No office rate
33210 describes temporary single-chamber transvenous pacing. Choose 33211 when temporary pacing uses dual-chamber electrodes.
On this page
CMS RVU26D · Effective 2026-10-01
33211 Temporary pacing Medicare reimbursement rates in Delaware
Report temporary transvenous dual-chamber pacing lead placement when acute bradycardia or conduction block requires temporary atrial and ventricular pacing. Compare 33211 office and facility rates across CMS payment localities in Delaware.
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 33211 in Delaware?
Delaware 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
$143.63
1 of 1 localities have a supported rate.
Payment area: Delaware
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 33211: Temporary dual-chamber pacing lead placement
Report temporary transvenous dual-chamber pacing lead placement when acute bradycardia or conduction block requires temporary atrial and ventricular pacing.
This service places or replaces temporary pacing electrodes through the venous system to support pacing in both the right atrium and right ventricle. Cardiologists and electrophysiologists commonly perform it in a hospital procedure room, catheterization laboratory, or other acute-care setting for symptomatic bradycardia or significant conduction block when temporary AV-sequential pacing is needed. The electrodes connect to an external pacing source rather than a permanently implanted pulse generator.
Choose this code when the documented temporary pacing setup uses dual-chamber electrodes; a single-chamber temporary setup is reported differently. The procedure note should support the temporary indication, electrode placement, and dual-chamber configuration. CMS assigns a 0-day global period, including same-day preoperative and 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 33211
- 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 RVU3.06 · 70%
- Practice expense (office) RVU0.63 · 14%
- Malpractice RVU0.67 · 15%
111
Medicare services in 2024 · #4796 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.
33211 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
33208 is for implantation of a permanent dual-chamber pacemaker system. Use 33211 for temporary transvenous dual-chamber pacing electrodes.
No office rate
33206 covers permanent atrial pacemaker implantation, not temporary dual-chamber pacing electrode placement.
No office rate
33207 covers permanent ventricular pacemaker implantation, not temporary pacing with both atrial and ventricular electrodes.
Compare 33211 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
Delaware →
Office / nonfacility
Unavailable
Facility
$143.63
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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 33211 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
3,840
- Code
- 33211
- Physician work
- 3.06
- Practice expense
- 0.63
- Malpractice
- 0.67
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.06 | × 1.005 | 3.0753 |
| Practice expense | 0.63 | × 0.988 | 0.6224 |
| Malpractice | 0.67 | × 0.899 | 0.6023 |
| Total RVUs | 4.3001 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$143.63
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.06 | 1.005 |
| Practice expense | 0.63 | 0.988 |
| Malpractice | 0.67 | 0.899 |
(3.06 × 1.005 + 0.63 × 0.988 + 0.67 × 0.899) × $33.4009 = $143.63
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.
33211 billing questions
How does 33211 differ from 33210?
33211 represents a temporary dual-chamber pacing setup with atrial and ventricular electrodes. Use 33210 for a temporary single-chamber setup.
Is this code for a permanent pacemaker implant?
No. It covers temporary transvenous pacing electrodes. Permanent dual-chamber pacemaker system implantation is represented by 33208.
What documentation supports reporting 33211?
Document the acute need for temporary pacing, transvenous electrode placement, and the dual-chamber configuration. The record should distinguish the service from single-chamber temporary pacing.
Should modifier 50 be appended for bilateral pacing?
No. CMS identifies bilateral adjustment as inappropriate for this code; modifier 50 does not describe the service.
Can an assistant surgeon be paid for this procedure?
CMS applies a statutory restriction, so assistant-at-surgery payment is not allowed for this code. Co-surgeons and team surgery are also not permitted.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
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.
3,83733208,,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
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
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503