CPT code 33216: ICD lead insertion, single transvenous lead2026 Medicare rate & RVUs in Connecticut

Reports placement of one transvenous lead for an implantable cardioverter-defibrillator when the service is lead insertion rather than implantation of the complete system.

CMS RVU26DEffective Oct 1, 2026One payment locality3.1K Medicare services in 2024

In Connecticut, Medicare pays $352.15 for 33216 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$352.15Hospital or facility

Check a contract rate as a % of Medicare · 33216 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 33216 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 33216 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 33216 covers

A cardiac electrophysiologist or other qualified physician places one transvenous electrode for an implantable cardioverter-defibrillator, advancing it through venous access into the heart and securing it in position. The work is typically performed in a hospital electrophysiology laboratory or operating room. This code describes lead placement, such as adding a new ICD lead to an existing system; it is distinct from implanting the complete generator-and-lead system.

Report the single-lead service when documentation supports insertion of one ICD electrode, not two leads, repositioning, or repair of an existing lead. The operative report should identify the device purpose, number of leads inserted, and relevant placement work. CMS assigns a 90-day global period, including the day-before preoperative visit and related 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% multiple-procedure reduction. CMS does not pay an assistant at surgery for this code; 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 Connecticut compares for 33216

Across 109 of 109 payment localities, the facility rate for 33216 runs from $295.60 in Arkansas to $410.35 in Alaska. Connecticut pays $352.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

33216 in Connecticut vs other payment areas
  1. Connecticut · this page$352.15
  2. Los Angeles, CA · California$343.62−$8.53
  3. Washington, DC area · District of Columbia$364.82+$12.67
  4. Miami, FL · Florida$401.53+$49.38
  5. Chicago, IL · Illinois$388.94+$36.79
  6. Manhattan, NY · New York$385.34+$33.19
  7. Alaska · Alaska$410.35+$58.20

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

Every other payment area

33216 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$299.49
ArkansasArkansas—$295.60
ArizonaArizona—$321.87
Bakersfield, CACalifornia—$328.07
Chico, CACalifornia—$324.56
El Centro, CACalifornia—$324.77
Fresno, CACalifornia—$324.56
Hanford, CACalifornia—$324.56

33216 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
33216 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 33216 in every payment locality

How the 33216 rate is calculated

Each of 33216’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 · 33216

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.48

5.48 RVUs× 1.000 GPCI

Practice expense3.15

3.15 RVUs× 1.000 GPCI

Malpractice1.29

1.29 RVUs× 1.000 GPCI

Adjusted RVUs

9.9200

Conversion factor

$33.4009

Medicare rate

$331.34

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,845

Code
33216
Physician work
5.48
Practice expense
3.15
Malpractice
1.29

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 33216 in Connecticut
ComponentRVULocality factorAdjusted
Physician work5.48× 1.0205.5896
Practice expense3.15× 1.0773.3925
Malpractice1.29× 1.2101.5609
Total RVUs10.5431
Conversion factor× 33.4009

Facility rate, Connecticut$352.15

Facility: (5.48 × 1.02 + 3.15 × 1.077 + 1.29 × 1.21) × $33.4009 = $352.15

Open 33216 in the RVU calculator

Payment rules and modifiers for 33216

33216 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33216

ICD lead insertion, single transvenous 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 · 33216

ICD lead insertion, single transvenous 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

33216 without 51 · national facility

$331.34

ICD lead insertion, single transvenous lead

33216-51 · Second procedure: 50%

$165.67

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 33216 has changed in Connecticut

