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

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

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Vermont, Medicare pays $306.43 for 33262 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$306.43Hospital or facility

Check a contract rate as a % of Medicare · 33262 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 33262 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 33262 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 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.

How Vermont compares for 33262

Across 109 of 109 payment localities, the facility rate for 33262 runs from $294.27 in Arkansas to $410.14 in Alaska. Vermont pays $306.43. The RVUs are the same everywhere; the geographic indexes change the dollars.

33262 in Vermont vs other payment areas
  1. Vermont · this page$306.43
  2. Los Angeles, CA · California$339.70+$33.27
  3. Washington, DC area · District of Columbia$361.62+$55.19
  4. Miami, FL · Florida$401.19+$94.76
  5. Chicago, IL · Illinois$388.66+$82.23
  6. Manhattan, NY · New York$382.99+$76.56
  7. Alaska · Alaska$410.14+$103.71

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

Every other payment area

33262 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$298.07
ArkansasArkansas—$294.27
ArizonaArizona—$319.96
Bakersfield, CACalifornia—$324.76
Chico, CACalifornia—$321.14
El Centro, CACalifornia—$321.36
Fresno, CACalifornia—$321.14
Hanford, CACalifornia—$321.14

33262 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
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

See 33262 in every payment locality

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.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,885

Code
33262
Physician work
5.66
Practice expense
2.87
Malpractice
1.33

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 33262 in Vermont
ComponentRVULocality factorAdjusted
Physician work5.66× 1.0005.6600
Practice expense2.87× 0.9902.8413
Malpractice1.33× 0.5060.6730
Total RVUs9.1743
Conversion factor× 33.4009

Facility rate, Vermont$306.43

Facility: (5.66 × 1 + 2.87 × 0.99 + 1.33 × 0.506) × $33.4009 = $306.43

Open 33262 in the RVU calculator

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

How 33262 has changed in Vermont

33262 · 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$306.43RVU26D
2026-07-01Not available in this setting$306.43RVU26C
2026-04-01Not available in this setting$306.43RVU26B
2026-01-01Not available in this setting$306.43RVU26A
2025-10-01Not available in this setting$335.30RVU25D
2025-07-01Not available in this setting$335.30RVU25C
2025-04-01Not available in this setting$335.30RVU25B
2025-01-01Not available in this setting$335.30RVU25A
2024-10-01Not available in this setting$343.75RVU24D
2024-07-01Not available in this setting$343.75RVU24C
2024-04-01Not available in this setting$343.75RVU24B
2024-03-09Not available in this setting$343.75RVU24AR
2024-01-01Not available in this setting$338.14RVU24A
2023-10-01Not available in this setting$353.74RVU23D
2023-07-01Not available in this setting$353.74RVU23C
2023-04-01Not available in this setting$353.74RVU23B
2023-01-01Not available in this setting$353.74RVU23A
2022-10-01Not available in this setting$363.74RVU22D
2022-07-01Not available in this setting$363.74RVU22C
2022-04-01Not available in this setting$363.74RVU22B
2022-01-01Not available in this setting$363.74RVU22A
2021-10-01Not available in this setting$364.76RVU21D
2021-07-01Not available in this setting$364.76RVU21C
2021-04-01Not available in this setting$364.76RVU21B
2021-01-01Not available in this setting$364.76RVU21A
2020-10-01Not available in this setting$372.62RVU20D
2020-07-01Not available in this setting$372.62RVU20C
2020-04-01Not available in this setting$372.62RVU20B
2020-01-01Not available in this setting$372.62RVU20A
2019-10-01Not available in this setting$372.37RVU19D
2019-07-01Not available in this setting$372.37RVU19C
2019-04-01Not available in this setting$372.37RVU19B
2019-01-01Not available in this setting$372.37RVU19A
2018-10-01Not available in this setting$371.60RVU18D
2018-07-01Not available in this setting$371.60RVU18C
2018-04-01Not available in this setting$371.60RVU18B
2018-01-01Not available in this setting$371.60RVU18AR1
2017-10-01Not available in this setting$371.91RVU17D
2017-07-01Not available in this setting$371.91RVU17C
2017-04-01Not available in this setting$371.91RVU17B
2017-01-01Not available in this setting$371.91RVU17A
2016-10-01Not available in this setting$384.05RVU16D
2016-07-01Not available in this setting$384.05RVU16C
2016-04-01Not available in this setting$384.05RVU16B
2016-01-01Not available in this setting$384.05RVU16A
2015-10-01Not available in this setting$384.34RVU15D
2015-07-01Not available in this setting$384.34RVU15C
2015-04-01Not available in this setting$382.43RVU15B
2015-01-01Not available in this setting$382.43RVU15A
2014-10-01Not available in this setting$376.82RVU14D
2014-07-01Not available in this setting$376.82RVU14C
2014-04-01Not available in this setting$376.82RVU14B
2014-01-01Not available in this setting$376.82RVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
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 33262 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

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)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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