No office rate
Use 33217 for two transvenous electrodes and 33216 for one. The operative report should support the number inserted.
On this page
CMS RVU26D · Effective 2026-10-01
33217 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$317.81
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiac device surgery
About 33217: Two transvenous pacing-defibrillation leads
Report this service for placement of two transvenous electrodes for a permanent pacemaker or implantable defibrillator when lead insertion is coded separately.
This procedure places two electrodes through the venous system for a permanent pacing or defibrillation system. A cardiac electrophysiologist or other qualified physician typically performs it in a hospital or electrophysiology setting. The code represents electrode insertion, not the pulse generator; it is distinct from a complete-system implantation code. The two leads may serve the system’s required sensing, pacing, or defibrillation functions, depending on the device and clinical plan.
Select the code based on the number of electrodes inserted and whether the service is lead-only work rather than implantation of a complete system. The operative report should identify the permanent device type, the number of transvenous electrodes placed, and the procedure performed. 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 others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 33217
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.45 · 55%
- Practice expense (office) RVU3.15 · 32%
- Malpractice RVU1.29 · 13%
391
Medicare services in 2024 · #3756 by national volume
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.
33217 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
33208 represents implantation of a complete dual-chamber pacemaker system. This code is for two electrodes when lead insertion is reported separately, not a substitute for coding a complete system.
No office rate
33249 represents a complete transvenous implantable defibrillator system insertion or replacement. Use 33217 for two electrode insertions only when the documented service is separately coded lead work.
No office rate
33211 concerns temporary dual-electrode transvenous pacing. This code concerns electrodes for a permanent pacemaker or implantable defibrillator.
The same code, a different location
How does Beaumont compare?
33217 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 33217
Office
Unavailable
Facility
$320.79
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 33217
Office
Unavailable
Facility
$342.57
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33217
Office
Unavailable
Facility
$363.76
No comparable office rate is available.
Miami
Florida · 33217
Office
Unavailable
Facility
$400.53
No comparable office rate is available.
Chicago
Illinois · 33217
Office
Unavailable
Facility
$387.93
No comparable office rate is available.
Manhattan
New York · 33217
Office
Unavailable
Facility
$384.28
No comparable office rate is available.
Alaska*
Alaska · 33217
Office
Unavailable
Facility
$408.85
No comparable office rate is available.
Alabama
Alabama · 33217
Office
Unavailable
Facility
$298.48
No comparable office rate is available.
Arkansas
Arkansas · 33217
Office
Unavailable
Facility
$294.60
No comparable office rate is available.
Arizona
Arizona · 33217
Office
Unavailable
Facility
$320.87
No comparable office rate is available.
Bakersfield
California · 33217
Office
Unavailable
Facility
$327.05
No comparable office rate is available.
Chico
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
El Centro
California · 33217
Office
Unavailable
Facility
$323.75
No comparable office rate is available.
Fresno
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Hanford-Corcoran
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Madera
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Merced
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Modesto
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Napa
California · 33217
Office
Unavailable
Facility
$354.06
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33217
Office
Unavailable
Facility
$338.34
No comparable office rate is available.
Redding
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Rest Of California
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33217
Office
Unavailable
Facility
$337.38
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33217
Office
Unavailable
Facility
$334.05
No comparable office rate is available.
Salinas
California · 33217
Office
Unavailable
Facility
$332.71
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33217
Office
Unavailable
Facility
$336.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33217
Office
Unavailable
Facility
$367.46
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33217
Office
Unavailable
Facility
$365.99
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33217
Office
Unavailable
Facility
$376.87
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33217
Office
Unavailable
Facility
$370.88
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33217
Office
Unavailable
Facility
$328.06
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33217
Office
Unavailable
Facility
$336.79
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33217
Office
Unavailable
Facility
$332.90
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33217
Office
Unavailable
Facility
$339.79
No comparable office rate is available.
Stockton
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Vallejo
California · 33217
Office
Unavailable
Facility
$351.95
No comparable office rate is available.
Visalia
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Yuba City
California · 33217
Office
Unavailable
Facility
$323.54
No comparable office rate is available.
Colorado
Colorado · 33217
Office
Unavailable
Facility
$329.82
No comparable office rate is available.
Connecticut
Connecticut · 33217
Office
Unavailable
Facility
$351.13
No comparable office rate is available.
Delaware
Delaware · 33217
Office
Unavailable
Facility
$325.63
No comparable office rate is available.
