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

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

CMS RVU26DEffective Oct 1, 2026One payment locality9.2K Medicare services in 2024

In Arkansas, Medicare pays $127.31 for 33210 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$127.31Hospital or facility

Check a contract rate as a % of Medicare · 33210 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 33210 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 33210 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 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.

How Arkansas compares for 33210

Across 109 of 109 payment localities, the facility rate for 33210 runs from $124.77 in Wisconsin to $181.75 in Alaska. Arkansas pays $127.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

33210 in Arkansas vs other payment areas
  1. Arkansas · this page$127.31
  2. Los Angeles, CA · California$141.00+$13.69
  3. Washington, DC area · District of Columbia$151.94+$24.63
  4. Miami, FL · Florida$174.62+$47.31
  5. Chicago, IL · Illinois$169.53+$42.22
  6. Manhattan, NY · New York$162.88+$35.57
  7. Alaska · Alaska$181.75+$54.44

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

Every other payment area

33210 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$128.73
ArizonaArizona—$136.88
Bakersfield, CACalifornia—$135.91
Chico, CACalifornia—$134.12
El Centro, CACalifornia—$134.23
Fresno, CACalifornia—$134.12
Hanford, CACalifornia—$134.12
Madera, CACalifornia—$134.12

33210 rates by state

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

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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

See 33210 in every payment locality

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.

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,839

Code
33210
Physician work
2.97
Practice expense
0.59
Malpractice
0.65

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Facility calculation for 33210 in Arkansas
ComponentRVULocality factorAdjusted
Physician work2.97× 1.0002.9700
Practice expense0.59× 0.8590.5068
Malpractice0.65× 0.5150.3348
Total RVUs3.8116
Conversion factor× 33.4009

Facility rate, Arkansas$127.31

Facility: (2.97 × 1 + 0.59 × 0.859 + 0.65 × 0.515) × $33.4009 = $127.31

Open 33210 in the RVU calculator

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

How 33210 has changed in Arkansas

33210 · 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$127.31RVU26D
2026-07-01Not available in this setting$127.31RVU26C
2026-04-01Not available in this setting$127.31RVU26B
2026-01-01Not available in this setting$127.31RVU26A
2025-10-01Not available in this setting$138.70RVU25D
2025-07-01Not available in this setting$138.70RVU25C
2025-04-01Not available in this setting$138.70RVU25B
2025-01-01Not available in this setting$138.70RVU25A
2024-10-01Not available in this setting$142.16RVU24D
2024-07-01Not available in this setting$142.16RVU24C
2024-04-01Not available in this setting$142.16RVU24B
2024-03-09Not available in this setting$142.16RVU24AR
2024-01-01Not available in this setting$139.84RVU24A
2023-10-01Not available in this setting$144.38RVU23D
2023-07-01Not available in this setting$144.38RVU23C
2023-04-01Not available in this setting$144.38RVU23B
2023-01-01Not available in this setting$144.38RVU23A
2022-10-01Not available in this setting$147.21RVU22D
2022-07-01Not available in this setting$147.21RVU22C
2022-04-01Not available in this setting$147.21RVU22B
2022-01-01Not available in this setting$147.21RVU22A
2021-10-01Not available in this setting$148.27RVU21D
2021-07-01Not available in this setting$148.27RVU21C
2021-04-01Not available in this setting$148.27RVU21B
2021-01-01Not available in this setting$148.27RVU21A
2020-10-01Not available in this setting$154.90RVU20D
2020-07-01Not available in this setting$154.90RVU20C
2020-04-01Not available in this setting$154.90RVU20B
2020-01-01Not available in this setting$154.90RVU20A
2019-10-01Not available in this setting$156.72RVU19D
2019-07-01Not available in this setting$156.72RVU19C
2019-04-01Not available in this setting$156.72RVU19B
2019-01-01Not available in this setting$156.72RVU19A
2018-10-01Not available in this setting$157.07RVU18D
2018-07-01Not available in this setting$157.07RVU18C
2018-04-01Not available in this setting$157.07RVU18B
2018-01-01Not available in this setting$157.07RVU18AR1
2017-10-01Not available in this setting$156.84RVU17D
2017-07-01Not available in this setting$156.84RVU17C
2017-04-01Not available in this setting$156.84RVU17B
2017-01-01Not available in this setting$156.84RVU17A
2016-10-01Not available in this setting$168.31RVU16D
2016-07-01Not available in this setting$168.31RVU16C
2016-04-01Not available in this setting$168.31RVU16B
2016-01-01Not available in this setting$168.31RVU16A
2015-10-01Not available in this setting$168.85RVU15D
2015-07-01Not available in this setting$168.85RVU15C
2015-04-01Not available in this setting$168.01RVU15B
2015-01-01Not available in this setting$168.01RVU15A
2014-10-01Not available in this setting$166.50RVU14D
2014-07-01Not available in this setting$166.50RVU14C
2014-04-01Not available in this setting$166.50RVU14B
2014-01-01Not available in this setting$166.50RVU14A
2013-10-01Not available in this setting$159.05RVU13D
2013-07-01Not available in this setting$159.05RVU13C
2013-04-01Not available in this setting$159.05RVU13B
2013-01-01Not available in this setting$159.05RVU13AR

Price 33210 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

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)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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