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See a sample rate comparisonCPT 92953 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Temporary Heart Pacer, A Temporary Pacemaker Is Placed On The Skin To Regulate The Heartbeat By Delivering Tiny Electric Shocks.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 21 - Inpatient Hospital 23 - Emergency Room |
| Common Modifiers | 59 - Distinct Procedural Service GC - Service performed by resident under supervision |
| Complexity Level | Low |
| Medicare Fee Schedule | $1.00 national non-facility rate (2026) · View Medicare rates for 92953 |
| Medicaid Fee Schedule | $0.755 median of the 8 states in the free preview · View Medicaid rates for 92953 |
National average reimbursement for CPT 92953 by major payers:
$6.42
$7.52
$4.75
$7.29
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CPT 92953
5 of 25 sample ratesHigher to lower in this preview
Dignity Community Care, Methodist Hospital Of Sacramento
$11,491.00Published rateRobert Wood Johnson University Hospital At Rahway, Rahway Hospital
Robert Wood Johnson University Hospital Rahway
$3,051.00Published rateRoosevelt County Special Hospital District, Roosevelt General Hospital
Roosevelt County Special Hospital District
$2,358.00Published rateSte Genevieve County Memorial Hospital
$1,356.00Published rateBradley Smith
Emergeortho, P.A.
$0.97Published rate
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See a sample payer proposalCPT 92953 vs. Other Cardiovascular Procedures Codes
The CPT 92953 code is part of the Medicine Services and Procedures services used for Cardiovascular Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 92953 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 92920-CPT | Moderate | Prq Cardiac Angioplast 1 Art, Balloon Dilation Of Narrowed Or Blocked Major Coronary Artery Or Branch (Accessed Through The Skin) Each Additional Artery Or Branch |
| 92950-CPT | Moderate | Administer Cpr, Emergency Cardiopulmonary Resuscitation (Cpr) Provided To Restart The Heartbeat And Breathing Following A Cardiac Arrest (Heart Stops Beating). |
| 92953-CPT | Low | Temporary Heart Pacer, A Temporary Pacemaker Is Placed On The Skin To Regulate The Heartbeat By Delivering Tiny Electric Shocks. |
| 92960-CPT | Moderate | Electric Shock For Heartbeat, An Electrical Charge Delivered Into The Heart Muscle In Order To Reset The Heartbeat To A Different Rhythm. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 92953. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92953 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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