CPT code 33274: Leadless pacemaker, right ventricular insertion or replacement2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $380.26 for 33274 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33274 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 33274 covers

An electrophysiologist or other qualified cardiac specialist delivers a permanent, self-contained pacing device through a catheter into the right ventricle, typically through venous access in a hospital electrophysiology or catheterization lab. Unlike a conventional pacemaker, the leadless device sits inside the heart and does not use a chest pocket or transvenous pacing lead. The service includes imaging guidance and device evaluation associated with placement or replacement.

Select this code for right-ventricular leadless device insertion or replacement, not for a conventional transvenous pacemaker or a subcutaneous defibrillator. Document the clinical indication, transcatheter placement or replacement, device location, and evaluation. If an existing leadless device is removed during replacement, report the removal service separately when performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons are permitted, but team surgery is not.

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 South Dakota compares for 33274

Across 109 of 109 payment localities, the facility rate for 33274 runs from $374.14 in Wisconsin to $526.96 in Alaska. South Dakota pays $380.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33274 rates by state

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

See 33274 in every payment locality

How the 33274 rate is calculated

Each of 33274’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 33274

33274 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 33274

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

How 33274 has changed in South Dakota

Price 33274 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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