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

In Virginia, Medicare pays $315.88 for 33217 in a facility. There’s no office rate.

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.

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 Virginia 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. Virginia pays $315.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33217 rates by state

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

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.

Payment rules and modifiers for 33217

33217 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 33217

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

How 33217 has changed in Virginia

Price 33217 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