No office rate
Choose 33210 for a temporary single-chamber transvenous pacing electrode and 33211 for a dual-chamber configuration.
On this page
CMS RVU26D · Effective 2026-10-01
33210 Temporary pacing Medicare reimbursement rates in Alaska
Temporary transvenous single-chamber pacing wire placement or replacement for acute bradyarrhythmia support when short-term cardiac pacing is needed. Compare 33210 office and facility rates across CMS payment localities in Alaska.
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 33210 in Alaska?
Alaska 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
$181.75
1 of 1 localities have a supported rate.
Payment area: Alaska*
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 pacing
About 33210: Temporary single-chamber pacing wire placement
Temporary transvenous single-chamber pacing wire placement or replacement for acute bradyarrhythmia support when short-term cardiac pacing is needed.
This service covers placing or replacing a temporary pacing electrode through a vein and positioning it in the heart for single-chamber pacing, usually ventricular pacing. Cardiologists and other physicians who manage acute rhythm problems commonly perform it in a hospital for situations such as significant symptomatic bradycardia or high-grade heart block, including while a patient awaits a longer-term pacing plan.
Report this code for the temporary transvenous single-chamber electrode service, not implantation of a permanent pacemaker system. Documentation should identify the temporary pacing indication, transvenous approach, chamber configuration, and whether the wire was placed or replaced. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When this procedure and other procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 33210
- 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 RVU2.97 · 71%
- Practice expense (office) RVU0.59 · 14%
- Malpractice RVU0.65 · 15%
9.2K
Medicare services in 2024 · #1515 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.
33210 compared with similar codes
Office rates for Alaska, from the same CMS release.
No office rate
33210 is temporary pacing-wire placement or replacement; 33207 describes implantation of a permanent ventricular pacemaker system.
No office rate
33208 is permanent dual-chamber pacemaker implantation, not temporary single-chamber pacing support.
Compare 33210 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
Alaska* →
Office / nonfacility
Unavailable
Facility
$181.75
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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 33210 in Alaska*.
PPRRVU2026_Oct_nonQPP.csv
3,839
- Code
- 33210
- Physician work
- 2.97
- Practice expense
- 0.59
- Malpractice
- 0.65
GPCI2026.csv
5
- Locality
- Alaska*
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.97 | × 1.500 | 4.4550 |
| Practice expense | 0.59 | × 1.065 | 0.6283 |
| Malpractice | 0.65 | × 0.551 | 0.3582 |
| Total RVUs | 5.4415 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska*$181.75
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.97 | 1.5 |
| Practice expense | 0.59 | 1.065 |
| Malpractice | 0.65 | 0.551 |
(2.97 × 1.5 + 0.59 × 1.065 + 0.65 × 0.551) × $33.4009 = $181.75
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.
33210 billing questions
How is 33210 different from 33211?
33210 is for a temporary transvenous single-chamber pacing electrode. Use 33211 when the temporary pacing service involves a dual-chamber electrode configuration.
Is this the code for a permanent ventricular pacemaker?
No. 33210 describes temporary transvenous pacing support. Permanent ventricular pacemaker system implantation is represented by 33207.
What documentation supports reporting 33210?
Document the acute pacing indication, temporary intent, transvenous route, single-chamber configuration, and placement or replacement of the electrode.
How does the multiple-procedure reduction work?
When 33210 and other procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for 33210, and 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.
3,83633207,,Insert heart pm ventricular,A,,7.61,3.25,NA,3.25,,1.78,12.64,12.64,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83733208,,Insrt heart pm atrial & vent,A,,8.31,3.39,NA,3.39,,1.95,13.65,13.65,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8383320F,,No xray/ct/ et al ordd,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
3,83933210,,Insert electrd/pm cath sngl,A,,2.97,0.59,NA,0.59,,0.65,4.21,4.21,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84033211,,Insert card electrodes dual,A,,3.06,0.63,NA,0.63,,0.67,4.36,4.36,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609