CPT code 33272: Defibrillator removal, subcutaneous system2026 Medicare rate & RVUs in Delaware
Removal of an implanted subcutaneous defibrillator system, including its generator and electrode, by a clinician performing a device extraction procedure.
In Delaware, Medicare pays $305.91 for 33272 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33272 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33272 covers
This code describes removal of a subcutaneous implantable defibrillator system, including the pulse generator and electrode or electrodes. An electrophysiologist or cardiac surgeon typically performs the extraction in a hospital operating room or electrophysiology setting. The procedure may be needed for infection, device malfunction, or another clinical reason for taking the system out. The subcutaneous system is distinct from a transvenous ICD, whose lead runs through the veins into the heart.
Report the code when the documented procedure removes the subcutaneous defibrillator system; record the device type, components removed, indication, and operative work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing 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 Delaware compares for 33272
Across 109 of 109 payment localities, the facility rate for 33272 runs from $277.28 in Arkansas to $386.06 in Alaska. Delaware pays $305.91. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$305.91
- Los Angeles, CA · California$320.71+$14.80
- Washington, DC area · District of Columbia$340.99+$35.08
- Miami, FL · Florida$376.92+$71.01
- Chicago, IL · Illinois$365.20+$59.29
- Manhattan, NY · New York$360.70+$54.79
- Alaska · Alaska$386.06+$80.15
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $280.86 |
| ArkansasArkansas | — | $277.28 |
| ArizonaArizona | — | $301.50 |
| Bakersfield, CACalifornia | — | $306.50 |
| Chico, CACalifornia | — | $303.14 |
| El Centro, CACalifornia | — | $303.35 |
| Fresno, CACalifornia | — | $303.14 |
| Hanford, CACalifornia | — | $303.14 |
| Madera, CACalifornia | — | $303.14 |
| Merced, CACalifornia | — | $303.14 |
| Modesto, CACalifornia | — | $303.14 |
| Napa, CACalifornia | — | $330.72 |
| Oxnard, CACalifornia | — | $316.64 |
| Redding, CACalifornia | — | $303.14 |
| Rest of CaliforniaCalifornia | — | $303.14 |
| Riverside, CACalifornia | — | $316.34 |
| Sacramento, CACalifornia | — | $312.72 |
| Salinas, CACalifornia | — | $311.46 |
| San Diego, CACalifornia | — | $314.97 |
| Marin County, CACalifornia | — | $342.89 |
| San Francisco, CACalifornia | — | $341.50 |
| San Benito County, CACalifornia | — | $351.67 |
| Santa Clara County, CACalifornia | — | $345.96 |
| San Luis Obispo, CACalifornia | — | $307.14 |
| Santa Cruz, CACalifornia | — | $314.90 |
| Santa Maria, CACalifornia | — | $311.58 |
| Santa Rosa, CACalifornia | — | $317.69 |
| Stockton, CACalifornia | — | $303.14 |
| Vallejo, CACalifornia | — | $328.71 |
| Visalia, CACalifornia | — | $303.14 |
| Yuba City, CACalifornia | — | $303.14 |
| ColoradoColorado | — | $309.36 |
| ConnecticutConnecticut | — | $329.60 |
| Fort Lauderdale, FLFlorida | — | $344.70 |
| Rest of FloridaFlorida | — | $326.87 |
| Atlanta, GAGeorgia | — | $320.57 |
| Rest of GeorgiaGeorgia | — | $308.15 |
| Hawaii, Guam, HIHawaii | — | $305.72 |
| IowaIowa | — | $277.63 |
| IdahoIdaho | — | $281.22 |
| East St. Louis, ILIllinois | — | $344.52 |
| Rest of IllinoisIllinois | — | $325.35 |
| Suburban Chicago, ILIllinois | — | $345.75 |
| IndianaIndiana | — | $282.40 |
| KansasKansas | — | $281.00 |
| KentuckyKentucky | — | $296.50 |
| New Orleans, LALouisiana | — | $310.40 |
| Rest of LouisianaLouisiana | — | $297.89 |
