No office rate
Choose 93650 when the intended intervention is AV node ablation for ventricular rate control. Choose 93656 when the ablation targets atrial fibrillation for rhythm control.
On this page
CMS RVU26D · Effective 2026-10-01
93650 AV node ablation Medicare reimbursement rates in Kansas
Reports catheter ablation of AV node conduction, generally to control a persistently rapid ventricular rate when medication or rhythm-control treatment has not provided adequate control. Compare 93650 office and facility rates across CMS payment localities in Kansas.
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 93650 in Kansas?
Kansas 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
$449.90
1 of 1 localities have a supported rate.
Payment area: Kansas
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.
Cardiac electrophysiology
About 93650: Atrioventricular node catheter ablation
Reports catheter ablation of AV node conduction, generally to control a persistently rapid ventricular rate when medication or rhythm-control treatment has not provided adequate control.
An electrophysiologist uses an intracardiac catheter to ablate AV node conduction, intentionally interrupting electrical transmission from the atria to the ventricles. This is commonly performed for rate control in patients with atrial fibrillation or another atrial tachyarrhythmia that continues to cause a rapid ventricular response despite treatment. Because the ventricles can no longer rely on normal atrioventricular conduction, a permanent pacing plan is needed; a pacemaker may be implanted before or during the treatment course.
Report 93650 when the documented target is AV node function, not an atrial or ventricular arrhythmia substrate being ablated for rhythm control. The procedure note should identify the indication, catheter ablation performed, and intended AV conduction outcome. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 93650
- 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 RVU9.98 · 67%
- Practice expense (office) RVU2.55 · 17%
- Malpractice RVU2.35 · 16%
12.5K
Medicare services in 2024 · #1358 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.
93650 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
93653 is for catheter ablation of a supraventricular tachycardia mechanism. It is not the code for intentionally interrupting AV node conduction.
No office rate
93654 applies when the ablation target is ventricular tachycardia. Code 93650 targets AV node conduction.
No office rate
33208 reports implantation of a dual-chamber permanent pacemaker. It describes a device implantation, not the AV node ablation itself.
Compare 93650 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
Kansas →
Office / nonfacility
Unavailable
Facility
$449.90
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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 93650 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
12,240
- Code
- 93650
- Physician work
- 9.98
- Practice expense
- 2.55
- Malpractice
- 2.35
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.98 | × 1.000 | 9.9800 |
| Practice expense | 2.55 | × 0.904 | 2.3052 |
| Malpractice | 2.35 | × 0.504 | 1.1844 |
| Total RVUs | 13.4696 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$449.90
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.98 | 1 |
| Practice expense | 2.55 | 0.904 |
| Malpractice | 2.35 | 0.504 |
(9.98 × 1 + 2.55 × 0.904 + 2.35 × 0.504) × $33.4009 = $449.90
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.
93650 billing questions
How does 93650 differ from atrial fibrillation ablation?
93650 targets AV node conduction to control ventricular rate. Code 93656 describes catheter ablation directed at atrial fibrillation as a rhythm-control treatment.
Is a pacemaker reported with 93650?
A pacemaker implantation may be reported separately when it is actually performed and documented. Select the device code based on the implantation service and system, rather than assuming every case uses the same pacemaker code.
What documentation supports reporting 93650?
Document the clinical indication, the AV node as the ablation target, and the catheter ablation performed. The record should also support the pacing plan following interruption of AV conduction.
How are other procedures in the same session paid?
Under the CMS multiple-procedure rule, the highest-valued procedure is paid in full and other procedures in that session are paid at 50%. Same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant, co-surgeon, or surgical team be reported?
Assistant-at-surgery payment requires documentation of medical necessity. CMS does not permit co-surgeon or team-surgery payment 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.
12,23793644,,Ep eval subq impl dfb,A,,2.96,2.60,,2.60,NA,0.10,5.66,5.66,1,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,23893644,26,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
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958