Billing code 33262: Defibrillator exchangeMedicare rate & RVUs in Nevada
Reports removal and replacement of an implantable defibrillator pulse generator when the existing system has a single lead.
CMS doesn’t publish an office rate for 33262 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 33262 covers
This service covers an exchange of the pulse generator in an implantable cardioverter-defibrillator (ICD) system while the system has a single lead. Electrophysiologists and cardiac surgeons commonly perform it in a hospital or other surgical facility, often when the generator reaches elective replacement or has failed. The procedure addresses the generator; the single-lead designation identifies the system configuration, not a lead insertion or revision service.
Select this code when the operative report supports removal of the existing generator, placement of its replacement, and a single-lead system. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; 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.
33262 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $322.01 |
How the 33262 rate is calculated
Each of 33262’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 · 33262
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.66Practice expense 2.87Malpractice 1.33
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33262
33262 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33262
Defibrillator exchange
| 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 · 33262
Defibrillator exchange
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
33262 without 51 · national facility
$329.33
Defibrillator exchange
33262-51 · Second procedure: 50%
$164.67
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%).
33262 compared with similar codes
Compare codes
33262 vs 33263 vs 33264 vs 33241 vs 33249: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33263ICD generator exchange
- Use 33263 when the ICD system has two leads. This code is for a single-lead system.
- 33264ICD generator replacement
- Use 33264 for an ICD system with multiple leads; this code identifies a single-lead system.
- 33241ICD generator removal
- 33241 reports generator removal without replacement. Use this code when the generator is removed and replaced.
- 33249Defibrillator implant
- 33249 concerns implantation or replacement of an ICD system with transvenous lead work. This code reports exchange of the generator in a single-lead system.
33262 billing questions
How is the single-lead code selected?
Use the documented lead configuration of the ICD system undergoing generator exchange. The operative report should establish that it is a single-lead system.
How does this differ from the two-lead code?
This code is for a single-lead system; 33263 is for a dual-lead system. The number of leads in the system, rather than the reason for exchange, distinguishes them.
Does this code include lead replacement or revision?
It reports the generator exchange in a single-lead system, not lead work by itself. Document any lead procedure performed separately and assess its reporting under the applicable coding rules.
What global period applies?
The service has a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, paid at 50%. Modifier 50 is inappropriate for this code.
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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