CPT code 33230: ICD generator, existing dual leads2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $317.66 for 33230 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33230 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 33230 covers

An electrophysiologist or other qualified cardiac device physician places an implantable cardioverter-defibrillator (ICD) pulse generator and connects it to two leads already in the patient. The procedure is performed in a hospital or other facility equipped for cardiac device implantation. It covers the generator work, not placement of new leads or implantation of an entire new transvenous ICD system.

Select this code when the documented service is generator insertion for an existing dual-lead system. The operative report should establish that two leads were present and connected to the new generator; a procedure that adds leads or implants the complete system is a different service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this procedure, and 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 Virginia compares for 33230

Across 109 of 109 payment localities, the facility rate for 33230 runs from $296.71 in Wisconsin to $416.46 in Alaska. Virginia pays $317.66. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33230 rates by state

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

See 33230 in every payment locality

How the 33230 rate is calculated

Each of 33230’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 33230

33230 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 33230

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

How 33230 has changed in Virginia

Price 33230 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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