CPT code 33231: Defibrillator generator, multiple existing leads2026 Medicare rate & RVUs in New Mexico
Reports placement of an implantable defibrillator pulse generator connected to multiple existing leads, without placement of a new lead system.
In New Mexico, Medicare pays $356.47 for 33231 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33231 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 33231 covers
An electrophysiologist or other qualified cardiac surgeon places the defibrillator pulse generator and connects it to multiple leads already implanted in the heart. The procedure commonly takes place in a hospital electrophysiology lab or operating room. The work involves accessing the generator pocket, connecting the existing leads to the new generator, and assessing device function. This code represents generator work rather than placement of a new transvenous lead system.
Select this code when the operative report supports a defibrillator generator procedure with multiple existing leads; document the device type, lead configuration, and work performed. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Medicare does not pay an assistant at surgery for this service; co-surgeon and team-surgery reporting 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 33231
Across 109 of 109 payment localities, the facility rate for 33231 runs from $317.21 in Nebraska to $443.03 in Alaska. New Mexico pays $356.47. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$356.47
- Los Angeles, CA · California$365.58+$9.11
- Washington, DC area · District of Columbia$389.51+$33.04
- Miami, FL · Florida$433.21+$76.74
- Chicago, IL · Illinois$419.72+$63.25
- Manhattan, NY · New York$412.88+$56.41
- Alaska · Alaska$443.03+$86.56
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $321.51 |
| ArkansasArkansas | — | $317.43 |
| ArizonaArizona | — | $344.97 |
| Bakersfield, CACalifornia | — | $349.66 |
| Chico, CACalifornia | — | $345.71 |
| El Centro, CACalifornia | — | $345.95 |
| Fresno, CACalifornia | — | $345.71 |
| Hanford, CACalifornia | — | $345.71 |
| Madera, CACalifornia | — | $345.71 |
| Merced, CACalifornia | — | $345.71 |
| Modesto, CACalifornia | — | $345.71 |
| Napa, CACalifornia | — | $376.09 |
| Oxnard, CACalifornia | — | $360.81 |
| Redding, CACalifornia | — | $345.71 |
| Rest of CaliforniaCalifornia | — | $345.71 |
| Riverside, CACalifornia | — | $361.27 |
| Sacramento, CACalifornia | — | $356.34 |
| Salinas, CACalifornia | — | $354.91 |
| San Diego, CACalifornia | — | $358.70 |
| Marin County, CACalifornia | — | $389.54 |
| San Francisco, CACalifornia | — | $387.90 |
| San Benito County, CACalifornia | — | $399.57 |
| Santa Clara County, CACalifornia | — | $392.84 |
| San Luis Obispo, CACalifornia | — | $350.02 |
| Santa Cruz, CACalifornia | — | $358.46 |
| Santa Maria, CACalifornia | — | $354.99 |
| Santa Rosa, CACalifornia | — | $361.62 |
| Stockton, CACalifornia | — | $345.71 |
| Vallejo, CACalifornia | — | $373.72 |
| Visalia, CACalifornia | — | $345.71 |
| Yuba City, CACalifornia | — | $345.71 |
| ColoradoColorado | — | $353.34 |
| ConnecticutConnecticut | — | $377.07 |
| DelawareDelaware | — | $349.99 |
| Fort Lauderdale, FLFlorida | — | $395.49 |
| Rest of FloridaFlorida | — | $375.00 |
| Atlanta, GAGeorgia | — | $367.01 |
| Rest of GeorgiaGeorgia | — | $353.53 |
| Hawaii, Guam, HIHawaii | — | $348.39 |
| IowaIowa | — | $317.33 |
| IdahoIdaho | — | $321.51 |
| East St. Louis, ILIllinois | — | $396.14 |
| Rest of IllinoisIllinois | — | $373.60 |
| Suburban Chicago, ILIllinois | — | $396.59 |
| IndianaIndiana | — | $322.84 |
| KansasKansas | — | $321.41 |
| KentuckyKentucky | — | $339.81 |
| New Orleans, LALouisiana | — | $355.73 |
| Rest of LouisianaLouisiana | — | $341.49 |
| Metropolitan Boston, MAMassachusetts | — | $377.63 |
| Rest of MassachusettsMassachusetts | — | $353.83 |
| Baltimore area, MDMaryland | — | $377.15 |
| Rest of MarylandMaryland | — | $354.35 |
| Rest of MaineMaine | — | $328.73 |
| Southern Maine, MEMaine | — | $336.28 |
| Detroit, MIMichigan | — | $384.77 |
| Rest of MichiganMichigan | — | $352.58 |
| MinnesotaMinnesota | — | $323.86 |
| Metropolitan Kansas City, MOMissouri | — | $347.83 |
| Metropolitan St. Louis, MOMissouri | — | $350.34 |
