No office rate
33212 is for generator insertion with an existing single lead. Use 33213 when the existing system has dual leads.
On this page
CMS RVU26D · Effective 2026-10-01
33213 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$296.35
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 electrophysiology
About 33213: Pacemaker generator insertion with dual leads
Reports placement of a pacemaker pulse generator connected to an existing dual-lead system when the leads are retained.
This service places a pacemaker pulse generator and connects it to two leads already in place, without inserting new leads as part of the reported procedure. It is typically performed by a cardiologist or electrophysiologist in a hospital operating room or electrophysiology setting. The operative record should make clear that the generator was inserted and that the existing dual leads were used.
Report the dual-lead generator service rather than the single-lead or multiple-lead generator code, and distinguish it from a procedure that removes and replaces an existing generator. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures subject to the reduction occur in the same session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is barred by statutory restriction; co-surgeons and team surgery are not permitted.
CMS billing rules for 33213
- 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 RVU5.15 · 57%
- Practice expense (office) RVU2.72 · 30%
- Malpractice RVU1.22 · 13%
796
Medicare services in 2024 · #3151 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.
33213 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
33221 is for generator insertion with existing multiple leads. This code is for an existing dual-lead system.
No office rate
33228 includes removal and replacement of the existing dual-lead system's generator. This code describes generator insertion using existing dual leads.
No office rate
33208 describes insertion of a new dual-chamber pacemaker system with leads. This code is for generator placement using dual leads already in place.
The same code, a different location
How does Merced compare?
33213 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
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
Madera
California · 33213
Office
Unavailable
Facility
$296.35
No comparable office rate is available.
Modesto
California · 33213
Office
Unavailable
Facility
$296.35
No comparable office rate is available.
Napa
California · 33213
Office
Unavailable
Facility
$323.29
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33213
Office
Unavailable
Facility
$309.60
No comparable office rate is available.
Redding
California · 33213
Office
Unavailable
Facility
$296.35
No comparable office rate is available.
Rest Of California
California · 33213
Office
Unavailable
Facility
$296.35
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33213
Office
Unavailable
Facility
$309.44
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33213
Office
Unavailable
Facility
$305.71
No comparable office rate is available.
Salinas
California · 33213
Office
Unavailable
Facility
$304.48
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33213
Office
Unavailable
Facility
$307.92
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33213
Office
Unavailable
Facility
$335.16
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33213
Office
Unavailable
Facility
$333.77
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33213
Office
Unavailable
Facility
$343.78
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33213
Office
Unavailable
Facility
$338.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33213
Office
Unavailable
Facility
$300.26
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33213
Office
Unavailable
Facility
$307.85
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33213
Office
Unavailable
Facility
$304.60
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33213
Office
Unavailable
Facility
$310.58
No comparable office rate is available.
Stockton
California · 33213
Office
Unavailable
Facility
$296.35
No comparable office rate is available.
Vallejo
California · 33213
Office
Unavailable
Facility
$321.30
No comparable office rate is available.
Visalia
California · 33213
Office
Unavailable
Facility
$296.35
No comparable office rate is available.
Yuba City
California · 33213
Office
Unavailable
Facility
$296.35
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33213
Office
Unavailable
Facility
$333.68
No comparable office rate is available.
Miami
Florida · 33213
Office
Unavailable
Facility
$369.64
No comparable office rate is available.
Chicago
Illinois · 33213
Office
Unavailable
Facility
$358.04
No comparable office rate is available.
Manhattan
New York · 33213
Office
Unavailable
Facility
$353.22
No comparable office rate is available.
Alaska*
Alaska · 33213
Office
Unavailable
Facility
$377.23
No comparable office rate is available.
Alabama
Alabama · 33213
Office
Unavailable
Facility
$274.57
No comparable office rate is available.
Arkansas
Arkansas · 33213
Office
Unavailable
Facility
$271.04
No comparable office rate is available.
Arizona
Arizona · 33213
Office
Unavailable
Facility
$294.93
No comparable office rate is available.
Colorado
Colorado · 33213
Office
Unavailable
Facility
$302.57
No comparable office rate is available.
Connecticut
Connecticut · 33213
Office
Unavailable
Facility
$322.61
No comparable office rate is available.
Delaware
Delaware · 33213
Office
Unavailable
Facility
$299.27
No comparable office rate is available.
Fort Lauderdale
Florida · 33213
Office
Unavailable
Facility
$337.72
No comparable office rate is available.
Rest Of Florida
Florida · 33213
Office
Unavailable
Facility
$320.11
No comparable office rate is available.
Atlanta
Georgia · 33213
Office
Unavailable
Facility
$313.77
No comparable office rate is available.
