Use 33285 for monitor insertion and programming; use 33286 when the implanted monitor is removed.
On this page
CMS RVU26D · Effective 2026-10-01
33285 in Vallejo
Office / nonfacility
$5264.95
Base rate per service
Facility setting
$76.91
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 33285: Subcutaneous cardiac rhythm monitor insertion
Report 33285 for placing and programming a subcutaneous cardiac rhythm monitor to detect intermittent arrhythmias not captured by shorter-term monitoring.
A cardiologist or electrophysiologist places a small rhythm-monitoring device beneath the skin, commonly in the chest, to record cardiac activity over an extended period. It is often used when a patient has unexplained syncope, intermittent palpitations, or suspected arrhythmia that has not been documented with shorter-term monitoring. The device is subcutaneous rather than a transvenous pacemaker or defibrillator system, and the service includes programming the monitor at insertion.
Report 33285 for the implantation service, supported by documentation of the indication, insertion, and device programming. Routine same-day preoperative and postoperative care is included in its 0-day global period. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Modifier 50 is inappropriate for this code. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 33285
- 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 RVU1.49 · 1%
- Practice expense (office) RVU118.27 · 98%
- Malpractice RVU0.36 · 0%
71.5K
Medicare services in 2024 · #664 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.
33285 compared with similar codes
Office rates for Vallejo, from the same CMS release.
33270 involves a subcutaneous implantable defibrillator, a therapeutic device; 33285 places a monitor that records rhythm for diagnostic evaluation.
93291 reports in-person interrogation of an implanted cardiovascular monitor. It is a device assessment service, not implantation.
The same code, a different location
How does Vallejo compare?
In Bakersfield, the office rate for 33285 is $4387.59—$877.36 lower than the $5264.95 rate in Vallejo. Both use the same code, release and participation basis.
33285 across payment areas
Same release and payment basis · bars start at $0
Vallejo · This locality
$5264.95
$4387.59
$877.36 lower than Vallejo
$4386.61
$878.34 lower than Vallejo
$4386.67
$878.28 lower than Vallejo
$4386.61
$878.34 lower than Vallejo
$4386.61
$878.34 lower than Vallejo
$531.92 lower than Vallejo
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, 33285 ranges from $3449.29 in Arkansas to $5758.05 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
Madera
California · 33285
Office
$4386.61
Facility
$72.43
$878.34 lower than Vallejo for the office setting.
Merced
California · 33285
Office
$4386.61
Facility
$72.43
$878.34 lower than Vallejo for the office setting.
Modesto
California · 33285
Office
$4386.61
Facility
$72.43
$878.34 lower than Vallejo for the office setting.
Napa
California · 33285
Office
$5265.54
Facility
$77.50
$0.59 higher than Vallejo for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 33285
Office
$4727.94
Facility
$75.23
$537.01 lower than Vallejo for the office setting.
Redding
California · 33285
Office
$4386.61
Facility
$72.43
$878.34 lower than Vallejo for the office setting.
Rest Of California
California · 33285
Office
$4386.61
Facility
$72.43
$878.34 lower than Vallejo for the office setting.
Riverside-San Bernardino-Ontario
California · 33285
Office
$4390.48
Facility
$76.30
$874.47 lower than Vallejo for the office setting.
Sacramento-Roseville-Folsom
California · 33285
Office
$4652.23
Facility
$74.32
$612.72 lower than Vallejo for the office setting.
Salinas
California · 33285
Office
$4636.18
Facility
$74.01
$628.77 lower than Vallejo for the office setting.
San Diego-Chula Vista-Carlsbad
California · 33285
Office
$4782.37
Facility
$74.56
$482.58 lower than Vallejo for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33285
Office
$5629.97
Facility
$79.79
$365.02 higher than Vallejo for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33285
Office
$5629.56
Facility
$79.39
$364.61 higher than Vallejo for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33285
Office
$5758.05
Facility
$81.92
$493.10 higher than Vallejo for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33285
Office
$5756.38
Facility
$80.24
$491.43 higher than Vallejo for the office setting.
San Luis Obispo-Paso Robles
California · 33285
Office
$4556.48
Facility
$73.04
$708.47 lower than Vallejo for the office setting.
Santa Cruz-Watsonville
California · 33285
Office
$4856.90
Facility
$74.30
$408.05 lower than Vallejo for the office setting.
Santa Maria-Santa Barbara
California · 33285
Office
$4663.68
Facility
$73.96
$601.27 lower than Vallejo for the office setting.
Santa Rosa-Petaluma
California · 33285
Office
$4908.70
Facility
$74.93
$356.25 lower than Vallejo for the office setting.
Stockton
California · 33285
Office
$4386.61
Facility
$72.43
$878.34 lower than Vallejo for the office setting.
Visalia
California · 33285
Office
$4386.61
Facility
$72.43
$878.34 lower than Vallejo for the office setting.
Yuba City
California · 33285
Office
$4386.61
Facility
$72.43
$878.34 lower than Vallejo for the office setting.
Dc + Md/Va Suburbs
District of Columbia · 33285
Office
$4719.32
Facility
$82.36
$545.63 lower than Vallejo for the office setting.
Miami
Florida · 33285
Office
$4192.46
Facility
$94.78
$1072.49 lower than Vallejo for the office setting.
Chicago
Illinois · 33285
Office
$4047.79
Facility
$91.81
$1217.16 lower than Vallejo for the office setting.
Manhattan
New York · 33285
Office
$4662.30
Facility
$88.32
$602.65 lower than Vallejo for the office setting.
Alaska*
Alaska · 33285
Office
$4288.37
Facility
$96.22
$976.58 lower than Vallejo for the office setting.
Alabama
Alabama · 33285
Office
$3513.11
Facility
$68.85
$1751.84 lower than Vallejo for the office setting.
Arkansas
Arkansas · 33285
Office
$3449.29
Facility
$68.01
$1815.66 lower than Vallejo for the office setting.
Arizona
Arizona · 33285
Office
$3887.92
Facility
$73.65
$1377.03 lower than Vallejo for the office setting.
Colorado
Colorado · 33285
Office
$4262.90
Facility
$74.68
$1002.05 lower than Vallejo for the office setting.
Connecticut
Connecticut · 33285
Office
$4319.81
Facility
$80.42
$945.14 lower than Vallejo for the office setting.
Delaware
Delaware · 33285
Office
$3963.75
Facility
$74.69
$1301.20 lower than Vallejo for the office setting.
Fort Lauderdale
Florida · 33285
Office
$4073.19
Facility
$85.72
$1191.76 lower than Vallejo for the office setting.
Rest Of Florida
Florida · 33285
Office
$3844.35
Facility
$81.25
$1420.60 lower than Vallejo for the office setting.
Atlanta
Georgia · 33285
Office
$4077.89
Facility
$78.61
$1187.06 lower than Vallejo for the office setting.
Rest Of Georgia
Georgia · 33285
Office
$3587.79
Facility
$76.61
$1677.16 lower than Vallejo for the office setting.
Hawaii, Guam
Hawaii · 33285
Office
$4548.25
Facility
$72.68
$716.70 lower than Vallejo for the office setting.
Iowa
Iowa · 33285
Office
$3669.09
Facility
$67.38
$1595.86 lower than Vallejo for the office setting.
Idaho
Idaho · 33285
Office
$3689.75
Facility
$68.36
$1575.20 lower than Vallejo for the office setting.
East St. Louis
Illinois · 33285
Office
$3708.28
Facility
$86.89
$1556.67 lower than Vallejo for the office setting.
Rest Of Illinois
Illinois · 33285
Office
$3675.21
Facility
$81.37
$1589.74 lower than Vallejo for the office setting.
Suburban Chicago
Illinois · 33285
Office
$4128.41
Facility
$85.83
$1136.54 lower than Vallejo for the office setting.
Indiana
Indiana · 33285
Office
$3717.56
Facility
$68.62
$1547.39 lower than Vallejo for the office setting.
Kansas
Kansas · 33285
Office
$3626.92
Facility
$68.51
$1638.03 lower than Vallejo for the office setting.
Kentucky
Kentucky · 33285
Office
$3572.61
Facility
$73.24
$1692.34 lower than Vallejo for the office setting.
New Orleans
Louisiana · 33285
Office
$3780.68
Facility
$76.63
$1484.27 lower than Vallejo for the office setting.
Rest Of Louisiana
Louisiana · 33285
Office
$3557.32
Facility
$73.70
$1707.63 lower than Vallejo for the office setting.
Metropolitan Boston
Massachusetts · 33285
Office
$4779.20
Facility
$79.26
$485.75 lower than Vallejo for the office setting.
Rest Of Massachusetts
Massachusetts · 33285
Office
$4219.84
Facility
$74.92
$1045.11 lower than Vallejo for the office setting.
Baltimore/Surr. Cntys
Maryland · 33285
Office
$4304.14
Facility
$80.49
$960.81 lower than Vallejo for the office setting.
Rest Of Maryland
Maryland · 33285
Office
$4059.03
Facility
$75.50
$1205.92 lower than Vallejo for the office setting.
Rest Of Maine
Maine · 33285
Office
$3691.54
Facility
$70.15
$1573.41 lower than Vallejo for the office setting.
Southern Maine
Maine · 33285
Office
$3972.13
Facility
$71.26
$1292.82 lower than Vallejo for the office setting.
Detroit
Michigan · 33285
Office
$3882.10
Facility
$83.58
$1382.85 lower than Vallejo for the office setting.
Rest Of Michigan
Michigan · 33285
Office
$3669.99
Facility
$76.15
$1594.96 lower than Vallejo for the office setting.
Minnesota
Minnesota · 33285
Office
$4118.21
Facility
$67.76
$1146.74 lower than Vallejo for the office setting.
Metropolitan Kansas City
Missouri · 33285
Office
$3770.87
Facility
$74.69
$1494.08 lower than Vallejo for the office setting.
Metropolitan St. Louis
Missouri · 33285
Office
$3822.52
Facility
$75.17
$1442.43 lower than Vallejo for the office setting.
Rest Of Missouri
Missouri · 33285
Office
$3466.66
Facility
$73.57
$1798.29 lower than Vallejo for the office setting.
Mississippi
Mississippi · 33285
Office
$3459.88
Facility
$70.73
$1805.07 lower than Vallejo for the office setting.
Montana**
Montana · 33285
Office
$4012.09
Facility
$75.80
$1252.86 lower than Vallejo for the office setting.
North Carolina
North Carolina · 33285
Office
$3743.10
Facility
$70.54
$1521.85 lower than Vallejo for the office setting.
North Dakota**
North Dakota · 33285
Office
$4004.97
Facility
$68.68
$1259.98 lower than Vallejo for the office setting.
Nebraska
Nebraska · 33285
Office
$3700.46
Facility
$67.26
$1564.49 lower than Vallejo for the office setting.
New Hampshire
New Hampshire · 33285
Office
$4172.58
Facility
$74.89
$1092.37 lower than Vallejo for the office setting.
Northern Nj
New Jersey · 33285
Office
$4648.12
Facility
$82.02
$616.83 lower than Vallejo for the office setting.
Rest Of New Jersey
New Jersey · 33285
Office
$4378.70
Facility
$80.27
$886.25 lower than Vallejo for the office setting.
New Mexico
New Mexico · 33285
Office
$3686.66
Facility
$77.07
$1578.29 lower than Vallejo for the office setting.
Nevada**
Nevada · 33285
Office
$4014.06
Facility
$73.83
$1250.89 lower than Vallejo for the office setting.
Nyc Suburbs/Long Island
New York · 33285
Office
$4772.22
Facility
$91.96
$492.73 lower than Vallejo for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 33285
Office
$4392.16
Facility
$81.92
$872.79 lower than Vallejo for the office setting.
Queens
New York · 33285
Office
$4739.58
Facility
$86.87
$525.37 lower than Vallejo for the office setting.
Rest Of New York
New York · 33285
Office
$3811.03
Facility
$71.55
$1453.92 lower than Vallejo for the office setting.
Ohio
Ohio · 33285
Office
$3668.53
Facility
$74.70
$1596.42 lower than Vallejo for the office setting.
Oklahoma
Oklahoma · 33285
Office
$3586.75
Facility
$71.64
$1678.20 lower than Vallejo for the office setting.
Portland
Oregon · 33285
Office
$4448.32
Facility
$75.10
$816.63 lower than Vallejo for the office setting.
Rest Of Oregon
Oregon · 33285
Office
$3992.74
Facility
$72.19
$1272.21 lower than Vallejo for the office setting.
Metropolitan Philadelphia
Pennsylvania · 33285
Office
$4177.30
Facility
$79.61
$1087.65 lower than Vallejo for the office setting.
Rest Of Pennsylvania
Pennsylvania · 33285
Office
$3687.53
Facility
$74.01
$1577.42 lower than Vallejo for the office setting.
Puerto Rico
Puerto Rico · 33285
Office
$4055.39
Facility
$75.79
$1209.56 lower than Vallejo for the office setting.
Rhode Island
Rhode Island · 33285
Office
$4142.12
Facility
$75.93
$1122.83 lower than Vallejo for the office setting.
South Carolina
South Carolina · 33285
Office
$3710.09
Facility
$72.95
$1554.86 lower than Vallejo for the office setting.
South Dakota**
South Dakota · 33285
Office
$4004.13
Facility
$67.84
$1260.82 lower than Vallejo for the office setting.
Tennessee
Tennessee · 33285
Office
$3647.07
Facility
$68.98
$1617.88 lower than Vallejo for the office setting.
Austin
Texas · 33285
Office
$4239.96
Facility
$75.36
$1024.99 lower than Vallejo for the office setting.
Beaumont
Texas · 33285
Office
$3655.73
Facility
$73.70
$1609.22 lower than Vallejo for the office setting.
Brazoria
Texas · 33285
Office
$3974.32
Facility
$73.45
$1290.63 lower than Vallejo for the office setting.
Dallas
Texas · 33285
Office
$3995.06
Facility
$74.50
$1269.89 lower than Vallejo for the office setting.
Fort Worth
Texas · 33285
Office
$3955.71
Facility
$74.52
$1309.24 lower than Vallejo for the office setting.
Galveston
Texas · 33285
Office
$3982.79
Facility
$74.05
$1282.16 lower than Vallejo for the office setting.
Houston
Texas · 33285
Office
$3989.38
Facility
$80.64
$1275.57 lower than Vallejo for the office setting.
Rest Of Texas
Texas · 33285
Office
$3809.48
Facility
$73.94
$1455.47 lower than Vallejo for the office setting.
Utah
Utah · 33285
Office
$3773.87
Facility
$73.75
$1491.08 lower than Vallejo for the office setting.
Virginia
Virginia · 33285
Office
$3941.43
Facility
$72.05
$1323.52 lower than Vallejo for the office setting.
Virgin Islands
United States Virgin Islands · 33285
Office
$4055.39
Facility
$75.79
$1209.56 lower than Vallejo for the office setting.
Vermont
Vermont · 33285
Office
$3966.67
Facility
$69.74
$1298.28 lower than Vallejo for the office setting.
Rest Of Washington
Washington · 33285
Office
$4219.26
Facility
$74.34
$1045.69 lower than Vallejo for the office setting.
Seattle (King Cnty)
Washington · 33285
Office
$4909.13
Facility
$79.29
$355.82 lower than Vallejo for the office setting.
Wisconsin
Wisconsin · 33285
Office
$3837.88
Facility
$66.91
$1427.07 lower than Vallejo for the office setting.
West Virginia
West Virginia · 33285
Office
$3499.81
Facility
$79.16
$1765.14 lower than Vallejo for the office setting.
Wyoming**
Wyoming · 33285
Office
$4008.99
Facility
$72.69
$1255.96 lower than Vallejo for the office setting.
See how rates vary across the country
33285 · 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.
