CPT code 33207: Pacemaker insertion, ventricular-only system2026 Medicare rate & RVUs in Oklahoma
Reports implantation or replacement of a permanent pacemaker system using transvenous ventricular lead placement without an atrial lead.
In Oklahoma, Medicare pays $397.31 for 33207 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Oklahoma 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. Oklahoma pays $397.31. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Oklahoma · this page$397.31
- Los Angeles, CA · California$432.50+$35.19
- Washington, DC area · District of Columbia$461.95+$64.64
- Miami, FL · Florida$517.54+$120.23
- Chicago, IL · Illinois$501.50+$104.19
- Manhattan, NY · New York$490.88+$93.57
- Alaska · Alaska$529.64+$132.33
Other areas in Oklahoma first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $409.34 |
| Merced, CACalifornia | — | $409.34 |
| Modesto, CACalifornia | — | $409.34 |
| Napa, CACalifornia | — | $443.47 |
| Oxnard, CACalifornia | — | $426.65 |
| Redding, CACalifornia | — | $409.34 |
| Rest of CaliforniaCalifornia | — | $409.34 |
| Riverside, CACalifornia | — | $428.44 |
| Sacramento, CACalifornia | — | $421.45 |
| Salinas, CACalifornia | — | $419.74 |
| San Diego, CACalifornia | — | $423.86 |
| Marin County, CACalifornia | — | $458.68 |
| San Francisco, CACalifornia | — | $456.66 |
| San Benito County, CACalifornia | — | $470.54 |
| Santa Clara County, CACalifornia | — | $462.28 |
| San Luis Obispo, CACalifornia | — | $414.01 |
| Santa Cruz, CACalifornia | — | $423.28 |
| Santa Maria, CACalifornia | — | $419.74 |
| Santa Rosa, CACalifornia | — | $426.98 |
| Stockton, CACalifornia | — | $409.34 |
| Vallejo, CACalifornia | — | $440.56 |
| Visalia, CACalifornia | — | $409.34 |
| Yuba City, CACalifornia | — | $409.34 |
| ColoradoColorado | — | $419.16 |
| ConnecticutConnecticut | — | $448.11 |
| DelawareDelaware | — | $416.15 |
| Fort Lauderdale, FLFlorida | — | $471.64 |
| Rest of FloridaFlorida | — | $447.32 |
| Atlanta, GAGeorgia | — | $436.64 |
| Rest of GeorgiaGeorgia | — | $421.88 |
| Hawaii, Guam, HIHawaii | — | $412.03 |
| IowaIowa | — | $377.11 |
| IdahoIdaho | — | $382.17 |
| East St. Louis, ILIllinois | — | $473.79 |
| Rest of IllinoisIllinois | — | $446.22 |
| Suburban Chicago, ILIllinois | — | $472.80 |
| IndianaIndiana | — | $383.70 |
| KansasKansas | — | $382.28 |
| KentuckyKentucky | — | $405.08 |
| New Orleans, LALouisiana | — | $423.87 |
| Rest of LouisianaLouisiana | — | $407.21 |
| Metropolitan Boston, MAMassachusetts | — | $447.13 |
| Rest of MassachusettsMassachusetts | — | $419.94 |
| Baltimore area, MDMaryland | — | $448.27 |
| Rest of MarylandMaryland | — | $421.16 |
| Rest of MaineMaine | — | $391.03 |
| Southern Maine, MEMaine | — | $399.27 |
| Detroit, MIMichigan | — | $459.17 |
| Rest of MichiganMichigan | — | $420.41 |
| MinnesotaMinnesota | — | $383.48 |
| Metropolitan Kansas City, MOMissouri | — | $414.20 |
| Metropolitan St. Louis, MOMissouri | — | $417.10 |
| Rest of MissouriMissouri | — | $405.66 |
| MississippiMississippi | — | $391.58 |
| MontanaMontana | — | $422.07 |
| North CarolinaNorth Carolina | — | $393.45 |
| North DakotaNorth Dakota | — | $386.87 |
| NebraskaNebraska | — | $376.85 |
| New HampshireNew Hampshire | — | $419.21 |
| Northern New JerseyNew Jersey | — | $459.61 |
| Rest of New JerseyNew Jersey | — | $448.11 |
| New MexicoNew Mexico | — | $425.13 |
| NevadaNevada | — | $412.37 |
| NYC suburbs and Long Island, NYNew York | — | $509.92 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $456.42 |
| Queens, NYNew York | — | $484.49 |
| Rest of New YorkNew York | — | $399.10 |
| OhioOhio | — | $413.22 |
| Portland, OROregon | — | $423.08 |
| Rest of OregonOregon | — | $404.10 |
| Metropolitan Philadelphia, PAPennsylvania | — | $442.69 |
| Rest of PennsylvaniaPennsylvania | — | $410.02 |
| Puerto RicoPuerto Rico | — | $422.49 |
| Rhode IslandRhode Island | — | $424.18 |
| South CarolinaSouth Carolina | — | $405.02 |
| South DakotaSouth Dakota | — | $382.71 |
| TennesseeTennessee | — | $384.78 |
| Austin, TXTexas | — | $422.21 |
| Beaumont, TXTexas | — | $408.20 |
| Brazoria, TXTexas | — | $410.16 |
| Dallas, TXTexas | — | $415.60 |
| Fort Worth, TXTexas | — | $415.29 |
| Galveston, TXTexas | — | $413.23 |
| Houston, TXTexas | — | $445.82 |
| Rest of TexasTexas | — | $410.88 |
| UtahUtah | — | $409.61 |
| VirginiaVirginia | — | $402.86 |
| Virgin Islands, VIUnited States Virgin Islands | — | $422.49 |
| VermontVermont | — | $391.73 |
| Rest of WashingtonWashington | — | $417.04 |
| King County, WAWashington | — | $448.66 |
| WisconsinWisconsin | — | $376.49 |
| West VirginiaWest Virginia | — | $433.59 |
| WyomingWyoming | — | $406.73 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Oklahoma 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
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.61 | × 1.000 | 7.6100 |
| Practice expense | 3.25 | × 0.893 | 2.9022 |
| Malpractice | 1.78 | × 0.777 | 1.3831 |
| Total RVUs | 11.8953 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$397.31
Facility: (7.61 × 1 + 3.25 × 0.893 + 1.78 × 0.777) × $33.4009 = $397.31
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share 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.
