Billing code 33275: Pacemaker removalMedicare rate & RVUs in Ohio
Removal of an implanted leadless pacemaker by catheter retrieval with imaging guidance, typically performed when the device must be explanted.
CMS doesn’t publish an office rate for 33275 in Ohio.
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 33275 covers
This service removes a permanent leadless pacemaker positioned inside the heart. An electrophysiologist typically accesses the device through a femoral vein and uses a catheter-based retrieval tool, often with fluoroscopic guidance, to disengage and withdraw it. Removal may be needed for device malfunction, infection, or a change in pacing strategy. The procedure is generally performed in a hospital electrophysiology or catheterization laboratory.
Report 33275 for the leadless-device extraction; imaging guidance is included in the service. Documentation should identify the implanted device, the reason for removal, the retrieval approach, and the work performed. If a new leadless pacemaker is placed during the same session, 33274 describes that separate insertion or replacement service when supported. The 90-day global period includes the day-before preoperative visit and related postoperative care. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS 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.
33275 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | Unavailable | $439.03 |
How the 33275 rate is calculated
Each of 33275’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 · 33275
RVUs × geographic indexes × conversion factor
Work8.38
8.38 RVUs× 1.000 GPCI
Practice expense3.01
3.01 RVUs× 1.000 GPCI
Malpractice2.00
2.00 RVUs× 1.000 GPCI
Adjusted RVUs
13.3900
Conversion factor
$33.4009
Medicare rate
$447.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33275
33275 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33275
Pacemaker removal
| 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 · 33275
Pacemaker removal
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
33275 without 51 · national facility
$447.24
Pacemaker removal
33275-51 · Second procedure: 50%
$223.62
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%).
33275 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 33274Leadless pacemaker
- 33275 removes an existing leadless pacemaker. Use 33274 for insertion or replacement of a leadless pacemaker.
- 33234Pacemaker lead removal
- 33234 addresses removal of a transvenous pacemaker electrode in a single-lead system; 33275 is for catheter retrieval of the leadless device itself.
- 33233Pacemaker generator removal
- 33233 removes a conventional pacemaker pulse generator. 33275 removes a leadless pacemaker implanted inside the heart.
33275 billing questions
How is 33275 different from 33234 or 33235?
33275 is for catheter removal of a leadless pacemaker inside the heart. Codes 33234 and 33235 describe removal of transvenous pacemaker electrodes in conventional lead systems.
Can 33274 be reported when a replacement device is implanted?
When a new leadless pacemaker is inserted or replaced during the same session, 33274 describes that service. The record should support both the removal and the new implantation.
Can imaging guidance be billed separately with 33275?
Imaging guidance is included in 33275, so it is not separately reported as part of this removal service.
What documentation supports 33275?
Document that the device is leadless, why it required removal, the catheter retrieval approach, and the extraction work performed. Include the outcome or any complication when relevant.
How does the global period affect postoperative billing?
The 90-day global includes the day-before preoperative visit and related postoperative care through the 90-day period. In a session with multiple procedures, the highest-valued procedure is paid in full and the others receive the standard 50% multiple-procedure reduction.
Can an assistant or co-surgeon be billed for this procedure?
CMS does not pay an assistant at surgery for 33275. Co-surgeons and team surgery are 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
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