CPT code 33217: Lead insertion, two permanent-system electrodes2026 Medicare rate & RVUs in Connecticut

Report this service for placement of two transvenous electrodes for a permanent pacemaker or implantable defibrillator when lead insertion is coded separately.

CMS RVU26DEffective Oct 1, 2026One payment locality391 Medicare services in 2024

In Connecticut, Medicare pays $351.13 for 33217 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$351.13Hospital or facility

Check a contract rate as a % of Medicare · 33217 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 33217 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 33217 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 33217 covers

This procedure places two electrodes through the venous system for a permanent pacing or defibrillation system. A cardiac electrophysiologist or other qualified physician typically performs it in a hospital or electrophysiology setting. The code represents electrode insertion, not the pulse generator; it is distinct from a complete-system implantation code. The two leads may serve the system’s required sensing, pacing, or defibrillation functions, depending on the device and clinical plan.

Select the code based on the number of electrodes inserted and whether the service is lead-only work rather than implantation of a complete system. The operative report should identify the permanent device type, the number of transvenous electrodes placed, and the procedure performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare 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 33217

Across 109 of 109 payment localities, the facility rate for 33217 runs from $294.60 in Arkansas to $408.85 in Alaska. Connecticut pays $351.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

33217 in Connecticut vs other payment areas
  1. Connecticut · this page$351.13
  2. Los Angeles, CA · California$342.57−$8.56
  3. Washington, DC area · District of Columbia$363.76+$12.63
  4. Miami, FL · Florida$400.53+$49.40
  5. Chicago, IL · Illinois$387.93+$36.80
  6. Manhattan, NY · New York$384.28+$33.15
  7. Alaska · Alaska$408.85+$57.72

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

Every other payment area

33217 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$298.48
ArkansasArkansas—$294.60
ArizonaArizona—$320.87
Bakersfield, CACalifornia—$327.05
Chico, CACalifornia—$323.54
El Centro, CACalifornia—$323.75
Fresno, CACalifornia—$323.54
Hanford, CACalifornia—$323.54

33217 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
33217 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 33217 in every payment locality

How the 33217 rate is calculated

Each of 33217’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 · 33217

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.45

5.45 RVUs× 1.000 GPCI

Practice expense3.15

3.15 RVUs× 1.000 GPCI

Malpractice1.29

1.29 RVUs× 1.000 GPCI

Adjusted RVUs

9.8900

Conversion factor

$33.4009

Medicare rate

$330.33

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

3,846

Code
33217
Physician work
5.45
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 33217 in Connecticut
ComponentRVULocality factorAdjusted
Physician work5.45× 1.0205.5590
Practice expense3.15× 1.0773.3925
Malpractice1.29× 1.2101.5609
Total RVUs10.5125
Conversion factor× 33.4009

Facility rate, Connecticut$351.13

Facility: (5.45 × 1.02 + 3.15 × 1.077 + 1.29 × 1.21) × $33.4009 = $351.13

Open 33217 in the RVU calculator

Payment rules and modifiers for 33217

33217 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33217

Lead insertion, two permanent-system electrodes

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 · 33217

Lead insertion, two permanent-system electrodes

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

33217 without 51 · national facility

$330.33

Lead insertion, two permanent-system electrodes

33217-51 · Second procedure: 50%

$165.17

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 33217 has changed in Connecticut

33217 · 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$351.13RVU26D
2026-07-01Not available in this setting$351.13RVU26C
2026-04-01Not available in this setting$351.13RVU26B
2026-01-01Not available in this setting$351.13RVU26A
2025-10-01Not available in this setting$379.07RVU25D
2025-07-01Not available in this setting$379.07RVU25C
2025-04-01Not available in this setting$379.07RVU25B
2025-01-01Not available in this setting$379.07RVU25A
2024-10-01Not available in this setting$387.92RVU24D
2024-07-01Not available in this setting$387.92RVU24C
2024-04-01Not available in this setting$387.92RVU24B
2024-03-09Not available in this setting$387.92RVU24AR
2024-01-01Not available in this setting$381.58RVU24A
2023-10-01Not available in this setting$392.81RVU23D
2023-07-01Not available in this setting$392.81RVU23C
2023-04-01Not available in this setting$392.81RVU23B
2023-01-01Not available in this setting$392.81RVU23A
2022-10-01Not available in this setting$398.50RVU22D
2022-07-01Not available in this setting$398.50RVU22C
2022-04-01Not available in this setting$398.50RVU22B
2022-01-01Not available in this setting$398.50RVU22A
2021-10-01Not available in this setting$398.88RVU21D
2021-07-01Not available in this setting$398.88RVU21C
2021-04-01Not available in this setting$398.88RVU21B
2021-01-01Not available in this setting$398.88RVU21A
2020-10-01Not available in this setting$409.19RVU20D
2020-07-01Not available in this setting$409.19RVU20C
2020-04-01Not available in this setting$409.19RVU20B
2020-01-01Not available in this setting$409.19RVU20A
2019-10-01Not available in this setting$413.01RVU19D
2019-07-01Not available in this setting$413.01RVU19C
2019-04-01Not available in this setting$413.01RVU19B
2019-01-01Not available in this setting$413.01RVU19A
2018-10-01Not available in this setting$411.01RVU18D
2018-07-01Not available in this setting$411.01RVU18C
2018-04-01Not available in this setting$411.01RVU18B
2018-01-01Not available in this setting$411.01RVU18AR1
2017-10-01Not available in this setting$408.65RVU17D
2017-07-01Not available in this setting$408.65RVU17C
2017-04-01Not available in this setting$408.65RVU17B
2017-01-01Not available in this setting$408.65RVU17A
2016-10-01Not available in this setting$421.77RVU16D
2016-07-01Not available in this setting$421.77RVU16C
2016-04-01Not available in this setting$421.77RVU16B
2016-01-01Not available in this setting$421.77RVU16A
2015-10-01Not available in this setting$422.00RVU15D
2015-07-01Not available in this setting$422.00RVU15C
2015-04-01Not available in this setting$419.90RVU15B
2015-01-01Not available in this setting$419.90RVU15A
2014-10-01Not available in this setting$414.88RVU14D
2014-07-01Not available in this setting$414.88RVU14C
2014-04-01Not available in this setting$414.88RVU14B
2014-01-01Not available in this setting$414.88RVU14A
2013-10-01Not available in this setting$404.53RVU13D
2013-07-01Not available in this setting$404.53RVU13C
2013-04-01Not available in this setting$404.53RVU13B
2013-01-01Not available in this setting$404.53RVU13AR

Price 33217 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

33217 billing questions

How does this differ from code 33216?

Code 33217 represents insertion of two transvenous electrodes for a permanent pacemaker or implantable defibrillator. Code 33216 is the corresponding one-electrode service.

Does this code include the pulse generator?

No. It describes insertion of two electrodes, not the generator. Code the generator service separately only when the documented procedure and applicable code descriptor support it.

Should this be reported for a complete pacemaker implantation?

When the physician implants a complete dual-chamber pacemaker system, consider the complete-system code, such as 33208, rather than separately coding lead placement as though it were a lead-only procedure.

Can modifier 50 be used for two leads?

No. Two electrodes are part of the service represented by this code; CMS indicates that bilateral adjustment is inappropriate.

What documentation supports reporting two electrodes?

The operative report should establish that two transvenous electrodes were inserted for a permanent pacemaker or implantable defibrillator. It should distinguish lead insertion from repositioning or repair of existing leads.

How are other procedures in the same session paid?

Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to the reduction when performed in the same session.

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 33217PPRRVU2026_Oct_nonQPP.csv, line 3,846 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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