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%).
How 33207 has changed in Oklahoma
33207 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $397.31 | RVU26D |
| 2026-07-01 | Not available in this setting | $397.31 | RVU26C |
| 2026-04-01 | Not available in this setting | $397.31 | RVU26B |
| 2026-01-01 | Not available in this setting | $397.31 | RVU26A |
| 2025-10-01 | Not available in this setting | $431.43 | RVU25D |
| 2025-07-01 | Not available in this setting | $431.43 | RVU25C |
| 2025-04-01 | Not available in this setting | $431.43 | RVU25B |
| 2025-01-01 | Not available in this setting | $431.43 | RVU25A |
| 2024-10-01 | Not available in this setting | $441.60 | RVU24D |
| 2024-07-01 | Not available in this setting | $441.60 | RVU24C |
| 2024-04-01 | Not available in this setting | $441.60 | RVU24B |
| 2024-03-09 | Not available in this setting | $441.60 | RVU24AR |
| 2024-01-01 | Not available in this setting | $434.40 | RVU24A |
| 2023-10-01 | Not available in this setting | $449.51 | RVU23D |
| 2023-07-01 | Not available in this setting | $449.51 | RVU23C |
| 2023-04-01 | Not available in this setting | $449.51 | RVU23B |
| 2023-01-01 | Not available in this setting | $449.51 | RVU23A |
| 2022-10-01 | Not available in this setting | $457.97 | RVU22D |
| 2022-07-01 | Not available in this setting | $457.97 | RVU22C |
| 2022-04-01 | Not available in this setting | $457.97 | RVU22B |
| 2022-01-01 | Not available in this setting | $457.97 | RVU22A |
| 2021-10-01 | Not available in this setting | $459.82 | RVU21D |
| 2021-07-01 | Not available in this setting | $459.82 | RVU21C |
| 2021-04-01 | Not available in this setting | $459.82 | RVU21B |
| 2021-01-01 | Not available in this setting | $459.82 | RVU21A |
| 2020-10-01 | Not available in this setting | $476.07 | RVU20D |
| 2020-07-01 | Not available in this setting | $476.07 | RVU20C |
| 2020-04-01 | Not available in this setting | $476.07 | RVU20B |
| 2020-01-01 | Not available in this setting | $476.07 | RVU20A |
| 2019-10-01 | Not available in this setting | $483.34 | RVU19D |
| 2019-07-01 | Not available in this setting | $483.34 | RVU19C |
| 2019-04-01 | Not available in this setting | $483.34 | RVU19B |
| 2019-01-01 | Not available in this setting | $483.34 | RVU19A |
| 2018-10-01 | Not available in this setting | $482.79 | RVU18D |
| 2018-07-01 | Not available in this setting | $482.79 | RVU18C |
| 2018-04-01 | Not available in this setting | $482.79 | RVU18B |
| 2018-01-01 | Not available in this setting | $482.79 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $475.77 | RVU17D |
| 2017-07-01 | Not available in this setting | $475.77 | RVU17C |
| 2017-04-01 | Not available in this setting | $475.77 | RVU17B |
| 2017-01-01 | Not available in this setting | $475.77 | RVU17A |
| 2016-10-01 | Not available in this setting | $480.93 | RVU16D |
| 2016-07-01 | Not available in this setting | $480.93 | RVU16C |
| 2016-04-01 | Not available in this setting | $480.93 | RVU16B |
| 2016-01-01 | Not available in this setting | $480.93 | RVU16A |
| 2015-10-01 | Not available in this setting | $481.74 | RVU15D |
| 2015-07-01 | Not available in this setting | $481.74 | RVU15C |
| 2015-04-01 | Not available in this setting | $479.34 | RVU15B |
| 2015-01-01 | Not available in this setting | $479.34 | RVU15A |
| 2014-10-01 | Not available in this setting | $469.29 | RVU14D |
| 2014-07-01 | Not available in this setting | $469.29 | RVU14C |
| 2014-04-01 | Not available in this setting | $469.29 | RVU14B |
| 2014-01-01 | Not available in this setting | $469.29 | RVU14A |
| 2013-10-01 | Not available in this setting | $448.56 | RVU13D |
| 2013-07-01 | Not available in this setting | $448.56 | RVU13C |
| 2013-04-01 | Not available in this setting | $448.56 | RVU13B |
| 2013-01-01 | Not available in this setting | $448.56 | RVU13AR |
Where the Oklahoma rate applies
Oklahoma is a Medicare payment area, not a city. Our Census mapping connects it to 846 cities and communities in Oklahoma. Some span more than one payment area; confirm with the service ZIP.
- Lahoma
- Achille
- Ada
- Adair
- Adams
- Adamson
- Addington
- Afton
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
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