CPT code 33275: Pacemaker removal, leadless device2026 Medicare rate & RVUs in Virginia
Removal of an implanted leadless pacemaker by catheter retrieval with imaging guidance, typically performed when the device must be explanted.
In Virginia, Medicare pays $425.89 for 33275 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33275 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 33275 covers
This service removes a permanent leadless pacemaker positioned inside the heart. An electrophysiologist typically accesses the device through a femoral vein and uses a catheter-based retrieval tool, often with fluoroscopic guidance, to disengage and withdraw it. Removal may be needed for device malfunction, infection, or a change in pacing strategy. The procedure is generally performed in a hospital electrophysiology or catheterization laboratory.
Report 33275 for the leadless-device extraction; imaging guidance is included in the service. Documentation should identify the implanted device, the reason for removal, the retrieval approach, and the work performed. If a new leadless pacemaker is placed during the same session, 33274 describes that separate insertion or replacement service when supported. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS 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 Virginia compares for 33275
Across 109 of 109 payment localities, the facility rate for 33275 runs from $396.79 in Wisconsin to $563.73 in Alaska. Virginia pays $425.89. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$425.89
- Los Angeles, CA · California$454.67+$28.78
- Washington, DC area · District of Columbia$487.80+$61.91
- Miami, FL · Florida$553.50+$127.61
- Chicago, IL · Illinois$536.21+$110.32
- Manhattan, NY · New York$520.58+$94.69
- Alaska · Alaska$563.73+$137.84
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $405.68 |
| ArkansasArkansas | — | $400.66 |
| ArizonaArizona | — | $434.50 |
| Bakersfield, CACalifornia | — | $436.09 |
| Chico, CACalifornia | — | $430.65 |
| El Centro, CACalifornia | — | $430.99 |
| Fresno, CACalifornia | — | $430.65 |
| Hanford, CACalifornia | — | $430.65 |
| Madera, CACalifornia | — | $430.65 |
| Merced, CACalifornia | — | $430.65 |
| Modesto, CACalifornia | — | $430.65 |
| Napa, CACalifornia | — | $463.98 |
| Oxnard, CACalifornia | — | $448.19 |
| Redding, CACalifornia | — | $430.65 |
| Rest of CaliforniaCalifornia | — | $430.65 |
| Riverside, CACalifornia | — | $452.11 |
| Sacramento, CACalifornia | — | $442.71 |
| Salinas, CACalifornia | — | $440.90 |
| San Diego, CACalifornia | — | $444.75 |
| Marin County, CACalifornia | — | $478.91 |
| San Francisco, CACalifornia | — | $476.64 |
| San Benito County, CACalifornia | — | $491.47 |
| Santa Clara County, CACalifornia | — | $482.18 |
| San Luis Obispo, CACalifornia | — | $434.97 |
| Santa Cruz, CACalifornia | — | $443.74 |
| Santa Maria, CACalifornia | — | $440.77 |
| Santa Rosa, CACalifornia | — | $447.56 |
| Stockton, CACalifornia | — | $430.65 |
| Vallejo, CACalifornia | — | $460.70 |
| Visalia, CACalifornia | — | $430.65 |
| Yuba City, CACalifornia | — | $430.65 |
| ColoradoColorado | — | $442.40 |
| ConnecticutConnecticut | — | $474.61 |
| DelawareDelaware | — | $440.68 |
| Fort Lauderdale, FLFlorida | — | $502.52 |
| Rest of FloridaFlorida | — | $476.42 |
| Atlanta, GAGeorgia | — | $463.11 |
| Rest of GeorgiaGeorgia | — | $449.21 |
| Hawaii, Guam, HIHawaii | — | $432.89 |
| IowaIowa | — | $398.41 |
| IdahoIdaho | — | $403.99 |
| East St. Louis, ILIllinois | — | $506.93 |
| Rest of IllinoisIllinois | — | $476.10 |
| Suburban Chicago, ILIllinois | — | $503.48 |
| IndianaIndiana | — | $405.56 |
| KansasKansas | — | $404.45 |
| KentuckyKentucky | — | $430.40 |
| New Orleans, LALouisiana | — | $450.39 |
