Billing code 33224: LV pacing leadMedicare rate & RVUs in Utah
Insertion and connection of a left ventricular pacing lead through the cardiac venous system during a pacemaker or defibrillator generator procedure.
CMS doesn’t publish an office rate for 33224 in Utah.
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 33224 covers
This service places a pacing lead in the cardiac venous system to stimulate the left ventricle, then connects it to the pulse generator. It is performed by a cardiologist or electrophysiologist, commonly in a hospital catheterization or electrophysiology laboratory, as part of a cardiac resynchronization therapy device procedure. Imaging, venography, or electrophysiologic evaluation may guide lead placement as part of the service.
Report the code when the documented procedure includes insertion of the left ventricular lead and its connection to the generator in the circumstances covered by this code. The operative report should identify the lead placement, the cardiac venous route, and the generator connection. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Medicare does not pay an assistant at surgery for this code; 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.
33224 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $429.80 |
How the 33224 rate is calculated
Each of 33224’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 · 33224
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 8.81Practice expense 2.33Malpractice 2.08
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33224
The CMS indicators that decide how 33224 is paid alongside other services.
CMS payment indicators · 33224
LV pacing lead
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33224 without 51 · national facility
$441.56
LV pacing lead
33224-51 · Second procedure: 50%
$220.78
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%).
33224 compared with similar codes
Compare codes
33224 vs 33225 vs 33226 vs 33214: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33225LV pacing lead
- 33224 includes connection of the inserted left ventricular lead to the generator in its specified circumstances. 33225 is an add-on for lead insertion with an eligible primary procedure.
- 33226LV lead repositioning
- Use 33226 for repositioning a previously implanted left ventricular lead. This code describes insertion and connection of a lead, not repositioning.
- 33214Pacemaker upgrade
- 33214 describes an upgrade of a pacemaker system; 33224 describes the left ventricular lead insertion and generator connection performed in the applicable device procedure.
33224 billing questions
How is this different from 33225?
33224 covers insertion of the left ventricular lead with connection to the generator in the circumstances specified for this code. 33225 is an add-on code for left ventricular lead insertion reported with an eligible primary procedure.
Does the code include imaging or venography?
Imaging guidance, venography, and electrophysiologic evaluation used for the lead placement are included in the service when performed.
What should the operative report document?
Document insertion of the left ventricular pacing lead through the cardiac venous system and its connection to the pulse generator.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this code. CMS also does not permit co-surgeons or team surgery for it.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's payment.
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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