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CMS RVU26D · Effective 2026-10-01

92961 Cardioversion Medicare reimbursement rates in Maine

Reports synchronized electrical cardioversion delivered through intracardiac electrodes to treat an arrhythmia, rather than through external chest pads. Compare 92961 office and facility rates across CMS payment localities in Maine.

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 92961 in Maine?

Maine 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

$199.75–$202.98

2 of 2 localities have a supported rate.

Lowest: Rest Of Maine

Highest: Southern Maine

A spread of $3.23 per service.

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.

Find 92961 in your payment locality →

Cardiology

About 92961: Internal electrical cardioversion

Reports synchronized electrical cardioversion delivered through intracardiac electrodes to treat an arrhythmia, rather than through external chest pads.

This service uses an internally placed electrode, such as a catheter electrode, to deliver a synchronized electrical shock intended to restore a normal rhythm. Cardiologists and electrophysiologists typically perform it in a cardiac catheterization or electrophysiology laboratory. It may be used for atrial fibrillation or another arrhythmia when the internal method is selected, including situations where external cardioversion has not restored the rhythm.

Report 92961 for the internal electrical method; external shocks delivered through chest pads are reported with 92960 instead. Documentation should identify the arrhythmia, the internal electrode method, the cardioversion performed, and the rhythm response. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included in the procedure payment. The code does not carry a longer postoperative care period.

CMS billing rules for 92961

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
Assistant at surgery
The assistant-at-surgery concept does not apply.
Co-surgeons
Co-surgeons not applicable.
Team surgery
Team surgery not applicable.

Where the value comes from

  • Work RVU4.23 · 66%
  • Practice expense (office) RVU1.24 · 19%
  • Malpractice RVU0.98 · 15%

470

Medicare services in 2024 · #3619 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.

92961 compared with similar codes

Office rates for Maine, from the same CMS release.

92960

Cardioversion

External electrical conversion

$145.99–$152.04

92960 describes external cardioversion using chest pads. Use 92961 when the shock is delivered through an internal electrode.

93656

AF ablation

Pulmonary vein isolation

No office rate

93656 reports catheter ablation for atrial fibrillation. Cardioversion restores rhythm with a shock; it is not the ablation service.

93620

Comp ep evl r at ven pac&rec

No office rate

93620 describes a comprehensive electrophysiology evaluation. It is diagnostic testing, whereas 92961 reports the internal electrical cardioversion.

Compare 92961 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

Office and facility base rates · shared scale starting at $0

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92961 billing questions

Should each shock be reported as a separate unit?

Do not count individual shocks as separate services. Document the cardioversion session and the method used.

What documentation supports 92961?

Record the arrhythmia treated, use of an internal electrode, the cardioversion performed, and the resulting rhythm or response.

Is same-day preoperative or postoperative care included?

Yes. CMS assigns this minor procedure a 0-day global period, which includes same-day preoperative and postoperative care.

Can 92961 be reported with an atrial fibrillation ablation?

An internal cardioversion may occur during an electrophysiology encounter that also includes ablation. Report each service only when the documentation supports that it was performed.

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.

RVUs for 92961PPRRVU2026_Oct_nonQPP.csv, line 11,916 (RVU26D)