Billing code 33207: Pacemaker insertionMedicare rate & RVUs in Nevada
Reports implantation or replacement of a permanent pacemaker system using transvenous ventricular lead placement without an atrial lead.
CMS doesn’t publish an office rate for 33207 in Nevada.
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 33207 covers
This service covers implantation or replacement of a permanent pacemaker system configured for ventricular pacing, with a transvenous lead positioned in the ventricle and a pulse generator placed in a pocket. Electrophysiologists and other physicians with cardiac device expertise commonly perform it in a hospital electrophysiology or catheterization lab. A typical clinical situation is bradycardia requiring permanent pacing in a patient with permanent atrial fibrillation, where an atrial lead is not part of the planned system.
Select this code when the procedure establishes or replaces a permanent ventricular-only transvenous pacing system; the operative report should support the system configuration and lead placement. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery; co-surgeons are permitted, while team surgery is 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.
33207 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $412.37 |
How the 33207 rate is calculated
Each of 33207’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 · 33207
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 7.61Practice expense 3.25Malpractice 1.78
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33207
33207 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33207
Pacemaker insertion
| 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) | 2 | 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 · 33207
Pacemaker insertion
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
33207 without 51 · national facility
$422.19
Pacemaker insertion
33207-51 · Second procedure: 50%
$211.10
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%).
33207 compared with similar codes
Compare codes
33207 vs 33206 vs 33208 vs 33227 vs 33210: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33206Pacemaker implant
- 33206 is for an atrial-only transvenous pacing system. 33207 is for a ventricular-only system.
- 33208Pacemaker implant
- 33208 describes a system with both atrial and ventricular leads; 33207 is limited to ventricular pacing.
- 33227Pacemaker generator exchange
- Use 33227 for generator removal and replacement in a single-lead system when retaining the lead, rather than replacing or implanting the ventricular system represented by 33207.
- 33210Temporary pacing
- 33210 is for temporary transvenous pacing catheter placement, not implantation of a permanent ventricular pacemaker system.
33207 billing questions
How does this differ from 33208?
33207 is for a ventricular-only permanent pacing system. Use 33208 when the implanted system has both atrial and ventricular leads.
Is this code for a complete system or just the lead?
It represents the permanent ventricular pacing system with transvenous lead placement and a pulse generator. A lead-only service or generator-only service is a different circumstance.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.
What postoperative care is included?
The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
May an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. Co-surgeons are permitted, but team surgery is not permitted.
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
Fee sheets
Put 33207 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →