No office rate
Use 33207 when the permanent system is configured for ventricular-only pacing. 33206 identifies atrial pacing.
On this page
CMS RVU26D · Effective 2026-10-01
33206 Pacemaker implant Medicare reimbursement rates in Idaho
Reports implantation of a permanent transvenous pacemaker configured for atrial pacing, commonly for selected patients with sinus node dysfunction and preserved AV conduction. Compare 33206 office and facility rates across CMS payment localities in Idaho.
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 33206 in Idaho?
Idaho 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
$364.24
1 of 1 localities have a supported rate.
Payment area: Idaho
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
About 33206: Permanent atrial pacemaker system implantation
Reports implantation of a permanent transvenous pacemaker configured for atrial pacing, commonly for selected patients with sinus node dysfunction and preserved AV conduction.
A cardiologist or electrophysiologist places a transvenous pacing lead in the atrium and connects it to a pulse generator, usually positioned in a pocket beneath the skin of the chest. This service is used for a permanent atrial pacing system, including selected patients with sinus node dysfunction and preserved atrioventricular conduction. Implantation commonly takes place in a hospital electrophysiology or cardiac catheterization lab.
Select this code when the implanted permanent system provides atrial pacing; use the chamber configuration documented in the operative report to distinguish it from ventricular-only or dual-chamber implantation. Documentation should identify the permanent system, lead placement, and generator implantation. The code represents the implant service, not a generator-only procedure or a charge per lead. It has a 90-day global period that includes 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% reduction. Modifier 50 is not appropriate for this implant. Assistant-at-surgery payment is statutorily restricted; co-surgeons are permitted, but team surgery is not.
CMS billing rules for 33206
- 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 permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.96 · 58%
- Practice expense (office) RVU3.45 · 29%
- Malpractice RVU1.63 · 14%
987
Medicare services in 2024 · #2980 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.
33206 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
Use 33208 when both atrial and ventricular pacing are provided. 33206 is for an atrial pacing configuration.
No office rate
33210 is for temporary transvenous pacing catheter placement; 33206 is for implantation of a permanent atrial pacing system.
No office rate
33212 is for pulse-generator insertion in a single-lead system. 33206 describes implantation of the permanent atrial system, not generator insertion alone.
Compare 33206 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
Idaho →
Office / nonfacility
Unavailable
Facility
$364.24
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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 33206 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
3,835
- Code
- 33206
- Physician work
- 6.96
- Practice expense
- 3.45
- Malpractice
- 1.63
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.96 | × 1.000 | 6.9600 |
| Practice expense | 3.45 | × 0.920 | 3.1740 |
| Malpractice | 1.63 | × 0.473 | 0.7710 |
| Total RVUs | 10.9050 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$364.24
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.96 | 1 |
| Practice expense | 3.45 | 0.92 |
| Malpractice | 1.63 | 0.473 |
(6.96 × 1 + 3.45 × 0.92 + 1.63 × 0.473) × $33.4009 = $364.24
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.
33206 billing questions
How does 33206 differ from 33207 and 33208?
33206 is for a permanent system configured for atrial pacing. Use 33207 for ventricular-only pacing and 33208 for a system pacing both the atrium and ventricle.
Does 33206 include the pulse generator?
Yes. It represents implantation of the permanent atrial pacing system, including the transvenous lead and pulse generator; it is not a generator-only code.
Should the code be reported once per lead?
No. Report the implant service once for the procedure, not separately for each electrode.
Can an assistant surgeon be paid for 33206?
CMS lists a statutory restriction on assistant-at-surgery payment for this code. Co-surgeons are permitted, while team surgery is not.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
When is 33210 a better comparison?
33210 describes temporary transvenous pacing catheter placement. It is distinct from implantation of a permanent atrial pacing system.
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.
3,8323319F,,X-ray/ct/ultrsnd et al ord,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
3,83333202,,Insert epicard eltrd open,A,,12.87,6.15,NA,6.15,,3.17,22.19,22.19,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83433203,,Insert epicard eltrd endo,A,,13.62,6.04,NA,6.04,,3.43,23.09,23.09,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83533206,,Insert heart pm atrial,A,,6.96,3.45,NA,3.45,,1.63,12.04,12.04,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83633207,,Insert heart pm ventricular,A,,7.61,3.25,NA,3.25,,1.78,12.64,12.64,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,83733208,,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
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772