33216 · 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$352.15RVU26D
2026-07-01Not available in this setting$352.15RVU26C
2026-04-01Not available in this setting$352.15RVU26B
2026-01-01Not available in this setting$352.15RVU26A
2025-10-01Not available in this setting$381.08RVU25D
2025-07-01Not available in this setting$381.08RVU25C
2025-04-01Not available in this setting$381.08RVU25B
2025-01-01Not available in this setting$381.08RVU25A
2024-10-01Not available in this setting$390.75RVU24D
2024-07-01Not available in this setting$390.75RVU24C
2024-04-01Not available in this setting$390.75RVU24B
2024-03-09Not available in this setting$390.75RVU24AR
2024-01-01Not available in this setting$384.37RVU24A
2023-10-01Not available in this setting$396.83RVU23D
2023-07-01Not available in this setting$396.83RVU23C
2023-04-01Not available in this setting$396.83RVU23B
2023-01-01Not available in this setting$396.83RVU23A
2022-10-01Not available in this setting$402.21RVU22D
2022-07-01Not available in this setting$402.21RVU22C
2022-04-01Not available in this setting$402.21RVU22B
2022-01-01Not available in this setting$402.21RVU22A
2021-10-01Not available in this setting$403.07RVU21D
2021-07-01Not available in this setting$403.07RVU21C
2021-04-01Not available in this setting$403.07RVU21B
2021-01-01Not available in this setting$403.07RVU21A
2020-10-01Not available in this setting$415.52RVU20D
2020-07-01Not available in this setting$415.52RVU20C
2020-04-01Not available in this setting$415.52RVU20B
2020-01-01Not available in this setting$415.52RVU20A
2019-10-01Not available in this setting$419.43RVU19D
2019-07-01Not available in this setting$419.43RVU19C
2019-04-01Not available in this setting$419.43RVU19B
2019-01-01Not available in this setting$419.43RVU19A
2018-10-01Not available in this setting$418.62RVU18D
2018-07-01Not available in this setting$418.62RVU18C
2018-04-01Not available in this setting$418.62RVU18B
2018-01-01Not available in this setting$418.62RVU18AR1
2017-10-01Not available in this setting$417.06RVU17D
2017-07-01Not available in this setting$417.06RVU17C
2017-04-01Not available in this setting$417.06RVU17B
2017-01-01Not available in this setting$417.06RVU17A
2016-10-01Not available in this setting$430.13RVU16D
2016-07-01Not available in this setting$430.13RVU16C
2016-04-01Not available in this setting$430.13RVU16B
2016-01-01Not available in this setting$430.13RVU16A
2015-10-01Not available in this setting$430.36RVU15D
2015-07-01Not available in this setting$430.36RVU15C
2015-04-01Not available in this setting$428.22RVU15B
2015-01-01Not available in this setting$428.22RVU15A
2014-10-01Not available in this setting$421.17RVU14D
2014-07-01Not available in this setting$421.17RVU14C
2014-04-01Not available in this setting$421.17RVU14B
2014-01-01Not available in this setting$421.17RVU14A
2013-10-01Not available in this setting$406.71RVU13D
2013-07-01Not available in this setting$406.71RVU13C
2013-04-01Not available in this setting$406.71RVU13B
2013-01-01Not available in this setting$406.71RVU13AR

Price 33216 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

33216 billing questions

How does 33216 differ from 33217?

33216 is for insertion of one transvenous ICD lead; 33217 is for insertion of two. Use the operative documentation to establish the number of electrodes placed.

Can 33216 be reported for a complete ICD implant?

No. When the service is implantation of the complete transvenous ICD system, including its generator and lead work, consider 33249 rather than reporting lead insertion as though it were a separate complete-system service.

When is 33215 more appropriate?

33215 describes repositioning an already implanted pacing-defibrillator lead. Use 33216 when a new single lead is inserted, not when the existing lead is moved.

Does 33216 include ICD generator work?

This code represents insertion of one lead, not insertion or replacement of the ICD pulse generator. Code generator work separately only when the documented service and applicable coding rules support it.

What documentation supports 33216?

The operative report should show that one transvenous ICD electrode was newly placed and distinguish that work from placement of two leads, lead repositioning, or lead repair.

How does the 90-day global period affect billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in one session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others.

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 33216PPRRVU2026_Oct_nonQPP.csv, line 3,845 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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