Billing code 33271: Defibrillator electrodeMedicare rate & RVUs in Redding
Reports placement of a subcutaneous implantable defibrillator electrode when the electrode is inserted separately from a complete system implantation.
In Redding, Medicare pays $393.12 for 33271 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33271 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33271 covers
An electrophysiologist or other qualified cardiac surgeon places the defibrillator electrode beneath the skin, commonly along the sternum, for a subcutaneous implantable cardioverter-defibrillator system. The electrode may be placed as a distinct or staged procedure rather than as part of implanting the complete system. This is typically performed in a hospital or other procedural facility; it is not the code for implanting the pulse generator and electrode together as a complete system.
Report 33271 for the electrode insertion itself, and document the subcutaneous electrode placement and whether a generator was implanted during the same procedure. The 90-day global includes the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy and service. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
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.
How Redding compares for 33271
Across 109 of 109 payment localities, the facility rate for 33271 runs from $361.36 in Wisconsin to $508.72 in Alaska*. Redding pays $393.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$393.12
- Bakersfield · California$397.88+$4.76
- Chico · California$393.12
- El Centro · California$393.42+$0.30
- Fresno · California$393.12
- Hanford-Corcoran · California$393.12
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$415.47+$22.35
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | — | $393.12 |
| MercedCalifornia | — | $393.12 |
| ModestoCalifornia | — | $393.12 |
| NapaCalifornia | — | $425.71 |
| Oxnard-Thousand Oaks-VenturaCalifornia | — | $409.80 |
| Rest Of CaliforniaCalifornia | — | $393.12 |
| Riverside-San Bernardino-OntarioCalifornia | — | $411.90 |
| Sacramento-Roseville-FolsomCalifornia | — | $404.70 |
| SalinasCalifornia | — | $403.07 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $407.00 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $440.18 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $438.19 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $451.66 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $443.53 |
| San Luis Obispo-Paso RoblesCalifornia | — | $397.58 |
| Santa Cruz-WatsonvilleCalifornia | — | $406.42 |
| Santa Maria-Santa BarbaraCalifornia | — | $403.06 |
| Santa Rosa-PetalumaCalifornia | — | $409.97 |
| StocktonCalifornia | — | $393.12 |
| VallejoCalifornia | — | $422.84 |
| VisaliaCalifornia | — | $393.12 |
| Yuba CityCalifornia | — | $393.12 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $444.38 |
| MiamiFlorida | — | $499.77 |
| ChicagoIllinois | — | $484.08 |
| ManhattanNew York | — | $472.81 |
| Alaska*Alaska | — | $508.72 |
| AlabamaAlabama | — | $367.84 |
| ArkansasArkansas | — | $363.21 |
| ArizonaArizona | — | $394.53 |
| ColoradoColorado | — | $402.91 |
| ConnecticutConnecticut | — | $431.29 |
| DelawareDelaware | — | $400.23 |
| Fort LauderdaleFlorida | — | $454.73 |
| Rest Of FloridaFlorida | — | $431.00 |
| AtlantaGeorgia | — | $420.29 |
| Rest Of GeorgiaGeorgia | — | $406.20 |
| Hawaii, GuamHawaii | — | $395.73 |
| IowaIowa | — | $362.11 |
| IdahoIdaho | — | $367.07 |
| East St. LouisIllinois | — | $457.14 |
| Rest Of IllinoisIllinois | — | $430.05 |
| Suburban ChicagoIllinois | — | $455.78 |
| IndianaIndiana | — | $368.55 |
| KansasKansas | — | $367.22 |
| KentuckyKentucky | — | $389.69 |
| New OrleansLouisiana | — | $408.00 |
| Rest Of LouisianaLouisiana | — | $391.79 |
| Metropolitan BostonMassachusetts | — | $429.82 |
| Rest Of MassachusettsMassachusetts | — | $403.68 |
| Baltimore/Surr. CntysMaryland | — | $431.47 |
| Rest Of MarylandMaryland | — | $405.05 |
| Rest Of MaineMaine | — | $375.78 |
| Southern MaineMaine | — | $383.65 |
| DetroitMichigan | — | $442.63 |
| Rest Of MichiganMichigan | — | $404.69 |
| MinnesotaMinnesota | — | $368.01 |
| Metropolitan Kansas CityMissouri | — | $398.49 |
| Metropolitan St. LouisMissouri | — | $401.30 |
| Rest Of MissouriMissouri | — | $390.35 |
| MississippiMississippi | — | $376.51 |
| Montana**Montana | — | $406.04 |
| North CarolinaNorth Carolina | — | $378.12 |
| North Dakota**North Dakota | — | $371.43 |
| NebraskaNebraska | — | $361.83 |
| New HampshireNew Hampshire | — | $403.09 |
| Northern NjNew Jersey | — | $442.08 |
| Rest Of New JerseyNew Jersey | — | $431.12 |
| New MexicoNew Mexico | — | $409.31 |
| Nevada**Nevada | — | $396.50 |
| Nyc Suburbs/Long IslandNew York | — | $491.44 |
| Poughkpsie/N Nyc SuburbsNew York | — | $439.25 |
| QueensNew York | — | $466.46 |
| Rest Of New YorkNew York | — | $383.62 |
| OhioOhio | — | $397.61 |
| OklahomaOklahoma | — | $382.04 |
| PortlandOregon | — | $406.59 |
| Rest Of OregonOregon | — | $388.38 |
| Metropolitan PhiladelphiaPennsylvania | — | $426.08 |
| Rest Of PennsylvaniaPennsylvania | — | $394.45 |
| Puerto RicoPuerto Rico | — | $406.42 |
| Rhode IslandRhode Island | — | $407.90 |
| South CarolinaSouth Carolina | — | $389.52 |
| South Dakota**South Dakota | — | $367.34 |
| TennesseeTennessee | — | $369.67 |
| AustinTexas | — | $405.99 |
| BeaumontTexas | — | $392.69 |
| BrazoriaTexas | — | $394.32 |
| DallasTexas | — | $399.64 |
| Fort WorthTexas | — | $399.36 |
| GalvestonTexas | — | $397.33 |
| HoustonTexas | — | $429.36 |
| Rest Of TexasTexas | — | $395.20 |
| UtahUtah | — | $393.98 |
| VirginiaVirginia | — | $387.21 |
| Virgin IslandsUnited States Virgin Islands | — | $406.42 |
| VermontVermont | — | $376.24 |
| Rest Of WashingtonWashington | — | $400.85 |
| Seattle (King Cnty)Washington | — | $431.17 |
| WisconsinWisconsin | — | $361.36 |
| West VirginiaWest Virginia | — | $417.78 |
| Wyoming**Wyoming | — | $390.96 |
33271 rates by state
Office rate range in each state. Select a state to see its payment localities.
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 every state and territory as a table
| State / territory | Office 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 |
How the 33271 rate is calculated
Each of 33271’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33271
RVUs × geographic indexes × conversion factor
Work7.31
7.31 RVUs× 1.000 GPCI
Practice expense3.10
3.10 RVUs× 1.000 GPCI
Malpractice1.75
1.75 RVUs× 1.000 GPCI
Adjusted RVUs
12.1600
Conversion factor
$33.4009
Medicare rate
$406.15
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Redding inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,894
- Code
- 33271
- Physician work
- 7.31
- Practice expense
- 3.10
- Malpractice
- 1.75
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.31 | × 1.017 | 7.4343 |
| Practice expense | 3.10 | × 1.096 | 3.3976 |
| Malpractice | 1.75 | × 0.536 | 0.9380 |
| Total RVUs | 11.7699 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$393.12
Facility: (7.31 × 1.017 + 3.1 × 1.096 + 1.75 × 0.536) × $33.4009 = $393.12
Payment rules and modifiers for 33271
33271 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33271
Defibrillator electrode
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33271
Defibrillator electrode
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33271 without 51 · national facility
$406.15
Defibrillator electrode
33271-51 · Second procedure: 50%
$203.08
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 33271 has changed in Redding
33271 · 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
January 1, 2015
RVU15A
No ratechanged toNo rate
Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU22C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $393.12 | RVU26D |
| 2026-07-01 | Not available in this setting | $393.12 | RVU26C |
| 2026-04-01 | Not available in this setting | $393.12 | RVU26B |
| 2026-01-01 | Not available in this setting | $393.12 | RVU26A |
| 2025-10-01 | Not available in this setting | $427.76 | RVU25D |
| 2025-07-01 | Not available in this setting | $427.76 | RVU25C |
| 2025-04-01 | Not available in this setting | $427.76 | RVU25B |
| 2025-01-01 | Not available in this setting | $427.76 | RVU25A |
| 2024-10-01 | Not available in this setting | $438.39 | RVU24D |
| 2022-07-01 | Not available in this setting | $454.92 | RVU22C |
| 2021-04-01 | Not available in this setting | $456.37 | RVU21B |
| 2021-01-01 | Not available in this setting | $456.37 | RVU21A |
| 2020-10-01 | Not available in this setting | $466.23 | RVU20D |
| 2020-07-01 | Not available in this setting | $466.23 | RVU20C |
| 2020-04-01 | Not available in this setting | $466.23 | RVU20B |
| 2020-01-01 | Not available in this setting | $466.23 | RVU20A |
| 2019-10-01 | Not available in this setting | $465.78 | RVU19D |
| 2019-07-01 | Not available in this setting | $465.78 | RVU19C |
| 2019-04-01 | Not available in this setting | $465.78 | RVU19B |
| 2019-01-01 | Not available in this setting | $465.78 | RVU19A |
| 2018-10-01 | Not available in this setting | $466.05 | RVU18D |
| 2018-07-01 | Not available in this setting | $466.05 | RVU18C |
| 2018-04-01 | Not available in this setting | $466.05 | RVU18B |
| 2018-01-01 | Not available in this setting | $466.05 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $512.34 | RVU17D |
| 2017-07-01 | Not available in this setting | $512.34 | RVU17C |
| 2017-04-01 | Not available in this setting | $512.34 | RVU17B |
| 2017-01-01 | Not available in this setting | $512.34 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Redding rate applies
Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
33271 billing questions
How is 33271 different from 33270?
33271 reports insertion of the subcutaneous defibrillator electrode separately. Use 33270 when the procedure implants or replaces the complete subcutaneous defibrillator system, including its electrode and pulse generator.
Does 33271 include pulse-generator placement?
No. The service represented by 33271 is electrode insertion; 33270 describes implantation or replacement of the complete system, including the generator.
What documentation supports 33271?
Document the electrode insertion, its subcutaneous placement, and whether a pulse generator was implanted during the procedure. The record should distinguish an electrode-only procedure from complete system implantation.
Can modifier 50 be used for bilateral electrode insertion?
No. Modifier 50 is inappropriate for this code because the descriptor and anatomy do not support bilateral reporting.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 33271, and co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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