| Metropolitan Boston, MAMassachusetts | — | $331.02 |
| Rest of MassachusettsMassachusetts | — | $309.70 |
| Baltimore area, MDMaryland | — | $329.63 |
| Rest of MarylandMaryland | — | $309.80 |
| Rest of MaineMaine | — | $287.34 |
| Southern Maine, MEMaine | — | $294.30 |
| Detroit, MIMichigan | — | $335.23 |
| Rest of MichiganMichigan | — | $307.52 |
| MinnesotaMinnesota | — | $284.06 |
| Metropolitan Kansas City, MOMissouri | — | $303.69 |
| Metropolitan St. Louis, MOMissouri | — | $305.92 |
| Rest of MissouriMissouri | — | $296.41 |
| MississippiMississippi | — | $286.66 |
| MontanaMontana | — | $310.21 |
| North CarolinaNorth Carolina | — | $289.24 |
| North DakotaNorth Dakota | — | $285.89 |
| NebraskaNebraska | — | $277.59 |
| New HampshireNew Hampshire | — | $308.97 |
| Northern New JerseyNew Jersey | — | $339.06 |
| Rest of New JerseyNew Jersey | — | $329.88 |
| New MexicoNew Mexico | — | $310.85 |
| NevadaNevada | — | $303.53 |
| NYC suburbs and Long Island, NYNew York | — | $374.34 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $335.68 |
| Queens, NYNew York | — | $356.64 |
| Rest of New YorkNew York | — | $293.45 |
| OhioOhio | — | $302.54 |
| OklahomaOklahoma | — | $291.20 |
| Portland, OROregon | — | $312.91 |
| Rest of OregonOregon | — | $297.72 |
| Metropolitan Philadelphia, PAPennsylvania | — | $325.20 |
| Rest of PennsylvaniaPennsylvania | — | $300.42 |
| Puerto RicoPuerto Rico | — | $310.70 |
| Rhode IslandRhode Island | — | $312.27 |
| South CarolinaSouth Carolina | — | $297.07 |
| South DakotaSouth Dakota | — | $283.02 |
| TennesseeTennessee | — | $282.82 |
| Austin, TXTexas | — | $311.35 |
| Beaumont, TXTexas | — | $299.02 |
| Brazoria, TXTexas | — | $301.83 |
| Dallas, TXTexas | — | $305.68 |
| Fort Worth, TXTexas | — | $305.28 |
| Galveston, TXTexas | — | $303.99 |
| Houston, TXTexas | — | $326.50 |
| Rest of TexasTexas | — | $301.57 |
| UtahUtah | — | $300.53 |
| VirginiaVirginia | — | $296.64 |
| Virgin Islands, VIUnited States Virgin Islands | — | $310.70 |
| VermontVermont | — | $289.07 |
| Rest of WashingtonWashington | — | $307.69 |
| King County, WAWashington | — | $332.67 |
| WisconsinWisconsin | — | $277.96 |
| West VirginiaWest Virginia | — | $315.84 |
| WyomingWyoming | — | $299.61 |
33272 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33272 rate is calculated
Each of 33272’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 · 33272
RVUs × geographic indexes × conversion factor
Work5.28
5.28 RVUs× 1.000 GPCI
Practice expense2.78
2.78 RVUs× 1.000 GPCI
Malpractice1.23
1.23 RVUs× 1.000 GPCI
Adjusted RVUs
9.2900
Conversion factor
$33.4009
Medicare rate
$310.29
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,895
- Code
- 33272
- Physician work
- 5.28
- Practice expense
- 2.78
- Malpractice
- 1.23
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.28 | × 1.005 | 5.3064 |
| Practice expense | 2.78 | × 0.988 | 2.7466 |
| Malpractice | 1.23 | × 0.899 | 1.1058 |
| Total RVUs | 9.1588 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$305.91
Facility: (5.28 × 1.005 + 2.78 × 0.988 + 1.23 × 0.899) × $33.4009 = $305.91
Payment rules and modifiers for 33272
33272 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33272
Defibrillator removal, subcutaneous system
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33272
Defibrillator removal, subcutaneous 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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33272 without 51 · national facility
$310.29
Defibrillator removal, subcutaneous system
33272-51 · Second procedure: 50%
$155.15
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%).
