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CMS RVU26D · Effective 2026-10-01

33286 in Chico

Office / nonfacility

$130.72

Base rate per service

Facility setting

$71.41

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.

Cardiology

About 33286: Subcutaneous cardiac monitor removal

Report 33286 when a clinician removes an implanted subcutaneous cardiac rhythm monitor, such as an implantable loop recorder, from its pocket.

A physician, often an electrophysiologist or cardiologist, removes an implanted subcutaneous cardiac rhythm monitor through an incision over the device. The clinician frees the monitor from the subcutaneous pocket, extracts it, and closes the incision. Removal may follow completion of diagnostic monitoring, battery depletion, or a decision to replace the device. The service is performed in office or facility settings where the implanted monitor can be removed.

Report 33286 for removal, not placement or device interrogation alone. Documentation should identify the implanted monitor, the reason for removal, and the work of extracting it. Pocket access, dissection, removal, and routine closure are part of the removal service. The 0-day global period includes same-day preoperative and postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 33286

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 RVU1.46 · 38%
  • Practice expense (office) RVU2.04 · 53%
  • Malpractice RVU0.36 · 9%

24.1K

Medicare services in 2024 · #1063 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.

33286 compared with similar codes

Office rates for Chico, from the same CMS release.

33285

Rhythm monitor

Subcutaneous insertion

$4,386.61

33285 is for placing a subcutaneous cardiac rhythm monitor; 33286 is for removing one. Report both when removal and replacement are performed and documented in the same session.

33272

Defibrillator removal

Subcutaneous system

No office rate

33272 removes a subcutaneous implantable defibrillator. Use 33286 for removal of a subcutaneous cardiac rhythm monitor, such as an implantable loop recorder.

33233

Pacemaker generator removal

Without replacement

No office rate

33233 removes a permanent pacemaker pulse generator. It does not describe removal of a subcutaneous cardiac rhythm monitor.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 33286 is $131.69—$0.97 higher than the $130.72 rate in Chico. Both use the same code, release and participation basis.

33286 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $130.72

  2. Bakersfield

    $131.69

    $0.97 higher than Chico

  3. El Centro

    $130.78

    $0.06 higher than Chico

  4. Fresno

    $130.72

    The same base rate than Chico

  5. Hanford-Corcoran

    $130.72

    The same base rate than Chico

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $139.36

    $8.64 higher than Chico

  7. Madera

    $130.72

    The same base rate than Chico

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 33286 ranges from $113.49 in Arkansas to $158.83 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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

  • Merced

    California · 33286

    Office

    $130.72

    Facility

    $71.41

    The same base rate than Chico for the office setting.

  • Modesto

    California · 33286

    Office

    $130.72

    Facility

    $71.41

    The same base rate than Chico for the office setting.

  • Napa

    California · 33286

    Office

    $147.75

    Facility

    $76.44

    $17.03 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 33286

    Office

    $138.16

    Facility

    $74.20

    $7.44 higher than Chico for the office setting.

  • Redding

    California · 33286

    Office

    $130.72

    Facility

    $71.41

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 33286

    Office

    $130.72

    Facility

    $71.41

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 33286

    Office

    $134.58

    Facility

    $75.27

    $3.86 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 33286

    Office

    $136.21

    Facility

    $73.28

    $5.49 higher than Chico for the office setting.

  • Salinas

    California · 33286

    Office

    $135.69

    Facility

    $72.98

    $4.97 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 33286

    Office

    $138.24

    Facility

    $73.52

    $7.52 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 33286

    Office

    $154.99

    Facility

    $78.70

    $24.27 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 33286

    Office

    $154.58

    Facility

    $78.29

    $23.86 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 33286

    Office

    $158.83

    Facility

    $80.80

    $28.11 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 33286

    Office

    $157.16

    Facility

    $79.13

    $26.44 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 33286

    Office

    $133.65

    Facility

    $72.02

    $2.93 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 33286

    Office

    $139.02

    Facility

    $73.28

    $8.30 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 33286

    Office

    $136.02

    Facility

    $72.93

    $5.30 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 33286

    Office

    $140.35

    Facility

    $73.90

    $9.63 higher than Chico for the office setting.

  • Stockton

    California · 33286

    Office

    $130.72

    Facility

    $71.41

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 33286

    Office

    $147.16

    Facility

    $75.85

    $16.44 higher than Chico for the office setting.

