No office rate
Use 92961 for internal cardioversion; use 92960 when electrical energy is delivered externally through chest electrodes.
On this page
CMS RVU26D · Effective 2026-10-01
92960 Cardioversion Medicare reimbursement rates in Virginia
Reports planned external electrical cardioversion to restore an organized rhythm, commonly for atrial fibrillation or atrial flutter. Compare 92960 office and facility rates across CMS payment localities in Virginia.
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 92960 in Virginia?
Virginia 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
$151.74–$173.77
2 of 2 localities have a supported rate.
Facility setting
$92.97–$103.34
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 92960: External electrical cardioversion
Reports planned external electrical cardioversion to restore an organized rhythm, commonly for atrial fibrillation or atrial flutter.
92960 represents external electrical cardioversion: synchronized electrical energy delivered through chest electrodes to terminate an arrhythmia and restore an organized rhythm. It is commonly used for planned cardioversion of atrial fibrillation or atrial flutter. Cardiologists and other qualified physicians typically perform it in a hospital outpatient department or monitored procedural setting, with rhythm and vital-sign monitoring and sedation as appropriate.
Report the procedure performed, not simply rhythm monitoring or medication-based conversion. Documentation should identify the arrhythmia, the external approach, the procedure, and the resulting rhythm or response; distinguish it from internal cardioversion reported with 92961. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Co-surgeons and team surgery are not permitted; assistant-at-surgery payment requires documentation of medical necessity.
CMS billing rules for 92960
- 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 RVU1.95 · 42%
- Practice expense (office) RVU2.53 · 55%
- Malpractice RVU0.15 · 3%
218.1K
Medicare services in 2024 · #366 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.
92960 compared with similar codes
Office rates for Virginia, from the same CMS release.
92950
$370.80–$429.47CPR
92950 reports CPR. It describes resuscitation, not planned external electrical cardioversion.
No office rate
92953 reports temporary external cardiac pacing. Pacing supports the heart rate; 92960 delivers a shock to convert an arrhythmia.
Compare 92960 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
Dc + Md/Va Suburbs →
Office / nonfacility
$173.77
Facility
$103.34
Virginia →
Office / nonfacility
$151.74
Facility
$92.97
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92960 billing questions
How does 92960 differ from 92961?
92960 is for external electrical cardioversion using chest electrodes. 92961 is for internal electrical cardioversion.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for 92960.
Can an assistant-at-surgery be paid?
Assistant-at-surgery payment is limited to cases with documented medical necessity. Co-surgeons and team surgery are not permitted.
Are same-day evaluation and recovery services included?
The 0-day global period includes same-day preoperative and postoperative care.
What documentation supports reporting 92960?
Document the arrhythmia treated, that external electrical cardioversion was performed, and the rhythm or response afterward.
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.
11,91292945,,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
11,91892971,,Cardioassist external,A,,1.73,0.48,NA,0.48,,0.41,2.62,2.62,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00