No office rate
Choose 33216 for one transvenous ICD lead and 33217 for two. The operative record should establish the number inserted.
On this page
CMS RVU26D · Effective 2026-10-01
33216 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$320.13
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 33216: Single transvenous ICD lead insertion
Reports placement of one transvenous lead for an implantable cardioverter-defibrillator when the service is lead insertion rather than implantation of the complete system.
A cardiac electrophysiologist or other qualified physician places one transvenous electrode for an implantable cardioverter-defibrillator, advancing it through venous access into the heart and securing it in position. The work is typically performed in a hospital electrophysiology laboratory or operating room. This code describes lead placement, such as adding a new ICD lead to an existing system; it is distinct from implanting the complete generator-and-lead system.
Report the single-lead service when documentation supports insertion of one ICD electrode, not two leads, repositioning, or repair of an existing lead. The operative report should identify the device purpose, number of leads inserted, and relevant placement work. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. CMS does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 33216
- 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 RVU5.48 · 55%
- Practice expense (office) RVU3.15 · 32%
- Malpractice RVU1.29 · 13%
3.1K
Medicare services in 2024 · #2146 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.
33216 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
33249 represents implantation of the complete transvenous ICD system. 33216 represents single-lead insertion, not the complete generator-and-lead implant.
No office rate
33215 is for repositioning an existing pacing-defibrillator lead; 33216 is for insertion of a new single lead.
No office rate
33240 covers ICD pulse-generator insertion or replacement. It does not describe insertion of a new transvenous lead.
The same code, a different location
How does Wyoming** compare?
33216 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 33216
Office
Unavailable
Facility
$299.49
No comparable office rate is available.
Arkansas
Arkansas · 33216
Office
Unavailable
Facility
$295.60
No comparable office rate is available.
Arizona
Arizona · 33216
Office
Unavailable
Facility
$321.87
No comparable office rate is available.
Bakersfield
California · 33216
Office
Unavailable
Facility
$328.07
No comparable office rate is available.
Chico
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
El Centro
California · 33216
Office
Unavailable
Facility
$324.77
No comparable office rate is available.
Fresno
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Hanford-Corcoran
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Madera
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Merced
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Modesto
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Napa
California · 33216
Office
Unavailable
Facility
$355.13
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33216
Office
Unavailable
Facility
$339.37
No comparable office rate is available.
Redding
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Rest Of California
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33216
Office
Unavailable
Facility
$338.40
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33216
Office
Unavailable
Facility
$335.08
No comparable office rate is available.
Salinas
California · 33216
Office
Unavailable
Facility
$333.75
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33216
Office
Unavailable
Facility
$337.72
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33216
Office
Unavailable
Facility
$368.55
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33216
Office
Unavailable
Facility
$367.09
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33216
Office
Unavailable
Facility
$377.98
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33216
Office
Unavailable
Facility
$371.99
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33216
Office
Unavailable
Facility
$329.08
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33216
Office
Unavailable
Facility
$337.81
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33216
Office
Unavailable
Facility
$333.93
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33216
Office
Unavailable
Facility
$340.82
No comparable office rate is available.
Stockton
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Vallejo
California · 33216
Office
Unavailable
Facility
$353.02
No comparable office rate is available.
Visalia
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Yuba City
California · 33216
Office
Unavailable
Facility
$324.56
No comparable office rate is available.
Colorado
Colorado · 33216
Office
Unavailable
Facility
$330.83
No comparable office rate is available.
Connecticut
Connecticut · 33216
Office
Unavailable
Facility
$352.15
No comparable office rate is available.
Delaware
Delaware · 33216
Office
Unavailable
Facility
$326.64
No comparable office rate is available.
Fort Lauderdale
Florida · 33216
Office
Unavailable
Facility
$367.52
No comparable office rate is available.
Rest Of Florida
Florida · 33216
Office
Unavailable
Facility
$348.38
No comparable office rate is available.
Atlanta
Georgia · 33216
Office
Unavailable
Facility
$342.23
No comparable office rate is available.
Rest Of Georgia
Georgia · 33216
Office
Unavailable
Facility
$328.25
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33216
Office
Unavailable
Facility
$327.61
No comparable office rate is available.
Iowa
Iowa · 33216
Office
Unavailable
Facility
$296.41
No comparable office rate is available.