  • Visalia

    California · 33286

    Office

    $130.72

    Facility

    $71.41

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 33286

    Office

    $130.72

    Facility

    $71.41

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 33286

    Office

    $145.05

    Facility

    $81.31

    $14.33 higher than Chico for the office setting.

  • Miami

    Florida · 33286

    Office

    $150.11

    Facility

    $93.78

    $19.39 higher than Chico for the office setting.

  • Chicago

    Illinois · 33286

    Office

    $145.18

    Facility

    $90.80

    $14.46 higher than Chico for the office setting.

  • Manhattan

    New York · 33286

    Office

    $150.13

    Facility

    $87.26

    $19.41 higher than Chico for the office setting.

  • Alaska*

    Alaska · 33286

    Office

    $152.34

    Facility

    $94.71

    $21.62 higher than Chico for the office setting.

  • Alabama

    Alabama · 33286

    Office

    $115.19

    Facility

    $67.85

    $15.53 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 33286

    Office

    $113.49

    Facility

    $67.01

    $17.23 lower than Chico for the office setting.

  • Arizona

    Arizona · 33286

    Office

    $125.08

    Facility

    $72.65

    $5.64 lower than Chico for the office setting.

  • Colorado

    Colorado · 33286

    Office

    $131.24

    Facility

    $73.67

    $0.52 higher than Chico for the office setting.

  • Connecticut

    Connecticut · 33286

    Office

    $137.67

    Facility

    $79.40

    $6.95 higher than Chico for the office setting.

  • Delaware

    Delaware · 33286

    Office

    $127.14

    Facility

    $73.68

    $3.58 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 33286

    Office

    $139.53

    Facility

    $84.72

    $8.81 higher than Chico for the office setting.

  • Rest Of Florida

    Florida · 33286

    Office

    $131.98

    Facility

    $80.25

    $1.26 higher than Chico for the office setting.

  • Atlanta

    Georgia · 33286

    Office

    $132.58

    Facility

    $77.61

    $1.86 higher than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 33286

    Office

    $123.88

    Facility

    $75.61

    $6.84 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 33286

    Office

    $133.20

    Facility

    $71.68

    $2.48 higher than Chico for the office setting.

  • Iowa

    Iowa · 33286

    Office

    $115.89

    Facility

    $66.37

    $14.83 lower than Chico for the office setting.

  • Idaho

    Idaho · 33286

    Office

    $117.14

    Facility

    $67.36

    $13.58 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 33286

    Office

    $135.67

    Facility

    $85.89

    $4.95 higher than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 33286

    Office

    $129.77

    Facility

    $80.37

    $0.95 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 33286

    Office

    $140.39

    Facility

    $84.82

    $9.67 higher than Chico for the office setting.

  • Indiana

    Indiana · 33286

    Office

    $117.77

    Facility

    $67.61

    $12.95 lower than Chico for the office setting.

  • Kansas

    Kansas · 33286

    Office

    $116.42

    Facility

    $67.51

    $14.30 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 33286

    Office

    $120.34

    Facility

    $72.24

    $10.38 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 33286

    Office

    $126.54

    Facility

    $75.63

    $4.18 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 33286

    Office

    $120.59

    Facility

    $72.70

    $10.13 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 33286

    Office

    $142.82

    Facility

    $78.22

    $12.10 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 33286

    Office

    $130.88

    Facility

    $73.90

    $0.16 higher than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 33286

    Office

    $137.53

    Facility

    $79.47

    $6.81 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 33286

    Office

    $129.25

    Facility

    $74.49

    $1.47 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 33286

    Office

    $118.93

    Facility

    $69.15

    $11.79 lower than Chico for the office setting.

  • Southern Maine

    Maine · 33286

    Office

    $123.88

    Facility

    $70.25

    $6.84 lower than Chico for the office setting.

  • Detroit

    Michigan · 33286

    Office

    $134.79

    Facility

    $82.58

    $4.07 higher than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 33286

    Office

    $124.55

    Facility

    $75.15

    $6.17 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 33286

    Office

    $122.44

    Facility

    $66.76

    $8.28 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 33286

    Office

    $124.49

    Facility

    $73.69

    $6.23 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 33286

    Office

    $125.68

    Facility

    $74.17

    $5.04 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 33286

    Office

    $119.21

    Facility

    $72.57

    $11.51 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 33286

    Office

    $116.32

    Facility

    $69.73

    $14.40 lower than Chico for the office setting.

  • Montana**

    Montana · 33286

    Office

    $128.90

    Facility

    $74.79

    $1.82 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 33286

    Office

    $120.02

    Facility

    $69.54

    $10.70 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 33286

    Office

    $121.79

    Facility

    $67.68

    $8.93 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 33286

    Office

    $116.20

    Facility

    $66.26

    $14.52 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 33286

    Office

    $130.22

    Facility

    $73.89

    $0.50 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 33286

    Office

    $143.72

    Facility

    $80.95

    $13.00 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 33286

    Office

    $138.31

    Facility

    $79.23

    $7.59 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 33286

    Office

    $125.69

    Facility

    $76.07

    $5.03 lower than Chico for the office setting.

  • Nevada**

    Nevada · 33286

    Office

    $126.99

    Facility

    $72.82

    $3.73 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 33286

    Office

    $155.23

    Facility

    $90.90

    $24.51 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 33286

    Office

    $140.12

    Facility

    $80.87

    $9.40 higher than Chico for the office setting.

  • Queens

    New York · 33286

    Office

    $149.76

    Facility

    $85.81

    $19.04 higher than Chico for the office setting.

  • Rest Of New York

    New York · 33286

    Office

    $121.95

    Facility

    $70.55

    $8.77 lower than Chico for the office setting.

  • Ohio

    Ohio · 33286

    Office

    $123.10

    Facility

    $73.69

    $7.62 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 33286

    Office

    $118.96

    Facility

    $70.64

    $11.76 lower than Chico for the office setting.

  • Portland

    Oregon · 33286

    Office

    $134.19

    Facility

    $74.08

    $3.47 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 33286

    Office

    $125.08

    Facility

    $71.19

    $5.64 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 33286

    Office

    $134.92

    Facility

    $78.59

    $4.20 higher than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 33286

    Office

    $122.68

    Facility

    $73.01

    $8.04 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 33286

    Office

    $129.50

    Facility

    $74.79

    $1.22 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 33286

    Office

    $130.80

    Facility

    $74.91

    $0.08 higher than Chico for the office setting.

  • South Carolina

    South Carolina · 33286

    Office

    $121.95

    Facility

    $71.95

    $8.77 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 33286

    Office

    $120.94

    Facility

    $66.83

    $9.78 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 33286

    Office

    $117.16

    Facility

    $67.97

    $13.56 lower than Chico for the office setting.

  • Austin

    Texas · 33286

    Office

    $131.61

    Facility

    $74.36

    $0.89 higher than Chico for the office setting.

  • Beaumont

    Texas · 33286

    Office

    $121.94

    Facility

    $72.70

    $8.78 lower than Chico for the office setting.

  • Brazoria

    Texas · 33286

    Office

    $126.06

    Facility

    $72.44

    $4.66 lower than Chico for the office setting.

  • Dallas

    Texas · 33286

    Office

    $127.39

    Facility

    $73.49

    $3.33 lower than Chico for the office setting.

  • Fort Worth

    Texas · 33286

    Office

    $126.86

    Facility

    $73.51

    $3.86 lower than Chico for the office setting.

  • Galveston

    Texas · 33286

    Office

    $126.77

    Facility

    $73.04

    $3.95 lower than Chico for the office setting.

  • Houston

    Texas · 33286

    Office

    $133.36

    Facility

    $79.63

    $2.64 higher than Chico for the office setting.

  • Rest Of Texas

    Texas · 33286

    Office

    $124.29

    Facility

    $72.94

    $6.43 lower than Chico for the office setting.

  • Utah

    Utah · 33286

    Office

    $123.61

    Facility

    $72.75

    $7.11 lower than Chico for the office setting.

  • Virginia

    Virginia · 33286

    Office

    $124.23

    Facility

    $71.04

    $6.49 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 33286

    Office

    $129.50

    Facility

    $74.79

    $1.22 lower than Chico for the office setting.

