CPT code 33233: Pacemaker generator removal, without replacement2026 Medicare rate & RVUs in Nevada

In Nevada, Medicare pays $208.50 for 33233 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33233 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 33233 covers

Code 33233 covers surgical removal of the pulse generator from an implanted permanent pacemaker; it does not represent removal of the pacing leads. A cardiologist, electrophysiologist, or cardiac surgeon typically opens the generator pocket, disconnects the generator, and removes it in a hospital operating room or electrophysiology setting. Common reasons include pocket or device infection, generator malfunction, or a decision to discontinue pacing. When a new pacemaker generator is implanted during the same procedure, use the applicable removal-and-replacement code instead.

Report the generator removal once, regardless of the number of connected leads. Documentation should identify the device as a pacemaker, the reason for removal, the generator-pocket procedure, and whether leads were retained or separately removed. Medicare classifies this as major surgery: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate for this single-device procedure. Medicare does not pay an assistant at surgery; 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 33233

Across 109 of 109 payment localities, the facility rate for 33233 runs from $188.62 in Arkansas to $258.34 in Alaska. Nevada pays $208.50. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33233 rates by state

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

See 33233 in every payment locality

How the 33233 rate is calculated

Each of 33233’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 33233

33233 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 33233

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

How 33233 has changed in Nevada

Price 33233 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