No office rate
33275 describes transcatheter removal of a permanent leadless pacemaker. Use it for extraction; 33274 covers placement or replacement of the right-ventricular leadless device.
On this page
CMS RVU26D · Effective 2026-10-01
33274 Leadless pacemaker Medicare reimbursement rates in New Mexico
Report this service when a clinician places or replaces a permanent leadless pacemaker in the right ventricle using a transcatheter approach. Compare 33274 office and facility rates across CMS payment localities in New Mexico.
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 33274 in New Mexico?
New Mexico 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
$422.58
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 33274: Transcatheter leadless pacemaker placement
Report this service when a clinician places or replaces a permanent leadless pacemaker in the right ventricle using a transcatheter approach.
An electrophysiologist or other qualified cardiac specialist delivers a permanent, self-contained pacing device through a catheter into the right ventricle, typically through venous access in a hospital electrophysiology or catheterization lab. Unlike a conventional pacemaker, the leadless device sits inside the heart and does not use a chest pocket or transvenous pacing lead. The service includes imaging guidance and device evaluation associated with placement or replacement.
Select this code for right-ventricular leadless device insertion or replacement, not for a conventional transvenous pacemaker or a subcutaneous defibrillator. Document the clinical indication, transcatheter placement or replacement, device location, and evaluation. If an existing leadless device is removed during replacement, report the removal service separately when performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeons are permitted, but team surgery is not.
CMS billing rules for 33274
- 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 RVU7.61 · 61%
- Practice expense (office) RVU3.18 · 25%
- Malpractice RVU1.77 · 14%
15.4K
Medicare services in 2024 · #1243 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.
33274 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
33207 is for a conventional ventricular pacemaker system with a transvenous electrode. Choose 33274 when the pacing device is leadless and placed in the right ventricle by catheter.
No office rate
33208 describes a conventional dual-chamber pacemaker system using transvenous electrodes. It is not the code for a single leadless device placed in the right ventricle.
No office rate
33262 reports generator removal and replacement in a single-lead pacing system. It does not describe transcatheter insertion or replacement of a leadless pacemaker.
Compare 33274 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$422.58
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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 33274 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
3,897
- Code
- 33274
- Physician work
- 7.61
- Practice expense
- 3.18
- Malpractice
- 1.77
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.61 | × 1.000 | 7.6100 |
| Practice expense | 3.18 | × 0.917 | 2.9161 |
| Malpractice | 1.77 | × 1.201 | 2.1258 |
| Total RVUs | 12.6518 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$422.58
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.61 | 1 |
| Practice expense | 3.18 | 0.917 |
| Malpractice | 1.77 | 1.201 |
(7.61 × 1 + 3.18 × 0.917 + 1.77 × 1.201) × $33.4009 = $422.58
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.
33274 billing questions
How is this different from a conventional pacemaker insertion?
This code is for a self-contained leadless device delivered into the right ventricle by catheter. Codes such as 33207 or 33208 describe a conventional system using transvenous electrode leads.
Can the removal of an existing leadless pacemaker be reported separately?
Yes, when removal is performed during replacement, report the removal service separately with 33275. Document the extraction as well as the new device placement.
Is imaging guidance separately reported?
Imaging guidance and the associated device evaluation are included in this service. Do not separately report those included elements as though they were independent services.
Does this code have a postoperative global period?
Yes. It has a 90-day global period that includes the day-before preoperative visit and related postoperative care.
Which surgical modifiers or assistant services should be considered?
Modifier 50 is inappropriate for this code. CMS permits co-surgeons, restricts payment for an assistant at surgery, and does not permit team surgery.
How are other procedures in the same session paid?
Under the standard multiple-procedure rule, the highest-valued procedure is paid in full and other procedures are subject to a reduction when performed 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.
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
3,89933276,,Insj phrnc nrv stim sys,A,,9.26,3.76,NA,3.76,,2.11,15.13,15.13,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,90033277,,Insj phrnc nrv stim transvns,A,,5.29,1.09,NA,1.09,,1.27,7.65,7.65,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210