How 33272 has changed in Delaware
33272 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
January 1, 2015
RVU15A
No ratechanged toNo rate
Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $305.91 | RVU26D |
| 2026-07-01 | Not available in this setting | $305.91 | RVU26C |
| 2026-04-01 | Not available in this setting | $305.91 | RVU26B |
| 2026-01-01 | Not available in this setting | $305.91 | RVU26A |
| 2025-10-01 | Not available in this setting | $333.04 | RVU25D |
| 2025-07-01 | Not available in this setting | $333.04 | RVU25C |
| 2025-04-01 | Not available in this setting | $333.04 | RVU25B |
| 2025-01-01 | Not available in this setting | $333.04 | RVU25A |
| 2024-10-01 | Not available in this setting | $340.09 | RVU24D |
| 2024-07-01 | Not available in this setting | $340.09 | RVU24C |
| 2024-04-01 | Not available in this setting | $340.09 | RVU24B |
| 2024-03-09 | Not available in this setting | $340.09 | RVU24AR |
| 2024-01-01 | Not available in this setting | $334.54 | RVU24A |
| 2023-10-01 | Not available in this setting | $347.29 | RVU23D |
| 2023-07-01 | Not available in this setting | $347.29 | RVU23C |
| 2023-04-01 | Not available in this setting | $347.29 | RVU23B |
| 2023-01-01 | Not available in this setting | $347.29 | RVU23A |
| 2022-10-01 | Not available in this setting | $356.63 | RVU22D |
| 2022-07-01 | Not available in this setting | $356.63 | RVU22C |
| 2022-04-01 | Not available in this setting | $356.63 | RVU22B |
| 2022-01-01 | Not available in this setting | $356.63 | RVU22A |
| 2021-10-01 | Not available in this setting | $356.51 | RVU21D |
| 2021-07-01 | Not available in this setting | $356.51 | RVU21C |
| 2021-04-01 | Not available in this setting | $356.51 | RVU21B |
| 2021-01-01 | Not available in this setting | $356.51 | RVU21A |
| 2020-10-01 | Not available in this setting | $368.21 | RVU20D |
| 2020-07-01 | Not available in this setting | $368.21 | RVU20C |
| 2020-04-01 | Not available in this setting | $368.21 | RVU20B |
| 2020-01-01 | Not available in this setting | $368.21 | RVU20A |
| 2019-10-01 | Not available in this setting | $372.41 | RVU19D |
| 2019-07-01 | Not available in this setting | $372.41 | RVU19C |
| 2019-04-01 | Not available in this setting | $372.41 | RVU19B |
| 2019-01-01 | Not available in this setting | $372.41 | RVU19A |
| 2018-10-01 | Not available in this setting | $374.42 | RVU18D |
| 2018-07-01 | Not available in this setting | $374.42 | RVU18C |
| 2018-04-01 | Not available in this setting | $374.42 | RVU18B |
| 2018-01-01 | Not available in this setting | $374.42 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $372.68 | RVU17D |
| 2017-07-01 | Not available in this setting | $372.68 | RVU17C |
| 2017-04-01 | Not available in this setting | $372.68 | RVU17B |
| 2017-01-01 | Not available in this setting | $372.68 | RVU17A |
| 2016-10-01 | Not available in this setting | $374.50 | RVU16D |
| 2016-07-01 | Not available in this setting | $374.50 | RVU16C |
| 2016-04-01 | Not available in this setting | $374.50 | RVU16B |
| 2016-01-01 | Not available in this setting | $374.50 | RVU16A |
| 2015-10-01 | Not available in this setting | $389.86 | RVU15D |
| 2015-07-01 | Not available in this setting | $389.86 | RVU15C |
| 2015-04-01 | Not available in this setting | $387.92 | RVU15B |
| 2015-01-01 | Not available in this setting | $387.92 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
33272 billing questions
How is removal distinguished from subcutaneous ICD implantation or replacement?
This code is for taking out the subcutaneous defibrillator system. Code 33270 describes insertion or replacement of a subcutaneous ICD system.
Does this code include removal of the electrode?
The code covers removal of the subcutaneous system, including its electrode or electrodes. Document which system components were removed.
Can modifier 50 be used for removal on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted.
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
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