CPT code 33210: Temporary pacing, single-chamber transvenous wire2026 Medicare rate & RVUs in Missouri
Temporary transvenous single-chamber pacing wire placement or replacement for acute bradyarrhythmia support when short-term cardiac pacing is needed.
CMS doesn’t publish an office rate for 33210 in Missouri.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | Unavailable | $138.92 |
| Metropolitan St. Louis, MO | Unavailable | $139.72 |
| Rest of Missouri | Unavailable | $137.33 |
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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
33210 compared with similar codes
Compare codes · National
4 codes, side by side
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.
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
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