CPT code 33263: ICD generator exchange, dual-lead system2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $305.90 for 33263 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33263 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 33263 covers

This service replaces the pulse generator of an implanted cardioverter-defibrillator while retaining the existing dual-lead system. It is commonly performed when the generator reaches replacement status. Cardiologists and cardiac electrophysiologists typically perform the exchange in a hospital electrophysiology lab or other surgical facility. The dual-lead configuration distinguishes this service from generator exchanges for single-lead or multiple-lead systems.

Report the service when the operative documentation supports removal and replacement of the generator and identifies the dual-lead configuration. The record should describe the generator exchange and the disposition of the existing leads. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Medicare does not pay for 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 Wisconsin compares for 33263

Across 109 of 109 payment localities, the facility rate for 33263 runs from $305.76 in Nebraska to $426.74 in Alaska. Wisconsin pays $305.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33263 rates by state

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

See 33263 in every payment locality

How the 33263 rate is calculated

Each of 33263’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 33263

33263 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 33263

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

How 33263 has changed in Wisconsin

Price 33263 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

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