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.
In New Mexico, Medicare pays $430.58 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.
On this page 11 sections
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.
- New Mexico · this page$430.58
- Los Angeles, CA · California$425.66−$4.92
- Washington, DC area · District of Columbia$459.11+$28.53
- Miami, FL · Florida$528.85+$98.27
- Chicago, IL · Illinois$512.48+$81.90
- Manhattan, NY · New York$492.52+$61.94
- Alaska · Alaska$539.11+$108.53
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $403.90 |
| Merced, CACalifornia | — | $403.90 |
| Modesto, CACalifornia | — | $403.90 |
| Napa, CACalifornia | — | $431.33 |
| Oxnard, CACalifornia | — | $419.16 |
| Redding, CACalifornia | — | $403.90 |
| Rest of CaliforniaCalifornia | — | $403.90 |
| Riverside, CACalifornia | — | $425.46 |
| Sacramento, CACalifornia | — | $414.19 |
| Salinas, CACalifornia | — | $412.48 |
| San Diego, CACalifornia | — | $415.32 |
| Marin County, CACalifornia | — | $443.84 |
| San Francisco, CACalifornia | — | $441.56 |
| San Benito County, CACalifornia | — | $455.60 |
| Santa Clara County, CACalifornia | — | $446.27 |
| San Luis Obispo, CACalifornia | — | $407.06 |
| Santa Cruz, CACalifornia | — | $413.77 |
| Santa Maria, CACalifornia | — | $412.15 |
| Santa Rosa, CACalifornia | — | $417.27 |
| Stockton, CACalifornia | — | $403.90 |
| Vallejo, CACalifornia | — | $428.04 |
| Visalia, CACalifornia | — | $403.90 |
| Yuba City, CACalifornia | — | $403.90 |
| ColoradoColorado | — | $416.58 |
| ConnecticutConnecticut | — | $448.60 |
| DelawareDelaware | — | $416.94 |
| Fort Lauderdale, FLFlorida | — | $478.39 |
| Rest of FloridaFlorida | — | $453.73 |
| Atlanta, GAGeorgia | — | $438.71 |
| Rest of GeorgiaGeorgia | — | $428.14 |
| Hawaii, Guam, HIHawaii | — | $404.99 |
| IowaIowa | — | $376.46 |
| IdahoIdaho | — | $381.93 |
| East St. Louis, ILIllinois | — | $485.39 |
| Rest of IllinoisIllinois | — | $454.59 |
| Suburban Chicago, ILIllinois | — | $478.98 |
| IndianaIndiana | — | $383.32 |
| KansasKansas | — | $382.84 |
| KentuckyKentucky | — | $409.33 |
| New Orleans, LALouisiana | — | $427.98 |
| Rest of LouisianaLouisiana | — | $411.92 |
| Metropolitan Boston, MAMassachusetts | — | $441.65 |
| Rest of MassachusettsMassachusetts | — | $417.98 |
| Baltimore area, MDMaryland | — | $448.99 |
| Rest of MarylandMaryland | — | $421.39 |
| Rest of MaineMaine | — | $391.93 |
| Southern Maine, MEMaine | — | $397.75 |
| Detroit, MIMichigan | — | $466.67 |
| Rest of MichiganMichigan | — | $425.46 |
| MinnesotaMinnesota | — | $378.06 |
| Metropolitan Kansas City, MOMissouri | — | $417.16 |
| Metropolitan St. Louis, MOMissouri | — | $419.80 |
| Rest of MissouriMissouri | — | $411.30 |
| MississippiMississippi | — | $395.45 |
| MontanaMontana | — | $423.06 |
| North CarolinaNorth Carolina | — | $394.03 |
| North DakotaNorth Dakota | — | $383.31 |
| NebraskaNebraska | — | $375.77 |
| New HampshireNew Hampshire | — | $417.81 |
| Northern New JerseyNew Jersey | — | $457.31 |
| Rest of New JerseyNew Jersey | — | $447.76 |
| NevadaNevada | — | $412.05 |
| NYC suburbs and Long Island, NYNew York | — | $512.70 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $456.98 |
| Queens, NYNew York | — | $484.32 |
| Rest of New YorkNew York | — | $399.58 |
| OhioOhio | — | $417.33 |
| OklahomaOklahoma | — | $400.36 |
| Portland, OROregon | — | $418.68 |
| Rest of OregonOregon | — | $402.96 |
| Metropolitan Philadelphia, PAPennsylvania | — | $444.25 |
| Rest of PennsylvaniaPennsylvania | — | $413.47 |
| Puerto RicoPuerto Rico | — | $422.99 |
| Rhode IslandRhode Island | — | $423.73 |
| South CarolinaSouth Carolina | — | $407.53 |
| South DakotaSouth Dakota | — | $378.61 |
| TennesseeTennessee | — | $385.42 |
| Austin, TXTexas | — | $420.36 |
| Beaumont, TXTexas | — | $411.81 |
| Brazoria, TXTexas | — | $410.02 |
| Dallas, TXTexas | — | $415.91 |
| Fort Worth, TXTexas | — | $416.04 |
| Galveston, TXTexas | — | $413.39 |
| Houston, TXTexas | — | $450.18 |
| Rest of TexasTexas | — | $412.93 |
| UtahUtah | — | $411.93 |
| VirginiaVirginia | — | $402.20 |
| Virgin Islands, VIUnited States Virgin Islands | — | $422.99 |
| VermontVermont | — | $389.29 |
| Rest of WashingtonWashington | — | $414.71 |
| King County, WAWashington | — | $441.71 |
| WisconsinWisconsin | — | $373.65 |
| West VirginiaWest Virginia | — | $442.50 |
| WyomingWyoming | — | $405.73 |
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.46 | × 1.000 | 8.4600 |
| Practice expense | 2.20 | × 0.917 | 2.0174 |
| Malpractice | 2.01 | × 1.201 | 2.4140 |
| Total RVUs | 12.8914 | ||
| 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
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
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.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $430.58 | RVU26D |
| 2026-07-01 | Not available in this setting | $430.58 | RVU26C |
| 2026-04-01 | Not available in this setting | $430.58 | RVU26B |
| 2026-01-01 | Not available in this setting | $430.58 | RVU26A |
| 2025-10-01 | Not available in this setting | $465.68 | RVU25D |
| 2025-07-01 | Not available in this setting | $465.68 | RVU25C |
| 2025-04-01 | Not available in this setting | $465.68 | RVU25B |
| 2025-01-01 | Not available in this setting | $465.68 | RVU25A |
| 2024-10-01 | Not available in this setting | $477.89 | RVU24D |
| 2024-07-01 | Not available in this setting | $477.89 | RVU24C |
| 2024-04-01 | Not available in this setting | $477.89 | RVU24B |
| 2024-03-09 | Not available in this setting | $477.89 | RVU24AR |
| 2024-01-01 | Not available in this setting | $470.09 | RVU24A |
| 2023-10-01 | Not available in this setting | $485.74 | RVU23D |
| 2023-07-01 | Not available in this setting | $485.74 | RVU23C |
| 2023-04-01 | Not available in this setting | $485.74 | RVU23B |
| 2023-01-01 | Not available in this setting | $485.74 | RVU23A |
| 2022-10-01 | Not available in this setting | $500.86 | RVU22D |
| 2022-07-01 | Not available in this setting | $500.86 | RVU22C |
| 2022-04-01 | Not available in this setting | $500.86 | RVU22B |
| 2022-01-01 | Not available in this setting | $500.86 | RVU22A |
| 2021-10-01 | Not available in this setting | $501.76 | RVU21D |
| 2021-07-01 | Not available in this setting | $501.76 | RVU21C |
| 2021-04-01 | Not available in this setting | $501.76 | RVU21B |
| 2021-01-01 | Not available in this setting | $501.76 | RVU21A |
| 2020-10-01 | Not available in this setting | $521.52 | RVU20D |
| 2020-07-01 | Not available in this setting | $521.52 | RVU20C |
| 2020-04-01 | Not available in this setting | $521.52 | RVU20B |
| 2020-01-01 | Not available in this setting | $521.52 | RVU20A |
| 2019-10-01 | Not available in this setting | $528.30 | RVU19D |
| 2019-07-01 | Not available in this setting | $528.30 | RVU19C |
| 2019-04-01 | Not available in this setting | $528.30 | RVU19B |
| 2019-01-01 | Not available in this setting | $528.30 | RVU19A |
| 2018-10-01 | Not available in this setting | $525.81 | RVU18D |
| 2018-07-01 | Not available in this setting | $525.81 | RVU18C |
| 2018-04-01 | Not available in this setting | $525.81 | RVU18B |
| 2018-01-01 | Not available in this setting | $525.81 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $522.31 | RVU17D |
| 2017-07-01 | Not available in this setting | $522.31 | RVU17C |
| 2017-04-01 | Not available in this setting | $522.31 | RVU17B |
| 2017-01-01 | Not available in this setting | $522.31 | RVU17A |
| 2016-10-01 | Not available in this setting | $514.35 | RVU16D |
| 2016-07-01 | Not available in this setting | $514.35 | RVU16C |
| 2016-04-01 | Not available in this setting | $514.35 | RVU16B |
| 2016-01-01 | Not available in this setting | $514.35 | RVU16A |
| 2015-10-01 | Not available in this setting | $516.03 | RVU15D |
| 2015-07-01 | Not available in this setting | $516.03 | RVU15C |
| 2015-04-01 | Not available in this setting | $513.46 | RVU15B |
| 2015-01-01 | Not available in this setting | $513.46 | RVU15A |
| 2014-10-01 | Not available in this setting | $500.39 | RVU14D |
| 2014-07-01 | Not available in this setting | $500.39 | RVU14C |
| 2014-04-01 | Not available in this setting | $500.39 | RVU14B |
| 2014-01-01 | Not available in this setting | $500.39 | RVU14A |
| 2013-10-01 | Not available in this setting | $476.67 | RVU13D |
| 2013-07-01 | Not available in this setting | $476.67 | RVU13C |
| 2013-04-01 | Not available in this setting | $476.67 | RVU13B |
| 2013-01-01 | Not available in this setting | $476.67 | RVU13AR |
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
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
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