Rest Of Georgia
Georgia · 33213
Office
Unavailable
Facility
$301.63
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33213
Office
Unavailable
Facility
$298.91
No comparable office rate is available.
Iowa
Iowa · 33213
Office
Unavailable
Facility
$271.32
No comparable office rate is available.
Idaho
Idaho · 33213
Office
Unavailable
Facility
$274.87
No comparable office rate is available.
East St. Louis
Illinois · 33213
Office
Unavailable
Facility
$337.67
No comparable office rate is available.
Rest Of Illinois
Illinois · 33213
Office
Unavailable
Facility
$318.65
No comparable office rate is available.
Suburban Chicago
Illinois · 33213
Office
Unavailable
Facility
$338.73
No comparable office rate is available.
Indiana
Indiana · 33213
Office
Unavailable
Facility
$276.04
No comparable office rate is available.
Kansas
Kansas · 33213
Office
Unavailable
Facility
$274.68
No comparable office rate is available.
Kentucky
Kentucky · 33213
Office
Unavailable
Facility
$290.07
No comparable office rate is available.
New Orleans
Louisiana · 33213
Office
Unavailable
Facility
$303.80
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33213
Office
Unavailable
Facility
$291.45
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33213
Office
Unavailable
Facility
$323.81
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33213
Office
Unavailable
Facility
$302.91
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33213
Office
Unavailable
Facility
$322.66
No comparable office rate is available.
Rest Of Maryland
Maryland · 33213
Office
Unavailable
Facility
$303.08
No comparable office rate is available.
Rest Of Maine
Maine · 33213
Office
Unavailable
Facility
$280.94
No comparable office rate is available.
Southern Maine
Maine · 33213
Office
Unavailable
Facility
$287.76
No comparable office rate is available.
Detroit
Michigan · 33213
Office
Unavailable
Facility
$328.39
No comparable office rate is available.
Rest Of Michigan
Michigan · 33213
Office
Unavailable
Facility
$300.97
No comparable office rate is available.
Minnesota
Minnesota · 33213
Office
Unavailable
Facility
$277.56
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33213
Office
Unavailable
Facility
$297.14
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33213
Office
Unavailable
Facility
$299.33
No comparable office rate is available.
Rest Of Missouri
Missouri · 33213
Office
Unavailable
Facility
$290.02
No comparable office rate is available.
Mississippi
Mississippi · 33213
Office
Unavailable
Facility
$280.35
No comparable office rate is available.
Montana**
Montana · 33213
Office
Unavailable
Facility
$303.53
No comparable office rate is available.
North Carolina
North Carolina · 33213
Office
Unavailable
Facility
$282.82
No comparable office rate is available.
North Dakota**
North Dakota · 33213
Office
Unavailable
Facility
$279.41
No comparable office rate is available.
Nebraska
Nebraska · 33213
Office
Unavailable
Facility
$271.27
No comparable office rate is available.
New Hampshire
New Hampshire · 33213
Office
Unavailable
Facility
$302.25
No comparable office rate is available.
Northern Nj
New Jersey · 33213
Office
Unavailable
Facility
$331.76
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33213
Office
Unavailable
Facility
$322.81
No comparable office rate is available.
New Mexico
New Mexico · 33213
Office
Unavailable
Facility
$304.26
No comparable office rate is available.
Nevada**
Nevada · 33213
Office
Unavailable
Facility
$296.90
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33213
Office
Unavailable
Facility
$366.72
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33213
Office
Unavailable
Facility
$328.54
No comparable office rate is available.
Queens
New York · 33213
Office
Unavailable
Facility
$349.17
No comparable office rate is available.
Rest Of New York
New York · 33213
Office
Unavailable
Facility
$286.97
No comparable office rate is available.
Ohio
Ohio · 33213
Office
Unavailable
Facility
$296.04
No comparable office rate is available.
Oklahoma
Oklahoma · 33213
Office
Unavailable
Facility
$284.81
No comparable office rate is available.
Portland
Oregon · 33213
Office
Unavailable
Facility
$306.02
No comparable office rate is available.
Rest Of Oregon
Oregon · 33213
Office
Unavailable
Facility
$291.15
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33213
Office
Unavailable
Facility
$318.30
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33213
Office
Unavailable
Facility
$293.92
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33213
Office
Unavailable
Facility
$304.00
No comparable office rate is available.
Rhode Island
Rhode Island · 33213
Office
Unavailable
Facility
$305.48
No comparable office rate is available.
South Carolina
South Carolina · 33213
Office
Unavailable
Facility
$290.60
No comparable office rate is available.
South Dakota**
South Dakota · 33213
Office
Unavailable
Facility
$276.56
No comparable office rate is available.
Tennessee
Tennessee · 33213
Office
Unavailable
Facility
$276.48
No comparable office rate is available.
Austin
Texas · 33213
Office
Unavailable
Facility
$304.58
No comparable office rate is available.
Beaumont
Texas · 33213
Office
Unavailable
Facility
$292.54
No comparable office rate is available.
Brazoria
Texas · 33213
Office
Unavailable
Facility
$295.21
No comparable office rate is available.
Dallas
Texas · 33213
Office
Unavailable
Facility
$299.01
No comparable office rate is available.
Fort Worth
Texas · 33213
Office
Unavailable
Facility
$298.63
No comparable office rate is available.
Galveston
Texas · 33213
Office
Unavailable
Facility
$297.35
No comparable office rate is available.
Houston
Texas · 33213
Office
Unavailable
Facility
$319.68
No comparable office rate is available.
Rest Of Texas
Texas · 33213
Office
Unavailable
Facility
$295.03
No comparable office rate is available.
Utah
Utah · 33213
Office
Unavailable
Facility
$294.01
No comparable office rate is available.
Virginia
Virginia · 33213
Office
Unavailable
Facility
$290.09
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33213
Office
Unavailable
Facility
$304.00
No comparable office rate is available.
Vermont
Vermont · 33213
Office
Unavailable
Facility
$282.58
No comparable office rate is available.
Rest Of Washington
Washington · 33213
Office
Unavailable
Facility
$300.93
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33213
Office
Unavailable
Facility
$325.38
No comparable office rate is available.
Wisconsin
Wisconsin · 33213
Office
Unavailable
Facility
$271.60
No comparable office rate is available.
West Virginia
West Virginia · 33213
Office
Unavailable
Facility
$309.28
No comparable office rate is available.
Wyoming**
Wyoming · 33213
Office
Unavailable
Facility
$293.02
No comparable office rate is available.
See how rates vary across the country
33213 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 33213 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$325.99
$296.35 × 110% = $325.99
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 33213 in Merced.
PPRRVU2026_Oct_nonQPP.csv
3,842
- Code
- 33213
- Physician work
- 5.15
- Practice expense
- 2.72
- Malpractice
- 1.22
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.15 | × 1.017 | 5.2375 |
| Practice expense | 2.72 | × 1.096 | 2.9811 |
| Malpractice | 1.22 | × 0.536 | 0.6539 |
| Total RVUs | 8.8726 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$296.35
Open 33213 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.15 | 1.017 |
| Practice expense | 2.72 | 1.096 |
| Malpractice | 1.22 | 0.536 |
(5.15 × 1.017 + 2.72 × 1.096 + 1.22 × 0.536) × $33.4009 = $296.35
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
33213 · 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 | $296.35 | RVU26D |
| 2026-07-01 | Not available in this setting | $296.35 | RVU26C |
| 2026-04-01 | Not available in this setting | $296.35 | RVU26B |
| 2026-01-01 | Not available in this setting | $296.35 | RVU26A |
| 2025-10-01 | Not available in this setting | $320.06 | RVU25D |
| 2025-07-01 | Not available in this setting | $320.06 | RVU25C |
| 2025-04-01 | Not available in this setting | $320.06 | RVU25B |
| 2025-01-01 | Not available in this setting | $320.06 | RVU25A |
33213 billing questions
How does this differ from 33212 or 33221?
Choose 33213 when the generator is connected to an existing dual-lead system. Code 33212 is for an existing single lead, while 33221 is for existing multiple leads.
When is 33228 used instead?
33228 describes removal and replacement of a generator in a dual-lead system. This code describes insertion of a generator only, using existing dual leads.
Can this code be reported when new leads are inserted?
This code represents generator placement with existing dual leads. When a new dual-chamber system, including its leads, is inserted, consider 33208 instead.
What documentation supports reporting this code?
The operative note should identify generator insertion, the two existing leads used, and the work performed to connect the generator to them.
How does the global period affect follow-up billing?
The 90-day global includes the day-before preoperative visit and related postoperative care through day 90. CMS also applies the standard multiple procedure reduction when qualifying procedures occur 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.
3,83933210,,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
3,84033211,,Insert card electrodes dual,A,,3.06,0.63,NA,0.63,,0.67,4.36,4.36,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84133212,,Insert pulse gen sngl lead,A,,4.88,2.71,NA,2.71,,1.16,8.75,8.75,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84233213,,Insert pulse gen dual leads,A,,5.15,2.72,NA,2.72,,1.22,9.09,9.09,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84333214,,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
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623