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CPT code 33262: Defibrillator exchange, single-lead system2026 Medicare rate & RVUs

Reports removal and replacement of an implantable defibrillator pulse generator when the existing system has a single lead.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.8K Medicare services in 2024

Medicare pays $329.33 for 33262 nationally in a facility.

Medicare rate · 33262

Defibrillator exchange, single-lead system

Office or facility?

Work RVUs
5.66
Total RVUs
9.86
Global days
090

National rate · 2026

$329.33

Facility setting, before claim adjustments.

See every locality for 33262 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 33262 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33262 covers

This service covers an exchange of the pulse generator in an implantable cardioverter-defibrillator (ICD) system while the system has a single lead. Electrophysiologists and cardiac surgeons commonly perform it in a hospital or other surgical facility, often when the generator reaches elective replacement or has failed. The procedure addresses the generator; the single-lead designation identifies the system configuration, not a lead insertion or revision service.

Select this code when the operative report supports removal of the existing generator, placement of its replacement, and a single-lead system. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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.

Where 33262 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33262 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$298.07
AlaskaUnavailable$410.14
ArizonaUnavailable$319.96
ArkansasUnavailable$294.27
Atlanta, GAUnavailable$340.36
Austin, TXUnavailable$330.21
Bakersfield, CAUnavailable$324.76
Baltimore area, MDUnavailable$349.88
Beaumont, TXUnavailable$317.55
Brazoria, TXUnavailable$320.21

33262 rates by state

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

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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
33262 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

How the 33262 rate is calculated

Each of 33262’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 · 33262

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.66

5.66 RVUs× 1.000 GPCI

Practice expense2.87

2.87 RVUs× 1.000 GPCI

Malpractice1.33

1.33 RVUs× 1.000 GPCI

Adjusted RVUs

9.8600

Conversion factor

$33.4009

Medicare rate

$329.33

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

Payment rules and modifiers for 33262

33262 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33262

Defibrillator exchange, single-lead system

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)0Not permitted.
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 · 33262

Defibrillator exchange, single-lead system

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

33262 without 51 · national facility

$329.33

Defibrillator exchange, single-lead system

33262-51 · Second procedure: 50%

$164.67

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

33262 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 33262

    Defibrillator exchange, single-lead system5.66 wRVU

    Not priced

  • 33263

    ICD generator exchange, dual-lead system5.93 wRVU

    Not priced

  • 33264

    ICD generator replacement, multiple lead system6.19 wRVU

    Not priced

  • 33241

    ICD generator removal, generator only2.96 wRVU

    Not priced

  • 33249

    Defibrillator implant, complete transvenous system14.55 wRVU

    Not priced

How to choose

33263ICD generator exchangeDual-lead system
Use 33263 when the ICD system has two leads. This code is for a single-lead system.
33264ICD generator replacementMultiple lead system
Use 33264 for an ICD system with multiple leads; this code identifies a single-lead system.
33241ICD generator removalGenerator only
33241 reports generator removal without replacement. Use this code when the generator is removed and replaced.
33249Defibrillator implantComplete transvenous system
33249 concerns implantation or replacement of an ICD system with transvenous lead work. This code reports exchange of the generator in a single-lead system.

Codes related to 33262

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

Codes related to 33262
CodeHow it relatesNational office range
Same family
33263ICD generator exchange, dual-lead systemGenerator exchange for an ICD system with two leads.No office rate
33264ICD generator replacement, multiple lead systemGenerator exchange for an ICD system with multiple leads.No office rate
Used instead
33241ICD generator removal, generator onlyRemoval of an ICD pulse generator when no replacement is performed.No office rate
33249Defibrillator implant, complete transvenous systemImplantation or replacement of an ICD system with transvenous lead work, rather than generator-only exchange.No office rate

33262 billing questions

How is the single-lead code selected?

Use the documented lead configuration of the ICD system undergoing generator exchange. The operative report should establish that it is a single-lead system.

How does this differ from the two-lead code?

This code is for a single-lead system; 33263 is for a dual-lead system. The number of leads in the system, rather than the reason for exchange, distinguishes them.

Does this code include lead replacement or revision?

It reports the generator exchange in a single-lead system, not lead work by itself. Document any lead procedure performed separately and assess its reporting under the applicable coding rules.

What global period applies?

The service has a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, paid at 50%. Modifier 50 is inappropriate for this code.

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 33262PPRRVU2026_Oct_nonQPP.csv, line 3,885 (RVU26D)

Open CMS sourceHow we calculate rates

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