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Billing code 33211: Temporary pacingMedicare rate & RVUs

Report temporary transvenous dual-chamber pacing lead placement when acute bradycardia or conduction block requires temporary atrial and ventricular pacing.

CMS RVU26DEffective Oct 1, 2026109 payment localities111 Medicare services in 2024

Medicare pays $145.63 for 33211 nationally in a facility.

Medicare rate · 33211

Temporary pacing

Swap in your local Medicare rate.

Work RVUs
3.06
Total RVUs
4.36
Global days
000

National rate · 2026

$145.63

Facility setting, before claim adjustments.

See every locality for 33211 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 33211 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33211 covers

This service places or replaces temporary pacing electrodes through the venous system to support pacing in both the right atrium and right ventricle. Cardiologists and electrophysiologists commonly perform it in a hospital procedure room, catheterization laboratory, or other acute-care setting for symptomatic bradycardia or significant conduction block when temporary AV-sequential pacing is needed. The electrodes connect to an external pacing source rather than a permanently implanted pulse generator.

Choose this code when the documented temporary pacing setup uses dual-chamber electrodes; a single-chamber temporary setup is reported differently. The procedure note should support the temporary indication, electrode placement, and dual-chamber configuration. CMS assigns a 0-day global period, including same-day preoperative and 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 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, 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.

Where 33211 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33211 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$133.29
Alaska*Unavailable$188.05
ArizonaUnavailable$141.75
ArkansasUnavailable$131.81
AtlantaUnavailable$150.77
AustinUnavailable$144.50
BakersfieldUnavailable$140.84
Baltimore/Surr. CntysUnavailable$154.10
BeaumontUnavailable$142.15
BrazoriaUnavailable$141.33

33211 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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
33211 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 33211 rate is calculated

Each of 33211’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 · 33211

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 3.06Practice expense 0.63Malpractice 0.67

4.3600 adjusted RVUs×$33.4009 conversion factor=$145.63

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 33211

The CMS indicators that decide how 33211 is paid alongside other services.

CMS payment indicators · 33211

Temporary pacing

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33211 without 51 · national facility

$145.63

Temporary pacing

33211-51 · Second procedure: 50%

$72.82

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%).

When to use modifier 51

33211 compared with similar codes

Compare codes

33211 vs 33210 vs 33208 vs 33206 vs 33207: national Medicare rates

Swap in your local Medicare rate.

  • 33211
    Temporary pacing · 3.06 wRVU
    —
  • 33210
    Temporary pacing · 2.97 wRVU
    —
  • 33208
    Pacemaker implant · 8.31 wRVU
    —
  • 33206
    Pacemaker implant · 6.96 wRVU
    —
  • 33207
    Pacemaker insertion · 7.61 wRVU
    —

How to choose

33210Temporary pacing
33210 describes temporary single-chamber transvenous pacing. Choose 33211 when temporary pacing uses dual-chamber electrodes.
33208Pacemaker implant
33208 is for implantation of a permanent dual-chamber pacemaker system. Use 33211 for temporary transvenous dual-chamber pacing electrodes.
33206Pacemaker implant
33206 covers permanent atrial pacemaker implantation, not temporary dual-chamber pacing electrode placement.
33207Pacemaker insertion
33207 covers permanent ventricular pacemaker implantation, not temporary pacing with both atrial and ventricular electrodes.

Codes related to 33211

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

Codes related to 33211
CodeHow it relatesNational office range
Same family
33210Temporary pacingTemporary transvenous pacing with a single-chamber electrode setup.No office rate
Used instead
33208Pacemaker implantPermanent dual-chamber pacemaker system implantation rather than temporary pacing.No office rate
33206Pacemaker implantPermanent atrial pacemaker implantation when a single-chamber permanent system is appropriate.No office rate
33207Pacemaker insertionPermanent ventricular pacemaker implantation when a single-chamber permanent system is appropriate.No office rate

33211 billing questions

How does 33211 differ from 33210?

33211 represents a temporary dual-chamber pacing setup with atrial and ventricular electrodes. Use 33210 for a temporary single-chamber setup.

Is this code for a permanent pacemaker implant?

No. It covers temporary transvenous pacing electrodes. Permanent dual-chamber pacemaker system implantation is represented by 33208.

What documentation supports reporting 33211?

Document the acute need for temporary pacing, transvenous electrode placement, and the dual-chamber configuration. The record should distinguish the service from single-chamber temporary pacing.

Should modifier 50 be appended for bilateral pacing?

No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 does not describe the service.

Can an assistant surgeon be paid for this procedure?

CMS applies a statutory restriction, so assistant-at-surgery payment is not allowed for this code. Co-surgeons and team surgery are also not permitted.

How does CMS handle another procedure performed in the same session?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.

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
RVUs for 33211PPRRVU2026_Oct_nonQPP.csv, line 3,840 (RVU26D)

Open CMS sourceHow we calculate rates

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