Fort Lauderdale
Florida · 33217
Office
Unavailable
Facility
$366.52
No comparable office rate is available.
Rest Of Florida
Florida · 33217
Office
Unavailable
Facility
$347.38
No comparable office rate is available.
Atlanta
Georgia · 33217
Office
Unavailable
Facility
$341.22
No comparable office rate is available.
Rest Of Georgia
Georgia · 33217
Office
Unavailable
Facility
$327.24
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33217
Office
Unavailable
Facility
$326.61
No comparable office rate is available.
Iowa
Iowa · 33217
Office
Unavailable
Facility
$295.41
No comparable office rate is available.
Idaho
Idaho · 33217
Office
Unavailable
Facility
$299.21
No comparable office rate is available.
East St. Louis
Illinois · 33217
Office
Unavailable
Facility
$365.61
No comparable office rate is available.
Rest Of Illinois
Illinois · 33217
Office
Unavailable
Facility
$345.44
No comparable office rate is available.
Suburban Chicago
Illinois · 33217
Office
Unavailable
Facility
$367.71
No comparable office rate is available.
Indiana
Indiana · 33217
Office
Unavailable
Facility
$300.51
No comparable office rate is available.
Kansas
Kansas · 33217
Office
Unavailable
Facility
$298.86
No comparable office rate is available.
Kentucky
Kentucky · 33217
Office
Unavailable
Facility
$314.99
No comparable office rate is available.
New Orleans
Louisiana · 33217
Office
Unavailable
Facility
$329.99
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33217
Office
Unavailable
Facility
$316.43
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33217
Office
Unavailable
Facility
$353.47
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33217
Office
Unavailable
Facility
$330.08
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33217
Office
Unavailable
Facility
$351.14
No comparable office rate is available.
Rest Of Maryland
Maryland · 33217
Office
Unavailable
Facility
$329.88
No comparable office rate is available.
Rest Of Maine
Maine · 33217
Office
Unavailable
Facility
$305.63
No comparable office rate is available.
Southern Maine
Maine · 33217
Office
Unavailable
Facility
$313.49
No comparable office rate is available.
Detroit
Michigan · 33217
Office
Unavailable
Facility
$356.21
No comparable office rate is available.
Rest Of Michigan
Michigan · 33217
Office
Unavailable
Facility
$326.74
No comparable office rate is available.
Minnesota
Minnesota · 33217
Office
Unavailable
Facility
$303.05
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33217
Office
Unavailable
Facility
$322.93
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33217
Office
Unavailable
Facility
$325.37
No comparable office rate is available.
Rest Of Missouri
Missouri · 33217
Office
Unavailable
Facility
$314.70
No comparable office rate is available.
Mississippi
Mississippi · 33217
Office
Unavailable
Facility
$304.46
No comparable office rate is available.
Montana**
Montana · 33217
Office
Unavailable
Facility
$330.25
No comparable office rate is available.
North Carolina
North Carolina · 33217
Office
Unavailable
Facility
$307.73
No comparable office rate is available.
North Dakota**
North Dakota · 33217
Office
Unavailable
Facility
$304.74
No comparable office rate is available.
Nebraska
Nebraska · 33217
Office
Unavailable
Facility
$295.43
No comparable office rate is available.
New Hampshire
New Hampshire · 33217
Office
Unavailable
Facility
$329.26
No comparable office rate is available.
Northern Nj
New Jersey · 33217
Office
Unavailable
Facility
$361.57
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33217
Office
Unavailable
Facility
$351.48
No comparable office rate is available.
New Mexico
New Mexico · 33217
Office
Unavailable
Facility
$330.26
No comparable office rate is available.
Nevada**
Nevada · 33217
Office
Unavailable
Facility
$323.24
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33217
Office
Unavailable
Facility
$398.80
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33217
Office
Unavailable
Facility
$357.57
No comparable office rate is available.
Queens
New York · 33217
Office
Unavailable
Facility
$380.18
No comparable office rate is available.
Rest Of New York
New York · 33217
Office
Unavailable
Facility
$312.28
No comparable office rate is available.
Ohio
Ohio · 33217
Office
Unavailable
Facility
$321.53
No comparable office rate is available.
Oklahoma
Oklahoma · 33217
Office
Unavailable
Facility
$309.47
No comparable office rate is available.
Portland
Oregon · 33217
Office
Unavailable
Facility
$333.90
No comparable office rate is available.
Rest Of Oregon
Oregon · 33217
Office
Unavailable
Facility
$317.12
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33217
Office
Unavailable
Facility
$346.24
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33217
Office
Unavailable
Facility
$319.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33217
Office
Unavailable
Facility
$330.85
No comparable office rate is available.
Rhode Island
Rhode Island · 33217
Office
Unavailable
Facility
$332.61
No comparable office rate is available.
South Carolina
South Carolina · 33217
Office
Unavailable
Facility
$315.88
No comparable office rate is available.
South Dakota**
South Dakota · 33217
Office
Unavailable
Facility
$301.73
No comparable office rate is available.
Tennessee
Tennessee · 33217
Office
Unavailable
Facility
$300.81
No comparable office rate is available.
Utah
Utah · 33217
Office
Unavailable
Facility
$319.63
No comparable office rate is available.
Virginia
Virginia · 33217
Office
Unavailable
Facility
$315.88
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33217
Office
Unavailable
Facility
$330.85
No comparable office rate is available.
Vermont
Vermont · 33217
Office
Unavailable
Facility
$308.00
No comparable office rate is available.
Rest Of Washington
Washington · 33217
Office
Unavailable
Facility
$327.98
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33217
Office
Unavailable
Facility
$355.44
No comparable office rate is available.
Wisconsin
Wisconsin · 33217
Office
Unavailable
Facility
$296.10
No comparable office rate is available.
West Virginia
West Virginia · 33217
Office
Unavailable
Facility
$335.12
No comparable office rate is available.
Wyoming**
Wyoming · 33217
Office
Unavailable
Facility
$319.13
No comparable office rate is available.
See how rates vary across the country
33217 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33217 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$349.59
$317.81 × 110% = $349.59
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33217 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
3,846
- Code
- 33217
- Physician work
- 5.45
- Practice expense
- 3.15
- Malpractice
- 1.29
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.45 | × 1.000 | 5.4500 |
| Practice expense | 3.15 | × 0.910 | 2.8665 |
| Malpractice | 1.29 | × 0.929 | 1.1984 |
| Total RVUs | 9.5149 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$317.81
Open 33217 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.45 | 1 |
| Practice expense | 3.15 | 0.91 |
| Malpractice | 1.29 | 0.929 |
(5.45 × 1 + 3.15 × 0.91 + 1.29 × 0.929) × $33.4009 = $317.81
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
33217 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $317.81 | RVU26D |
| 2026-07-01 | Not available in this setting | $317.81 | RVU26C |
| 2026-04-01 | Not available in this setting | $317.81 | RVU26B |
| 2026-01-01 | Not available in this setting | $317.81 | RVU26A |
| 2025-10-01 | Not available in this setting | $339.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $339.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $339.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $339.48 | RVU25A |
33217 billing questions
How does this differ from code 33216?
Code 33217 represents insertion of two transvenous electrodes for a permanent pacemaker or implantable defibrillator. Code 33216 is the corresponding one-electrode service.
Does this code include the pulse generator?
No. It describes insertion of two electrodes, not the generator. Code the generator service separately only when the documented procedure and applicable code descriptor support it.
Should this be reported for a complete pacemaker implantation?
When the physician implants a complete dual-chamber pacemaker system, consider the complete-system code, such as 33208, rather than separately coding lead placement as though it were a lead-only procedure.
Can modifier 50 be used for two leads?
No. Two electrodes are part of the service represented by this code; CMS indicates that bilateral adjustment is inappropriate.
What documentation supports reporting two electrodes?
The operative report should establish that two transvenous electrodes were inserted for a permanent pacemaker or implantable defibrillator. It should distinguish lead insertion from repositioning or repair of existing leads.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to the reduction when performed in the same session.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,84333214,,Upgrade of pacemaker system,A,,7.40,3.63,NA,3.63,,1.71,12.74,12.74,0,090,0.09,0.84,0.07,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84433215,,Reposition pacing-defib lead,A,,4.80,2.30,NA,2.30,,1.14,8.24,8.24,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84533216,,Insert 1 electrode pm-defib,A,,5.48,3.15,NA,3.15,,1.29,9.92,9.92,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84633217,,Insert 2 electrode pm-defib,A,,5.45,3.15,NA,3.15,,1.29,9.89,9.89,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84733218,,Repair lead pace-defib one,A,,5.67,3.43,NA,3.43,,1.33,10.43,10.43,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8483321F,,Ajcc cncr 0/ia melan docd,M,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84933220,,Repair lead pace-defib dual,A,,5.75,3.11,NA,3.11,,1.36,10.22,10.22,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871