CPT code 33213: Pacemaker generator, existing dual leads2026 Medicare rate & RVUs in Arkansas

In Arkansas, Medicare pays $271.04 for 33213 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33213 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 33213 covers

This service places a pacemaker pulse generator and connects it to two leads already in place, without inserting new leads as part of the reported procedure. It is typically performed by a cardiologist or electrophysiologist in a hospital operating room or electrophysiology setting. The operative record should make clear that the generator was inserted and that the existing dual leads were used.

Report the dual-lead generator service rather than the single-lead or multiple-lead generator code, and distinguish it from a procedure that removes and replaces an existing generator. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures subject to the reduction occur in the same session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is barred by statutory restriction; 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 Arkansas compares for 33213

Across 109 of 109 payment localities, the facility rate for 33213 runs from $271.04 in Arkansas to $377.23 in Alaska. Arkansas pays $271.04. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33213 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 33213 in every payment locality

How the 33213 rate is calculated

Each of 33213’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.

Payment rules and modifiers for 33213

33213 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 33213

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 33213 has changed in Arkansas

Price 33213 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

• Acorn
• Adona
• Alexander
• Alicia
• Alix
• Alleene
• Allport
• Alma

Browse all communities in Arkansas

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

Open CMS sourceHow we calculate rates