October 9, 2025
Accurate coding for cardioversion procedures is essential for ensuring proper reimbursement, avoiding denials, and staying compliant with payer guidelines.
In 2025, updates to cardioversion CPT codes highlight the importance of correct documentation, modifier use, and distinguishing between cardioversion and defibrillation.
This guide explains CPT code 92960, chemical cardioversion CPT codes, TEE with cardioversion, anesthesia add-ons, and best practices for billing.
Cardioversion is a medical procedure that restores a normal heart rhythm in patients with arrhythmias such as atrial fibrillation (AFib) or atrial flutter.
There are two primary types:
Documentation should specify:
Here are the top CPT codes for cardioversion in 2025:
CPT Code | Description | Notes / Modifier Use |
92960 | Electrical cardioversion (e.g., AFib, flutter). | Use -26 if only interpretation; +92953 if anesthesia is included. |
92961 | Chemical cardioversion with pharmacologic agents. | Common for AFib using adenosine, amiodarone, or other meds. |
92950 | Emergent cardioversion (e.g., ventricular tachycardia, cardiac arrest). | Used in life-threatening events. |
92951 | Internal cardioversion (rare). | Limited use for implantable devices. |
+92953 | Add-on for anesthesia during electrical cardioversion. | Must be billed with 92960. |
93318 | TEE with cardioversion (combined service). | Use when both are performed. |
93355 | TEE guidance for cardioversion only. | Do not bill with 93318. |
93650 | Adenosine infusion for chemical cardioversion. | Specific to drug-based conversion. |
To avoid denials, coders must document:
Many denials stem from:
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To ensure payment, pair CPT codes with accurate ICD-10:
Correct use of cardioversion CPT codes, including 92960, 92961, and TEE-guided codes, ensures accurate reimbursement and compliance.
Cures Medical Billing specializes in cardiology medical billing and coding. Our certified experts help providers avoid costly denials, improve reimbursement rates, and stay compliant with 2025 updates.
Need expert help with cardioversion billing? Contact Cures MB today for a free consultation.
The most common cardioversion CPT code is 92960, which covers external electrical cardioversion.
Use 92961 for pharmacological (drug-based) cardioversion.
Yes. Use -26 for professional services only, -TC for technical component, and +92953 for anesthesia.
Add +92953 to 92960 if anesthesia is provided.
Use 93318 for combined TEE with cardioversion or 93355 for TEE guidance alone
Use Z98.89 (Other specified post procedural states).
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