No office rate
33206 is for an atrial-only transvenous pacing system. 33207 is for a ventricular-only system.
On this page
CMS RVU26D · Effective 2026-10-01
33207 Pacemaker insertion Medicare reimbursement rates in Arkansas
Reports implantation or replacement of a permanent pacemaker system using transvenous ventricular lead placement without an atrial lead. Compare 33207 office and facility rates across CMS payment localities in Arkansas.
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 33207 in Arkansas?
Arkansas 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
$378.05
1 of 1 localities have a supported rate.
Payment area: Arkansas
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.
Cardiology procedure
About 33207: Permanent ventricular pacemaker implantation
Reports implantation or replacement of a permanent pacemaker system using transvenous ventricular lead placement without an atrial lead.
This service covers implantation or replacement of a permanent pacemaker system configured for ventricular pacing, with a transvenous lead positioned in the ventricle and a pulse generator placed in a pocket. Electrophysiologists and other physicians with cardiac device expertise commonly perform it in a hospital electrophysiology or catheterization lab. A typical clinical situation is bradycardia requiring permanent pacing in a patient with permanent atrial fibrillation, where an atrial lead is not part of the planned system.
Select this code when the procedure establishes or replaces a permanent ventricular-only transvenous pacing system; the operative report should support the system configuration and lead placement. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons are permitted, while team surgery is not permitted.
CMS billing rules for 33207
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU7.61 · 60%
- Practice expense (office) RVU3.25 · 26%
- Malpractice RVU1.78 · 14%
9K
Medicare services in 2024 · #1529 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.
33207 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
33208 describes a system with both atrial and ventricular leads; 33207 is limited to ventricular pacing.
No office rate
Use 33227 for generator removal and replacement in a single-lead system when retaining the lead, rather than replacing or implanting the ventricular system represented by 33207.
No office rate
33210 is for temporary transvenous pacing catheter placement, not implantation of a permanent ventricular pacemaker system.
Compare 33207 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
Arkansas →
Office / nonfacility
Unavailable
Facility
$378.05
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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 33207 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,836
- Code
- 33207
- Physician work
- 7.61
- Practice expense
- 3.25
- Malpractice
- 1.78
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.61 | × 1.000 | 7.6100 |
| Practice expense | 3.25 | × 0.859 | 2.7917 |
| Malpractice | 1.78 | × 0.515 | 0.9167 |
| Total RVUs | 11.3185 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$378.05
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.61 | 1 |
| Practice expense | 3.25 | 0.859 |
| Malpractice | 1.78 | 0.515 |
(7.61 × 1 + 3.25 × 0.859 + 1.78 × 0.515) × $33.4009 = $378.05
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.
33207 billing questions
How does this differ from 33208?
33207 is for a ventricular-only permanent pacing system. Use 33208 when the implanted system has both atrial and ventricular leads.
Is this code for a complete system or just the lead?
It represents the permanent ventricular pacing system with transvenous lead placement and a pulse generator. A lead-only service or generator-only service is a different circumstance.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
May an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are permitted, but team surgery is 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.
3,83333202,,Insert epicard eltrd open,A,,12.87,6.15,NA,6.15,,3.17,22.19,22.19,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83433203,,Insert epicard eltrd endo,A,,13.62,6.04,NA,6.04,,3.43,23.09,23.09,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83533206,,Insert heart pm atrial,A,,6.96,3.45,NA,3.45,,1.63,12.04,12.04,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83633207,,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
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
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541