CPT code 33285: Rhythm monitor, subcutaneous insertion2026 Medicare rate & RVUs in Ohio
Report 33285 for placing and programming a subcutaneous cardiac rhythm monitor to detect intermittent arrhythmias not captured by shorter-term monitoring.
In Ohio, Medicare pays $3,668.53 for 33285 in the office and $74.70 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 33285 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 33285 covers
A cardiologist or electrophysiologist places a small rhythm-monitoring device beneath the skin, commonly in the chest, to record cardiac activity over an extended period. It is often used when a patient has unexplained syncope, intermittent palpitations, or suspected arrhythmia that has not been documented with shorter-term monitoring. The device is subcutaneous rather than a transvenous pacemaker or defibrillator system, and the service includes programming the monitor at insertion.
Report 33285 for the implantation service, supported by documentation of the indication, insertion, and device programming. Routine same-day preoperative and postoperative care is included in its 0-day global period. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Modifier 50 is inappropriate for this code. Medicare does not pay for an assistant at surgery, and 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 Ohio compares for 33285
Across 109 of 109 payment localities, the office rate for 33285 runs from $3,449.29 in Arkansas to $5,758.05 in San Benito County, CA. Ohio pays $3,668.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Ohio · this page$3,668.53
- Los Angeles, CA · California$4,733.03+$1,064.50
- Washington, DC area · District of Columbia$4,719.32+$1,050.79
- Miami, FL · Florida$4,192.46+$523.93
- Chicago, IL · Illinois$4,047.79+$379.26
- Manhattan, NY · New York$4,662.30+$993.77
- Alaska · Alaska$4,288.37+$619.84
Other areas in Ohio first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $3,513.11 | $68.85 |
| ArkansasArkansas | $3,449.29 | $68.01 |
| ArizonaArizona | $3,887.92 | $73.65 |
| Bakersfield, CACalifornia | $4,387.59 | $73.41 |
| Chico, CACalifornia | $4,386.61 | $72.43 |
| El Centro, CACalifornia | $4,386.67 | $72.49 |
| Fresno, CACalifornia | $4,386.61 | $72.43 |
| Hanford, CACalifornia | $4,386.61 | $72.43 |
| Madera, CACalifornia | $4,386.61 | $72.43 |
| Merced, CACalifornia | $4,386.61 | $72.43 |
| Modesto, CACalifornia | $4,386.61 | $72.43 |
| Napa, CACalifornia | $5,265.54 | $77.50 |
| Oxnard, CACalifornia | $4,727.94 | $75.23 |
| Redding, CACalifornia | $4,386.61 | $72.43 |
| Rest of CaliforniaCalifornia | $4,386.61 | $72.43 |
| Riverside, CACalifornia | $4,390.48 | $76.30 |
| Sacramento, CACalifornia | $4,652.23 | $74.32 |
| Salinas, CACalifornia | $4,636.18 | $74.01 |
| San Diego, CACalifornia | $4,782.37 | $74.56 |
| Marin County, CACalifornia | $5,629.97 | $79.79 |
| San Francisco, CACalifornia | $5,629.56 | $79.39 |
| San Benito County, CACalifornia | $5,758.05 | $81.92 |
| Santa Clara County, CACalifornia | $5,756.38 | $80.24 |
| San Luis Obispo, CACalifornia | $4,556.48 | $73.04 |
| Santa Cruz, CACalifornia | $4,856.90 | $74.30 |
| Santa Maria, CACalifornia | $4,663.68 | $73.96 |
| Santa Rosa, CACalifornia | $4,908.70 | $74.93 |
| Stockton, CACalifornia | $4,386.61 | $72.43 |
| Vallejo, CACalifornia | $5,264.95 | $76.91 |
| Visalia, CACalifornia | $4,386.61 | $72.43 |
| Yuba City, CACalifornia | $4,386.61 | $72.43 |
| ColoradoColorado | $4,262.90 | $74.68 |
