FeeBase
Log inGet started
Menu

Billing code 93654: VT ablationMedicare rate & RVUs

Reports a comprehensive electrophysiology study with catheter ablation to treat ventricular tachycardia, including evaluation and treatment during the same procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities8.6K Medicare services in 2024

Medicare pays $857.40 for 93654 nationally in a facility.

Medicare rate · 93654

VT ablation

Work RVUs
17.65
Total RVUs
25.67
Global days
000

National rate · 2026

$857.40

Facility setting, before claim adjustments.

See every locality for 93654 →Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 93654 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 93654 covers

An electrophysiologist performs this procedure in an electrophysiology lab, typically in a hospital or other facility, to evaluate and ablate ventricular tachycardia. The work includes placing and positioning intracardiac electrode catheters, recording and pacing the heart, inducing or attempting to induce the arrhythmia, and using catheter ablation to treat the ventricular tachycardia. A common clinical setting is treatment of scar-related VT in a patient with structural heart disease.

Select 93654 when the procedure includes comprehensive EP evaluation and catheter ablation for VT; an EP study without ablation or ablation for another arrhythmia type points to a different code. The operative report should support the arrhythmia treated, evaluation and mapping performed, and ablation delivered. The same-day preoperative and postoperative care is included in the 0-day global period. For multiple procedures in one session, CMS pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.

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 93654 pays more and less

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

109 of 109 payment localities

93654 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$781.09
Alaska*Unavailable$1,098.33
ArizonaUnavailable$833.43
ArkansasUnavailable$771.95
AtlantaUnavailable$889.10
AustinUnavailable$850.28
BakersfieldUnavailable$826.81
Baltimore/Surr. CntysUnavailable$909.12
BeaumontUnavailable$835.93
BrazoriaUnavailable$830.46

93654 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
93654 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

How the 93654 rate is calculated

Each of 93654’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 · 93654

RVUs × geographic indexes × conversion factor

Work17.65

17.65 RVUs× 1.000 GPCI

Practice expense3.87

3.87 RVUs× 1.000 GPCI

Malpractice4.15

4.15 RVUs× 1.000 GPCI

Adjusted RVUs

25.6700

Conversion factor

$33.4009

Medicare rate

$857.40

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

Payment rules and modifiers for 93654

The CMS indicators that decide how 93654 is paid alongside other services.

CMS payment indicators · 93654

VT ablation

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

93654 without 51 · national facility

$857.40

VT ablation

93654-51 · Second procedure: 50%

$428.70

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

93654 compared with similar codes

Compare codes · National

5 codes, side by side

  • 93654

    VT ablation17.65 wRVU

    Not priced

  • 93653

    SVT ablation14.63 wRVU

    Not priced

  • 93656

    AF ablation16.58 wRVU

    Not priced

  • 93655

    Catheter ablation5.36 wRVU

    Not priced

  • 93619

    Not on the physician fee schedule0 wRVU

    Not priced

How to choose

93653SVT ablation
Choose 93653 when the ablation treats supraventricular tachycardia; choose 93654 when it treats ventricular tachycardia.
93656AF ablation
93656 describes comprehensive EP evaluation and ablation for atrial fibrillation, not VT.
93655Catheter ablation
93655 is an add-on for a distinct additional arrhythmia mechanism treated during a primary ablation procedure; it does not replace 93654 for VT ablation.
93619Comprehensive ep evaluation
93619 represents comprehensive EP evaluation without the VT ablation included in 93654.

Codes related to 93654

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 93654
CodeHow it relatesNational office range
Used instead
93653SVT ablationComprehensive EP evaluation with ablation for supraventricular tachycardia rather than ventricular tachycardia.No office rate
93656AF ablationComprehensive EP evaluation and ablation for atrial fibrillation rather than ventricular tachycardia.No office rate
93619Comprehensive ep evaluationComprehensive EP evaluation without the VT ablation reported by 93654.No office rate
Add-on codes
93655Catheter ablationAdd-on for ablation of an additional, distinct arrhythmia mechanism during the procedure.No office rate
Often billed with
936133D mappingMay be reported for separately performed and documented intracardiac three-dimensional mapping.No office rate

93654 billing questions

How does 93654 differ from 93653?

93654 is for catheter ablation treating ventricular tachycardia. Use 93653 for comprehensive EP evaluation and ablation treating supraventricular tachycardia.

Can 93654 be reported with 93613?

93613 may be reported when intracardiac three-dimensional electroanatomic mapping is performed and documented. The record should support the mapping service in addition to the VT ablation.

Can 93655 be added to 93654?

93655 is an add-on for ablation of an additional, distinct arrhythmia mechanism. It is not for additional lesions used to treat the same VT mechanism.

Should modifier 50 be used for VT ablation?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.

What documentation supports 93654?

The procedure report should identify VT as the arrhythmia treated and describe the comprehensive EP evaluation, catheter mapping or localization, and ablation performed. Assistant-at-surgery payment requires documentation of medical necessity.

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 93654PPRRVU2026_Oct_nonQPP.csv, line 12,242 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 93654 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 93654 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →