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 ICD lead insertion Medicare reimbursement rates in Arkansas
Reports placement of one transvenous lead for an implantable cardioverter-defibrillator when the service is lead insertion rather than implantation of the complete system. Compare 33216 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 33216 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
$295.60
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 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 Arkansas, 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.
Compare 33216 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
$295.60
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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 33216 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,845
- Code
- 33216
- Physician work
- 5.48
- Practice expense
- 3.15
- Malpractice
- 1.29
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.48 | × 1.000 | 5.4800 |
| Practice expense | 3.15 | × 0.859 | 2.7058 |
| Malpractice | 1.29 | × 0.515 | 0.6643 |
| Total RVUs | 8.8502 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$295.60
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.48 | 1 |
| Practice expense | 3.15 | 0.859 |
| Malpractice | 1.29 | 0.515 |
(5.48 × 1 + 3.15 × 0.859 + 1.29 × 0.515) × $33.4009 = $295.60
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.
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
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