No office rate
93656 reports the primary AF ablation with pulmonary vein isolation. Use 93657 for additional linear or focal atrial ablation for AF performed after that isolation.
On this page
CMS RVU26D · Effective 2026-10-01
93657 AF ablation Medicare reimbursement rates in Georgia
Reports additional linear or focal left or right atrial ablation for atrial fibrillation after pulmonary vein isolation during a catheter ablation procedure. Compare 93657 office and facility rates across CMS payment localities in Georgia.
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 93657 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$264.75–$270.55
2 of 2 localities have a supported rate.
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.
Electrophysiology
About 93657: Additional atrial fibrillation ablation
Reports additional linear or focal left or right atrial ablation for atrial fibrillation after pulmonary vein isolation during a catheter ablation procedure.
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.
CMS billing rules for 93657
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU5.36 · 69%
- Practice expense (office) RVU1.18 · 15%
- Malpractice RVU1.27 · 16%
61.9K
Medicare services in 2024 · #704 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.
93657 compared with similar codes
Office rates for Georgia, from the same CMS release.
No office rate
93655 addresses ablation of a distinct arrhythmia mechanism. 93657 is specific to additional left or right atrial ablation for AF after pulmonary vein isolation.
No office rate
93653 is for comprehensive ablation treating supraventricular tachycardia; 93657 is an add-on for additional AF ablation following pulmonary vein isolation.
No office rate
93654 is for comprehensive ablation treating ventricular tachycardia. 93657 describes additional atrial ablation for AF after pulmonary vein isolation.
Compare 93657 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$270.55
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$264.75
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 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.
12,24293654,,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
12,24593657,,Tx l/r atrial fib addl,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
12,24693660,,Tilt table evaluation,A,,1.84,3.11,,3.11,NA,0.09,5.04,5.04,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24793660,26,Tilt table evaluation,A,,1.84,0.79,,0.79,,0.06,2.69,2.69,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,24893660,TC,Tilt table evaluation,A,,0.00,2.32,,2.32,NA,0.03,2.35,2.35,1,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,02,0,99,0.00,0.00,0.00