No office rate
33206 is for an atrial-only transvenous pacing system. 33207 is for a ventricular-only system.
On this page
CMS RVU26D · Effective 2026-10-01
33207 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$409.64
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 procedure
About 33207: Permanent ventricular pacemaker implantation
Reports implantation or replacement of a permanent pacemaker system using transvenous ventricular lead placement without an atrial lead.
This service covers implantation or replacement of a permanent pacemaker system configured for ventricular pacing, with a transvenous lead positioned in the ventricle and a pulse generator placed in a pocket. Electrophysiologists and other physicians with cardiac device expertise commonly perform it in a hospital electrophysiology or catheterization lab. A typical clinical situation is bradycardia requiring permanent pacing in a patient with permanent atrial fibrillation, where an atrial lead is not part of the planned system.
Select this code when the procedure establishes or replaces a permanent ventricular-only transvenous pacing system; the operative report should support the system configuration and lead placement. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 33207
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.61 · 60%
- Practice expense (office) RVU3.25 · 26%
- Malpractice RVU1.78 · 14%
9K
Medicare services in 2024 · #1529 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.
33207 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
33208 describes a system with both atrial and ventricular leads; 33207 is limited to ventricular pacing.
No office rate
Use 33227 for generator removal and replacement in a single-lead system when retaining the lead, rather than replacing or implanting the ventricular system represented by 33207.
No office rate
33210 is for temporary transvenous pacing catheter placement, not implantation of a permanent ventricular pacemaker system.
The same code, a different location
How does El Centro compare?
33207 across payment areas
Same release and payment basis · bars start at $0
El Centro · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 33207
Office
Unavailable
Facility
$409.34
No comparable office rate is available.
Modesto
California · 33207
Office
Unavailable
Facility
$409.34
No comparable office rate is available.
Napa
California · 33207
Office
Unavailable
Facility
$443.47
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33207
Office
Unavailable
Facility
$426.65
No comparable office rate is available.
Redding
California · 33207
Office
Unavailable
Facility
$409.34
No comparable office rate is available.
Rest Of California
California · 33207
Office
Unavailable
Facility
$409.34
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33207
Office
Unavailable
Facility
$428.44
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33207
Office
Unavailable
Facility
$421.45
No comparable office rate is available.
Salinas
California · 33207
Office
Unavailable
Facility
$419.74
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33207
Office
Unavailable
Facility
$423.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33207
Office
Unavailable
Facility
$458.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33207
Office
Unavailable
Facility
$456.66
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33207
Office
Unavailable
Facility
$470.54
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33207
Office
Unavailable
Facility
$462.28
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33207
Office
Unavailable
Facility
$414.01
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33207
Office
Unavailable
Facility
$423.28
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33207
Office
Unavailable
Facility
$419.74
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33207
Office
Unavailable
Facility
$426.98
No comparable office rate is available.
Stockton
California · 33207
Office
Unavailable
Facility
$409.34
No comparable office rate is available.
Vallejo
California · 33207
Office
Unavailable
Facility
$440.56
No comparable office rate is available.
Visalia
California · 33207
Office
Unavailable
Facility
$409.34
No comparable office rate is available.
Yuba City
California · 33207
Office
Unavailable
Facility
$409.34
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33207
Office
Unavailable
Facility
$461.95
No comparable office rate is available.
Miami
Florida · 33207
Office
Unavailable
Facility
$517.54
No comparable office rate is available.
Chicago
Illinois · 33207
Office
Unavailable
Facility
$501.50
No comparable office rate is available.
Manhattan
New York · 33207
Office
Unavailable
Facility
$490.88
No comparable office rate is available.
Alaska*
Alaska · 33207
Office
Unavailable
Facility
$529.64
No comparable office rate is available.
Alabama
Alabama · 33207
Office
Unavailable
Facility
$382.82
No comparable office rate is available.
Arkansas
Arkansas · 33207
Office
Unavailable
Facility
$378.05
No comparable office rate is available.
Arizona
Arizona · 33207
Office
Unavailable
Facility
$410.26
No comparable office rate is available.
Colorado
Colorado · 33207
Office
Unavailable
Facility
$419.16
No comparable office rate is available.
Connecticut
Connecticut · 33207
Office
Unavailable
Facility
$448.11
No comparable office rate is available.
Delaware
Delaware · 33207
Office
Unavailable
Facility
$416.15
No comparable office rate is available.
Fort Lauderdale
Florida · 33207
Office
Unavailable
Facility
$471.64
No comparable office rate is available.
Rest Of Florida
Florida · 33207
Office
Unavailable
Facility
$447.32
No comparable office rate is available.
