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.
In Idaho, Medicare pays $264.60 for 33212 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Idaho · this page$264.60
- Los Angeles, CA · California$302.49+$37.89
- Washington, DC area · District of Columbia$321.55+$56.95
- Miami, FL · Florida$355.21+$90.61
- Chicago, IL · Illinois$344.03+$79.43
- Manhattan, NY · New York$340.06+$75.46
- Alaska · Alaska$362.24+$97.64
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $285.74 |
| Merced, CACalifornia | — | $285.74 |
| Modesto, CACalifornia | — | $285.74 |
| Napa, CACalifornia | — | $312.25 |
| Oxnard, CACalifornia | — | $298.69 |
| Redding, CACalifornia | — | $285.74 |
| Rest of CaliforniaCalifornia | — | $285.74 |
| Riverside, CACalifornia | — | $298.19 |
| Sacramento, CACalifornia | — | $294.90 |
| Salinas, CACalifornia | — | $293.73 |
| San Diego, CACalifornia | — | $297.14 |
| Marin County, CACalifornia | — | $323.89 |
| San Francisco, CACalifornia | — | $322.58 |
| San Benito County, CACalifornia | — | $332.22 |
| Santa Clara County, CACalifornia | — | $326.83 |
| San Luis Obispo, CACalifornia | — | $289.63 |
| Santa Cruz, CACalifornia | — | $297.16 |
| Santa Maria, CACalifornia | — | $293.87 |
| Santa Rosa, CACalifornia | — | $299.81 |
| Stockton, CACalifornia | — | $285.74 |
| Vallejo, CACalifornia | — | $310.35 |
| Visalia, CACalifornia | — | $285.74 |
| Yuba City, CACalifornia | — | $285.74 |
| ColoradoColorado | — | $291.52 |
| ConnecticutConnecticut | — | $310.62 |
| DelawareDelaware | — | $288.07 |
| Fort Lauderdale, FLFlorida | — | $324.74 |
| Rest of FloridaFlorida | — | $307.76 |
| Atlanta, GAGeorgia | — | $301.98 |
| Rest of GeorgiaGeorgia | — | $289.92 |
| Hawaii, Guam, HIHawaii | — | $288.35 |
| IowaIowa | — | $261.20 |
| East St. Louis, ILIllinois | — | $324.30 |
| Rest of IllinoisIllinois | — | $306.20 |
| Suburban Chicago, ILIllinois | — | $325.75 |
| IndianaIndiana | — | $265.74 |
| KansasKansas | — | $264.35 |
| KentuckyKentucky | — | $278.92 |
| New Orleans, LALouisiana | — | $292.19 |
| Rest of LouisianaLouisiana | — | $280.22 |
| Metropolitan Boston, MAMassachusetts | — | $312.24 |
| Rest of MassachusettsMassachusetts | — | $291.80 |
| Baltimore area, MDMaryland | — | $310.66 |
| Rest of MarylandMaryland | — | $291.80 |
| Rest of MaineMaine | — | $270.37 |
| Southern Maine, MEMaine | — | $277.15 |
| Detroit, MIMichigan | — | $315.67 |
| Rest of MichiganMichigan | — | $289.38 |
| MinnesotaMinnesota | — | $267.61 |
| Metropolitan Kansas City, MOMissouri | — | $285.85 |
| Metropolitan St. Louis, MOMissouri | — | $287.99 |
| Rest of MissouriMissouri | — | $278.76 |
| MississippiMississippi | — | $269.56 |
| MontanaMontana | — | $292.18 |
| North CarolinaNorth Carolina | — | $272.21 |
| North DakotaNorth Dakota | — | $269.24 |
| NebraskaNebraska | — | $261.19 |
| New HampshireNew Hampshire | — | $291.13 |
| Northern New JerseyNew Jersey | — | $319.64 |
| Rest of New JerseyNew Jersey | — | $310.86 |
| New MexicoNew Mexico | — | $292.53 |
| NevadaNevada | — | $285.88 |
| NYC suburbs and Long Island, NYNew York | — | $353.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $316.33 |
| Queens, NYNew York | — | $336.29 |
| Rest of New YorkNew York | — | $276.22 |
| OhioOhio | — | $284.69 |
| OklahomaOklahoma | — | $273.93 |
| Portland, OROregon | — | $294.99 |
| Rest of OregonOregon | — | $280.39 |
| Metropolitan Philadelphia, PAPennsylvania | — | $306.38 |
| Rest of PennsylvaniaPennsylvania | — | $282.70 |
| Puerto RicoPuerto Rico | — | $292.67 |
| Rhode IslandRhode Island | — | $294.16 |
| South CarolinaSouth Carolina | — | $279.57 |
| South DakotaSouth Dakota | — | $266.53 |
| TennesseeTennessee | — | $266.08 |
| Austin, TXTexas | — | $293.42 |
| Beaumont, TXTexas | — | $281.36 |
| Brazoria, TXTexas | — | $284.22 |
| Dallas, TXTexas | — | $287.86 |
| Fort Worth, TXTexas | — | $287.46 |
| Galveston, TXTexas | — | $286.26 |
| Houston, TXTexas | — | $307.50 |
| Rest of TexasTexas | — | $283.88 |
| UtahUtah | — | $282.87 |
| VirginiaVirginia | — | $279.33 |
| Virgin Islands, VIUnited States Virgin Islands | — | $292.67 |
| VermontVermont | — | $272.21 |
| Rest of WashingtonWashington | — | $289.91 |
| King County, WAWashington | — | $313.86 |
| WisconsinWisconsin | — | $261.64 |
| West VirginiaWest Virginia | — | $297.10 |
| WyomingWyoming | — | $282.18 |
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
| 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.88 | × 1.000 | 4.8800 |
| Practice expense | 2.71 | × 0.920 | 2.4932 |
| Malpractice | 1.16 | × 0.473 | 0.5487 |
| Total RVUs | 7.9219 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share 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.
