CPT code 33249: Defibrillator implant, complete transvenous system2026 Medicare rate & RVUs in Tennessee

In Tennessee, Medicare pays $726.94 for 33249 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33249 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 33249 covers

An electrophysiologist or cardiac surgeon places an implantable cardioverter-defibrillator (ICD) generator and transvenous lead or leads, commonly in a hospital electrophysiology lab. The leads pass through a vein into the heart, where the system can detect and treat dangerous ventricular rhythms with electrical therapy. Typical indications include prevention of sudden cardiac death in patients at risk of life-threatening ventricular arrhythmias, or treatment after a qualifying arrhythmic event.

Choose this code when the procedure involves the complete transvenous ICD system, including lead placement, rather than a generator-only service. The operative report should identify the indication, implanted generator, lead placement, and whether the procedure was an insertion or replacement. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For multiple procedures in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery services are not paid; 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 Tennessee compares for 33249

Across 109 of 109 payment localities, the facility rate for 33249 runs from $710.38 in Wisconsin to $1,002.33 in Alaska. Tennessee pays $726.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33249 rates by state

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

See 33249 in every payment locality

How the 33249 rate is calculated

Each of 33249’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 33249

33249 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 33249

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

How 33249 has changed in Tennessee

Price 33249 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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