| Rest of LouisianaLouisiana | — | $432.87 |
| Metropolitan Boston, MAMassachusetts | — | $470.87 |
| Rest of MassachusettsMassachusetts | — | $443.48 |
| Baltimore area, MDMaryland | — | $474.89 |
| Rest of MarylandMaryland | — | $445.77 |
| Rest of MaineMaine | — | $413.94 |
| Southern Maine, MEMaine | — | $421.68 |
| Detroit, MIMichigan | — | $489.55 |
| Rest of MichiganMichigan | — | $447.11 |
| MinnesotaMinnesota | — | $403.13 |
| Metropolitan Kansas City, MOMissouri | — | $439.57 |
| Metropolitan St. Louis, MOMissouri | — | $442.55 |
| Rest of MissouriMissouri | — | $431.63 |
| MississippiMississippi | — | $415.83 |
| MontanaMontana | — | $447.10 |
| North CarolinaNorth Carolina | — | $416.39 |
| North DakotaNorth Dakota | — | $407.56 |
| NebraskaNebraska | — | $397.95 |
| New HampshireNew Hampshire | — | $443.01 |
| Northern New JerseyNew Jersey | — | $485.50 |
| Rest of New JerseyNew Jersey | — | $474.16 |
| New MexicoNew Mexico | — | $452.32 |
| NevadaNevada | — | $436.18 |
| NYC suburbs and Long Island, NYNew York | — | $541.40 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $483.41 |
| Queens, NYNew York | — | $512.98 |
| Rest of New YorkNew York | — | $422.37 |
| OhioOhio | — | $439.03 |
| OklahomaOklahoma | — | $421.58 |
| Portland, OROregon | — | $445.77 |
| Rest of OregonOregon | — | $427.00 |
| Metropolitan Philadelphia, PAPennsylvania | — | $469.29 |
| Rest of PennsylvaniaPennsylvania | — | $435.32 |
| Puerto RicoPuerto Rico | — | $447.34 |
| Rhode IslandRhode Island | — | $448.66 |
| South CarolinaSouth Carolina | — | $429.58 |
| South DakotaSouth Dakota | — | $402.88 |
| TennesseeTennessee | — | $407.16 |
| Austin, TXTexas | — | $446.01 |
| Beaumont, TXTexas | — | $433.45 |
| Brazoria, TXTexas | — | $433.88 |
| Dallas, TXTexas | — | $439.87 |
| Fort Worth, TXTexas | — | $439.73 |
| Galveston, TXTexas | — | $437.28 |
| Houston, TXTexas | — | $473.89 |
| Rest of TexasTexas | — | $435.63 |
| UtahUtah | — | $434.39 |
| Virgin Islands, VIUnited States Virgin Islands | — | $447.34 |
| VermontVermont | — | $413.23 |
| Rest of WashingtonWashington | — | $440.24 |
| King County, WAWashington | — | $471.83 |
| WisconsinWisconsin | — | $396.79 |
| West VirginiaWest Virginia | — | $462.86 |
| WyomingWyoming | — | $429.87 |
33275 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 33275 rate is calculated
Each of 33275’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 · 33275
RVUs × geographic indexes × conversion factor
Work8.38
8.38 RVUs× 1.000 GPCI
Practice expense3.01
3.01 RVUs× 1.000 GPCI
Malpractice2.00
2.00 RVUs× 1.000 GPCI
Adjusted RVUs
13.3900
Conversion factor
$33.4009
Medicare rate
$447.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,898
- Code
- 33275
- Physician work
- 8.38
- Practice expense
- 3.01
- Malpractice
- 2.00
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.38 | × 1.000 | 8.3800 |
| Practice expense | 3.01 | × 0.983 | 2.9588 |
| Malpractice | 2.00 | × 0.706 | 1.4120 |
| Total RVUs | 12.7508 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$425.89
Facility: (8.38 × 1 + 3.01 × 0.983 + 2 × 0.706) × $33.4009 = $425.89
Payment rules and modifiers for 33275
33275 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33275
Pacemaker removal, leadless device
| 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 · 33275
Pacemaker removal, leadless device
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
33275 without 51 · national facility
$447.24
Pacemaker removal, leadless device
33275-51 · Second procedure: 50%
$223.62
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 33275 has changed in Virginia
33275 · 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, 2019
RVU19A
No ratechanged toNo rate
