Billing code 33225: LV pacing leadMedicare rate & RVUs in Oregon
Reports placement of a left ventricular pacing lead in the cardiac venous system as an add-on during a qualifying pacemaker or defibrillator procedure.
CMS doesn’t publish an office rate for 33225 in Oregon.
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 33225 covers
An electrophysiologist or other physician who implants cardiac devices places a lead through the cardiac venous system to pace the left ventricle, commonly as part of a cardiac resynchronization therapy system. The lead is generally positioned through the coronary sinus and connected as part of a pacemaker or implantable defibrillator procedure in an electrophysiology or cardiac catheterization lab.
Report 33225 only with an eligible primary procedure; it is not a stand-alone service. The operative report should support placement of the left ventricular pacing lead and identify the related generator procedure. CMS treats this as an add-on code, paid within the primary procedure's global period. The primary procedure establishes the applicable global period, so the lead service is not reported as a separate primary procedure.
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.
Where 33225 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $389.07 |
| Rest Of Oregon | Unavailable | $375.28 |
How the 33225 rate is calculated
Each of 33225’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 · 33225
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.12Practice expense 1.78Malpractice 1.91
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33225
The CMS indicators that decide how 33225 is paid alongside other services.
CMS payment indicators · 33225
LV pacing lead
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
33225 compared with similar codes
Compare codes
33225 vs 33224 vs 33226 vs 33221: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33224LV pacing lead
- 33225 is an add-on for left ventricular lead placement with a qualifying primary procedure. Code 33224 describes a distinct left ventricular lead service; choose based on the procedure performed.
- 33226LV lead repositioning
- Use 33225 for placement of a left ventricular lead with a primary procedure. Use 33226 when the work repositions an existing left ventricular lead.
- 33221Pacemaker generator
- 33221 reports insertion of a multiple-lead pacemaker generator. It may be the primary procedure; 33225 separately identifies qualifying left ventricular lead placement as an add-on.
33225 billing questions
Can 33225 be reported by itself?
No. It is an add-on for left ventricular lead placement performed with an eligible primary pacemaker or defibrillator procedure.
What distinguishes 33225 from 33226?
33225 reports placement of a left ventricular pacing lead with a qualifying primary procedure. Code 33226 is for repositioning an existing left ventricular lead.
What documentation supports 33225?
The operative report should describe placement of the left ventricular lead in the cardiac venous system and identify the primary generator procedure performed.
Is 33225 reported with a pacemaker or a defibrillator procedure?
It may accompany an eligible primary procedure for either type of device. The documentation must support the lead placement and the related primary procedure.
How does 33225 differ from 33224?
Both concern left ventricular pacing leads, but 33225 is specifically an add-on reported with a primary procedure. Select 33224 for the distinct lead service it describes, based on the procedure performed.
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
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