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%).
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.
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 | $264.60 | RVU26D |
| 2026-07-01 | Not available in this setting | $264.60 | RVU26C |
| 2026-04-01 | Not available in this setting | $264.60 | RVU26B |
| 2026-01-01 | Not available in this setting | $264.60 | RVU26A |
| 2025-10-01 | Not available in this setting | $280.83 | RVU25D |
| 2025-07-01 | Not available in this setting | $280.83 | RVU25C |
| 2025-04-01 | Not available in this setting | $280.83 | RVU25B |
| 2025-01-01 | Not available in this setting | $280.83 | RVU25A |
| 2024-10-01 | Not available in this setting | $286.88 | RVU24D |
| 2024-07-01 | Not available in this setting | $286.88 | RVU24C |
| 2024-04-01 | Not available in this setting | $286.88 | RVU24B |
| 2024-03-09 | Not available in this setting | $286.88 | RVU24AR |
| 2024-01-01 | Not available in this setting | $282.20 | RVU24A |
| 2023-10-01 | Not available in this setting | $288.57 | RVU23D |
| 2023-07-01 | Not available in this setting | $288.57 | RVU23C |
| 2023-04-01 | Not available in this setting | $288.57 | RVU23B |
| 2023-01-01 | Not available in this setting | $288.57 | RVU23A |
| 2022-10-01 | Not available in this setting | $292.96 | RVU22D |
| 2022-07-01 | Not available in this setting | $292.96 | RVU22C |
| 2022-04-01 | Not available in this setting | $292.96 | RVU22B |
| 2022-01-01 | Not available in this setting | $292.96 | RVU22A |
| 2021-10-01 | Not available in this setting | $294.20 | RVU21D |
| 2021-07-01 | Not available in this setting | $294.20 | RVU21C |
| 2021-04-01 | Not available in this setting | $294.20 | RVU21B |
| 2021-01-01 | Not available in this setting | $294.20 | RVU21A |
| 2020-10-01 | Not available in this setting | $302.18 | RVU20D |
| 2020-07-01 | Not available in this setting | $302.18 | RVU20C |
| 2020-04-01 | Not available in this setting | $302.18 | RVU20B |
| 2020-01-01 | Not available in this setting | $302.18 | RVU20A |
| 2019-10-01 | Not available in this setting | $304.17 | RVU19D |
| 2019-07-01 | Not available in this setting | $304.17 | RVU19C |
| 2019-04-01 | Not available in this setting | $304.17 | RVU19B |
| 2019-01-01 | Not available in this setting | $304.17 | RVU19A |
| 2018-10-01 | Not available in this setting | $303.66 | RVU18D |
| 2018-07-01 | Not available in this setting | $303.66 | RVU18C |
| 2018-04-01 | Not available in this setting | $303.66 | RVU18B |
| 2018-01-01 | Not available in this setting | $303.66 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $301.77 | RVU17D |
| 2017-07-01 | Not available in this setting | $301.77 | RVU17C |
| 2017-04-01 | Not available in this setting | $301.77 | RVU17B |
| 2017-01-01 | Not available in this setting | $301.77 | RVU17A |
| 2016-10-01 | Not available in this setting | $313.09 | RVU16D |
| 2016-07-01 | Not available in this setting | $313.09 | RVU16C |
| 2016-04-01 | Not available in this setting | $313.09 | RVU16B |
| 2016-01-01 | Not available in this setting | $313.09 | RVU16A |
| 2015-10-01 | Not available in this setting | $313.53 | RVU15D |
| 2015-07-01 | Not available in this setting | $313.53 | RVU15C |
| 2015-04-01 | Not available in this setting | $311.97 | RVU15B |
| 2015-01-01 | Not available in this setting | $311.97 | RVU15A |
| 2014-10-01 | Not available in this setting | $311.76 | RVU14D |
| 2014-07-01 | Not available in this setting | $311.76 | RVU14C |
| 2014-04-01 | Not available in this setting | $311.76 | RVU14B |
| 2014-01-01 | Not available in this setting | $311.76 | RVU14A |
| 2013-10-01 | Not available in this setting | $306.58 | RVU13D |
| 2013-07-01 | Not available in this setting | $306.58 | RVU13C |
| 2013-04-01 | Not available in this setting | $306.58 | RVU13B |
| 2013-01-01 | Not available in this setting | $306.58 | RVU13AR |
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
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
Fee sheets
Put 33212 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet