CPT code 33211: Temporary pacing, dual-chamber transvenous leads2026 Medicare rate & RVUs in Utah
Report temporary transvenous dual-chamber pacing lead placement when acute bradycardia or conduction block requires temporary atrial and ventricular pacing.
In Utah, Medicare pays $142.08 for 33211 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33211 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 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.
How Utah compares for 33211
Across 109 of 109 payment localities, the facility rate for 33211 runs from $129.26 in Wisconsin to $188.05 in Alaska. Utah pays $142.08. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$142.08
- Los Angeles, CA · California$146.15+$4.07
- Washington, DC area · District of Columbia$157.42+$15.34
- Miami, FL · Florida$180.71+$38.63
- Chicago, IL · Illinois$175.43+$33.35
- Manhattan, NY · New York$168.69+$26.61
- Alaska · Alaska$188.05+$45.97
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $133.29 |
| ArkansasArkansas | — | $131.81 |
| ArizonaArizona | — | $141.75 |
| Bakersfield, CACalifornia | — | $140.84 |
| Chico, CACalifornia | — | $139.00 |
| El Centro, CACalifornia | — | $139.11 |
| Fresno, CACalifornia | — | $139.00 |
| Hanford, CACalifornia | — | $139.00 |
| Madera, CACalifornia | — | $139.00 |
| Merced, CACalifornia | — | $139.00 |
| Modesto, CACalifornia | — | $139.00 |
| Napa, CACalifornia | — | $147.75 |
| Oxnard, CACalifornia | — | $143.88 |
| Redding, CACalifornia | — | $139.00 |
| Rest of CaliforniaCalifornia | — | $139.00 |
| Riverside, CACalifornia | — | $146.20 |
| Sacramento, CACalifornia | — | $142.35 |
| Salinas, CACalifornia | — | $141.76 |
| San Diego, CACalifornia | — | $142.57 |
| Marin County, CACalifornia | — | $151.86 |
| San Francisco, CACalifornia | — | $151.10 |
| San Benito County, CACalifornia | — | $155.79 |
| Santa Clara County, CACalifornia | — | $152.68 |
| San Luis Obispo, CACalifornia | — | $139.91 |
| Santa Cruz, CACalifornia | — | $141.91 |
| Santa Maria, CACalifornia | — | $141.60 |
| Santa Rosa, CACalifornia | — | $143.11 |
| Stockton, CACalifornia | — | $139.00 |
| Vallejo, CACalifornia | — | $146.65 |
| Visalia, CACalifornia | — | $139.00 |
| Yuba City, CACalifornia | — | $139.00 |
| ColoradoColorado | — | $143.30 |
| ConnecticutConnecticut | — | $153.99 |
| DelawareDelaware | — | $143.63 |
| Fort Lauderdale, FLFlorida | — | $163.98 |
| Rest of FloridaFlorida | — | $155.96 |
| Atlanta, GAGeorgia | — | $150.77 |
| Rest of GeorgiaGeorgia | — | $147.65 |
| Hawaii, Guam, HIHawaii | — | $139.09 |
| IowaIowa | — | $130.35 |
| IdahoIdaho | — | $132.15 |
| East St. Louis, ILIllinois | — | $166.64 |
| Rest of IllinoisIllinois | — | $156.40 |
| Suburban Chicago, ILIllinois | — | $164.19 |
| IndianaIndiana | — | $132.59 |
| KansasKansas | — | $132.51 |
| KentuckyKentucky | — | $141.39 |
| New Orleans, LALouisiana | — | $147.43 |
| Rest of LouisianaLouisiana | — | $142.27 |
| Metropolitan Boston, MAMassachusetts | — | $151.44 |
| Rest of MassachusettsMassachusetts | — | $143.84 |
| Baltimore area, MDMaryland | — | $154.10 |
| Rest of MarylandMaryland | — | $145.07 |
| Rest of MaineMaine | — | $135.49 |
| Southern Maine, MEMaine | — | $137.18 |
| Detroit, MIMichigan | — | $160.24 |
| Rest of MichiganMichigan | — | $146.68 |
| MinnesotaMinnesota | — | $130.48 |
| Metropolitan Kansas City, MOMissouri | — | $143.83 |
| Metropolitan St. Louis, MOMissouri | — | $144.66 |
| Rest of MissouriMissouri | — | $142.14 |
| MississippiMississippi | — | $136.86 |
| MontanaMontana | — | $145.58 |
| North CarolinaNorth Carolina | — | $136.14 |
| North DakotaNorth Dakota | — | $132.34 |
| NebraskaNebraska | — | $130.09 |
| New HampshireNew Hampshire | — | $143.69 |
| Northern New JerseyNew Jersey | — | $156.96 |
| Rest of New JerseyNew Jersey | — | $153.82 |
| New MexicoNew Mexico | — | $148.38 |
| NevadaNevada | — | $141.91 |
| NYC suburbs and Long Island, NYNew York | — | $175.32 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $156.93 |
| Queens, NYNew York | — | $165.89 |
| Rest of New YorkNew York | — | $137.93 |
| OhioOhio | — | $143.98 |
| OklahomaOklahoma | — | $138.39 |
| Portland, OROregon | — | $143.87 |
| Rest of OregonOregon | — | $138.90 |
| Metropolitan Philadelphia, PAPennsylvania | — | $152.65 |
| Rest of PennsylvaniaPennsylvania | — | $142.67 |
| Puerto RicoPuerto Rico | — | $145.52 |
| Rhode IslandRhode Island | — | $145.85 |
| South CarolinaSouth Carolina | — | $140.67 |
| South DakotaSouth Dakota | — | $130.77 |
| TennesseeTennessee | — | $133.35 |
| Austin, TXTexas | — | $144.50 |
| Beaumont, TXTexas | — | $142.15 |
| Brazoria, TXTexas | — | $141.33 |
| Dallas, TXTexas | — | $143.29 |
| Fort Worth, TXTexas | — | $143.37 |
| Galveston, TXTexas | — | $142.45 |
| Houston, TXTexas | — | $154.71 |
| Rest of TexasTexas | — | $142.38 |
| VirginiaVirginia | — | $138.69 |
| Virgin Islands, VIUnited States Virgin Islands | — | $145.52 |
| VermontVermont | — | $134.36 |
| Rest of WashingtonWashington | — | $142.72 |
| King County, WAWashington | — | $151.42 |
| WisconsinWisconsin | — | $129.26 |
| West VirginiaWest Virginia | — | $152.52 |
| WyomingWyoming | — | $139.81 |
33211 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 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.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,840
- Code
- 33211
- Physician work
- 3.06
- Practice expense
- 0.63
- Malpractice
- 0.67
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.06 | × 1.000 | 3.0600 |
| Practice expense | 0.63 | × 0.940 | 0.5922 |
| Malpractice | 0.67 | × 0.898 | 0.6017 |
| Total RVUs | 4.2539 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$142.08
Facility: (3.06 × 1 + 0.63 × 0.94 + 0.67 × 0.898) × $33.4009 = $142.08
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%).
How 33211 has changed in Utah
33211 · 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 | $142.08 | RVU26D |
| 2026-07-01 | Not available in this setting | $142.08 | RVU26C |
| 2026-04-01 | Not available in this setting | $142.08 | RVU26B |
| 2026-01-01 | Not available in this setting | $142.08 | RVU26A |
| 2025-10-01 | Not available in this setting | $155.22 | RVU25D |
| 2025-07-01 | Not available in this setting | $155.22 | RVU25C |
| 2025-04-01 | Not available in this setting | $155.22 | RVU25B |
| 2025-01-01 | Not available in this setting | $155.22 | RVU25A |
| 2024-10-01 | Not available in this setting | $160.36 | RVU24D |
| 2024-07-01 | Not available in this setting | $160.36 | RVU24C |
| 2024-04-01 | Not available in this setting | $160.36 | RVU24B |
| 2024-03-09 | Not available in this setting | $160.36 | RVU24AR |
| 2024-01-01 | Not available in this setting | $157.74 | RVU24A |
| 2023-10-01 | Not available in this setting | $161.21 | RVU23D |
| 2023-07-01 | Not available in this setting | $161.21 | RVU23C |
| 2023-04-01 | Not available in this setting | $161.21 | RVU23B |
| 2023-01-01 | Not available in this setting | $161.21 | RVU23A |
| 2022-10-01 | Not available in this setting | $164.40 | RVU22D |
| 2022-07-01 | Not available in this setting | $164.40 | RVU22C |
| 2022-04-01 | Not available in this setting | $164.40 | RVU22B |
| 2022-01-01 | Not available in this setting | $164.40 | RVU22A |
| 2021-10-01 | Not available in this setting | $165.36 | RVU21D |
| 2021-07-01 | Not available in this setting | $165.36 | RVU21C |
| 2021-04-01 | Not available in this setting | $165.36 | RVU21B |
| 2021-01-01 | Not available in this setting | $165.36 | RVU21A |
| 2020-10-01 | Not available in this setting | $173.31 | RVU20D |
| 2020-07-01 | Not available in this setting | $173.31 | RVU20C |
| 2020-04-01 | Not available in this setting | $173.31 | RVU20B |
| 2020-01-01 | Not available in this setting | $173.31 | RVU20A |
| 2019-10-01 | Not available in this setting | $179.55 | RVU19D |
| 2019-07-01 | Not available in this setting | $179.55 | RVU19C |
| 2019-04-01 | Not available in this setting | $179.55 | RVU19B |
| 2019-01-01 | Not available in this setting | $179.55 | RVU19A |
| 2018-10-01 | Not available in this setting | $178.60 | RVU18D |
| 2018-07-01 | Not available in this setting | $178.60 | RVU18C |
| 2018-04-01 | Not available in this setting | $178.60 | RVU18B |
| 2018-01-01 | Not available in this setting | $178.60 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $177.77 | RVU17D |
| 2017-07-01 | Not available in this setting | $177.77 | RVU17C |
| 2017-04-01 | Not available in this setting | $177.77 | RVU17B |
| 2017-01-01 | Not available in this setting | $177.77 | RVU17A |
| 2016-10-01 | Not available in this setting | $191.81 | RVU16D |
| 2016-07-01 | Not available in this setting | $191.81 | RVU16C |
| 2016-04-01 | Not available in this setting | $191.81 | RVU16B |
| 2016-01-01 | Not available in this setting | $191.81 | RVU16A |
| 2015-10-01 | Not available in this setting | $191.33 | RVU15D |
| 2015-07-01 | Not available in this setting | $191.33 | RVU15C |
| 2015-04-01 | Not available in this setting | $190.38 | RVU15B |
| 2015-01-01 | Not available in this setting | $190.38 | RVU15A |
| 2014-10-01 | Not available in this setting | $189.59 | RVU14D |
| 2014-07-01 | Not available in this setting | $189.59 | RVU14C |
| 2014-04-01 | Not available in this setting | $189.59 | RVU14B |
| 2014-01-01 | Not available in this setting | $189.59 | RVU14A |
| 2013-10-01 | Not available in this setting | $180.86 | RVU13D |
| 2013-07-01 | Not available in this setting | $180.86 | RVU13C |
| 2013-04-01 | Not available in this setting | $180.86 | RVU13B |
| 2013-01-01 | Not available in this setting | $180.86 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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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