No office rate
33215 is for a pacing-defibrillator lead. Choose 33226 when the repositioned lead is a left ventricular pacing lead.
On this page
CMS RVU26D · Effective 2026-10-01
33215 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$267.66
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 procedure
About 33215: Implanted defibrillator lead repositioning
Reports repositioning an implanted pacing-defibrillator lead when displacement or lead position requires correction without replacing the lead.
An electrophysiologist or other physician experienced in cardiac device procedures repositions a previously implanted transvenous lead connected to a pacing-defibrillator. The procedure is commonly performed in a hospital electrophysiology lab when a lead has shifted and its position needs correction, such as to restore appropriate sensing or pacing. The physician accesses the lead, adjusts its position, and confirms function before completing the procedure.
Report 33215 for repositioning the existing pacing-defibrillator lead, rather than inserting a new lead or repairing a damaged lead. The operative report should identify the lead and device, explain why its position required correction, and document the repositioning and device assessment. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 33215
- 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 RVU4.80 · 58%
- Practice expense (office) RVU2.30 · 28%
- Malpractice RVU1.14 · 14%
2.4K
Medicare services in 2024 · #2320 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.
33215 compared with similar codes
Office rates for Merced, from the same CMS release.
The same code, a different location
How does Merced compare?
33215 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 · 33215
Office
Unavailable
Facility
$267.66
No comparable office rate is available.
Modesto
California · 33215
Office
Unavailable
Facility
$267.66
No comparable office rate is available.
Napa
California · 33215
Office
Unavailable
Facility
$291.02
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33215
Office
Unavailable
Facility
$279.34
No comparable office rate is available.
Redding
California · 33215
Office
Unavailable
Facility
$267.66
No comparable office rate is available.
Rest Of California
California · 33215
Office
Unavailable
Facility
$267.66
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33215
Office
Unavailable
Facility
$279.89
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33215
Office
Unavailable
Facility
$275.85
No comparable office rate is available.
Salinas
California · 33215
Office
Unavailable
Facility
$274.74
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33215
Office
Unavailable
Facility
$277.65
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33215
Office
Unavailable
Facility
$301.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33215
Office
Unavailable
Facility
$300.06
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33215
Office
Unavailable
Facility
$309.15
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33215
Office
Unavailable
Facility
$303.85
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33215
Office
Unavailable
Facility
$270.96
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33215
Office
Unavailable
Facility
$277.44
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33215
Office
Unavailable
Facility
$274.80
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33215
Office
Unavailable
Facility
$279.88
No comparable office rate is available.
Stockton
California · 33215
Office
Unavailable
Facility
$267.66
No comparable office rate is available.
Vallejo
California · 33215
Office
Unavailable
Facility
$289.15
No comparable office rate is available.
Visalia
California · 33215
Office
Unavailable
Facility
$267.66
No comparable office rate is available.
Yuba City
California · 33215
Office
Unavailable
Facility
$267.66
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33215
Office
Unavailable
Facility
$301.86
No comparable office rate is available.
Miami
Florida · 33215
Office
Unavailable
Facility
$336.59
No comparable office rate is available.
Chicago
Illinois · 33215
Office
Unavailable
Facility
$326.04
No comparable office rate is available.
Manhattan
New York · 33215
Office
Unavailable
Facility
$320.24
No comparable office rate is available.
Alaska*
Alaska · 33215
Office
Unavailable
Facility
$343.28
No comparable office rate is available.
Alabama
Alabama · 33215
Office
Unavailable
Facility
$249.10
No comparable office rate is available.
Arkansas
Arkansas · 33215
Office
Unavailable
Facility
$245.92
No comparable office rate is available.
Arizona
Arizona · 33215
Office
Unavailable
Facility
$267.36
No comparable office rate is available.
Colorado
Colorado · 33215
Office
Unavailable
Facility
$273.73
No comparable office rate is available.
Connecticut
Connecticut · 33215
Office
Unavailable
Facility
$292.34
No comparable office rate is available.
Delaware
Delaware · 33215
Office
Unavailable
Facility
$271.26
No comparable office rate is available.
Fort Lauderdale
Florida · 33215
Office
Unavailable
Facility
$306.99
No comparable office rate is available.
Rest Of Florida
Florida · 33215
Office
Unavailable
Facility
$291.00
No comparable office rate is available.
Atlanta
Georgia · 33215
Office
Unavailable
Facility
$284.59
No comparable office rate is available.
Rest Of Georgia
Georgia · 33215
Office
Unavailable
Facility
$274.24
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33215
Office
Unavailable
Facility
$269.72
No comparable office rate is available.
Iowa
Iowa · 33215
Office
Unavailable
Facility
$245.73
No comparable office rate is available.
Idaho
Idaho · 33215
Office
Unavailable
Facility
$249.01
No comparable office rate is available.
East St. Louis
Illinois · 33215
Office
Unavailable
Facility
$307.69
No comparable office rate is available.
Rest Of Illinois
Illinois · 33215
Office
Unavailable
Facility
$289.98
No comparable office rate is available.
Suburban Chicago
Illinois · 33215
Office
Unavailable
Facility
$307.82
No comparable office rate is available.
Indiana
Indiana · 33215
Office
Unavailable
Facility
$250.04
No comparable office rate is available.
Kansas
Kansas · 33215
Office
Unavailable
Facility
$248.96
No comparable office rate is available.
Kentucky
Kentucky · 33215
Office
Unavailable
Facility
$263.46
No comparable office rate is available.
New Orleans
Louisiana · 33215
Office
Unavailable
Facility
$275.87
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33215
Office
Unavailable
Facility
$264.79
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33215
Office
Unavailable
Facility
$292.51
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33215
Office
Unavailable
Facility
$274.13
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33215
Office
Unavailable
Facility
$292.42
No comparable office rate is available.
Rest Of Maryland
Maryland · 33215
Office
Unavailable
Facility
$274.63
No comparable office rate is available.
Rest Of Maine
Maine · 33215
Office
Unavailable
Facility
$254.68
No comparable office rate is available.
Southern Maine
Maine · 33215
Office
Unavailable
Facility
$260.48
No comparable office rate is available.
Detroit
Michigan · 33215
Office
Unavailable
Facility
$298.66
No comparable office rate is available.
Rest Of Michigan
Michigan · 33215
Office
Unavailable
Facility
$273.45
No comparable office rate is available.
Minnesota
Minnesota · 33215
Office
Unavailable
Facility
$250.65
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33215
Office
Unavailable
Facility
$269.66
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33215
Office
Unavailable
Facility
$271.61
No comparable office rate is available.
Rest Of Missouri
Missouri · 33215
Office
Unavailable
Facility
$263.63
No comparable office rate is available.
Mississippi
Mississippi · 33215
Office
Unavailable
Facility
$254.61
No comparable office rate is available.
Montana**
Montana · 33215
Office
Unavailable
Facility
$275.15
No comparable office rate is available.
North Carolina
North Carolina · 33215
Office
Unavailable
Facility
$256.33
No comparable office rate is available.
North Dakota**
North Dakota · 33215
Office
Unavailable
Facility
$252.61
No comparable office rate is available.
Nebraska
Nebraska · 33215
Office
Unavailable
Facility
$245.62
No comparable office rate is available.
New Hampshire
New Hampshire · 33215
Office
Unavailable
Facility
$273.61
No comparable office rate is available.
Northern Nj
New Jersey · 33215
Office
Unavailable
Facility
$300.20
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33215
Office
Unavailable
Facility
$292.40
No comparable office rate is available.
New Mexico
New Mexico · 33215
Office
Unavailable
Facility
$276.50
No comparable office rate is available.
Nevada**
Nevada · 33215
Office
Unavailable
Facility
$268.94
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33215
Office
Unavailable
Facility
$332.64
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33215
Office
Unavailable
Facility
$297.73
No comparable office rate is available.
Queens
New York · 33215
Office
Unavailable
Facility
$316.30
No comparable office rate is available.
Rest Of New York
New York · 33215
Office
Unavailable
Facility
$260.07
No comparable office rate is available.
Ohio
Ohio · 33215
Office
Unavailable
Facility
$268.84
No comparable office rate is available.
Oklahoma
Oklahoma · 33215
Office
Unavailable
Facility
$258.51
No comparable office rate is available.
Portland
Oregon · 33215
Office
Unavailable
Facility
$276.57
No comparable office rate is available.
Rest Of Oregon
Oregon · 33215
Office
Unavailable
Facility
$263.61
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33215
Office
Unavailable
Facility
$288.61
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33215
Office
Unavailable
Facility
$266.83
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33215
Office
Unavailable
Facility
$275.50
No comparable office rate is available.
Rhode Island
Rhode Island · 33215
Office
Unavailable
Facility
$276.69
No comparable office rate is available.
South Carolina
South Carolina · 33215
Office
Unavailable
Facility
$263.67
No comparable office rate is available.
South Dakota**
South Dakota · 33215
Office
Unavailable
Facility
$249.94
No comparable office rate is available.
Tennessee
Tennessee · 33215
Office
Unavailable
Facility
$250.60
No comparable office rate is available.
Austin
Texas · 33215
Office
Unavailable
Facility
$275.66
No comparable office rate is available.
Beaumont
Texas · 33215
Office
Unavailable
Facility
$265.61
No comparable office rate is available.
Brazoria
Texas · 33215
Office
Unavailable
Facility
$267.44
No comparable office rate is available.
Dallas
Texas · 33215
Office
Unavailable
Facility
$270.95
No comparable office rate is available.
Fort Worth
Texas · 33215
Office
Unavailable
Facility
$270.68
No comparable office rate is available.
Galveston
Texas · 33215
Office
Unavailable
Facility
$269.42
No comparable office rate is available.
Houston
Texas · 33215
Office
Unavailable
Facility
$290.29
No comparable office rate is available.
Rest Of Texas
Texas · 33215
Office
Unavailable
Facility
$267.61
No comparable office rate is available.
Utah
Utah · 33215
Office
Unavailable
Facility
$266.73
No comparable office rate is available.
Virginia
Virginia · 33215
Office
Unavailable
Facility
$262.72
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33215
Office
Unavailable
Facility
$275.50
No comparable office rate is available.
Vermont
Vermont · 33215
Office
Unavailable
Facility
$255.65
No comparable office rate is available.
Rest Of Washington
Washington · 33215
Office
Unavailable
Facility
$272.28
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33215
Office
Unavailable
Facility
$293.71
No comparable office rate is available.
Wisconsin
Wisconsin · 33215
Office
Unavailable
Facility
$245.65
No comparable office rate is available.
West Virginia
West Virginia · 33215
Office
Unavailable
Facility
$281.57
No comparable office rate is available.
Wyoming**
Wyoming · 33215
Office
Unavailable
Facility
$265.32
No comparable office rate is available.
See how rates vary across the country
33215 · 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 33215 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$294.43
$267.66 × 110% = $294.43
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 33215 in Merced.
PPRRVU2026_Oct_nonQPP.csv
3,844
- Code
- 33215
- Physician work
- 4.80
- Practice expense
- 2.30
- Malpractice
- 1.14
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.80 | × 1.017 | 4.8816 |
| Practice expense | 2.30 | × 1.096 | 2.5208 |
| Malpractice | 1.14 | × 0.536 | 0.6110 |
| Total RVUs | 8.0134 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$267.66
Open 33215 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.8 | 1.017 |
| Practice expense | 2.3 | 1.096 |
| Malpractice | 1.14 | 0.536 |
(4.8 × 1.017 + 2.3 × 1.096 + 1.14 × 0.536) × $33.4009 = $267.66
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
33215 · 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 | $267.66 | RVU26D |
| 2026-07-01 | Not available in this setting | $267.66 | RVU26C |
| 2026-04-01 | Not available in this setting | $267.66 | RVU26B |
| 2026-01-01 | Not available in this setting | $267.66 | RVU26A |
| 2025-10-01 | Not available in this setting | $293.74 | RVU25D |
| 2025-07-01 | Not available in this setting | $293.74 | RVU25C |
| 2025-04-01 | Not available in this setting | $293.74 | RVU25B |
| 2025-01-01 | Not available in this setting | $293.74 | RVU25A |
33215 billing questions
When should 33215 be chosen instead of 33226?
Use 33215 for repositioning a pacing-defibrillator lead. Code 33226 concerns repositioning a left ventricular pacing lead.
How does repositioning differ from lead repair?
33215 describes correcting the position of an existing lead. Lead repair codes apply when the lead itself requires repair rather than repositioning.
Does 33215 cover insertion of a replacement lead?
No. It describes repositioning the existing lead; insertion of a new pacing-defibrillator lead is a different service.
What documentation supports reporting 33215?
Document the pacing-defibrillator lead involved, the reason its position required correction, the repositioning performed, and the device assessment.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to other procedures 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.
3,84133212,,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
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
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