Billing code 33241: ICD generator removalMedicare rate & RVUs in Georgia
Reports removal of an implanted defibrillator pulse generator when it is removed without same-session replacement and the leads remain in place.
CMS doesn’t publish an office rate for 33241 in Georgia.
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 33241 covers
Code 33241 covers removal of the pulse generator from an implanted cardioverter-defibrillator (ICD), with the leads left in place. An electrophysiologist or cardiac surgeon typically opens the device pocket, disconnects the generator, and removes it in a hospital operating room or electrophysiology suite. Situations may include a decision to discontinue ICD therapy or a planned removal without immediate replacement.
Use this code for generator removal alone, not for a same-session generator replacement; select the applicable replacement code based on the lead configuration when a new generator is implanted. The operative report should identify the ICD, explain the removal, and document whether leads were retained or separately extracted. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is not appropriate for this single-generator service. Medicare does not pay an assistant at surgery; 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 33241 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $203.94 |
| Rest Of Georgia | Unavailable | $194.07 |
How the 33241 rate is calculated
Each of 33241’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 · 33241
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.96Practice expense 2.26Malpractice 0.70
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33241
33241 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33241
ICD generator removal
| 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 · 33241
ICD generator removal
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
33241 without 51 · national facility
$197.73
ICD generator removal
33241-51 · Second procedure: 50%
$98.87
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%).
33241 compared with similar codes
Compare codes
33241 vs 33233 vs 33262 vs 33263 vs 33264: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33233Pacemaker generator removal
- 33233 is for pacemaker generator removal. Use 33241 for removal of an ICD generator.
- 33262Defibrillator exchange
- 33262 includes ICD generator removal and replacement for a single-lead system; 33241 is removal without same-session replacement.
- 33263ICD generator exchange
- 33263 includes ICD generator removal and replacement for a dual-lead system; 33241 reports generator removal alone.
- 33264ICD generator replacement
- 33264 includes ICD generator removal and replacement for a multiple-lead system; 33241 reports generator removal alone.
33241 billing questions
How is 33241 different from an ICD generator replacement code?
Use 33241 when the generator is removed without a new generator implanted in the same session. For removal and replacement, use the code that matches the ICD lead configuration.
Can 33241 be reported when an ICD lead is also extracted?
33241 represents the generator removal, not lead extraction. Report the applicable lead-removal service when extraction is performed and documented.
Is modifier 50 appropriate for this service?
No. Modifier 50 is not appropriate for removal of a single ICD generator.
What documentation supports reporting 33241?
The operative report should identify the ICD generator removed, describe its disconnection and removal, and clarify whether the leads remained in place or were separately extracted.
How does Medicare handle other procedures 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. The code also carries a 90-day global period.
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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