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See a sample rate comparisonCPT 92960 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.
Electric Shock For Heartbeat, An Electrical Charge Delivered Into The Heart Muscle In Order To Reset The Heartbeat To A Different Rhythm.
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Cardiovascular Procedures |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $154.65 national non-facility rate (2026) · View Medicare rates for 92960 |
| Medicaid Fee Schedule | $124.935 median of the 8 states in the free preview · View Medicaid rates for 92960 |
National average reimbursement for CPT 92960 by major payers:
$231.41
$256.83
$266.31
$189.46
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CPT 92960
5 of 25 sample ratesHigher to lower in this preview
Carolina Medrano Mendez
$388.26Published rateZhexiang Li
Primary Care Partners, LLC
$293.02Published rateLiviu Rappaport
Primary Care Partners, LLC
$192.03Published rateYelena Birger
$162.05Published rateRobert Malovany
Bergen Medical Alliance PA
$105.98Published rate
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See a sample payer proposalCPT 92960 vs. Other Cardiovascular Procedures Codes
The CPT 92960 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 92960 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 |
|---|---|---|
| 92941-CPT | Moderate | Cardiovascular Surgery, Percutaneous Transluminal Revascularization Of Acute Total/Subtotal Occlusion During Acute Myocardial Infarction Coronary Artery Or Coronary Artery Bypass Graft Any Combination Of Intracoronary Stent Atherectomy And Angioplasty Including Aspiration Thrombectomy When Performed Single Vessel Major Coronary Artery And/Or Its Branches Or Single Bypass Graft And/Or Its Subtended Branches |
| 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 92960. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 92960 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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