$3,449.29
$5,072.33
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $4,288.37 | 1 |
| AL | $3,513.11 | 1 |
| AR | $3,449.29 | 1 |
| AZ | $3,887.92 | 1 |
| CA | $4,386.61–$5,758.05 | 29 |
| CO | $4,262.90 | 1 |
| CT | $4,319.81 | 1 |
| DC | $4,719.32 | 1 |
| DE | $3,963.75 | 1 |
| FL | $3,844.35–$4,192.46 | 3 |
| GA | $3,587.79–$4,077.89 | 2 |
| GU | $4,548.25 | 1 |
| HI | $4,548.25 | 1 |
| IA | $3,669.09 | 1 |
| ID | $3,689.75 | 1 |
| IL | $3,675.21–$4,128.41 | 4 |
| IN | $3,717.56 | 1 |
| KS | $3,626.92 | 1 |
| KY | $3,572.61 | 1 |
| LA | $3,557.32–$3,780.68 | 2 |
| MA | $4,219.84–$4,779.20 | 2 |
| MD | $4,059.03–$4,719.32 | 3 |
| ME | $3,691.54–$3,972.13 | 2 |
| MI | $3,669.99–$3,882.10 | 2 |
| MN | $4,118.21 | 1 |
| MO | $3,466.66–$3,822.52 | 3 |
| MS | $3,459.88 | 1 |
| MT | $4,012.09 | 1 |
| NC | $3,743.10 | 1 |
| ND | $4,004.97 | 1 |
| NE | $3,700.46 | 1 |
| NH | $4,172.58 | 1 |
| NJ | $4,378.70–$4,648.12 | 2 |
| NM | $3,686.66 | 1 |
| NV | $4,014.06 | 1 |
| NY | $3,811.03–$4,772.22 | 5 |
| OH | $3,668.53 | 1 |
| OK | $3,586.75 | 1 |
| OR | $3,992.74–$4,448.32 | 2 |
| PA | $3,687.53–$4,177.30 | 2 |
| PR | $4,055.39 | 1 |
| RI | $4,142.12 | 1 |
| SC | $3,710.09 | 1 |
| SD | $4,004.13 | 1 |
| TN | $3,647.07 | 1 |
| TX | $3,655.73–$4,239.96 | 8 |
| UT | $3,773.87 | 1 |
| VA | $3,941.43–$4,719.32 | 2 |
| VI | $4,055.39 | 1 |
| VT | $3,966.67 | 1 |
| WA | $4,219.26–$4,909.13 | 2 |
| WI | $3,837.88 | 1 |
| WV | $3,499.81 | 1 |
| WY | $4,008.99 | 1 |
Where does this rate apply?
Vallejo is a Medicare payment area. Our Census mapping connects it to 11 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.
Why are the office and facility amounts different?
For 33285 in Vallejo, the physician’s office rate is $5264.95 and the facility-setting rate is $76.91: a difference of $5188.04.
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33285 in Vallejo. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$5791.45
$5264.95 × 110% = $5791.45
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 33285 in Vallejo.
PPRRVU2026_Oct_nonQPP.csv
3,905
- Code
- 33285
- Physician work
- 1.49
- Practice expense
- 118.27
- Malpractice
- 0.36
GPCI2026.csv
33
- Locality
- Vallejo
- Physician work
- 1.063
- Practice expense
- 1.318
- Malpractice
- 0.459
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.49 | × 1.063 | 1.5839 |
| Practice expense | 118.27 | × 1.318 | 155.8799 |
| Malpractice | 0.36 | × 0.459 | 0.1652 |
| Total RVUs | 157.6290 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vallejo$5264.95
Open 33285 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1.063 |
| Practice expense | 118.27 | 1.318 |
| Malpractice | 0.36 | 0.459 |
(1.49 × 1.063 + 118.27 × 1.318 + 0.36 × 0.459) × $33.4009 = $5264.95
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.49 | 1.063 |
| Practice expense | 0.42 | 1.318 |
| Malpractice | 0.36 | 0.459 |
(1.49 × 1.063 + 0.42 × 1.318 + 0.36 × 0.459) × $33.4009 = $76.91
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
33285 · Office / nonfacility
$5264.95
Effective 2026-10-01
The base rate is $303.34 higher than on 2025-10-01, moving from $4961.61 to $5264.95 (6.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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, 2026
RVU26A
$4961.61changed to$5264.95
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.53 changed to 1.49
- Practice expense RVU 115.73 changed to 118.27
- Malpractice RVU 0.35 changed to 0.36
- Work GPCI 1.058 changed to 1.063
- Practice expense GPCI 1.310 changed to 1.318
- Malpractice GPCI 0.470 changed to 0.459
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $4961.61
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
33285 billing questions
How is 33285 different from 33286?
33285 reports insertion and programming of a subcutaneous cardiac rhythm monitor. Code 33286 reports removal of an implanted monitor.
Is device programming included?
Yes. Programming at insertion is part of 33285; it is not a separate insertion service.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Medicare does not pay for an assistant at surgery for 33285. Co-surgeons and team surgery are not permitted.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
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.
