Billing code 33213: Pacemaker generatorMedicare rate & RVUs in Florida
Reports placement of a pacemaker pulse generator connected to an existing dual-lead system when the leads are retained.
CMS doesn’t publish an office rate for 33213 in Florida.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 33213 covers
This service places a pacemaker pulse generator and connects it to two leads already in place, without inserting new leads as part of the reported procedure. It is typically performed by a cardiologist or electrophysiologist in a hospital operating room or electrophysiology setting. The operative record should make clear that the generator was inserted and that the existing dual leads were used.
Report the dual-lead generator service rather than the single-lead or multiple-lead generator code, and distinguish it from a procedure that removes and replaces an existing generator. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures subject to the reduction occur in the same session, the highest-valued is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is barred by statutory restriction; co-surgeons and team surgery are not permitted.
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.
Where 33213 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $337.72 |
| Miami | Unavailable | $369.64 |
| Rest Of Florida | Unavailable | $320.11 |
How the 33213 rate is calculated
Each of 33213’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33213
RVUs × geographic indexes × conversion factor
Work5.15
5.15 RVUs× 1.000 GPCI
Practice expense2.72
2.72 RVUs× 1.000 GPCI
Malpractice1.22
1.22 RVUs× 1.000 GPCI
Adjusted RVUs
9.0900
Conversion factor
$33.4009
Medicare rate
$303.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33213
33213 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33213
Pacemaker generator
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33213
Pacemaker generator
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33213 without 51 · national facility
$303.61
Pacemaker generator
33213-51 · Second procedure: 50%
$151.81
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
33213 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 33212Pacemaker generator
- 33212 is for generator insertion with an existing single lead. Use 33213 when the existing system has dual leads.
- 33221Pacemaker generator
- 33221 is for generator insertion with existing multiple leads. This code is for an existing dual-lead system.
- 33228Pacemaker generator exchange
- 33228 includes removal and replacement of the existing dual-lead system's generator. This code describes generator insertion using existing dual leads.
- 33208Pacemaker implant
- 33208 describes insertion of a new dual-chamber pacemaker system with leads. This code is for generator placement using dual leads already in place.
33213 billing questions
How does this differ from 33212 or 33221?
Choose 33213 when the generator is connected to an existing dual-lead system. Code 33212 is for an existing single lead, while 33221 is for existing multiple leads.
When is 33228 used instead?
33228 describes removal and replacement of a generator in a dual-lead system. This code describes insertion of a generator only, using existing dual leads.
Can this code be reported when new leads are inserted?
This code represents generator placement with existing dual leads. When a new dual-chamber system, including its leads, is inserted, consider 33208 instead.
What documentation supports reporting this code?
The operative note should identify generator insertion, the two existing leads used, and the work performed to connect the generator to them.
How does the global period affect follow-up billing?
The 90-day global includes the day-before preoperative visit and related postoperative care through day 90. CMS also applies the standard multiple procedure reduction when qualifying procedures occur in the same session.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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