| ConnecticutConnecticut | $4,319.81 | $80.42 |
| DelawareDelaware | $3,963.75 | $74.69 |
| Fort Lauderdale, FLFlorida | $4,073.19 | $85.72 |
| Rest of FloridaFlorida | $3,844.35 | $81.25 |
| Atlanta, GAGeorgia | $4,077.89 | $78.61 |
| Rest of GeorgiaGeorgia | $3,587.79 | $76.61 |
| Hawaii, Guam, HIHawaii | $4,548.25 | $72.68 |
| IowaIowa | $3,669.09 | $67.38 |
| IdahoIdaho | $3,689.75 | $68.36 |
| East St. Louis, ILIllinois | $3,708.28 | $86.89 |
| Rest of IllinoisIllinois | $3,675.21 | $81.37 |
| Suburban Chicago, ILIllinois | $4,128.41 | $85.83 |
| IndianaIndiana | $3,717.56 | $68.62 |
| KansasKansas | $3,626.92 | $68.51 |
| KentuckyKentucky | $3,572.61 | $73.24 |
| New Orleans, LALouisiana | $3,780.68 | $76.63 |
| Rest of LouisianaLouisiana | $3,557.32 | $73.70 |
| Metropolitan Boston, MAMassachusetts | $4,779.20 | $79.26 |
| Rest of MassachusettsMassachusetts | $4,219.84 | $74.92 |
| Baltimore area, MDMaryland | $4,304.14 | $80.49 |
| Rest of MarylandMaryland | $4,059.03 | $75.50 |
| Rest of MaineMaine | $3,691.54 | $70.15 |
| Southern Maine, MEMaine | $3,972.13 | $71.26 |
| Detroit, MIMichigan | $3,882.10 | $83.58 |
| Rest of MichiganMichigan | $3,669.99 | $76.15 |
| MinnesotaMinnesota | $4,118.21 | $67.76 |
| Metropolitan Kansas City, MOMissouri | $3,770.87 | $74.69 |
| Metropolitan St. Louis, MOMissouri | $3,822.52 | $75.17 |
| Rest of MissouriMissouri | $3,466.66 | $73.57 |
| MississippiMississippi | $3,459.88 | $70.73 |
| MontanaMontana | $4,012.09 | $75.80 |
| North CarolinaNorth Carolina | $3,743.10 | $70.54 |
| North DakotaNorth Dakota | $4,004.97 | $68.68 |
| NebraskaNebraska | $3,700.46 | $67.26 |
| New HampshireNew Hampshire | $4,172.58 | $74.89 |
| Northern New JerseyNew Jersey | $4,648.12 | $82.02 |
| Rest of New JerseyNew Jersey | $4,378.70 | $80.27 |
| New MexicoNew Mexico | $3,686.66 | $77.07 |
| NevadaNevada | $4,014.06 | $73.83 |
| NYC suburbs and Long Island, NYNew York | $4,772.22 | $91.96 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $4,392.16 | $81.92 |
| Queens, NYNew York | $4,739.58 | $86.87 |
| Rest of New YorkNew York | $3,811.03 | $71.55 |
| OklahomaOklahoma | $3,586.75 | $71.64 |
| Portland, OROregon | $4,448.32 | $75.10 |
| Rest of OregonOregon | $3,992.74 | $72.19 |
| Metropolitan Philadelphia, PAPennsylvania | $4,177.30 | $79.61 |
| Rest of PennsylvaniaPennsylvania | $3,687.53 | $74.01 |
| Puerto RicoPuerto Rico | $4,055.39 | $75.79 |
| Rhode IslandRhode Island | $4,142.12 | $75.93 |
| South CarolinaSouth Carolina | $3,710.09 | $72.95 |
| South DakotaSouth Dakota | $4,004.13 | $67.84 |
| TennesseeTennessee | $3,647.07 | $68.98 |
| Austin, TXTexas | $4,239.96 | $75.36 |
| Beaumont, TXTexas | $3,655.73 | $73.70 |
| Brazoria, TXTexas | $3,974.32 | $73.45 |
| Dallas, TXTexas | $3,995.06 | $74.50 |
| Fort Worth, TXTexas | $3,955.71 | $74.52 |
| Galveston, TXTexas | $3,982.79 | $74.05 |
| Houston, TXTexas | $3,989.38 | $80.64 |
| Rest of TexasTexas | $3,809.48 | $73.94 |
| UtahUtah | $3,773.87 | $73.75 |
| VirginiaVirginia | $3,941.43 | $72.05 |
| Virgin Islands, VIUnited States Virgin Islands | $4,055.39 | $75.79 |
| VermontVermont | $3,966.67 | $69.74 |
| Rest of WashingtonWashington | $4,219.26 | $74.34 |
| King County, WAWashington | $4,909.13 | $79.29 |
| WisconsinWisconsin | $3,837.88 | $66.91 |
| West VirginiaWest Virginia | $3,499.81 | $79.16 |
| WyomingWyoming | $4,008.99 | $72.69 |
33285 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.
$3,449.29
$5,072.33
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $4,288.37 | 1 |
| AL | $3,513.11 | 1 |
| AR | $3,449.29 | 1 |
| AZ | $3,887.92 | 1 |
| CA | $4,386.61–$5,758.05 | 29 |
| CO | $4,262.90 | 1 |
| CT | $4,319.81 | 1 |
| DC | $4,719.32 | 1 |
| DE | $3,963.75 | 1 |
| FL | $3,844.35–$4,192.46 | 3 |
| GA | $3,587.79–$4,077.89 | 2 |
| GU | $4,548.25 | 1 |
| HI | $4,548.25 | 1 |
| IA | $3,669.09 | 1 |
| ID | $3,689.75 | 1 |
| IL | $3,675.21–$4,128.41 | 4 |
| IN | $3,717.56 | 1 |
| KS | $3,626.92 | 1 |
| KY | $3,572.61 | 1 |
| LA | $3,557.32–$3,780.68 | 2 |
| MA | $4,219.84–$4,779.20 | 2 |
| MD | $4,059.03–$4,719.32 | 3 |
| ME | $3,691.54–$3,972.13 | 2 |
| MI | $3,669.99–$3,882.10 | 2 |
| MN | $4,118.21 | 1 |
| MO | $3,466.66–$3,822.52 | 3 |
| MS | $3,459.88 | 1 |
| MT | $4,012.09 | 1 |
| NC | $3,743.10 | 1 |
| ND | $4,004.97 | 1 |
| NE | $3,700.46 | 1 |
| NH | $4,172.58 | 1 |
| NJ | $4,378.70–$4,648.12 | 2 |
| NM | $3,686.66 | 1 |
| NV | $4,014.06 | 1 |
| NY | $3,811.03–$4,772.22 | 5 |
| OH | $3,668.53 | 1 |
| OK | $3,586.75 | 1 |
| OR | $3,992.74–$4,448.32 | 2 |
| PA | $3,687.53–$4,177.30 | 2 |
| PR | $4,055.39 | 1 |
| RI | $4,142.12 | 1 |
| SC | $3,710.09 | 1 |
| SD | $4,004.13 | 1 |
| TN | $3,647.07 | 1 |
| TX | $3,655.73–$4,239.96 | 8 |
| UT | $3,773.87 | 1 |
| VA | $3,941.43–$4,719.32 | 2 |
| VI | $4,055.39 | 1 |
| VT | $3,966.67 | 1 |
| WA | $4,219.26–$4,909.13 | 2 |
| WI | $3,837.88 | 1 |
| WV | $3,499.81 | 1 |
| WY | $4,008.99 | 1 |
How the 33285 rate is calculated
Each of 33285’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 · 33285
RVUs × geographic indexes × conversion factor
Work1.49
1.49 RVUs× 1.000 GPCI
Practice expense118.27
118.27 RVUs× 1.000 GPCI
Malpractice0.36
0.36 RVUs× 1.000 GPCI
Adjusted RVUs
120.1200
Conversion factor
$33.4009
Medicare rate
$4,012.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Ohio inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,905
- Code
- 33285
- Physician work
- 1.49
- Practice expense
- 118.27
- Malpractice
- 0.36
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.49 | × 1.000 | 1.4900 |
| Practice expense | 118.27 | × 0.913 | 107.9805 |
| Malpractice | 0.36 | × 1.008 | 0.3629 |
| Total RVUs | 109.8334 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Ohio$3668.53
Office: (1.49 × 1 + 118.27 × 0.913 + 0.36 × 1.008) × $33.4009 = $3668.53
Facility: (1.49 × 1 + 0.42 × 0.913 + 0.36 × 1.008) × $33.4009 = $74.70
Payment rules and modifiers for 33285
The CMS indicators that decide how 33285 is paid alongside other services.
