No office rate
33215 is for a pacing-defibrillator lead. Choose 33226 when the repositioned lead is a left ventricular pacing lead.
On this page
CMS RVU26D · Effective 2026-10-01
33215 Lead repositioning Medicare reimbursement rates in Rhode Island
Reports repositioning an implanted pacing-defibrillator lead when displacement or lead position requires correction without replacing the lead. Compare 33215 office and facility rates across CMS payment localities in Rhode Island.
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 33215 in Rhode Island?
Rhode Island 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
$276.69
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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.
Cardiac device procedure
About 33215: Implanted defibrillator lead repositioning
Reports repositioning an implanted pacing-defibrillator lead when displacement or lead position requires correction without replacing the lead.
An electrophysiologist or other physician experienced in cardiac device procedures repositions a previously implanted transvenous lead connected to a pacing-defibrillator. The procedure is commonly performed in a hospital electrophysiology lab when a lead has shifted and its position needs correction, such as to restore appropriate sensing or pacing. The physician accesses the lead, adjusts its position, and confirms function before completing the procedure.
Report 33215 for repositioning the existing pacing-defibrillator lead, rather than inserting a new lead or repairing a damaged lead. The operative report should identify the lead and device, explain why its position required correction, and document the repositioning and device assessment. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% reduction. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 33215
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.80 · 58%
- Practice expense (office) RVU2.30 · 28%
- Malpractice RVU1.14 · 14%
2.4K
Medicare services in 2024 · #2320 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.
33215 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
Compare 33215 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
Rhode Island →
Office / nonfacility
Unavailable
Facility
$276.69
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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 33215 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
3,844
- Code
- 33215
- Physician work
- 4.80
- Practice expense
- 2.30
- Malpractice
- 1.14
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.80 | × 1.019 | 4.8912 |
| Practice expense | 2.30 | × 1.033 | 2.3759 |
| Malpractice | 1.14 | × 0.892 | 1.0169 |
| Total RVUs | 8.2840 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$276.69
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.8 | 1.019 |
| Practice expense | 2.3 | 1.033 |
| Malpractice | 1.14 | 0.892 |
(4.8 × 1.019 + 2.3 × 1.033 + 1.14 × 0.892) × $33.4009 = $276.69
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.
33215 billing questions
When should 33215 be chosen instead of 33226?
Use 33215 for repositioning a pacing-defibrillator lead. Code 33226 concerns repositioning a left ventricular pacing lead.
How does repositioning differ from lead repair?
33215 describes correcting the position of an existing lead. Lead repair codes apply when the lead itself requires repair rather than repositioning.
Does 33215 cover insertion of a replacement lead?
No. It describes repositioning the existing lead; insertion of a new pacing-defibrillator lead is a different service.
What documentation supports reporting 33215?
Document the pacing-defibrillator lead involved, the reason its position required correction, the repositioning performed, and the device assessment.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to other procedures 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.
3,84133212,,Insert pulse gen sngl lead,A,,4.88,2.71,NA,2.71,,1.16,8.75,8.75,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84233213,,Insert pulse gen dual leads,A,,5.15,2.72,NA,2.72,,1.22,9.09,9.09,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84333214,,Upgrade of pacemaker system,A,,7.40,3.63,NA,3.63,,1.71,12.74,12.74,0,090,0.09,0.84,0.07,2,0,0,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84433215,,Reposition pacing-defib lead,A,,4.80,2.30,NA,2.30,,1.14,8.24,8.24,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84533216,,Insert 1 electrode pm-defib,A,,5.48,3.15,NA,3.15,,1.29,9.92,9.92,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84633217,,Insert 2 electrode pm-defib,A,,5.45,3.15,NA,3.15,,1.29,9.89,9.89,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,84733218,,Repair lead pace-defib one,A,,5.67,3.43,NA,3.43,,1.33,10.43,10.43,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537