CPT code 33206: Pacemaker implant, atrial pacing system2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $441.36 for 33206 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33206 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 33206 covers

A cardiologist or electrophysiologist places a transvenous pacing lead in the atrium and connects it to a pulse generator, usually positioned in a pocket beneath the skin of the chest. This service is used for a permanent atrial pacing system, including selected patients with sinus node dysfunction and preserved atrioventricular conduction. Implantation commonly takes place in a hospital electrophysiology or cardiac catheterization lab.

Select this code when the implanted permanent system provides atrial pacing; use the chamber configuration documented in the operative report to distinguish it from ventricular-only or dual-chamber implantation. Documentation should identify the permanent system, lead placement, and generator implantation. The code represents the implant service, not a generator-only procedure or a charge per lead. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this implant. Assistant-at-surgery payment is statutorily restricted; co-surgeons are permitted, but team surgery is not.

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.

How Washington, DC area compares for 33206

Across 109 of 109 payment localities, the facility rate for 33206 runs from $359.41 in Nebraska to $501.43 in Alaska. Washington, DC area pays $441.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33206 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 33206 in every payment locality

How the 33206 rate is calculated

Each of 33206’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 33206

33206 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 33206

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 33206 has changed in Washington, DC area

Price 33206 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

• Washington

Browse all communities in District of Columbia

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates