CPT code 33212: Pacemaker generator, existing single lead2026 Medicare rate & RVUs in Idaho

Reports insertion of a pacemaker pulse generator connected to an existing single-lead system, rather than placement of a new lead or generator replacement.

CMS RVU26DEffective Oct 1, 2026One payment locality130 Medicare services in 2024

In Idaho, Medicare pays $264.60 for 33212 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$264.60Hospital or facility

Check a contract rate as a % of Medicare · 33212 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 33212 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Idaho
  2. What 33212 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 33212 covers

Code 33212 describes placing a pacemaker pulse generator for a system that already has one transvenous pacing lead. The generator is connected to that retained lead and seated in a surgically created pocket, commonly in the upper chest. Electrophysiologists and other physicians trained in cardiac device implantation perform this work in a hospital or ambulatory surgical setting. The defining distinction is generator-only insertion with one existing lead, rather than implantation of a new lead or replacement of an old generator.

Report 33212 when the operative record supports insertion of the generator and documents the single-lead configuration. Document that the existing lead was retained and connected, and identify the number of leads in the system. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. When other procedures subject to the multiple-procedure rule occur in the same session, the highest-valued procedure is paid in full and additional procedures at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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 Idaho compares for 33212

Across 109 of 109 payment localities, the facility rate for 33212 runs from $260.70 in Arkansas to $362.24 in Alaska. Idaho pays $264.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

33212 in Idaho vs other payment areas
  1. Idaho · this page$264.60
  2. Los Angeles, CA · California$302.49+$37.89
  3. Washington, DC area · District of Columbia$321.55+$56.95
  4. Miami, FL · Florida$355.21+$90.61
  5. Chicago, IL · Illinois$344.03+$79.43
  6. Manhattan, NY · New York$340.06+$75.46
  7. Alaska · Alaska$362.24+$97.64

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

Every other payment area

33212 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$264.13
ArkansasArkansas—$260.70
ArizonaArizona—$283.87
Bakersfield, CACalifornia—$288.90
Chico, CACalifornia—$285.74
El Centro, CACalifornia—$285.93
Fresno, CACalifornia—$285.74
Hanford, CACalifornia—$285.74

33212 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
33212 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 33212 in every payment locality

How the 33212 rate is calculated

Each of 33212’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 · 33212

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.88

4.88 RVUs× 1.000 GPCI

Practice expense2.71

2.71 RVUs× 1.000 GPCI

Malpractice1.16

1.16 RVUs× 1.000 GPCI

Adjusted RVUs

8.7500

Conversion factor

$33.4009

Medicare rate

$292.26

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

The exact Idaho inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,841

Code
33212
Physician work
4.88
Practice expense
2.71
Malpractice
1.16

GPCI2026.csv

47

Locality
Idaho
Physician work
1.000
Practice expense
0.920
Malpractice
0.473
Facility calculation for 33212 in Idaho
ComponentRVULocality factorAdjusted
Physician work4.88× 1.0004.8800
Practice expense2.71× 0.9202.4932
Malpractice1.16× 0.4730.5487
Total RVUs7.9219
Conversion factor× 33.4009

Facility rate, Idaho$264.60

Facility: (4.88 × 1 + 2.71 × 0.92 + 1.16 × 0.473) × $33.4009 = $264.60

Open 33212 in the RVU calculator

Payment rules and modifiers for 33212

33212 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33212

Pacemaker generator, existing single lead

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33212

Pacemaker generator, existing single lead

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33212 without 51 · national facility

