CPT code 33241: ICD generator removal, generator only2026 Medicare rate & RVUs in Idaho
Reports removal of an implanted defibrillator pulse generator when it is removed without same-session replacement and the leads remain in place.
In Idaho, Medicare pays $179.37 for 33241 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33241 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 33241 covers
Code 33241 covers removal of the pulse generator from an implanted cardioverter-defibrillator (ICD), with the leads left in place. An electrophysiologist or cardiac surgeon typically opens the device pocket, disconnects the generator, and removes it in a hospital operating room or electrophysiology suite. Situations may include a decision to discontinue ICD therapy or a planned removal without immediate replacement.
Use this code for generator removal alone, not for a same-session generator replacement; select the applicable replacement code based on the lead configuration when a new generator is implanted. The operative report should identify the ICD, explain the removal, and document whether leads were retained or separately extracted. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is not appropriate for this single-generator service. 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 Idaho compares for 33241
Across 109 of 109 payment localities, the facility rate for 33241 runs from $175.75 in Arkansas to $241.58 in Alaska. Idaho pays $179.37. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Idaho · this page$179.37
- Los Angeles, CA · California$207.74+$28.37
- Washington, DC area · District of Columbia$219.15+$39.78
- Miami, FL · Florida$236.58+$57.21
- Chicago, IL · Illinois$229.08+$49.71
- Manhattan, NY · New York$229.99+$50.62
- Alaska · Alaska$241.58+$62.21
Other areas in Idaho first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $178.15 |
| ArkansasArkansas | — | $175.75 |
| ArizonaArizona | — | $192.03 |
| Bakersfield, CACalifornia | — | $197.72 |
| Chico, CACalifornia | — | $195.81 |
| El Centro, CACalifornia | — | $195.93 |
| Fresno, CACalifornia | — | $195.81 |
| Hanford, CACalifornia | — | $195.81 |
| Madera, CACalifornia | — | $195.81 |
| Merced, CACalifornia | — | $195.81 |
| Modesto, CACalifornia | — | $195.81 |
| Napa, CACalifornia | — | $216.46 |
| Oxnard, CACalifornia | — | $205.43 |
| Redding, CACalifornia | — | $195.81 |
| Rest of CaliforniaCalifornia | — | $195.81 |
| Riverside, CACalifornia | — | $203.32 |
| Sacramento, CACalifornia | — | $202.75 |
| Salinas, CACalifornia | — | $201.95 |
| San Diego, CACalifornia | — | $204.79 |
| Marin County, CACalifornia | — | $225.43 |
| San Francisco, CACalifornia | — | $224.63 |
| San Benito County, CACalifornia | — | $231.12 |
| Santa Clara County, CACalifornia | — | $227.87 |
| San Luis Obispo, CACalifornia | — | $199.06 |
| Santa Cruz, CACalifornia | — | $205.19 |
| Santa Maria, CACalifornia | — | $202.18 |
| Santa Rosa, CACalifornia | — | $207.06 |
| Stockton, CACalifornia | — | $195.81 |
| Vallejo, CACalifornia | — | $215.32 |
| Visalia, CACalifornia | — | $195.81 |
| Yuba City, CACalifornia | — | $195.81 |
| ColoradoColorado | — | $198.63 |
| ConnecticutConnecticut | — | $210.43 |
| DelawareDelaware | — | $194.96 |
| Fort Lauderdale, FLFlorida | — | $217.61 |
| Rest of FloridaFlorida | — | $206.17 |
| Atlanta, GAGeorgia | — | $203.94 |
| Rest of GeorgiaGeorgia | — | $194.07 |
| Hawaii, Guam, HIHawaii | — | $198.23 |
| IowaIowa | — | $177.22 |
| East St. Louis, ILIllinois | — | $215.40 |
| Rest of IllinoisIllinois | — | $204.33 |
| Suburban Chicago, ILIllinois | — | $218.51 |
| IndianaIndiana | — | $180.21 |
| KansasKansas | — | $178.89 |
| KentuckyKentucky | — | $187.37 |
| New Orleans, LALouisiana | — | $196.46 |
| Rest of LouisianaLouisiana | — | $188.07 |
| Metropolitan Boston, MAMassachusetts | — | $213.86 |
| Rest of MassachusettsMassachusetts | — | $198.57 |
| Baltimore area, MDMaryland | — | $210.37 |
| Rest of MarylandMaryland | — | $197.71 |
| Rest of MaineMaine | — | $182.86 |
| Southern Maine, MEMaine | — | $188.43 |
| Detroit, MIMichigan | — | $211.13 |
| Rest of MichiganMichigan | — | $194.18 |