Atlanta
Georgia · 33207
Office
Unavailable
Facility
$436.64
No comparable office rate is available.
Rest Of Georgia
Georgia · 33207
Office
Unavailable
Facility
$421.88
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33207
Office
Unavailable
Facility
$412.03
No comparable office rate is available.
Iowa
Iowa · 33207
Office
Unavailable
Facility
$377.11
No comparable office rate is available.
Idaho
Idaho · 33207
Office
Unavailable
Facility
$382.17
No comparable office rate is available.
East St. Louis
Illinois · 33207
Office
Unavailable
Facility
$473.79
No comparable office rate is available.
Rest Of Illinois
Illinois · 33207
Office
Unavailable
Facility
$446.22
No comparable office rate is available.
Suburban Chicago
Illinois · 33207
Office
Unavailable
Facility
$472.80
No comparable office rate is available.
Indiana
Indiana · 33207
Office
Unavailable
Facility
$383.70
No comparable office rate is available.
Kansas
Kansas · 33207
Office
Unavailable
Facility
$382.28
No comparable office rate is available.
Kentucky
Kentucky · 33207
Office
Unavailable
Facility
$405.08
No comparable office rate is available.
New Orleans
Louisiana · 33207
Office
Unavailable
Facility
$423.87
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33207
Office
Unavailable
Facility
$407.21
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33207
Office
Unavailable
Facility
$447.13
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33207
Office
Unavailable
Facility
$419.94
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33207
Office
Unavailable
Facility
$448.27
No comparable office rate is available.
Rest Of Maryland
Maryland · 33207
Office
Unavailable
Facility
$421.16
No comparable office rate is available.
Rest Of Maine
Maine · 33207
Office
Unavailable
Facility
$391.03
No comparable office rate is available.
Southern Maine
Maine · 33207
Office
Unavailable
Facility
$399.27
No comparable office rate is available.
Detroit
Michigan · 33207
Office
Unavailable
Facility
$459.17
No comparable office rate is available.
Rest Of Michigan
Michigan · 33207
Office
Unavailable
Facility
$420.41
No comparable office rate is available.
Minnesota
Minnesota · 33207
Office
Unavailable
Facility
$383.48
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33207
Office
Unavailable
Facility
$414.20
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33207
Office
Unavailable
Facility
$417.10
No comparable office rate is available.
Rest Of Missouri
Missouri · 33207
Office
Unavailable
Facility
$405.66
No comparable office rate is available.
Mississippi
Mississippi · 33207
Office
Unavailable
Facility
$391.58
No comparable office rate is available.
Montana**
Montana · 33207
Office
Unavailable
Facility
$422.07
No comparable office rate is available.
North Carolina
North Carolina · 33207
Office
Unavailable
Facility
$393.45
No comparable office rate is available.
North Dakota**
North Dakota · 33207
Office
Unavailable
Facility
$386.87
No comparable office rate is available.
Nebraska
Nebraska · 33207
Office
Unavailable
Facility
$376.85
No comparable office rate is available.
New Hampshire
New Hampshire · 33207
Office
Unavailable
Facility
$419.21
No comparable office rate is available.
Northern Nj
New Jersey · 33207
Office
Unavailable
Facility
$459.61
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33207
Office
Unavailable
Facility
$448.11
No comparable office rate is available.
New Mexico
New Mexico · 33207
Office
Unavailable
Facility
$425.13
No comparable office rate is available.
Nevada**
Nevada · 33207
Office
Unavailable
Facility
$412.37
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33207
Office
Unavailable
Facility
$509.92
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33207
Office
Unavailable
Facility
$456.42
No comparable office rate is available.
Queens
New York · 33207
Office
Unavailable
Facility
$484.49
No comparable office rate is available.
Rest Of New York
New York · 33207
Office
Unavailable
Facility
$399.10
No comparable office rate is available.
Ohio
Ohio · 33207
Office
Unavailable
Facility
$413.22
No comparable office rate is available.
Oklahoma
Oklahoma · 33207
Office
Unavailable
Facility
$397.31
No comparable office rate is available.
Portland
Oregon · 33207
Office
Unavailable
Facility
$423.08
No comparable office rate is available.
Rest Of Oregon
Oregon · 33207
Office
Unavailable
Facility
$404.10
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33207
Office
Unavailable
Facility
$442.69
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33207
Office
Unavailable
Facility
$410.02
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33207
Office
Unavailable
Facility
$422.49
No comparable office rate is available.
Rhode Island
Rhode Island · 33207
Office
Unavailable
Facility
$424.18
No comparable office rate is available.
