CPT code 33218: Lead repair, single lead2026 Medicare rate & RVUs in Minnesota

In Minnesota, Medicare pays $320.42 for 33218 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33218 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 33218 covers

CPT 33218 represents operative repair of one existing transvenous lead used for cardiac pacing or defibrillation. An electrophysiologist or other qualified cardiac surgeon typically performs the procedure in a hospital or other surgical facility when a single lead has a repairable problem, such as damage to its insulation or conductor. The procedure addresses the existing lead; it is distinct from placing a new lead or repositioning a lead that remains intact.

Report one unit for repair of a single lead, supported by the operative report identifying the lead and the repair performed. Distinguish repair from insertion, replacement, and repositioning based on the work documented. Medicare assigns a 90-day global period, which includes the day-before preoperative visit and related postoperative care during that period. If 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% 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 Minnesota compares for 33218

Across 109 of 109 payment localities, the facility rate for 33218 runs from $310.67 in Arkansas to $430.56 in Alaska. Minnesota pays $320.42. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33218 rates by state

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

See 33218 in every payment locality

How the 33218 rate is calculated

Each of 33218’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 33218

33218 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 33218

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

How 33218 has changed in Minnesota

Price 33218 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

• Ada
• Adams
• Adrian
• Afton
• Aitkin
• Akeley
• Albany
• Albert Lea

Browse all communities in Minnesota

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