| MinnesotaMinnesota | — | $183.46 |
| Metropolitan Kansas City, MOMissouri | — | $192.59 |
| Metropolitan St. Louis, MOMissouri | — | $194.16 |
| Rest of MissouriMissouri | — | $186.71 |
| MississippiMississippi | — | $181.14 |
| MontanaMontana | — | $197.69 |
| North CarolinaNorth Carolina | — | $184.24 |
| North DakotaNorth Dakota | — | $183.85 |
| NebraskaNebraska | — | $177.38 |
| New HampshireNew Hampshire | — | $197.91 |
| Northern New JerseyNew Jersey | — | $217.63 |
| Rest of New JerseyNew Jersey | — | $210.90 |
| New MexicoNew Mexico | — | $196.17 |
| NevadaNevada | — | $193.90 |
| NYC suburbs and Long Island, NYNew York | — | $238.36 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $214.26 |
| Queens, NYNew York | — | $228.13 |
| Rest of New YorkNew York | — | $187.01 |
| OhioOhio | — | $191.35 |
| OklahomaOklahoma | — | $184.44 |
| Portland, OROregon | — | $201.71 |
| Rest of OregonOregon | — | $190.49 |
| Metropolitan Philadelphia, PAPennsylvania | — | $207.12 |
| Rest of PennsylvaniaPennsylvania | — | $190.26 |
| Puerto RicoPuerto Rico | — | $198.21 |
| Rhode IslandRhode Island | — | $199.58 |
| South CarolinaSouth Carolina | — | $188.49 |
| South DakotaSouth Dakota | — | $182.21 |
| TennesseeTennessee | — | $180.04 |
| Austin, TXTexas | — | $199.64 |
| Beaumont, TXTexas | — | $189.28 |
| Brazoria, TXTexas | — | $192.70 |
| Dallas, TXTexas | — | $195.00 |
| Fort Worth, TXTexas | — | $194.55 |
| Galveston, TXTexas | — | $193.97 |
| Houston, TXTexas | — | $206.79 |
| Rest of TexasTexas | — | $191.62 |
| UtahUtah | — | $190.82 |
| VirginiaVirginia | — | $189.58 |
| Virgin Islands, VIUnited States Virgin Islands | — | $198.21 |
| VermontVermont | — | $185.43 |
| Rest of WashingtonWashington | — | $197.43 |
| King County, WAWashington | — | $215.53 |
| WisconsinWisconsin | — | $178.38 |
| West VirginiaWest Virginia | — | $197.92 |
| WyomingWyoming | — | $191.65 |
33241 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 33241 rate is calculated
Each of 33241’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 · 33241
RVUs × geographic indexes × conversion factor
Work2.96
2.96 RVUs× 1.000 GPCI
Practice expense2.26
2.26 RVUs× 1.000 GPCI
Malpractice0.70
0.70 RVUs× 1.000 GPCI
Adjusted RVUs
5.9200
Conversion factor
$33.4009
Medicare rate
$197.73
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Idaho inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,870
- Code
- 33241
- Physician work
- 2.96
- Practice expense
- 2.26
- Malpractice
- 0.70
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.96 | × 1.000 | 2.9600 |
| Practice expense | 2.26 | × 0.920 | 2.0792 |
| Malpractice | 0.70 | × 0.473 | 0.3311 |
| Total RVUs | 5.3703 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$179.37
Facility: (2.96 × 1 + 2.26 × 0.92 + 0.7 × 0.473) × $33.4009 = $179.37
Payment rules and modifiers for 33241
33241 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33241
ICD generator removal, generator only
| 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 · 33241
ICD generator removal, generator only
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
33241 without 51 · national facility
$197.73
ICD generator removal, generator only
33241-51 · Second procedure: 50%
$98.87
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 33241 has changed in Idaho
33241 · 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 | $179.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $179.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $179.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $179.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $187.04 | RVU25D |
| 2025-07-01 | Not available in this setting | $187.04 | RVU25C |
| 2025-04-01 | Not available in this setting | $187.04 | RVU25B |
| 2025-01-01 | Not available in this setting | $187.04 | RVU25A |
| 2024-10-01 | Not available in this setting | $191.43 | RVU24D |
| 2024-07-01 | Not available in this setting | $191.43 | RVU24C |
| 2024-04-01 | Not available in this setting | $191.43 | RVU24B |
| 2024-03-09 | Not available in this setting | $191.43 | RVU24AR |
| 2024-01-01 | Not available in this setting | $188.30 | RVU24A |
| 2023-10-01 | Not available in this setting | $193.48 | RVU23D |
| 2023-07-01 | Not available in this setting | $193.48 | RVU23C |
| 2023-04-01 | Not available in this setting | $193.48 | RVU23B |
| 2023-01-01 | Not available in this setting | $193.48 | RVU23A |
| 2022-10-01 | Not available in this setting | $195.39 | RVU22D |
| 2022-07-01 | Not available in this setting | $195.39 | RVU22C |
| 2022-04-01 | Not available in this setting | $195.39 | RVU22B |
| 2022-01-01 | Not available in this setting | $195.39 | RVU22A |
| 2021-10-01 | Not available in this setting | $195.96 | RVU21D |
| 2021-07-01 | Not available in this setting | $195.96 | RVU21C |
| 2021-04-01 | Not available in this setting | $195.96 | RVU21B |
| 2021-01-01 | Not available in this setting | $195.96 | RVU21A |
| 2020-10-01 | Not available in this setting | $201.22 | RVU20D |
| 2020-07-01 | Not available in this setting | $201.22 | RVU20C |
| 2020-04-01 | Not available in this setting | $201.22 | RVU20B |
| 2020-01-01 | Not available in this setting | $201.22 | RVU20A |
| 2019-10-01 | Not available in this setting | $203.60 | RVU19D |
| 2019-07-01 | Not available in this setting | $203.60 | RVU19C |
| 2019-04-01 | Not available in this setting | $203.60 | RVU19B |
| 2019-01-01 | Not available in this setting | $203.60 | RVU19A |
| 2018-10-01 | Not available in this setting | $203.70 | RVU18D |
| 2018-07-01 | Not available in this setting | $203.70 | RVU18C |
| 2018-04-01 | Not available in this setting | $203.70 | RVU18B |
| 2018-01-01 | Not available in this setting | $203.70 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $202.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $202.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $202.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $202.34 | RVU17A |
| 2016-10-01 | Not available in this setting | $213.79 | RVU16D |
| 2016-07-01 | Not available in this setting | $213.79 | RVU16C |
| 2016-04-01 | Not available in this setting | $213.79 | RVU16B |
| 2016-01-01 | Not available in this setting | $213.79 | RVU16A |
| 2015-10-01 | Not available in this setting | $214.70 | RVU15D |
| 2015-07-01 | Not available in this setting | $214.70 | RVU15C |
| 2015-04-01 | Not available in this setting | $213.63 | RVU15B |
| 2015-01-01 | Not available in this setting | $213.63 | RVU15A |
| 2014-10-01 | Not available in this setting | $211.96 | RVU14D |
| 2014-07-01 | Not available in this setting | $211.96 | RVU14C |
| 2014-04-01 | Not available in this setting | $211.96 | RVU14B |
| 2014-01-01 | Not available in this setting | $211.96 | RVU14A |
| 2013-10-01 | Not available in this setting | $205.58 | RVU13D |
| 2013-07-01 | Not available in this setting | $205.58 | RVU13C |
| 2013-04-01 | Not available in this setting | $205.58 | RVU13B |
| 2013-01-01 | Not available in this setting | $205.58 | RVU13AR |
Where the Idaho rate applies
Idaho is a Medicare payment area, not a city. Our Census mapping connects it to 235 cities and communities in Idaho. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Acequia
- Albion
- American Falls
- Ammon
- Arbon Valley
- Arco
- Arimo
33241 billing questions
How is 33241 different from an ICD generator replacement code?
Use 33241 when the generator is removed without a new generator implanted in the same session. For removal and replacement, use the code that matches the ICD lead configuration.
Can 33241 be reported when an ICD lead is also extracted?
33241 represents the generator removal, not lead extraction. Report the applicable lead-removal service when extraction is performed and documented.
Is modifier 50 appropriate for this service?
No. Modifier 50 is not appropriate for removal of a single ICD generator.
What documentation supports reporting 33241?
The operative report should identify the ICD generator removed, describe its disconnection and removal, and clarify whether the leads remained in place or were separately extracted.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction. The code also carries a 90-day global period.
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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