  • Vermont

    Vermont · 33286

    Office

    $122.31

    Facility

    $68.74

    $8.41 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 33286

    Office

    $130.30

    Facility

    $73.32

    $0.42 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 33286

    Office

    $144.63

    Facility

    $78.24

    $13.91 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 33286

    Office

    $117.74

    Facility

    $65.91

    $12.98 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 33286

    Office

    $125.18

    Facility

    $78.16

    $5.54 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 33286

    Office

    $125.80

    Facility

    $71.69

    $4.92 lower than Chico for the office setting.

See how rates vary across the country

33286 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$113.49

$152.34

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$152.341
AL$115.191
AR$113.491
AZ$125.081
CA$130.72–$158.8329
CO$131.241
CT$137.671
DC$145.051
DE$127.141
FL$131.98–$150.113
GA$123.88–$132.582
GU$133.201
HI$133.201
IA$115.891
ID$117.141
IL$129.77–$145.184
IN$117.771
KS$116.421
KY$120.341
LA$120.59–$126.542
MA$130.88–$142.822
MD$129.25–$145.053
ME$118.93–$123.882
MI$124.55–$134.792
MN$122.441
MO$119.21–$125.683
MS$116.321
MT$128.901
NC$120.021
ND$121.791
NE$116.201
NH$130.221
NJ$138.31–$143.722
NM$125.691
NV$126.991
NY$121.95–$155.235
OH$123.101
OK$118.961
OR$125.08–$134.192
PA$122.68–$134.922
PR$129.501
RI$130.801
SC$121.951
SD$120.941
TN$117.161
TX$121.94–$133.368
UT$123.611
VA$124.23–$145.052
VI$129.501
VT$122.311
WA$130.30–$144.632
WI$117.741
WV$125.181
WY$125.801

Explore 33286 on the national rate map →

Where does this rate apply?

Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 33286 in Chico, the physician’s office rate is $130.72 and the facility-setting rate is $71.41: a difference of $59.31.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 33286 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$143.79

$130.72 × 110% = $143.79

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.

Compare your contract offer →

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 33286 in Chico.

PPRRVU2026_Oct_nonQPP.csv

3,906

Code
33286
Physician work
1.46
Practice expense
2.04
Malpractice
0.36

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 33286 in Chico
ComponentRVULocality factorAdjusted
Physician work1.46× 1.0171.4848
Practice expense2.04× 1.0962.2358
Malpractice0.36× 0.5360.1930
Total RVUs3.9136
Conversion factor× 33.4009

Office / nonfacility rate, Chico$130.72

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 33286 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.461.017
Practice expense2.041.096
Malpractice0.360.536

(1.46 × 1.017 + 2.04 × 1.096 + 0.36 × 0.536) × $33.4009 = $130.72

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.461.017
Practice expense0.421.096
Malpractice0.360.536

(1.46 × 1.017 + 0.42 × 1.096 + 0.36 × 0.536) × $33.4009 = $71.41

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

33286 · Office / nonfacility

$130.72

Effective 2026-10-01

The base rate is $5.01 higher than on 2025-10-01, moving from $125.71 to $130.72 (4.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $125.71changed to$130.72

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.50 changed to 1.46
    • Practice expense RVU 1.99 changed to 2.04
    • Malpractice RVU 0.34 changed to 0.36
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $125.71

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$130.72$71.41RVU26D
2026-07-01$130.72$71.41RVU26C
2026-04-01$130.72$71.41RVU26B
2026-01-01$130.72$71.41RVU26A
2025-10-01$125.71$79.75RVU25D
2025-07-01$125.71$79.75RVU25C
2025-04-01$125.71$79.75RVU25B
2025-01-01$125.71$79.75RVU25A

33286 billing questions

When should 33286 be chosen instead of 33285?

Use 33286 for removal of an implanted subcutaneous cardiac rhythm monitor. Use 33285 for placement; when an old monitor is removed and a new one placed in the same session, both services may be reported when supported.

Is routine pocket closure separately reported?

Routine access, pocket dissection, extraction, and closure are part of the removal service. Separate reporting requires a distinct, separately supported service.

Can modifier 50 be used when monitors are removed from both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What does the 0-day global period include?

Same-day preoperative and postoperative care is included in the procedure.

How is 33286 paid when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the others at 50%. The assistant-at-surgery statutory restriction applies, and 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 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.

RVUs for 33286PPRRVU2026_Oct_nonQPP.csv, line 3,906 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet