinnesota | — | $232.14 |
| Metropolitan Kansas City, MOMissouri | — | $257.48 |
| Metropolitan St. Louis, MOMissouri | — | $259.05 |
| Rest of MissouriMissouri | — | $254.32 |
| MississippiMississippi | — | $244.31 |
| MontanaMontana | — | $260.78 |
| North CarolinaNorth Carolina | — | $242.91 |
| North DakotaNorth Dakota | — | $235.66 |
| NebraskaNebraska | — | $231.44 |
| New HampshireNew Hampshire | — | $257.17 |
| Northern New JerseyNew Jersey | — | $281.33 |
| Rest of New JerseyNew Jersey | — | $275.76 |
| NevadaNevada | — | $253.82 |
| NYC suburbs and Long Island, NYNew York | — | $316.12 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $281.57 |
| Queens, NYNew York | — | $298.24 |
| Rest of New YorkNew York | — | $246.29 |
| OhioOhio | — | $257.77 |
| OklahomaOklahoma | — | $247.18 |
| Portland, OROregon | — | $257.24 |
| Rest of OregonOregon | — | $248.10 |
| Metropolitan Philadelphia, PAPennsylvania | — | $273.89 |
| Rest of PennsylvaniaPennsylvania | — | $255.30 |
| Puerto RicoPuerto Rico | — | $260.66 |
| Rhode IslandRhode Island | — | $260.98 |
| South CarolinaSouth Carolina | — | $251.50 |
| South DakotaSouth Dakota | — | $232.69 |
| TennesseeTennessee | — | $237.63 |
| Austin, TXTexas | — | $258.67 |
| Beaumont, TXTexas | — | $254.30 |
| Brazoria, TXTexas | — | $252.61 |
| Dallas, TXTexas | — | $256.29 |
| Fort Worth, TXTexas | — | $256.45 |
| Galveston, TXTexas | — | $254.72 |
| Houston, TXTexas | — | $277.97 |
| Rest of TexasTexas | — | $254.74 |
| UtahUtah | — | $254.17 |
| VirginiaVirginia | — | $247.72 |
| Virgin Islands, VIUnited States Virgin Islands | — | $260.66 |
| VermontVermont | — | $239.51 |
| Rest of WashingtonWashington | — | $255.14 |
| King County, WAWashington | — | $271.00 |
| WisconsinWisconsin | — | $229.85 |
| West VirginiaWest Virginia | — | $273.98 |
| WyomingWyoming | — | $249.83 |
93655 rates by state
Office rate range in each state. Select a state to see its payment localities.
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 New Mexico 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
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.36 | × 1.000 | 5.3600 |
| Practice expense | 1.18 | × 0.917 | 1.0821 |
| Malpractice | 1.27 | × 1.201 | 1.5253 |
| Total RVUs | 7.9673 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$266.12
Facility: (5.36 × 1 + 1.18 × 0.917 + 1.27 × 1.201) × $33.4009 = $266.12
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
| 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 | 0 | Physician service: no professional/technical split. |
How 93655 has changed in New Mexico
93655 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $266.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $266.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $266.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $266.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $290.79 | RVU25D |
| 2025-07-01 | Not available in this setting | $290.79 | RVU25C |
| 2025-04-01 | Not available in this setting | $290.79 | RVU25B |
| 2025-01-01 | Not available in this setting | $290.79 | RVU25A |
| 2024-10-01 | Not available in this setting | $298.34 | RVU24D |
| 2024-07-01 | Not available in this setting | $298.34 | RVU24C |
| 2024-04-01 | Not available in this setting | $298.34 | RVU24B |
| 2024-03-09 | Not available in this setting | $298.34 | RVU24AR |
| 2024-01-01 | Not available in this setting | $293.47 | RVU24A |
| 2023-10-01 | Not available in this setting | $306.14 | RVU23D |
| 2023-07-01 | Not available in this setting | $306.14 | RVU23C |
| 2023-04-01 | Not available in this setting | $306.14 | RVU23B |
| 2023-01-01 | Not available in this setting | $306.14 | RVU23A |
| 2022-10-01 | Not available in this setting | $315.47 | RVU22D |
| 2022-07-01 | Not available in this setting | $315.47 | RVU22C |
| 2022-04-01 | Not available in this setting | $315.47 | RVU22B |
| 2022-01-01 | Not available in this setting | $315.47 | RVU22A |
| 2021-10-01 | Not available in this setting | $431.88 | RVU21D |
| 2021-07-01 | Not available in this setting | $431.88 | RVU21C |
| 2021-04-01 | Not available in this setting | $431.88 | RVU21B |
| 2021-01-01 | Not available in this setting | $431.88 | RVU21A |
| 2020-10-01 | Not available in this setting | $449.04 | RVU20D |
| 2020-07-01 | Not available in this setting | $449.04 | RVU20C |
| 2020-04-01 | Not available in this setting | $449.04 | RVU20B |
| 2020-01-01 | Not available in this setting | $449.04 | RVU20A |
| 2019-10-01 | Not available in this setting | $453.38 | RVU19D |
| 2019-07-01 | Not available in this setting | $453.38 | RVU19C |
| 2019-04-01 | Not available in this setting | $453.38 | RVU19B |
| 2019-01-01 | Not available in this setting | $453.38 | RVU19A |
| 2018-10-01 | Not available in this setting | $452.76 | RVU18D |
| 2018-07-01 | Not available in this setting | $452.76 | RVU18C |
| 2018-04-01 | Not available in this setting | $452.76 | RVU18B |
| 2018-01-01 | Not available in this setting | $452.76 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $449.02 | RVU17D |
| 2017-07-01 | Not available in this setting | $449.02 | RVU17C |
| 2017-04-01 | Not available in this setting | $449.02 | RVU17B |
| 2017-01-01 | Not available in this setting | $449.02 | RVU17A |
| 2016-10-01 | Not available in this setting | $441.88 | RVU16D |
| 2016-07-01 | Not available in this setting | $441.88 | RVU16C |
| 2016-04-01 | Not available in this setting | $441.88 | RVU16B |
| 2016-01-01 | Not available in this setting | $441.88 | RVU16A |
| 2015-10-01 | Not available in this setting | $442.31 | RVU15D |
| 2015-07-01 | Not available in this setting | $442.31 | RVU15C |
| 2015-04-01 | Not available in this setting | $440.11 | RVU15B |
| 2015-01-01 | Not available in this setting | $440.11 | RVU15A |
| 2014-10-01 | Not available in this setting | $427.95 | RVU14D |
| 2014-07-01 | Not available in this setting | $427.95 | RVU14C |
| 2014-04-01 | Not available in this setting | $427.95 | RVU14B |
| 2014-01-01 | Not available in this setting | $427.95 | RVU14A |
| 2013-10-01 | Not available in this setting | $402.71 | RVU13D |
| 2013-07-01 | Not available in this setting | $402.71 | RVU13C |
| 2013-04-01 | Not available in this setting | $402.71 | RVU13B |
| 2013-01-01 | Not available in this setting | $402.71 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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
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