Held through 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, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $425.89 | RVU26D |
| 2026-07-01 | Not available in this setting | $425.89 | RVU26C |
| 2026-04-01 | Not available in this setting | $425.89 | RVU26B |
| 2026-01-01 | Not available in this setting | $425.89 | RVU26A |
| 2025-10-01 | Not available in this setting | $465.30 | RVU25D |
| 2025-07-01 | Not available in this setting | $465.30 | RVU25C |
| 2025-04-01 | Not available in this setting | $465.30 | RVU25B |
| 2025-01-01 | Not available in this setting | $465.30 | RVU25A |
| 2024-10-01 | Not available in this setting | $477.37 | RVU24D |
| 2024-07-01 | Not available in this setting | $477.37 | RVU24C |
| 2024-04-01 | Not available in this setting | $477.37 | RVU24B |
| 2024-03-09 | Not available in this setting | $477.37 | RVU24AR |
| 2024-01-01 | Not available in this setting | $469.58 | RVU24A |
| 2023-10-01 | Not available in this setting | $488.31 | RVU23D |
| 2023-07-01 | Not available in this setting | $488.31 | RVU23C |
| 2023-04-01 | Not available in this setting | $488.31 | RVU23B |
| 2023-01-01 | Not available in this setting | $488.31 | RVU23A |
| 2022-10-01 | Not available in this setting | $506.00 | RVU22D |
| 2022-07-01 | Not available in this setting | $506.00 | RVU22C |
| 2022-04-01 | Not available in this setting | $506.00 | RVU22B |
| 2022-01-01 | Not available in this setting | $506.00 | RVU22A |
| 2021-10-01 | Not available in this setting | $530.74 | RVU21D |
| 2021-07-01 | Not available in this setting | $530.74 | RVU21C |
| 2021-04-01 | Not available in this setting | $530.74 | RVU21B |
| 2021-01-01 | Not available in this setting | $530.74 | RVU21A |
| 2020-10-01 | Not available in this setting | $549.23 | RVU20D |
| 2020-07-01 | Not available in this setting | $549.23 | RVU20C |
| 2020-04-01 | Not available in this setting | $549.23 | RVU20B |
| 2020-01-01 | Not available in this setting | $549.23 | RVU20A |
| 2019-10-01 | Not available in this setting | $535.20 | RVU19D |
| 2019-07-01 | Not available in this setting | $535.20 | RVU19C |
| 2019-04-01 | Not available in this setting | $535.20 | RVU19B |
| 2019-01-01 | Not available in this setting | $535.20 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | 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 Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
33275 billing questions
How is 33275 different from 33234 or 33235?
33275 is for catheter removal of a leadless pacemaker inside the heart. Codes 33234 and 33235 describe removal of transvenous pacemaker electrodes in conventional lead systems.
Can 33274 be reported when a replacement device is implanted?
When a new leadless pacemaker is inserted or replaced during the same session, 33274 describes that service. The record should support both the removal and the new implantation.
Can imaging guidance be billed separately with 33275?
Imaging guidance is included in 33275, so it is not separately reported as part of this removal service.
What documentation supports 33275?
Document that the device is leadless, why it required removal, the catheter retrieval approach, and the extraction work performed. Include the outcome or any complication when relevant.
How does the global period affect postoperative billing?
The 90-day global includes the day-before preoperative visit and related postoperative care through the 90-day period. In a session with multiple procedures, the highest-valued procedure is paid in full and the others receive the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be billed for this procedure?
CMS does not pay an assistant at surgery for 33275. 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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