CPT code 33215: Lead repositioning, pacing-defibrillator lead2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $262.72 for 33215 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33215 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 33215 covers

An electrophysiologist or other physician experienced in cardiac device procedures repositions a previously implanted transvenous lead connected to a pacing-defibrillator. The procedure is commonly performed in a hospital electrophysiology lab when a lead has shifted and its position needs correction, such as to restore appropriate sensing or pacing. The physician accesses the lead, adjusts its position, and confirms function before completing the procedure.

Report 33215 for repositioning the existing pacing-defibrillator lead, rather than inserting a new lead or repairing a damaged lead. The operative report should identify the lead and device, explain why its position required correction, and document the repositioning and device assessment. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare does not pay an assistant at surgery for this service; 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 Virginia compares for 33215

Across 109 of 109 payment localities, the facility rate for 33215 runs from $245.62 in Nebraska to $343.28 in Alaska. Virginia pays $262.72. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33215 rates by state

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

See 33215 in every payment locality

How the 33215 rate is calculated

Each of 33215’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 33215

33215 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 33215

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

How 33215 has changed in Virginia

Price 33215 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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