93619
No office rateComprehensive ep evaluation
Choose 93653 when the encounter includes ablation of an SVT mechanism. Choose 93619 for the comprehensive EP evaluation without ablation.
On this page
CMS RVU26D · Effective 2026-10-01
93653 SVT ablation Medicare reimbursement rates in Connecticut
Reports a comprehensive electrophysiology study with catheter ablation to treat supraventricular tachycardia such as AVNRT, accessory-pathway tachycardia, or atrial flutter. Compare 93653 office and facility rates across CMS payment localities in Connecticut.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 93653 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$753.69
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiology
About 93653: Comprehensive SVT electrophysiology study with ablation
Reports a comprehensive electrophysiology study with catheter ablation to treat supraventricular tachycardia such as AVNRT, accessory-pathway tachycardia, or atrial flutter.
An electrophysiologist performs this service in an electrophysiology lab, typically in a hospital or outpatient facility. Catheters are placed in the heart to record electrical activity and provoke or assess the tachycardia; the physician then maps and ablates the responsible tissue. Common targets include the circuit causing AV nodal reentrant tachycardia, an accessory pathway causing AV reentrant tachycardia, or a focus causing atrial tachycardia. Atrial fibrillation ablation and ventricular tachycardia ablation are reported with different codes.
Report 93653 when the comprehensive EP evaluation and ablation address a supraventricular tachycardia. The operative report should identify the clinical arrhythmia, study and mapping findings, ablation target, and treatment performed. The diagnostic EP work is part of this service; 3D mapping or ablation of a separate arrhythmia mechanism may be reported with the applicable additional code when performed and documented. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons and team surgery are not permitted.
CMS billing rules for 93653
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.63 · 69%
- Practice expense (office) RVU3.22 · 15%
- Malpractice RVU3.45 · 16%
27.1K
Medicare services in 2024 · #1012 by national volume
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.
93653 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
93654 is for catheter ablation treating ventricular tachycardia; 93653 is for supraventricular tachycardia.
No office rate
93656 is the comprehensive ablation service for atrial fibrillation. Use 93653 for other treated SVT mechanisms, such as AVNRT or an accessory pathway.
Compare 93653 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$753.69
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 93653 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
12,241
- Code
- 93653
- Physician work
- 14.63
- Practice expense
- 3.22
- Malpractice
- 3.45
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.63 | × 1.020 | 14.9226 |
| Practice expense | 3.22 | × 1.077 | 3.4679 |
| Malpractice | 3.45 | × 1.210 | 4.1745 |
| Total RVUs | 22.5650 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$753.69
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.63 | 1.02 |
| Practice expense | 3.22 | 1.077 |
| Malpractice | 3.45 | 1.21 |
(14.63 × 1.02 + 3.22 × 1.077 + 3.45 × 1.21) × $33.4009 = $753.69
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
93653 billing questions
How is 93653 different from 93619?
93653 includes catheter ablation to treat the supraventricular arrhythmia. Use 93619 for a comprehensive EP evaluation without that ablation.
Can the diagnostic EP study be billed separately?
The diagnostic evaluation performed as part of the ablation service is included in 93653. Do not separately report a study-only code for that same work.
Can 3D mapping or ablation of another arrhythmia be reported separately?
When performed and supported by the record, 93613 may report 3D mapping, and 93655 may report ablation of a distinct additional arrhythmia mechanism. Document the separate service or target.
Should modifier 50 be appended for ablation on both sides?
No. CMS identifies bilateral adjustment as inappropriate for 93653, so modifier 50 is not used.
How does CMS reduce payment when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and the other procedures are paid at 50%. Same-day preoperative and postoperative care is included in 93653's 0-day global period.
When is assistant-at-surgery payment allowed?
CMS pays an assistant only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
12,23893644,26,Ep eval subq impl dfb,A,,2.96,1.10,,1.10,,0.09,4.15,4.15,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,23993644,TC,Ep eval subq impl dfb,A,,0.00,1.50,,1.50,NA,0.01,1.51,1.51,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,03,0,99,0.00,0.00,0.00
12,24093650,,Icar cath abltj av node func,A,,9.98,2.55,NA,2.55,,2.35,14.88,14.88,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24193653,,Compre ep eval tx svt,A,,14.63,3.22,NA,3.22,,3.45,21.30,21.30,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24293654,,Compre ep eval tx vt,A,,17.65,3.87,NA,3.87,,4.15,25.67,25.67,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24393655,,Icar cath abltj dscrt arrhyt,A,,5.36,1.18,NA,1.18,,1.27,7.81,7.81,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24493656,,Compre ep eval abltj atr fib,A,,16.58,3.66,NA,3.66,,3.91,24.15,24.15,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808