CPT code 33240: Defibrillator generator, single existing lead2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $305.69 for 33240 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33240 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 33240 covers

The service places an implantable cardioverter-defibrillator (ICD) pulse generator and connects it to one previously implanted lead. The lead is retained; this code does not describe placing a new defibrillator lead. Electrophysiologists and cardiac surgeons typically perform the procedure in a hospital operating room or electrophysiology setting when the generator is being inserted separately from lead placement.

Report the code when the operative record supports generator insertion with an existing single-lead system, rather than insertion of a complete system or a generator exchange. Documentation should identify the existing lead and describe generator placement and connection. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. For multiple procedures in one session, CMS pays the highest-valued procedure in full and other procedures at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; 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 33240

Across 109 of 109 payment localities, the facility rate for 33240 runs from $285.71 in Wisconsin to $400.37 in Alaska. Virginia pays $305.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33240 rates by state

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

See 33240 in every payment locality

How the 33240 rate is calculated

Each of 33240’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 33240

33240 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 33240

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

How 33240 has changed in Virginia

Price 33240 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