FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

33213 Pacemaker generator Medicare reimbursement rates in Kentucky

Reports placement of a pacemaker pulse generator connected to an existing dual-lead system when the leads are retained. Compare 33213 office and facility rates across CMS payment localities in Kentucky.

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 33213 in Kentucky?

Kentucky 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

$290.07

1 of 1 localities have a supported rate.

Payment area: Kentucky

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.

Find 33213 in your payment locality →

Cardiac electrophysiology

About 33213: Pacemaker generator insertion with dual leads

Reports placement of a pacemaker pulse generator connected to an existing dual-lead system when the leads are retained.

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.

CMS billing rules for 33213

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 RVU5.15 · 57%
  • Practice expense (office) RVU2.72 · 30%
  • Malpractice RVU1.22 · 13%

796

Medicare services in 2024 · #3151 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.

33213 compared with similar codes

Office rates for Kentucky, from the same CMS release.

33212

Pacemaker generator

Existing single lead

No office rate

33212 is for generator insertion with an existing single lead. Use 33213 when the existing system has dual leads.

33221

Pacemaker generator

Existing multiple leads

No office rate

33221 is for generator insertion with existing multiple leads. This code is for an existing dual-lead system.

33228

Pacemaker generator exchange

Dual-lead system

No office rate

33228 includes removal and replacement of the existing dual-lead system's generator. This code describes generator insertion using existing dual leads.

33208

Pacemaker implant

Atrial and ventricular leads

No office rate

33208 describes insertion of a new dual-chamber pacemaker system with leads. This code is for generator placement using dual leads already in place.

Compare 33213 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

Office and facility base rates · shared scale starting at $0

Need rates for a whole code list?

Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.

Explore fee-sheet early access →

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 33213 in Kentucky.

PPRRVU2026_Oct_nonQPP.csv

3,842

Code
33213
Physician work
5.15
Practice expense
2.72
Malpractice
1.22

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Facility calculation for 33213 in Kentucky
ComponentRVULocality factorAdjusted
Physician work5.15× 1.0005.1500
Practice expense2.72× 0.8892.4181
Malpractice1.22× 0.9151.1163
Total RVUs8.6844
Conversion factor× 33.4009

Facility rate, Kentucky$290.07

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.151
Practice expense2.720.889
Malpractice1.220.915

(5.15 × 1 + 2.72 × 0.889 + 1.22 × 0.915) × $33.4009 = $290.07

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.

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 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.

RVUs for 33213PPRRVU2026_Oct_nonQPP.csv, line 3,842 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet