CPT code 33244: ICD lead extraction, transvenous approach2026 Medicare rate & RVUs in Wisconsin

Removal of an implantable cardioverter-defibrillator lead through the venous system, typically for infection, malfunction, or system revision.

CMS RVU26DEffective Oct 1, 2026One payment locality3K Medicare services in 2024

In Wisconsin, Medicare pays $684.11 for 33244 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$684.11Hospital or facility

Check a contract rate as a % of Medicare · 33244 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33244 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Wisconsin
  2. What 33244 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 33244 covers

This service removes one or more implantable cardioverter-defibrillator (ICD) leads through the venous system. The physician may use specialized extraction sheaths and related tools to free leads from scar tissue. Electrophysiologists commonly perform the procedure in a hospital electrophysiology laboratory or operating room, often with surgical support available because extraction can carry serious risks. The code is for ICD leads, not pacemaker leads, and the approach is transvenous rather than through a thoracotomy.

Select the code when the record supports extraction of an ICD lead by the transvenous route. Document the device and lead type, the extraction approach, and the work performed; report separate generator removal when that service is also performed. The 90-day global period includes the day-before preoperative visit and related postoperative care. For multiple procedures in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment is restricted by statute; co-surgeons require supporting documentation, and team surgery is 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 Wisconsin compares for 33244

Across 109 of 109 payment localities, the facility rate for 33244 runs from $684.10 in Nebraska to $956.48 in Alaska. Wisconsin pays $684.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

33244 in Wisconsin vs other payment areas
  1. Wisconsin · this page$684.11
  2. Los Angeles, CA · California$788.15+$104.04
  3. Washington, DC area · District of Columbia$840.59+$156.48
  4. Miami, FL · Florida$937.68+$253.57
  5. Chicago, IL · Illinois$908.30+$224.19
  6. Manhattan, NY · New York$891.90+$207.79
  7. Alaska · Alaska$956.48+$272.37

Other areas in Wisconsin first, then benchmark localities. Bars start at $0.

Every other payment area

33244 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$693.86
ArkansasArkansas—$685.04
ArizonaArizona—$744.66
Bakersfield, CACalifornia—$753.95
Chico, CACalifornia—$745.30
El Centro, CACalifornia—$745.83
Fresno, CACalifornia—$745.30
Hanford, CACalifornia—$745.30

33244 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
33244 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33244 in every payment locality

How the 33244 rate is calculated

Each of 33244’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 · 33244

RVUs × geographic indexes × conversion factor

Office or facility?

Work13.40

13.40 RVUs× 1.000 GPCI

Practice expense6.37

6.37 RVUs× 1.000 GPCI

Malpractice3.18

3.18 RVUs× 1.000 GPCI

Adjusted RVUs

22.9500

Conversion factor

$33.4009

Medicare rate

$766.55

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Wisconsin inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,872

Code
33244
Physician work
13.40
Practice expense
6.37
Malpractice
3.18

GPCI2026.csv

111

Locality
Wisconsin
Physician work
1.000
Practice expense
0.958
Malpractice
0.308
Facility calculation for 33244 in Wisconsin
ComponentRVULocality factorAdjusted
Physician work13.40× 1.00013.4000
Practice expense6.37× 0.9586.1025
Malpractice3.18× 0.3080.9794
Total RVUs20.4819
Conversion factor× 33.4009

Facility rate, Wisconsin$684.11

Facility: (13.4 × 1 + 6.37 × 0.958 + 3.18 × 0.308) × $33.4009 = $684.11

Open 33244 in the RVU calculator

Payment rules and modifiers for 33244

33244 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33244

ICD lead extraction, transvenous approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33244

ICD lead extraction, transvenous approach

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33244 without 51 · national facility

$766.55

ICD lead extraction, transvenous approach

33244-51 · Second procedure: 50%

$383.28

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%).

When to use modifier 51

How 33244 has changed in Wisconsin

33244 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$684.11RVU26D
2026-07-01Not available in this setting$684.11RVU26C
2026-04-01Not available in this setting$684.11RVU26B
2026-01-01Not available in this setting$684.11RVU26A
2025-10-01Not available in this setting$744.68RVU25D
2025-07-01Not available in this setting$744.68RVU25C
2025-04-01Not available in this setting$744.68RVU25B
2025-01-01Not available in this setting$744.68RVU25A
2024-10-01Not available in this setting$764.24RVU24D
2024-07-01Not available in this setting$764.24RVU24C
2024-04-01Not available in this setting$764.24RVU24B
2024-03-09Not available in this setting$764.24RVU24AR
2024-01-01Not available in this setting$751.77RVU24A
2023-10-01Not available in this setting$780.28RVU23D
2023-07-01Not available in this setting$780.28RVU23C
2023-04-01Not available in this setting$780.28RVU23B
2023-01-01Not available in this setting$780.28RVU23A
2022-10-01Not available in this setting$793.18RVU22D
2022-07-01Not available in this setting$793.18RVU22C
2022-04-01Not available in this setting$793.18RVU22B
2022-01-01Not available in this setting$793.18RVU22A
2021-10-01Not available in this setting$796.65RVU21D
2021-07-01Not available in this setting$796.65RVU21C
2021-04-01Not available in this setting$796.65RVU21B
2021-01-01Not available in this setting$796.65RVU21A
2020-10-01Not available in this setting$815.59RVU20D
2020-07-01Not available in this setting$815.59RVU20C
2020-04-01Not available in this setting$815.59RVU20B
2020-01-01Not available in this setting$815.59RVU20A
2019-10-01Not available in this setting$816.06RVU19D
2019-07-01Not available in this setting$816.06RVU19C
2019-04-01Not available in this setting$816.06RVU19B
2019-01-01Not available in this setting$816.06RVU19A
2018-10-01Not available in this setting$812.38RVU18D
2018-07-01Not available in this setting$812.38RVU18C
2018-04-01Not available in this setting$812.38RVU18B
2018-01-01Not available in this setting$812.38RVU18AR1
2017-10-01Not available in this setting$820.94RVU17D
2017-07-01Not available in this setting$820.94RVU17C
2017-04-01Not available in this setting$820.94RVU17B
2017-01-01Not available in this setting$820.94RVU17A
2016-10-01Not available in this setting$838.80RVU16D
2016-07-01Not available in this setting$838.80RVU16C
2016-04-01Not available in this setting$838.80RVU16B
2016-01-01Not available in this setting$838.80RVU16A
2015-10-01Not available in this setting$841.84RVU15D
2015-07-01Not available in this setting$841.84RVU15C
2015-04-01Not available in this setting$837.65RVU15B
2015-01-01Not available in this setting$837.65RVU15A
2014-10-01Not available in this setting$829.62RVU14D
2014-07-01Not available in this setting$829.62RVU14C
2014-04-01Not available in this setting$829.62RVU14B
2014-01-01Not available in this setting$829.62RVU14A
2013-10-01Not available in this setting$798.89RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 33244 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

  • Abbotsford
  • Abrams
  • Adams
  • Adell
  • Albany
  • Algoma
  • Allens Grove
  • Allenton

Browse all communities in Wisconsin

33244 billing questions

How does 33244 differ from 33243?

33244 is for ICD lead extraction through the venous system. Use 33243 when ICD lead removal is performed through a thoracotomy.

How does 33244 differ from 33235?

The device type distinguishes them: 33244 describes transvenous extraction of ICD leads, while 33235 describes transvenous removal of pacemaker electrodes in a multiple-lead system.

Can ICD generator removal be reported in the same session?

Report 33241 for removal of the ICD pulse generator when that separate service is performed. The record should support both generator removal and lead extraction.

Can a new ICD system be reported with 33244?

When an ICD system is implanted or replaced during the same session, 33249 may be reported for that service when its requirements are met.

Which modifiers and payment rules matter?

Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery; co-surgeons require supporting documentation, and team surgery is not permitted.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and reduces the other procedures to 50%.

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
RVUs for 33244PPRRVU2026_Oct_nonQPP.csv, line 3,872 (RVU26D)
Geographic factors for WisconsinGPCI2026.csv, line 111 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 33244 pays in Wisconsin?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 33244 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet