CPT code 33226: LV lead repositioning, previously placed transvenous lead2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $416.94 for 33226 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33226 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 33226 covers

An electrophysiologist or other cardiac-device implanting specialist repositions a transvenous lead used for left ventricular pacing, commonly in a cardiac resynchronization therapy system. The lead may need adjustment when its position has shifted or is not providing the intended pacing. The work is typically performed in a hospital electrophysiology or cardiac catheterization lab, with imaging used to guide lead manipulation.

Report 33226 for repositioning an existing left ventricular lead, rather than placing a new LV lead or repositioning a different pacing or defibrillator lead. The procedure note should identify the previously placed LV lead, the reason for revision, the repositioning performed, and its final position. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same 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 service; 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 Delaware compares for 33226

Across 109 of 109 payment localities, the facility rate for 33226 runs from $373.65 in Wisconsin to $539.11 in Alaska. Delaware pays $416.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33226 rates by state

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

See 33226 in every payment locality

How the 33226 rate is calculated

Each of 33226’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 33226

The CMS indicators that decide how 33226 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33226

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

How 33226 has changed in Delaware

Price 33226 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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