CPT code 33207: Pacemaker insertion, ventricular-only system2026 Medicare rate & RVUs in Nebraska

Reports implantation or replacement of a permanent pacemaker system using transvenous ventricular lead placement without an atrial lead.

CMS RVU26DEffective Oct 1, 2026One payment locality9K Medicare services in 2024

In Nebraska, Medicare pays $376.85 for 33207 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$376.85Hospital or facility

Check a contract rate as a % of Medicare · 33207 nationwide

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

We’ll open 33207 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 33207 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 33207 covers

This service covers implantation or replacement of a permanent pacemaker system configured for ventricular pacing, with a transvenous lead positioned in the ventricle and a pulse generator placed in a pocket. Electrophysiologists and other physicians with cardiac device expertise commonly perform it in a hospital electrophysiology or catheterization lab. A typical clinical situation is bradycardia requiring permanent pacing in a patient with permanent atrial fibrillation, where an atrial lead is not part of the planned system.

Select this code when the procedure establishes or replaces a permanent ventricular-only transvenous pacing system; the operative report should support the system configuration and lead placement. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons are permitted, while team surgery is not permitted.

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 Nebraska compares for 33207

Across 109 of 109 payment localities, the facility rate for 33207 runs from $376.49 in Wisconsin to $529.64 in Alaska. Nebraska pays $376.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

33207 in Nebraska vs other payment areas
  1. Nebraska · this page$376.85
  2. Los Angeles, CA · California$432.50+$55.65
  3. Washington, DC area · District of Columbia$461.95+$85.10
  4. Miami, FL · Florida$517.54+$140.69
  5. Chicago, IL · Illinois$501.50+$124.65
  6. Manhattan, NY · New York$490.88+$114.03
  7. Alaska · Alaska$529.64+$152.79

Other areas in Nebraska first, then benchmark localities. Bars start at $0.

Every other payment area

33207 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$382.82
ArkansasArkansas—$378.05
ArizonaArizona—$410.26
Bakersfield, CACalifornia—$414.19
Chico, CACalifornia—$409.34
El Centro, CACalifornia—$409.64
Fresno, CACalifornia—$409.34
Hanford, CACalifornia—$409.34

33207 rates by state

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

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
33207 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33207 in every payment locality

How the 33207 rate is calculated

Each of 33207’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.

How the rate is built · 33207

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.61

7.61 RVUs× 1.000 GPCI

Practice expense3.25

3.25 RVUs× 1.000 GPCI

Malpractice1.78

1.78 RVUs× 1.000 GPCI

Adjusted RVUs

12.6400

Conversion factor

$33.4009

Medicare rate

$422.19

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,836

Code
33207
Physician work
7.61
Practice expense
3.25
Malpractice
1.78

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Facility calculation for 33207 in Nebraska
ComponentRVULocality factorAdjusted
Physician work7.61× 1.0007.6100
Practice expense3.25× 0.9232.9998
Malpractice1.78× 0.3780.6728
Total RVUs11.2826
Conversion factor× 33.4009

Facility rate, Nebraska$376.85

Facility: (7.61 × 1 + 3.25 × 0.923 + 1.78 × 0.378) × $33.4009 = $376.85

Open 33207 in the RVU calculator

Payment rules and modifiers for 33207

33207 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33207

Pacemaker insertion, ventricular-only system

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33207

Pacemaker insertion, ventricular-only system

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33207 without 51 · national facility

$422.19

Pacemaker insertion, ventricular-only system

33207-51 · Second procedure: 50%

$211.10

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 33207 has changed in Nebraska

33207 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$376.85RVU26D
2026-07-01Not available in this setting$376.85RVU26C
2026-04-01Not available in this setting$376.85RVU26B
2026-01-01Not available in this setting$376.85RVU26A
2025-10-01Not available in this setting$406.15RVU25D
2025-07-01Not available in this setting$406.15RVU25C
2025-04-01Not available in this setting$406.15RVU25B
2025-01-01Not available in this setting$406.15RVU25A
2024-10-01Not available in this setting$415.53RVU24D
2024-07-01Not available in this setting$415.53RVU24C
2024-04-01Not available in this setting$415.53RVU24B
2024-03-09Not available in this setting$415.53RVU24AR
2024-01-01Not available in this setting$408.74RVU24A
2023-10-01Not available in this setting$422.72RVU23D
2023-07-01Not available in this setting$422.72RVU23C
2023-04-01Not available in this setting$422.72RVU23B
2023-01-01Not available in this setting$422.72RVU23A
2022-10-01Not available in this setting$428.17RVU22D
2022-07-01Not available in this setting$428.17RVU22C
2022-04-01Not available in this setting$428.17RVU22B
2022-01-01Not available in this setting$428.17RVU22A
2021-10-01Not available in this setting$430.91RVU21D
2021-07-01Not available in this setting$430.91RVU21C
2021-04-01Not available in this setting$430.91RVU21B
2021-01-01Not available in this setting$430.91RVU21A
2020-10-01Not available in this setting$443.04RVU20D
2020-07-01Not available in this setting$443.04RVU20C
2020-04-01Not available in this setting$443.04RVU20B
2020-01-01Not available in this setting$443.04RVU20A
2019-10-01Not available in this setting$444.84RVU19D
2019-07-01Not available in this setting$444.84RVU19C
2019-04-01Not available in this setting$444.84RVU19B
2019-01-01Not available in this setting$444.84RVU19A
2018-10-01Not available in this setting$444.56RVU18D
2018-07-01Not available in this setting$444.56RVU18C
2018-04-01Not available in this setting$444.56RVU18B
2018-01-01Not available in this setting$444.56RVU18AR1
2017-10-01Not available in this setting$443.81RVU17D
2017-07-01Not available in this setting$443.81RVU17C
2017-04-01Not available in this setting$443.81RVU17B
2017-01-01Not available in this setting$443.81RVU17A
2016-10-01Not available in this setting$454.21RVU16D
2016-07-01Not available in this setting$454.21RVU16C
2016-04-01Not available in this setting$454.21RVU16B
2016-01-01Not available in this setting$454.21RVU16A
2015-10-01Not available in this setting$455.26RVU15D
2015-07-01Not available in this setting$455.26RVU15C
2015-04-01Not available in this setting$452.99RVU15B
2015-01-01Not available in this setting$452.99RVU15A
2014-10-01Not available in this setting$448.64RVU14D
2014-07-01Not available in this setting$448.64RVU14C
2014-04-01Not available in this setting$448.64RVU14B
2014-01-01Not available in this setting$448.64RVU14A
2013-10-01Not available in this setting$431.07RVU13D
2013-07-01Not available in this setting$431.07RVU13C
2013-04-01Not available in this setting$431.07RVU13B
2013-01-01Not available in this setting$431.07RVU13AR

Price 33207 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

  • Abie
  • Adams
  • Agnew
  • Ainsworth
  • Albion
  • Alda
  • Alexandria
  • Allen

Browse all communities in Nebraska

33207 billing questions

How does this differ from 33208?

33207 is for a ventricular-only permanent pacing system. Use 33208 when the implanted system has both atrial and ventricular leads.

Is this code for a complete system or just the lead?

It represents the permanent ventricular pacing system with transvenous lead placement and a pulse generator. A lead-only service or generator-only service is a different circumstance.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

What postoperative care is included?

The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.

May an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons are permitted, but team surgery is not permitted.

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

Show the CMS file lines behind this rate
RVUs for 33207PPRRVU2026_Oct_nonQPP.csv, line 3,836 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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