Idaho
Idaho · 33216
Office
Unavailable
Facility
$300.21
No comparable office rate is available.
East St. Louis
Illinois · 33216
Office
Unavailable
Facility
$366.61
No comparable office rate is available.
Rest Of Illinois
Illinois · 33216
Office
Unavailable
Facility
$346.44
No comparable office rate is available.
Suburban Chicago
Illinois · 33216
Office
Unavailable
Facility
$368.72
No comparable office rate is available.
Indiana
Indiana · 33216
Office
Unavailable
Facility
$301.51
No comparable office rate is available.
Kansas
Kansas · 33216
Office
Unavailable
Facility
$299.87
No comparable office rate is available.
Kentucky
Kentucky · 33216
Office
Unavailable
Facility
$316.00
No comparable office rate is available.
New Orleans
Louisiana · 33216
Office
Unavailable
Facility
$330.99
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33216
Office
Unavailable
Facility
$317.43
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33216
Office
Unavailable
Facility
$354.51
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33216
Office
Unavailable
Facility
$331.10
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33216
Office
Unavailable
Facility
$352.16
No comparable office rate is available.
Rest Of Maryland
Maryland · 33216
Office
Unavailable
Facility
$330.90
No comparable office rate is available.
Rest Of Maine
Maine · 33216
Office
Unavailable
Facility
$306.63
No comparable office rate is available.
Southern Maine
Maine · 33216
Office
Unavailable
Facility
$314.49
No comparable office rate is available.
Detroit
Michigan · 33216
Office
Unavailable
Facility
$357.21
No comparable office rate is available.
Rest Of Michigan
Michigan · 33216
Office
Unavailable
Facility
$327.74
No comparable office rate is available.
Minnesota
Minnesota · 33216
Office
Unavailable
Facility
$304.05
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33216
Office
Unavailable
Facility
$323.93
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33216
Office
Unavailable
Facility
$326.37
No comparable office rate is available.
Rest Of Missouri
Missouri · 33216
Office
Unavailable
Facility
$315.70
No comparable office rate is available.
Mississippi
Mississippi · 33216
Office
Unavailable
Facility
$305.47
No comparable office rate is available.
Montana**
Montana · 33216
Office
Unavailable
Facility
$331.25
No comparable office rate is available.
North Carolina
North Carolina · 33216
Office
Unavailable
Facility
$308.73
No comparable office rate is available.
North Dakota**
North Dakota · 33216
Office
Unavailable
Facility
$305.74
No comparable office rate is available.
Nebraska
Nebraska · 33216
Office
Unavailable
Facility
$296.44
No comparable office rate is available.
New Hampshire
New Hampshire · 33216
Office
Unavailable
Facility
$330.26
No comparable office rate is available.
Northern Nj
New Jersey · 33216
Office
Unavailable
Facility
$362.63
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33216
Office
Unavailable
Facility
$352.52
No comparable office rate is available.
New Mexico
New Mexico · 33216
Office
Unavailable
Facility
$331.26
No comparable office rate is available.
Nevada**
Nevada · 33216
Office
Unavailable
Facility
$324.25
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33216
Office
Unavailable
Facility
$399.86
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33216
Office
Unavailable
Facility
$358.62
No comparable office rate is available.
Queens
New York · 33216
Office
Unavailable
Facility
$381.24
No comparable office rate is available.
Rest Of New York
New York · 33216
Office
Unavailable
Facility
$313.28
No comparable office rate is available.
Ohio
Ohio · 33216
Office
Unavailable
Facility
$322.53
No comparable office rate is available.
Oklahoma
Oklahoma · 33216
Office
Unavailable
Facility
$310.47
No comparable office rate is available.
Portland
Oregon · 33216
Office
Unavailable
Facility
$334.91
No comparable office rate is available.
Rest Of Oregon
Oregon · 33216
Office
Unavailable
Facility
$318.12
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33216
Office
Unavailable
Facility
$347.26
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33216
Office
Unavailable
Facility
$320.34
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33216
Office
Unavailable
Facility
$331.85
No comparable office rate is available.
Rhode Island
Rhode Island · 33216
Office
Unavailable
Facility
$333.63
No comparable office rate is available.
South Carolina
South Carolina · 33216
Office
Unavailable
Facility
$316.88
No comparable office rate is available.
South Dakota**
South Dakota · 33216
Office
Unavailable
Facility
$302.73
No comparable office rate is available.
Tennessee
Tennessee · 33216
Office
Unavailable
Facility
$301.81
No comparable office rate is available.
Austin
Texas · 33216
Office
Unavailable
Facility
$332.89
No comparable office rate is available.
Beaumont
Texas · 33216
Office
Unavailable
Facility
$318.81
No comparable office rate is available.
Brazoria
Texas · 33216
Office
Unavailable
Facility
$322.38
No comparable office rate is available.
Dallas
Texas · 33216
Office
Unavailable
Facility
$326.45
No comparable office rate is available.
Fort Worth
Texas · 33216
Office
Unavailable
Facility
$325.95
No comparable office rate is available.
Galveston
Texas · 33216
Office
Unavailable
Facility
$324.65
No comparable office rate is available.
Houston
Texas · 33216
Office
Unavailable
Facility
$348.27
No comparable office rate is available.
Rest Of Texas
Texas · 33216
Office
Unavailable
Facility
$321.79
No comparable office rate is available.
Utah
Utah · 33216
Office
Unavailable
Facility
$320.63
No comparable office rate is available.
Virginia
Virginia · 33216
Office
Unavailable
Facility
$316.88
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33216
Office
Unavailable
Facility
$331.85
No comparable office rate is available.
Vermont
Vermont · 33216
Office
Unavailable
Facility
$309.00
No comparable office rate is available.
Rest Of Washington
Washington · 33216
Office
Unavailable
Facility
$328.99
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33216
Office
Unavailable
Facility
$356.49
No comparable office rate is available.
Wisconsin
Wisconsin · 33216
Office
Unavailable
Facility
$297.10
No comparable office rate is available.
West Virginia
West Virginia · 33216
Office
Unavailable
Facility
$336.12
No comparable office rate is available.
See how rates vary across the country
33216 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 33216 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$352.14
$320.13 × 110% = $352.14
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 33216 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,845
- Code
- 33216
- Physician work
- 5.48
- Practice expense
- 3.15
- Malpractice
- 1.29
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.48 | × 1.000 | 5.4800 |
| Practice expense | 3.15 | × 1.000 | 3.1500 |
| Malpractice | 1.29 | × 0.740 | 0.9546 |
| Total RVUs | 9.5846 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$320.13
Open 33216 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.48 | 1 |
| Practice expense | 3.15 | 1 |
| Malpractice | 1.29 | 0.74 |
(5.48 × 1 + 3.15 × 1 + 1.29 × 0.74) × $33.4009 = $320.13
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
33216 · 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 | $320.13 | RVU26D |
| 2026-07-01 | Not available in this setting | $320.13 | RVU26C |
| 2026-04-01 | Not available in this setting | $320.13 | RVU26B |
| 2026-01-01 | Not available in this setting | $320.13 | RVU26A |
| 2025-10-01 | Not available in this setting | $345.82 | RVU25D |
| 2025-07-01 | Not available in this setting | $345.82 | RVU25C |
| 2025-04-01 | Not available in this setting | $345.82 | RVU25B |
| 2025-01-01 | Not available in this setting | $345.82 | RVU25A |
33216 billing questions
How does 33216 differ from 33217?
33216 is for insertion of one transvenous ICD lead; 33217 is for insertion of two. Use the operative documentation to establish the number of electrodes placed.
Can 33216 be reported for a complete ICD implant?
No. When the service is implantation of the complete transvenous ICD system, including its generator and lead work, consider 33249 rather than reporting lead insertion as though it were a separate complete-system service.
When is 33215 more appropriate?
33215 describes repositioning an already implanted pacing-defibrillator lead. Use 33216 when a new single lead is inserted, not when the existing lead is moved.
Does 33216 include ICD generator work?
This code represents insertion of one lead, not insertion or replacement of the ICD pulse generator. Code generator work separately only when the documented service and applicable coding rules support it.
What documentation supports 33216?
The operative report should show that one transvenous ICD electrode was newly placed and distinguish that work from placement of two leads, lead repositioning, or lead repair.
How does the 90-day global period affect billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period. For multiple procedures in one session, CMS pays the highest-valued procedure in full and applies the standard reduction to the others.
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.
3,84233213,,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
3,8483321F,,Ajcc cncr 0/ia melan docd,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,