South Carolina
South Carolina · 33207
Office
Unavailable
Facility
$405.02
No comparable office rate is available.
South Dakota**
South Dakota · 33207
Office
Unavailable
Facility
$382.71
No comparable office rate is available.
Tennessee
Tennessee · 33207
Office
Unavailable
Facility
$384.78
No comparable office rate is available.
Austin
Texas · 33207
Office
Unavailable
Facility
$422.21
No comparable office rate is available.
Beaumont
Texas · 33207
Office
Unavailable
Facility
$408.20
No comparable office rate is available.
Brazoria
Texas · 33207
Office
Unavailable
Facility
$410.16
No comparable office rate is available.
Dallas
Texas · 33207
Office
Unavailable
Facility
$415.60
No comparable office rate is available.
Fort Worth
Texas · 33207
Office
Unavailable
Facility
$415.29
No comparable office rate is available.
Galveston
Texas · 33207
Office
Unavailable
Facility
$413.23
No comparable office rate is available.
Houston
Texas · 33207
Office
Unavailable
Facility
$445.82
No comparable office rate is available.
Rest Of Texas
Texas · 33207
Office
Unavailable
Facility
$410.88
No comparable office rate is available.
Utah
Utah · 33207
Office
Unavailable
Facility
$409.61
No comparable office rate is available.
Virginia
Virginia · 33207
Office
Unavailable
Facility
$402.86
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33207
Office
Unavailable
Facility
$422.49
No comparable office rate is available.
Vermont
Vermont · 33207
Office
Unavailable
Facility
$391.73
No comparable office rate is available.
Rest Of Washington
Washington · 33207
Office
Unavailable
Facility
$417.04
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33207
Office
Unavailable
Facility
$448.66
No comparable office rate is available.
Wisconsin
Wisconsin · 33207
Office
Unavailable
Facility
$376.49
No comparable office rate is available.
West Virginia
West Virginia · 33207
Office
Unavailable
Facility
$433.59
No comparable office rate is available.
Wyoming**
Wyoming · 33207
Office
Unavailable
Facility
$406.73
No comparable office rate is available.
See how rates vary across the country
33207 · 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?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33207 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$450.60
$409.64 × 110% = $450.60
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 33207 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
3,836
- Code
- 33207
- Physician work
- 7.61
- Practice expense
- 3.25
- Malpractice
- 1.78
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.61 | × 1.017 | 7.7394 |
| Practice expense | 3.25 | × 1.096 | 3.5620 |
| Malpractice | 1.78 | × 0.541 | 0.9630 |
| Total RVUs | 12.2643 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$409.64
Open 33207 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.61 | 1.017 |
| Practice expense | 3.25 | 1.096 |
| Malpractice | 1.78 | 0.541 |
(7.61 × 1.017 + 3.25 × 1.096 + 1.78 × 0.541) × $33.4009 = $409.64
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
33207 · 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 | $409.64 | RVU26D |
| 2026-07-01 | Not available in this setting | $409.64 | RVU26C |
| 2026-04-01 | Not available in this setting | $409.64 | RVU26B |
| 2026-01-01 | Not available in this setting | $409.64 | RVU26A |
| 2025-10-01 | Not available in this setting | $451.10 | RVU25D |
| 2025-07-01 | Not available in this setting | $451.10 | RVU25C |
| 2025-04-01 | Not available in this setting | $451.10 | RVU25B |
| 2025-01-01 | Not available in this setting | $451.10 | RVU25A |
33207 billing questions
How does this differ from 33208?
33207 is for a ventricular-only permanent pacing system. Use 33208 when the implanted system has both atrial and ventricular leads.
Is this code for a complete system or just the lead?
It represents the permanent ventricular pacing system with transvenous lead placement and a pulse generator. A lead-only service or generator-only service is a different circumstance.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
May an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are permitted, but team surgery is 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.
3,83333202,,Insert epicard eltrd open,A,,12.87,6.15,NA,6.15,,3.17,22.19,22.19,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83433203,,Insert epicard eltrd endo,A,,13.62,6.04,NA,6.04,,3.43,23.09,23.09,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83533206,,Insert heart pm atrial,A,,6.96,3.45,NA,3.45,,1.63,12.04,12.04,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83633207,,Insert heart pm ventricular,A,,7.61,3.25,NA,3.25,,1.78,12.64,12.64,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83733208,,Insrt heart pm atrial & vent,A,,8.31,3.39,NA,3.39,,1.95,13.65,13.65,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8383320F,,No xray/ct/ et al ordd,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
3,83933210,,Insert electrd/pm cath sngl,A,,2.97,0.59,NA,0.59,,0.65,4.21,4.21,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664