No office rate
33275 removes an existing leadless pacemaker. Use 33274 for insertion or replacement of a leadless pacemaker.
On this page
CMS RVU26D · Effective 2026-10-01
33275 Pacemaker removal Medicare reimbursement rates in Alabama
Removal of an implanted leadless pacemaker by catheter retrieval with imaging guidance, typically performed when the device must be explanted. Compare 33275 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 33275 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$405.68
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiac electrophysiology
About 33275: Leadless pacemaker catheter removal
Removal of an implanted leadless pacemaker by catheter retrieval with imaging guidance, typically performed when the device must be explanted.
This service removes a permanent leadless pacemaker positioned inside the heart. An electrophysiologist typically accesses the device through a femoral vein and uses a catheter-based retrieval tool, often with fluoroscopic guidance, to disengage and withdraw it. Removal may be needed for device malfunction, infection, or a change in pacing strategy. The procedure is generally performed in a hospital electrophysiology or catheterization laboratory.
Report 33275 for the leadless-device extraction; imaging guidance is included in the service. Documentation should identify the implanted device, the reason for removal, the retrieval approach, and the work performed. If a new leadless pacemaker is placed during the same session, 33274 describes that separate insertion or replacement service when supported. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 33275
- 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 RVU8.38 · 63%
- Practice expense (office) RVU3.01 · 22%
- Malpractice RVU2.00 · 15%
72
Medicare services in 2024 · #5128 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.
33275 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
33234 addresses removal of a transvenous pacemaker electrode in a single-lead system; 33275 is for catheter retrieval of the leadless device itself.
No office rate
33233 removes a conventional pacemaker pulse generator. 33275 removes a leadless pacemaker implanted inside the heart.
Compare 33275 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$405.68
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 33275 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
3,898
- Code
- 33275
- Physician work
- 8.38
- Practice expense
- 3.01
- Malpractice
- 2.00
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.38 | × 1.000 | 8.3800 |
| Practice expense | 3.01 | × 0.875 | 2.6338 |
| Malpractice | 2.00 | × 0.566 | 1.1320 |
| Total RVUs | 12.1458 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$405.68
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.38 | 1 |
| Practice expense | 3.01 | 0.875 |
| Malpractice | 2 | 0.566 |
(8.38 × 1 + 3.01 × 0.875 + 2 × 0.566) × $33.4009 = $405.68
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.
33275 billing questions
How is 33275 different from 33234 or 33235?
33275 is for catheter removal of a leadless pacemaker inside the heart. Codes 33234 and 33235 describe removal of transvenous pacemaker electrodes in conventional lead systems.
Can 33274 be reported when a replacement device is implanted?
When a new leadless pacemaker is inserted or replaced during the same session, 33274 describes that service. The record should support both the removal and the new implantation.
Can imaging guidance be billed separately with 33275?
Imaging guidance is included in 33275, so it is not separately reported as part of this removal service.
What documentation supports 33275?
Document that the device is leadless, why it required removal, the catheter retrieval approach, and the extraction work performed. Include the outcome or any complication when relevant.
How does the global period affect postoperative billing?
The 90-day global includes the day-before preoperative visit and related postoperative care through the 90-day period. In a session with multiple procedures, the highest-valued procedure is paid in full and the others receive the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be billed for this procedure?
CMS does not pay an assistant at surgery for 33275. Co-surgeons and team surgery are not permitted.
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.
3,89533272,,Rmvl of subq defibrillator,A,,5.28,2.78,NA,2.78,,1.23,9.29,9.29,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89633273,,Repos prev impltbl subq dfb,A,,6.34,2.91,NA,2.91,,1.50,10.75,10.75,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89733274,,Tcat insj/rpl perm ldls pm,A,,7.61,3.18,NA,3.18,,1.77,12.56,12.56,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89833275,,Tcat rmvl perm ldls pm w/img,A,,8.38,3.01,NA,3.01,,2.00,13.39,13.39,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89933276,,Insj phrnc nrv stim sys,A,,9.26,3.76,NA,3.76,,2.11,15.13,15.13,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,90033277,,Insj phrnc nrv stim transvns,A,,5.29,1.09,NA,1.09,,1.27,7.65,7.65,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,90133278,,Rmvl phrnc nrv stim sys,A,,9.31,3.51,NA,3.51,,2.06,14.88,14.88,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515