| Rest of MissouriMissouri | — | $339.96 |
| MississippiMississippi | — | $328.48 |
| MontanaMontana | — | $354.95 |
| North CarolinaNorth Carolina | — | $330.85 |
| North DakotaNorth Dakota | — | $326.28 |
| NebraskaNebraska | — | $317.21 |
| New HampshireNew Hampshire | — | $353.11 |
| Northern New JerseyNew Jersey | — | $387.38 |
| Rest of New JerseyNew Jersey | — | $377.22 |
| NevadaNevada | — | $347.06 |
| NYC suburbs and Long Island, NYNew York | — | $428.71 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $384.03 |
| Queens, NYNew York | — | $407.91 |
| Rest of New YorkNew York | — | $335.66 |
| OhioOhio | — | $346.72 |
| OklahomaOklahoma | — | $333.53 |
| Portland, OROregon | — | $357.08 |
| Rest of OregonOregon | — | $340.27 |
| Metropolitan Philadelphia, PAPennsylvania | — | $372.22 |
| Rest of PennsylvaniaPennsylvania | — | $344.17 |
| Puerto RicoPuerto Rico | — | $355.43 |
| Rhode IslandRhode Island | — | $357.05 |
| South CarolinaSouth Carolina | — | $340.17 |
| South DakotaSouth Dakota | — | $322.89 |
| TennesseeTennessee | — | $323.51 |
| Austin, TXTexas | — | $355.75 |
| Beaumont, TXTexas | — | $342.59 |
| Brazoria, TXTexas | — | $345.15 |
| Dallas, TXTexas | — | $349.63 |
| Fort Worth, TXTexas | — | $349.26 |
| Galveston, TXTexas | — | $347.67 |
| Houston, TXTexas | — | $374.21 |
| Rest of TexasTexas | — | $345.24 |
| UtahUtah | — | $344.10 |
| VirginiaVirginia | — | $339.11 |
| Virgin Islands, VIUnited States Virgin Islands | — | $355.43 |
| VermontVermont | — | $330.12 |
| Rest of WashingtonWashington | — | $351.47 |
| King County, WAWashington | — | $379.26 |
| WisconsinWisconsin | — | $317.33 |
| West VirginiaWest Virginia | — | $362.80 |
| WyomingWyoming | — | $342.46 |
33231 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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 33231 rate is calculated
Each of 33231’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 · 33231
RVUs × geographic indexes × conversion factor
Work6.18
6.18 RVUs× 1.000 GPCI
Practice expense3.00
3.00 RVUs× 1.000 GPCI
Malpractice1.45
1.45 RVUs× 1.000 GPCI
Adjusted RVUs
10.6300
Conversion factor
$33.4009
Medicare rate
$355.05
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
3,861
- Code
- 33231
- Physician work
- 6.18
- Practice expense
- 3.00
- Malpractice
- 1.45
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.18 | × 1.000 | 6.1800 |
| Practice expense | 3.00 | × 0.917 | 2.7510 |
| Malpractice | 1.45 | × 1.201 | 1.7414 |
| Total RVUs | 10.6725 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$356.47
Facility: (6.18 × 1 + 3 × 0.917 + 1.45 × 1.201) × $33.4009 = $356.47
Payment rules and modifiers for 33231
33231 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33231
Defibrillator generator, multiple existing leads
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33231
Defibrillator generator, multiple existing leads
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33231 without 51 · national facility
$355.05
Defibrillator generator, multiple existing leads
33231-51 · Second procedure: 50%
$177.53
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 33231 has changed in New Mexico
33231 · 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 | $356.47 | RVU26D |
| 2026-07-01 | Not available in this setting | $356.47 | RVU26C |
| 2026-04-01 | Not available in this setting | $356.47 | RVU26B |
| 2026-01-01 | Not available in this setting | $356.47 | RVU26A |
| 2025-10-01 | Not available in this setting | $379.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $379.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $379.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $379.33 | RVU25A |
| 2024-10-01 | Not available in this setting | $389.85 | RVU24D |
| 2024-07-01 | Not available in this setting | $389.85 | RVU24C |
| 2024-04-01 | Not available in this setting | $389.85 | RVU24B |
| 2024-03-09 | Not available in this setting | $389.85 | RVU24AR |
| 2024-01-01 | Not available in this setting | $383.48 | RVU24A |
| 2023-10-01 | Not available in this setting | $394.74 | RVU23D |
| 2023-07-01 | Not available in this setting | $394.74 | RVU23C |
| 2023-04-01 | Not available in this setting | $394.74 | RVU23B |
| 2023-01-01 | Not available in this setting | $394.74 | RVU23A |
| 2022-10-01 | Not available in this setting | $402.99 | RVU22D |
| 2022-07-01 | Not available in this setting | $402.99 | RVU22C |
| 2022-04-01 | Not available in this setting | $402.99 | RVU22B |
| 2022-01-01 | Not available in this setting | $402.99 | RVU22A |
| 2021-10-01 | Not available in this setting | $405.71 | RVU21D |
| 2021-07-01 | Not available in this setting | $405.71 | RVU21C |
| 2021-04-01 | Not available in this setting | $405.71 | RVU21B |
| 2021-01-01 | Not available in this setting | $405.71 | RVU21A |
| 2020-10-01 | Not available in this setting | $418.36 | RVU20D |
| 2020-07-01 | Not available in this setting | $418.36 | RVU20C |
| 2020-04-01 | Not available in this setting | $418.36 | RVU20B |
| 2020-01-01 | Not available in this setting | $418.36 | RVU20A |
| 2019-10-01 | Not available in this setting | $421.89 | RVU19D |
| 2019-07-01 | Not available in this setting | $421.89 | RVU19C |
| 2019-04-01 | Not available in this setting | $421.89 | RVU19B |
| 2019-01-01 | Not available in this setting | $421.89 | RVU19A |
| 2018-10-01 | Not available in this setting | $421.43 | RVU18D |
| 2018-07-01 | Not available in this setting | $421.43 | RVU18C |
| 2018-04-01 | Not available in this setting | $421.43 | RVU18B |
| 2018-01-01 | Not available in this setting | $421.43 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $418.40 | RVU17D |
| 2017-07-01 | Not available in this setting | $418.40 | RVU17C |
| 2017-04-01 | Not available in this setting | $418.40 | RVU17B |
| 2017-01-01 | Not available in this setting | $418.40 | RVU17A |
| 2016-10-01 | Not available in this setting | $426.32 | RVU16D |
| 2016-07-01 | Not available in this setting | $426.32 | RVU16C |
| 2016-04-01 | Not available in this setting | $426.32 | RVU16B |
| 2016-01-01 | Not available in this setting | $426.32 | RVU16A |
| 2015-10-01 | Not available in this setting | $429.66 | RVU15D |
| 2015-07-01 | Not available in this setting | $429.66 | RVU15C |
| 2015-04-01 | Not available in this setting | $427.53 | RVU15B |
| 2015-01-01 | Not available in this setting | $427.53 | RVU15A |
| 2014-10-01 | Not available in this setting | $414.22 | RVU14D |
| 2014-07-01 | Not available in this setting | $414.22 | RVU14C |
| 2014-04-01 | Not available in this setting | $414.22 | RVU14B |
| 2014-01-01 | Not available in this setting | $414.22 | RVU14A |
| 2013-10-01 | Not available in this setting | $397.18 | RVU13D |
| 2013-07-01 | Not available in this setting | $397.18 | RVU13C |
| 2013-04-01 | Not available in this setting | $397.18 | RVU13B |
| 2013-01-01 | Not available in this setting | $397.18 | 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
33231 billing questions
How is this code distinguished from the single- or dual-lead generator codes?
Choose based on the existing lead configuration documented for the defibrillator generator procedure. The single-lead and dual-lead options describe different configurations; this code is for multiple existing leads.
Can this code be used when a new defibrillator lead is placed?
This code describes generator placement with multiple existing leads, not placement of a new lead system. When new transvenous leads are part of the procedure, evaluate the complete system code that matches the work performed.
How does this differ from generator removal and replacement?
This code reports placement of a defibrillator generator with multiple existing leads. Code 33264 describes removal and replacement of a defibrillator generator with multiple leads.
What documentation supports the multiple-lead selection?
The operative report should identify the defibrillator generator procedure and describe the existing lead configuration and connections. The documentation should make clear that multiple leads were connected to the generator.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, Medicare pays the highest-valued procedure in full and pays other procedures at 50% when performed in the same session.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery reporting are not permitted.
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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