$292.26

Pacemaker generator, existing single lead

33212-51 · Second procedure: 50%

$146.13

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 33212 has changed in Idaho

33212 · 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$264.60RVU26D
2026-07-01Not available in this setting$264.60RVU26C
2026-04-01Not available in this setting$264.60RVU26B
2026-01-01Not available in this setting$264.60RVU26A
2025-10-01Not available in this setting$280.83RVU25D
2025-07-01Not available in this setting$280.83RVU25C
2025-04-01Not available in this setting$280.83RVU25B
2025-01-01Not available in this setting$280.83RVU25A
2024-10-01Not available in this setting$286.88RVU24D
2024-07-01Not available in this setting$286.88RVU24C
2024-04-01Not available in this setting$286.88RVU24B
2024-03-09Not available in this setting$286.88RVU24AR
2024-01-01Not available in this setting$282.20RVU24A
2023-10-01Not available in this setting$288.57RVU23D
2023-07-01Not available in this setting$288.57RVU23C
2023-04-01Not available in this setting$288.57RVU23B
2023-01-01Not available in this setting$288.57RVU23A
2022-10-01Not available in this setting$292.96RVU22D
2022-07-01Not available in this setting$292.96RVU22C
2022-04-01Not available in this setting$292.96RVU22B
2022-01-01Not available in this setting$292.96RVU22A
2021-10-01Not available in this setting$294.20RVU21D
2021-07-01Not available in this setting$294.20RVU21C
2021-04-01Not available in this setting$294.20RVU21B
2021-01-01Not available in this setting$294.20RVU21A
2020-10-01Not available in this setting$302.18RVU20D
2020-07-01Not available in this setting$302.18RVU20C
2020-04-01Not available in this setting$302.18RVU20B
2020-01-01Not available in this setting$302.18RVU20A
2019-10-01Not available in this setting$304.17RVU19D
2019-07-01Not available in this setting$304.17RVU19C
2019-04-01Not available in this setting$304.17RVU19B
2019-01-01Not available in this setting$304.17RVU19A
2018-10-01Not available in this setting$303.66RVU18D
2018-07-01Not available in this setting$303.66RVU18C
2018-04-01Not available in this setting$303.66RVU18B
2018-01-01Not available in this setting$303.66RVU18AR1
2017-10-01Not available in this setting$301.77RVU17D
2017-07-01Not available in this setting$301.77RVU17C
2017-04-01Not available in this setting$301.77RVU17B
2017-01-01Not available in this setting$301.77RVU17A
2016-10-01Not available in this setting$313.09RVU16D
2016-07-01Not available in this setting$313.09RVU16C
2016-04-01Not available in this setting$313.09RVU16B
2016-01-01Not available in this setting$313.09RVU16A
2015-10-01Not available in this setting$313.53RVU15D
2015-07-01Not available in this setting$313.53RVU15C
2015-04-01Not available in this setting$311.97RVU15B
2015-01-01Not available in this setting$311.97RVU15A
2014-10-01Not available in this setting$311.76RVU14D
2014-07-01Not available in this setting$311.76RVU14C
2014-04-01Not available in this setting$311.76RVU14B
2014-01-01Not available in this setting$311.76RVU14A
2013-10-01Not available in this setting$306.58RVU13D
2013-07-01Not available in this setting$306.58RVU13C
2013-04-01Not available in this setting$306.58RVU13B
2013-01-01Not available in this setting$306.58RVU13AR

Price 33212 for an earlier date of service

Where the Idaho rate applies

Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Acequia
  • Albion
  • American Falls
  • Ammon
  • Arbon Valley
  • Arco
  • Arimo

Browse all communities in Idaho

33212 billing questions

How does 33212 differ from 33213?

33212 is for generator insertion with an existing single-lead system. Use 33213 when the existing system has dual leads.

When is 33212 used instead of 33227?

33212 describes insertion of a generator for an existing single-lead system. Code 33227 describes removing and replacing a generator in a single-lead system.

What documentation supports 33212?

The operative report should support generator insertion and identify the existing lead configuration, including that the single lead was retained and connected.

What global period applies to 33212?

Medicare assigns a 90-day global period. The day-before preoperative visit and related postoperative care through day 90 are included.

Can an assistant or co-surgeon be billed for 33212?

Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing are not permitted.

How does the multiple-procedure rule affect 33212?

For procedures subject to the rule performed in the same session, Medicare pays the highest-valued procedure in full and pays additional procedures at 50%.

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 33212PPRRVU2026_Oct_nonQPP.csv, line 3,841 (RVU26D)
Geographic factors for IdahoGPCI2026.csv, line 47 (RVU26D)

Open CMS sourceHow we calculate rates

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