No office rate
33224 includes connection of the inserted left ventricular lead to the generator in its specified circumstances. 33225 is an add-on for lead insertion with an eligible primary procedure.
On this page
CMS RVU26D · Effective 2026-10-01
33224 LV pacing lead Medicare reimbursement rates in Florida
Insertion and connection of a left ventricular pacing lead through the cardiac venous system during a pacemaker or defibrillator generator procedure. Compare 33224 office and facility rates across CMS payment localities in Florida.
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 33224 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$473.08–$550.98
3 of 3 localities have a supported rate.
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.
Where 33224 pays more and less in Florida
Cardiac device surgery
About 33224: Left ventricular pacing lead insertion and connection
Insertion and connection of a left ventricular pacing lead through the cardiac venous system during a pacemaker or defibrillator generator procedure.
This service places a pacing lead in the cardiac venous system to stimulate the left ventricle, then connects it to the pulse generator. It is performed by a cardiologist or electrophysiologist, commonly in a hospital catheterization or electrophysiology laboratory, as part of a cardiac resynchronization therapy device procedure. Imaging, venography, or electrophysiologic evaluation may guide lead placement as part of the service.
Report the code when the documented procedure includes insertion of the left ventricular lead and its connection to the generator in the circumstances covered by this code. The operative report should identify the lead placement, the cardiac venous route, and the generator connection. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 33224
- 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 RVU8.81 · 67%
- Practice expense (office) RVU2.33 · 18%
- Malpractice RVU2.08 · 16%
658
Medicare services in 2024 · #3320 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.
33224 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Use 33226 for repositioning a previously implanted left ventricular lead. This code describes insertion and connection of a lead, not repositioning.
No office rate
33214 describes an upgrade of a pacemaker system; 33224 describes the left ventricular lead insertion and generator connection performed in the applicable device procedure.
Compare 33224 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$498.71
Miami →
Office / nonfacility
Unavailable
Facility
$550.98
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$473.08
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33224 billing questions
How is this different from 33225?
33224 covers insertion of the left ventricular lead with connection to the generator in the circumstances specified for this code. 33225 is an add-on code for left ventricular lead insertion reported with an eligible primary procedure.
Does the code include imaging or venography?
Imaging guidance, venography, and electrophysiologic evaluation used for the lead placement are included in the service when performed.
What should the operative report document?
Document insertion of the left ventricular pacing lead through the cardiac venous system and its connection to the pulse generator.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. CMS also does not permit co-surgeons or team surgery for it.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's payment.
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.
3,85033221,,Insert pulse gen mult leads,A,,5.41,2.84,NA,2.84,,1.29,9.54,9.54,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,85133222,,Relocation pocket pacemaker,A,,4.73,3.44,NA,3.44,,1.12,9.29,9.29,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,85233223,,Relocate pocket for defib,A,,6.14,3.32,NA,3.32,,1.44,10.90,10.90,0,090,0.09,0.84,0.07,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,85333224,,Insert pacing lead & connect,A,,8.81,2.33,NA,2.33,,2.08,13.22,13.22,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,85433225,,L ventric pacing lead add-on,A,,8.12,1.78,NA,1.78,,1.91,11.81,11.81,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,85533226,,Reposition l ventric lead,A,,8.46,2.20,NA,2.20,,2.01,12.67,12.67,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,85633227,,Remove&replace pm gen singl,A,,5.12,2.71,NA,2.71,,1.21,9.04,9.04,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00