No office rate
Choose 33210 for temporary transvenous single-chamber pacing electrode placement; 92953 is for pacing through surface electrodes.
On this page
CMS RVU26D · Effective 2026-10-01
92953 External pacing Medicare reimbursement rates in Massachusetts
Temporary transcutaneous pacing uses surface electrodes and an external pulse generator to support a patient with clinically significant bradycardia or conduction block. Compare 92953 office and facility rates across CMS payment localities in Massachusetts.
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 92953 in Massachusetts?
Massachusetts 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
$0.96–$1.04
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.
Cardiology procedure
About 92953: Temporary transcutaneous cardiac pacing
Temporary transcutaneous pacing uses surface electrodes and an external pulse generator to support a patient with clinically significant bradycardia or conduction block.
CPT 92953 describes temporary cardiac pacing delivered through electrodes placed on the skin and connected to an external pulse generator. Emergency and critical care clinicians may use it as a bridge when severe bradycardia or heart block causes symptoms or hemodynamic instability, including while evaluating or arranging more definitive pacing. The service is distinct from placing a temporary pacing lead through a vein and from treating a shockable rhythm with cardioversion.
Report the service when external pacing is performed, with documentation of the clinical indication and the pacing intervention. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 92953
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- 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 RVU0.01 · 33%
- Practice expense (office) RVU0.01 · 33%
- Malpractice RVU0.01 · 33%
114
Medicare services in 2024 · #4782 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.
92953 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
33211 describes temporary transvenous dual-chamber pacing electrode placement. It is not the surface-electrode pacing service reported with 92953.
92950
$390.61–$428.25CPR
92950 represents CPR; 92953 represents temporary external cardiac pacing. The codes distinguish different interventions, even when both occur in an emergency.
Compare 92953 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$1.04
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$0.96
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92953 billing questions
How does 92953 differ from temporary transvenous pacing?
92953 is for pacing delivered through surface electrodes and an external generator. Codes 33210 and 33211 describe temporary transvenous pacing electrode services.
Does 92953 include CPR?
No. 92953 represents external pacing, while 92950 represents cardiopulmonary resuscitation. Document the distinct services performed.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
When is assistant-at-surgery payment allowed?
CMS allows assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
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.
11,91192943,,Prq trluml revsc ch occ ant,A,,13.35,2.51,NA,2.51,,3.12,18.98,18.98,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91292945,,Prq trl rvs ch occ ant&rtrgr,A,,15.00,2.84,NA,2.84,,1.08,18.92,18.92,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91392950,,Heart/lung resuscitation cpr,A,,3.90,7.01,,0.76,,0.44,11.35,5.10,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91492953,,Temporary external pacing,A,,0.01,0.01,NA,0.01,,0.01,0.03,0.03,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91592960,,Cardioversion electric ext,A,,1.95,2.53,,0.74,,0.15,4.63,2.84,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91692961,,Cardioversion electric int,A,,4.23,1.24,NA,1.24,,0.98,6.45,6.45,0,000,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,91792970,,Cardioassist internal,A,,3.42,0.64,NA,0.64,,0.82,4.88,4.88,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00