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CPT code 33210: Temporary pacing, single-chamber transvenous wire2026 Medicare rate & RVUs

Temporary transvenous single-chamber pacing wire placement or replacement for acute bradyarrhythmia support when short-term cardiac pacing is needed.

CMS RVU26DEffective Oct 1, 2026109 payment localities9.2K Medicare services in 2024

Medicare pays $140.62 for 33210 nationally in a facility.

Medicare rate · 33210

Temporary pacing, single-chamber transvenous wire

Office or facility?

Work RVUs
2.97
Total RVUs
4.21
Global days
000

National rate · 2026

$140.62

Facility setting, before claim adjustments.

See every locality for 33210 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 33210 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33210 covers

This service covers placing or replacing a temporary pacing electrode through a vein and positioning it in the heart for single-chamber pacing, usually ventricular pacing. Cardiologists and other physicians who manage acute rhythm problems commonly perform it in a hospital for situations such as significant symptomatic bradycardia or high-grade heart block, including while a patient awaits a longer-term pacing plan.

Report this code for the temporary transvenous single-chamber electrode service, not implantation of a permanent pacemaker system. Documentation should identify the temporary pacing indication, transvenous approach, chamber configuration, and whether the wire was placed or replaced. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When this procedure and other procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are 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.

Where 33210 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33210 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$128.73
AlaskaUnavailable$181.75
ArizonaUnavailable$136.88
ArkansasUnavailable$127.31
Atlanta, GAUnavailable$145.59
Austin, TXUnavailable$139.48
Bakersfield, CAUnavailable$135.91
Baltimore area, MDUnavailable$148.79
Beaumont, TXUnavailable$137.30
Brazoria, TXUnavailable$136.46

33210 rates by state

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

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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
33210 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

How the 33210 rate is calculated

Each of 33210’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 · 33210

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.97

2.97 RVUs× 1.000 GPCI

Practice expense0.59

0.59 RVUs× 1.000 GPCI

Malpractice0.65

0.65 RVUs× 1.000 GPCI

Adjusted RVUs

4.2100

Conversion factor

$33.4009

Medicare rate

$140.62

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

Payment rules and modifiers for 33210

The CMS indicators that decide how 33210 is paid alongside other services.

CMS payment indicators · 33210

Temporary pacing, single-chamber transvenous wire

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33210 without 51 · national facility

$140.62

Temporary pacing, single-chamber transvenous wire

33210-51 · Second procedure: 50%

$70.31

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

33210 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 33210

    Temporary pacing, single-chamber transvenous wire2.97 wRVU

    Not priced

  • 33211

    Temporary pacing, dual-chamber transvenous leads3.06 wRVU

    Not priced

  • 33207

    Pacemaker insertion, ventricular-only system7.61 wRVU

    Not priced

  • 33208

    Pacemaker implant, atrial and ventricular leads8.31 wRVU

    Not priced

How to choose

33211Temporary pacingDual-chamber transvenous leads
Choose 33210 for a temporary single-chamber transvenous pacing electrode and 33211 for a dual-chamber configuration.
33207Pacemaker insertionVentricular-only system
33210 is temporary pacing-wire placement or replacement; 33207 describes implantation of a permanent ventricular pacemaker system.
33208Pacemaker implantAtrial and ventricular leads
33208 is permanent dual-chamber pacemaker implantation, not temporary single-chamber pacing support.

Codes related to 33210

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

Codes related to 33210
CodeHow it relatesNational office range
Same family
33211Temporary pacing, dual-chamber transvenous leadsTemporary transvenous pacing with a dual-chamber electrode configuration.No office rate
Used instead
33207Pacemaker insertion, ventricular-only systemPermanent ventricular pacemaker system implantation rather than temporary pacing support.No office rate
33208Pacemaker implant, atrial and ventricular leadsPermanent dual-chamber pacemaker implantation rather than temporary single-chamber pacing.No office rate

33210 billing questions

How is 33210 different from 33211?

33210 is for a temporary transvenous single-chamber pacing electrode. Use 33211 when the temporary pacing service involves a dual-chamber electrode configuration.

Is this the code for a permanent ventricular pacemaker?

No. 33210 describes temporary transvenous pacing support. Permanent ventricular pacemaker system implantation is represented by 33207.

What documentation supports reporting 33210?

Document the acute pacing indication, temporary intent, transvenous route, single-chamber configuration, and placement or replacement of the electrode.

How does the multiple-procedure reduction work?

When 33210 and other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for 33210, and co-surgeons and team surgery are 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 33210PPRRVU2026_Oct_nonQPP.csv, line 3,839 (RVU26D)

Open CMS sourceHow we calculate rates

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