CPT code 33229: Pacemaker replacement, multiple lead system2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $322.34 for 33229 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33229 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 33229 covers

During this procedure, the clinician opens the pacemaker pocket, disconnects and removes the existing pulse generator, and connects a replacement generator to the existing multiple-lead system. It is commonly performed by an electrophysiologist or other cardiac device specialist when a pacemaker generator reaches its replacement threshold, including because of battery depletion. The procedure may take place in a hospital or an ambulatory setting.

Select this code for a generator exchange in a multiple-lead pacemaker system; the number and type of leads, not the reason for replacement, distinguish it from single- and dual-lead generator replacement codes. The operative report should support removal of the old generator, placement of the replacement, and the multiple-lead system involved. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% 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 Nevada compares for 33229

Across 109 of 109 payment localities, the facility rate for 33229 runs from $294.51 in Arkansas to $410.35 in Alaska. Nevada pays $322.34. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33229 rates by state

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

See 33229 in every payment locality

How the 33229 rate is calculated

Each of 33229’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 33229

33229 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 33229

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

How 33229 has changed in Nevada

Price 33229 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

• Alamo
• Amargosa Valley
• Austin
• Baker
• Battle Mountain
• Beatty
• Beaverdam
• Bennett Springs

Browse all communities in Nevada

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