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

Report 33226 when a previously implanted transvenous left ventricular pacing lead is repositioned to correct its location in a cardiac resynchronization system.

CMS RVU26DEffective Oct 1, 2026One payment locality126 Medicare services in 2024

In New Mexico, Medicare pays $430.58 for 33226 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$430.58Hospital or facility

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.

We’ll open 33226 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 33226 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 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 New Mexico 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. New Mexico pays $430.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

33226 in New Mexico vs other payment areas
  1. New Mexico · this page$430.58
  2. Los Angeles, CA · California$425.66−$4.92
  3. Washington, DC area · District of Columbia$459.11+$28.53
  4. Miami, FL · Florida$528.85+$98.27
  5. Chicago, IL · Illinois$512.48+$81.90
  6. Manhattan, NY · New York$492.52+$61.94
  7. Alaska · Alaska$539.11+$108.53

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

Every other payment area

33226 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$384.87
ArkansasArkansas—$380.27
ArizonaArizona—$411.24
Bakersfield, CACalifornia—$409.36
Chico, CACalifornia—$403.90
El Centro, CACalifornia—$404.23
Fresno, CACalifornia—$403.90
Hanford, CACalifornia—$403.90

33226 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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33226 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 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.

How the rate is built · 33226

RVUs × geographic indexes × conversion factor

Office or facility?

Work8.46

8.46 RVUs× 1.000 GPCI

Practice expense2.20

2.20 RVUs× 1.000 GPCI

Malpractice2.01

2.01 RVUs× 1.000 GPCI

Adjusted RVUs

12.6700

Conversion factor

$33.4009

Medicare rate

$423.19

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,855

Code
33226
Physician work
8.46
Practice expense
2.20
Malpractice
2.01

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 33226 in New Mexico
ComponentRVULocality factorAdjusted
Physician work8.46× 1.0008.4600
Practice expense2.20× 0.9172.0174
Malpractice2.01× 1.2012.4140
Total RVUs12.8914
Conversion factor× 33.4009

Facility rate, New Mexico$430.58

Facility: (8.46 × 1 + 2.2 × 0.917 + 2.01 × 1.201) × $33.4009 = $430.58

Open 33226 in the RVU calculator

Payment rules and modifiers for 33226

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

CMS payment indicators · 33226

LV lead repositioning, previously placed transvenous lead

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33226 without 51 · national facility

$423.19

LV lead repositioning, previously placed transvenous lead

33226-51 · Second procedure: 50%

$211.60

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 33226 has changed in New Mexico

33226 · 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$430.58RVU26D
2026-07-01Not available in this setting$430.58RVU26C
2026-04-01Not available in this setting$430.58RVU26B
2026-01-01Not available in this setting$430.58RVU26A
2025-10-01Not available in this setting$465.68RVU25D
2025-07-01Not available in this setting$465.68RVU25C
2025-04-01Not available in this setting$465.68RVU25B
2025-01-01Not available in this setting$465.68RVU25A
2024-10-01Not available in this setting$477.89RVU24D
2024-07-01Not available in this setting$477.89RVU24C
2024-04-01Not available in this setting$477.89RVU24B
2024-03-09Not available in this setting$477.89RVU24AR
2024-01-01Not available in this setting$470.09RVU24A
2023-10-01Not available in this setting$485.74RVU23D
2023-07-01Not available in this setting$485.74RVU23C
2023-04-01Not available in this setting$485.74RVU23B
2023-01-01Not available in this setting$485.74RVU23A
2022-10-01Not available in this setting$500.86RVU22D
2022-07-01Not available in this setting$500.86RVU22C
2022-04-01Not available in this setting$500.86RVU22B
2022-01-01Not available in this setting$500.86RVU22A
2021-10-01Not available in this setting$501.76RVU21D
2021-07-01Not available in this setting$501.76RVU21C
2021-04-01Not available in this setting$501.76RVU21B
2021-01-01Not available in this setting$501.76RVU21A
2020-10-01Not available in this setting$521.52RVU20D
2020-07-01Not available in this setting$521.52RVU20C
2020-04-01Not available in this setting$521.52RVU20B
2020-01-01Not available in this setting$521.52RVU20A
2019-10-01Not available in this setting$528.30RVU19D
2019-07-01Not available in this setting$528.30RVU19C
2019-04-01Not available in this setting$528.30RVU19B
2019-01-01Not available in this setting$528.30RVU19A
2018-10-01Not available in this setting$525.81RVU18D
2018-07-01Not available in this setting$525.81RVU18C
2018-04-01Not available in this setting$525.81RVU18B
2018-01-01Not available in this setting$525.81RVU18AR1
2017-10-01Not available in this setting$522.31RVU17D
2017-07-01Not available in this setting$522.31RVU17C
2017-04-01Not available in this setting$522.31RVU17B
2017-01-01Not available in this setting$522.31RVU17A
2016-10-01Not available in this setting$514.35RVU16D
2016-07-01Not available in this setting$514.35RVU16C
2016-04-01Not available in this setting$514.35RVU16B
2016-01-01Not available in this setting$514.35RVU16A
2015-10-01Not available in this setting$516.03RVU15D
2015-07-01Not available in this setting$516.03RVU15C
2015-04-01Not available in this setting$513.46RVU15B
2015-01-01Not available in this setting$513.46RVU15A
2014-10-01Not available in this setting$500.39RVU14D
2014-07-01Not available in this setting$500.39RVU14C
2014-04-01Not available in this setting$500.39RVU14B
2014-01-01Not available in this setting$500.39RVU14A
2013-10-01Not available in this setting$476.67RVU13D
2013-07-01Not available in this setting$476.67RVU13C
2013-04-01Not available in this setting$476.67RVU13B
2013-01-01Not available in this setting$476.67RVU13AR

Price 33226 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

33226 billing questions

How does 33226 differ from 33215?

33226 is for repositioning a previously placed transvenous left ventricular lead. 33215 applies to repositioning a different transvenous pacemaker or defibrillator electrode.

Should 33226 be used for a newly placed LV lead?

No. It describes repositioning a previously placed LV lead. Code selection for a new lead depends on the insertion service performed.

What documentation supports 33226?

Document that the lead was previously implanted and identify it as the LV pacing lead. Include the reason for repositioning, the work performed, and the lead's final position.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

How is 33226 paid when other procedures occur in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.

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 33226PPRRVU2026_Oct_nonQPP.csv, line 3,855 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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