CMS payment indicators · 33285
Rhythm monitor, subcutaneous insertion
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33285 without 51 · national office
$4,012.12
Rhythm monitor, subcutaneous insertion
33285-51 · Second procedure: 50%
$2,006.06
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 33285 has changed in Ohio
33285 · Office / nonfacility
$3668.53
Effective 2026-10-01
The base rate is $197.05 higher than on 2025-10-01, moving from $3471.48 to $3668.53 (5.7%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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, 2026
RVU26A
$3471.48changed to$3668.53
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.53 changed to 1.49
- Practice expense RVU 115.73 changed to 118.27
- Malpractice RVU 0.35 changed to 0.36
- Practice expense GPCI 0.911 changed to 0.913
- Malpractice GPCI 1.033 changed to 1.008
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$3776.55changed to$3471.48
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 122.46 changed to 115.73
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$3714.91changed to$3776.55
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$4037.93changed to$3714.91
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 128.57 changed to 122.46
- Practice expense GPCI 0.912 changed to 0.911
- Malpractice GPCI 1.063 changed to 1.033
January 1, 2023
RVU23A
$4339.11changed to$4037.93
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 135.25 changed to 128.57
- Malpractice RVU 0.34 changed to 0.35
- Practice expense GPCI 0.913 changed to 0.912
- Malpractice GPCI 1.094 changed to 1.063
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$4754.50changed to$4339.11
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 147.16 changed to 135.25
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$4727.16changed to$4754.50
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 141.09 changed to 147.16
- Practice expense GPCI 0.915 changed to 0.913
- Malpractice GPCI 1.049 changed to 1.094
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$4833.02changed to$4727.16
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 144.18 changed to 141.09
- Malpractice RVU 0.36 changed to 0.34
- Practice expense GPCI 0.917 changed to 0.915
- Malpractice GPCI 1.005 changed to 1.049
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
No ratechanged to$4833.02
Held through RVU19B, RVU19C, RVU19D.
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 | $3,668.53 | $74.70 | RVU26D |
| 2026-07-01 | $3,668.53 | $74.70 | RVU26C |
| 2026-04-01 | $3,668.53 | $74.70 | RVU26B |
| 2026-01-01 | $3,668.53 | $74.70 | RVU26A |
| 2025-10-01 | $3,471.48 | $81.81 | RVU25D |
| 2025-07-01 | $3,471.48 | $81.81 | RVU25C |
| 2025-04-01 | $3,471.48 | $81.81 | RVU25B |
| 2025-01-01 | $3,471.48 | $81.81 | RVU25A |
| 2024-10-01 | $3,776.55 | $83.89 | RVU24D |
| 2024-07-01 | $3,776.55 | $83.89 | RVU24C |
| 2024-04-01 | $3,776.55 | $83.89 | RVU24B |
| 2024-03-09 | $3,776.55 | $83.89 | RVU24AR |
| 2024-01-01 | $3,714.91 | $82.52 | RVU24A |
| 2023-10-01 | $4,037.93 | $86.40 | RVU23D |
| 2023-07-01 | $4,037.93 | $86.40 | RVU23C |
| 2023-04-01 | $4,037.93 | $86.40 | RVU23B |
| 2023-01-01 | $4,037.93 | $86.40 | RVU23A |
| 2022-10-01 | $4,339.11 | $88.25 | RVU22D |
| 2022-07-01 | $4,339.11 | $88.25 | RVU22C |
| 2022-04-01 | $4,339.11 | $88.25 | RVU22B |
| 2022-01-01 | $4,339.11 | $88.25 | RVU22A |
| 2021-10-01 | $4,754.50 | $88.98 | RVU21D |
| 2021-07-01 | $4,754.50 | $88.98 | RVU21C |
| 2021-04-01 | $4,754.50 | $88.98 | RVU21B |
| 2021-01-01 | $4,754.50 | $88.98 | RVU21A |
| 2020-10-01 | $4,727.16 | $91.20 | RVU20D |
| 2020-07-01 | $4,727.16 | $91.20 | RVU20C |
| 2020-04-01 | $4,727.16 | $91.20 | RVU20B |
| 2020-01-01 | $4,727.16 | $91.20 | RVU20A |
| 2019-10-01 | $4,833.02 | $91.31 | RVU19D |
| 2019-07-01 | $4,833.02 | $91.31 | RVU19C |
| 2019-04-01 | $4,833.02 | $91.31 | RVU19B |
| 2019-01-01 | $4,833.02 | $91.31 | 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 Ohio rate applies
Ohio is a Medicare payment area, not a city. Our Census mapping connects it to 1265 cities and communities in Ohio. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Ada
- Adamsville
- Addyston
- Adelphi
- Adena
- Ai
- Akron
33285 billing questions
How is 33285 different from 33286?
33285 reports insertion and programming of a subcutaneous cardiac rhythm monitor. Code 33286 reports removal of an implanted monitor.
Is device programming included?
Yes. Programming at insertion is part of 33285; it is not a separate insertion service.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Medicare does not pay for an assistant at surgery for 33285. Co-surgeons and team surgery are not permitted.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
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
Fee sheets · Coming soon
Put 33285 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
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