CPT code 33211: Temporary pacing, dual-chamber transvenous leads2026 Medicare rate & RVUs in Missouri
Report temporary transvenous dual-chamber pacing lead placement when acute bradycardia or conduction block requires temporary atrial and ventricular pacing.
CMS doesn’t publish an office rate for 33211 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 33211 covers
This service places or replaces temporary pacing electrodes through the venous system to support pacing in both the right atrium and right ventricle. Cardiologists and electrophysiologists commonly perform it in a hospital procedure room, catheterization laboratory, or other acute-care setting for symptomatic bradycardia or significant conduction block when temporary AV-sequential pacing is needed. The electrodes connect to an external pacing source rather than a permanently implanted pulse generator.
Choose this code when the documented temporary pacing setup uses dual-chamber electrodes; a single-chamber temporary setup is reported differently. The procedure note should support the temporary indication, electrode placement, and dual-chamber configuration. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and 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 33211 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 | $143.83 |
| Metropolitan St. Louis, MO | Unavailable | $144.66 |
| Rest of Missouri | Unavailable | $142.14 |
How the 33211 rate is calculated
Each of 33211’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 · 33211
RVUs × geographic indexes × conversion factor
Work3.06
3.06 RVUs× 1.000 GPCI
Practice expense0.63
0.63 RVUs× 1.000 GPCI
Malpractice0.67
0.67 RVUs× 1.000 GPCI
Adjusted RVUs
4.3600
Conversion factor
$33.4009
Medicare rate
$145.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33211
The CMS indicators that decide how 33211 is paid alongside other services.
CMS payment indicators · 33211
Temporary pacing, dual-chamber transvenous leads
| 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
33211 without 51 · national facility
$145.63
Temporary pacing, dual-chamber transvenous leads
33211-51 · Second procedure: 50%
$72.82
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%).
33211 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 33210Temporary pacingSingle-chamber transvenous wire
- 33210 describes temporary single-chamber transvenous pacing. Choose 33211 when temporary pacing uses dual-chamber electrodes.
- 33208Pacemaker implantAtrial and ventricular leads
- 33208 is for implantation of a permanent dual-chamber pacemaker system. Use 33211 for temporary transvenous dual-chamber pacing electrodes.
- 33206Pacemaker implantAtrial pacing system
- 33206 covers permanent atrial pacemaker implantation, not temporary dual-chamber pacing electrode placement.
- 33207Pacemaker insertionVentricular-only system
- 33207 covers permanent ventricular pacemaker implantation, not temporary pacing with both atrial and ventricular electrodes.
33211 billing questions
How does 33211 differ from 33210?
33211 represents a temporary dual-chamber pacing setup with atrial and ventricular electrodes. Use 33210 for a temporary single-chamber setup.
Is this code for a permanent pacemaker implant?
No. It covers temporary transvenous pacing electrodes. Permanent dual-chamber pacemaker system implantation is represented by 33208.
What documentation supports reporting 33211?
Document the acute need for temporary pacing, transvenous electrode placement, and the dual-chamber configuration. The record should distinguish the service from single-chamber temporary pacing.
Should modifier 50 be appended for bilateral pacing?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 does not describe the service.
Can an assistant surgeon be paid for this procedure?
CMS applies a statutory restriction, so assistant-at-surgery payment is not allowed for this code. Co-surgeons and team surgery are also not permitted.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
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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