CPT code 33224: LV pacing lead, includes generator connection2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $400.29 for 33224 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33224 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 33224 covers

This service places a pacing lead in the cardiac venous system to stimulate the left ventricle, then connects it to the pulse generator. It is performed by a cardiologist or electrophysiologist, commonly in a hospital catheterization or electrophysiology laboratory, as part of a cardiac resynchronization therapy device procedure. Imaging, venography, or electrophysiologic evaluation may guide lead placement as part of the service.

Report the code when the documented procedure includes insertion of the left ventricular lead and its connection to the generator in the circumstances covered by this code. The operative report should identify the lead placement, the cardiac venous route, and the generator connection. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. 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 North Dakota compares for 33224

Across 109 of 109 payment localities, the facility rate for 33224 runs from $390.22 in Wisconsin to $562.56 in Alaska. North Dakota pays $400.29. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33224 rates by state

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

See 33224 in every payment locality

How the 33224 rate is calculated

Each of 33224’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 33224

The CMS indicators that decide how 33224 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33224

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

How 33224 has changed in North Dakota

Price 33224 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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