No office rate
Use 33270 for insertion or replacement of a subcutaneous ICD system. Use 33272 when the subcutaneous system is being removed.
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CMS RVU26D · Effective 2026-10-01
33272 Defibrillator removal Medicare reimbursement rates in Kansas
Removal of an implanted subcutaneous defibrillator system, including its generator and electrode, by a clinician performing a device extraction procedure. Compare 33272 office and facility rates across CMS payment localities in Kansas.
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 33272 in Kansas?
Kansas 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
$281.00
1 of 1 localities have a supported rate.
Payment area: Kansas
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 procedure
About 33272: Subcutaneous defibrillator system removal
Removal of an implanted subcutaneous defibrillator system, including its generator and electrode, by a clinician performing a device extraction procedure.
This code describes removal of a subcutaneous implantable defibrillator system, including the pulse generator and electrode or electrodes. An electrophysiologist or cardiac surgeon typically performs the extraction in a hospital operating room or electrophysiology setting. The procedure may be needed for infection, device malfunction, or another clinical reason for taking the system out. The subcutaneous system is distinct from a transvenous ICD, whose lead runs through the veins into the heart.
Report the code when the documented procedure removes the subcutaneous defibrillator system; record the device type, components removed, indication, and operative work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of 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 multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 33272
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.28 · 57%
- Practice expense (office) RVU2.78 · 30%
- Malpractice RVU1.23 · 13%
129
Medicare services in 2024 · #4677 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.
33272 compared with similar codes
Office rates for Kansas, from the same CMS release.
No office rate
33271 covers insertion of a subcutaneous ICD electrode. It is not the code for extracting an implanted system.
No office rate
33263 describes removal and replacement of a transvenous ICD pulse generator with two leads. This code is for removal of a subcutaneous defibrillator system.
Compare 33272 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
Kansas →
Office / nonfacility
Unavailable
Facility
$281.00
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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 33272 in Kansas.
PPRRVU2026_Oct_nonQPP.csv
3,895
- Code
- 33272
- Physician work
- 5.28
- Practice expense
- 2.78
- Malpractice
- 1.23
GPCI2026.csv
54
- Locality
- Kansas
- Physician work
- 1.000
- Practice expense
- 0.904
- Malpractice
- 0.504
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.28 | × 1.000 | 5.2800 |
| Practice expense | 2.78 | × 0.904 | 2.5131 |
| Malpractice | 1.23 | × 0.504 | 0.6199 |
| Total RVUs | 8.4130 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kansas$281.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.28 | 1 |
| Practice expense | 2.78 | 0.904 |
| Malpractice | 1.23 | 0.504 |
(5.28 × 1 + 2.78 × 0.904 + 1.23 × 0.504) × $33.4009 = $281.00
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.
33272 billing questions
How is removal distinguished from subcutaneous ICD implantation or replacement?
This code is for taking out the subcutaneous defibrillator system. Code 33270 describes insertion or replacement of a subcutaneous ICD system.
Does this code include removal of the electrode?
The code covers removal of the subcutaneous system, including its electrode or electrodes. Document which system components were removed.
Can modifier 50 be used for removal on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect follow-up billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant surgeon or co-surgeon be billed?
Assistant-at-surgery payment is restricted for this code. Co-surgeons and team surgery are not permitted under the CMS rules provided.
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.
3,89233269,,Excl laa thrscp any method,A,,13.95,6.42,NA,6.42,,3.46,23.83,23.83,0,090,0.09,0.81,0.10,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89333270,,Ins/rep subq defibrillator,A,,8.87,3.81,NA,3.81,,2.08,14.76,14.76,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89433271,,Insj subq impltbl dfb elctrd,A,,7.31,3.10,NA,3.10,,1.75,12.16,12.16,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89533272,,Rmvl of subq defibrillator,A,,5.28,2.78,NA,2.78,,1.23,9.29,9.29,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89633273,,Repos prev impltbl subq dfb,A,,6.34,2.91,NA,2.91,,1.50,10.75,10.75,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89733274,,Tcat insj/rpl perm ldls pm,A,,7.61,3.18,NA,3.18,,1.77,12.56,12.56,0,090,0.09,0.84,0.07,2,0,1,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,89833275,,Tcat rmvl perm ldls pm w/img,A,,8.38,3.01,NA,3.01,,2.00,13.39,13.39,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958