CPT code 93657: AF ablation, additional atrial lesions2026 Medicare rate & RVUs in Mississippi
Reports additional linear or focal left or right atrial ablation for atrial fibrillation after pulmonary vein isolation during a catheter ablation procedure.
In Mississippi, Medicare pays $244.31 for 93657 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 93657 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 93657 covers
Code 93657 describes additional catheter-based ablation in the left or right atrium to treat atrial fibrillation after pulmonary vein isolation has been completed. An electrophysiologist typically performs this work in an electrophysiology lab during an AF ablation, creating additional linear lesions or ablating focal targets beyond the pulmonary vein isolation itself.
Report 93657 as an add-on with the primary procedure, typically 93656; it is not reported by itself. The record should establish that pulmonary vein isolation was completed and describe the additional atrial ablation performed for AF, including the treated chamber and lesion or target. Medicare pays this add-on within the primary procedure’s global period.
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 Mississippi compares for 93657
Across 109 of 109 payment localities, the facility rate for 93657 runs from $229.85 in Wisconsin to $333.89 in Alaska. Mississippi pays $244.31. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$244.31
- Los Angeles, CA · California$261.16+$16.85
- Washington, DC area · District of Columbia$282.34+$38.03
- Miami, FL · Florida$327.34+$83.03
- Chicago, IL · Illinois$317.24+$72.93
- Manhattan, NY · New York$303.56+$59.25
- Alaska · Alaska$333.89+$89.58
Other areas in Mississippi 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 |
| 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 |
| New MexicoNew Mexico | — | $266.12 |
| 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 |
93657 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 93657 rate is calculated
Each of 93657’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 · 93657
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 Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
12,245
- Code
- 93657
- Physician work
- 5.36
- Practice expense
- 1.18
- Malpractice
- 1.27
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.36 | × 1.000 | 5.3600 |
| Practice expense | 1.18 | × 0.861 | 1.0160 |
| Malpractice | 1.27 | × 0.739 | 0.9385 |
| Total RVUs | 7.3145 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$244.31
Facility: (5.36 × 1 + 1.18 × 0.861 + 1.27 × 0.739) × $33.4009 = $244.31
Payment rules and modifiers for 93657
The CMS indicators that decide how 93657 is paid alongside other services.
CMS payment indicators · 93657
AF ablation, additional atrial lesions
| 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 93657 has changed in Mississippi
93657 · 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 | $244.31 | RVU26D |
| 2026-07-01 | Not available in this setting | $244.31 | RVU26C |
| 2026-04-01 | Not available in this setting | $244.31 | RVU26B |
| 2026-01-01 | Not available in this setting | $244.31 | RVU26A |
| 2025-10-01 | Not available in this setting | $270.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $270.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $270.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $270.69 | RVU25A |
| 2024-10-01 | Not available in this setting | $277.71 | RVU24D |
| 2024-07-01 | Not available in this setting | $277.71 | RVU24C |
| 2024-04-01 | Not available in this setting | $277.71 | RVU24B |
| 2024-03-09 | Not available in this setting | $277.71 | RVU24AR |
| 2024-01-01 | Not available in this setting | $273.18 | RVU24A |
| 2023-10-01 | Not available in this setting | $283.35 | RVU23D |
| 2023-07-01 | Not available in this setting | $283.35 | RVU23C |
| 2023-04-01 | Not available in this setting | $283.35 | RVU23B |
| 2023-01-01 | Not available in this setting | $283.35 | RVU23A |
| 2022-10-01 | Not available in this setting | $288.82 | RVU22D |
| 2022-07-01 | Not available in this setting | $288.82 | RVU22C |
| 2022-04-01 | Not available in this setting | $288.82 | RVU22B |
| 2022-01-01 | Not available in this setting | $288.82 | RVU22A |
| 2021-10-01 | Not available in this setting | $396.58 | RVU21D |
| 2021-07-01 | Not available in this setting | $396.58 | RVU21C |
| 2021-04-01 | Not available in this setting | $396.58 | RVU21B |
| 2021-01-01 | Not available in this setting | $396.58 | RVU21A |
| 2020-10-01 | Not available in this setting | $401.12 | RVU20D |
| 2020-07-01 | Not available in this setting | $401.12 | RVU20C |
| 2020-04-01 | Not available in this setting | $401.12 | RVU20B |
| 2020-01-01 | Not available in this setting | $401.12 | RVU20A |
| 2019-10-01 | Not available in this setting | $391.95 | RVU19D |
| 2019-07-01 | Not available in this setting | $391.95 | RVU19C |
| 2019-04-01 | Not available in this setting | $391.95 | RVU19B |
| 2019-01-01 | Not available in this setting | $391.95 | RVU19A |
| 2018-10-01 | Not available in this setting | $391.83 | RVU18D |
| 2018-07-01 | Not available in this setting | $391.83 | RVU18C |
| 2018-04-01 | Not available in this setting | $391.83 | RVU18B |
| 2018-01-01 | Not available in this setting | $391.83 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $397.59 | RVU17D |
| 2017-07-01 | Not available in this setting | $397.59 | RVU17C |
| 2017-04-01 | Not available in this setting | $397.59 | RVU17B |
| 2017-01-01 | Not available in this setting | $397.59 | RVU17A |
| 2016-10-01 | Not available in this setting | $401.60 | RVU16D |
| 2016-07-01 | Not available in this setting | $401.60 | RVU16C |
| 2016-04-01 | Not available in this setting | $401.60 | RVU16B |
| 2016-01-01 | Not available in this setting | $401.60 | RVU16A |
| 2015-10-01 | Not available in this setting | $402.08 | RVU15D |
| 2015-07-01 | Not available in this setting | $402.08 | RVU15C |
| 2015-04-01 | Not available in this setting | $400.08 | RVU15B |
| 2015-01-01 | Not available in this setting | $400.08 | RVU15A |
| 2014-10-01 | Not available in this setting | $400.58 | RVU14D |
| 2014-07-01 | Not available in this setting | $400.58 | RVU14C |
| 2014-04-01 | Not available in this setting | $400.58 | RVU14B |
| 2014-01-01 | Not available in this setting | $400.58 | RVU14A |
| 2013-10-01 | Not available in this setting | $384.85 | RVU13D |
| 2013-07-01 | Not available in this setting | $384.85 | RVU13C |
| 2013-04-01 | Not available in this setting | $384.85 | RVU13B |
| 2013-01-01 | Not available in this setting | $384.85 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
93657 billing questions
Can 93657 be reported without 93656?
No. It is an add-on code and must be billed with a primary procedure; 93656 is the primary AF ablation code associated with this additional work.
How is 93657 different from 93655?
93657 describes additional left or right atrial ablation for AF after pulmonary vein isolation. 93655 is used for ablation of a distinct arrhythmia mechanism during an electrophysiology procedure.
What documentation supports reporting 93657?
Document completion of pulmonary vein isolation and the additional linear or focal ablation performed for AF, including the atrial site and target.
Does every lesion after pulmonary vein isolation support 93657?
The additional work must be linear or focal atrial ablation performed to treat AF after pulmonary vein isolation. The record should identify that work rather than merely list lesion counts.
How does Medicare treat the add-on payment?
Medicare requires 93657 to be billed with a primary procedure and pays it within that 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
Show the CMS file lines behind this rate
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