No office rate
Use 33263 when the ICD system has two leads. This code is for a single-lead system.
On this page
CMS RVU26D · Effective 2026-10-01
33262 Defibrillator exchange Medicare reimbursement rates in Wisconsin
Reports removal and replacement of an implantable defibrillator pulse generator when the existing system has a single lead. Compare 33262 office and facility rates across CMS payment localities in Wisconsin.
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 33262 in Wisconsin?
Wisconsin 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
$294.57
1 of 1 localities have a supported rate.
Payment area: Wisconsin
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 surgery
About 33262: Single-lead defibrillator generator exchange
Reports removal and replacement of an implantable defibrillator pulse generator when the existing system has a single lead.
This service covers an exchange of the pulse generator in an implantable cardioverter-defibrillator (ICD) system while the system has a single lead. Electrophysiologists and cardiac surgeons commonly perform it in a hospital or other surgical facility, often when the generator reaches elective replacement or has failed. The procedure addresses the generator; the single-lead designation identifies the system configuration, not a lead insertion or revision service.
Select this code when the operative report supports removal of the existing generator, placement of its replacement, and a single-lead system. The major-surgery global period includes the day-before preoperative visit and 90 days of related postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 33262
- 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 RVU5.66 · 57%
- Practice expense (office) RVU2.87 · 29%
- Malpractice RVU1.33 · 13%
1.8K
Medicare services in 2024 · #2540 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.
33262 compared with similar codes
Office rates for Wisconsin, from the same CMS release.
No office rate
Use 33264 for an ICD system with multiple leads; this code identifies a single-lead system.
No office rate
33241 reports generator removal without replacement. Use this code when the generator is removed and replaced.
No office rate
33249 concerns implantation or replacement of an ICD system with transvenous lead work. This code reports exchange of the generator in a single-lead system.
Compare 33262 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
Wisconsin →
Office / nonfacility
Unavailable
Facility
$294.57
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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 33262 in Wisconsin.
PPRRVU2026_Oct_nonQPP.csv
3,885
- Code
- 33262
- Physician work
- 5.66
- Practice expense
- 2.87
- Malpractice
- 1.33
GPCI2026.csv
111
- Locality
- Wisconsin
- Physician work
- 1.000
- Practice expense
- 0.958
- Malpractice
- 0.308
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.66 | × 1.000 | 5.6600 |
| Practice expense | 2.87 | × 0.958 | 2.7495 |
| Malpractice | 1.33 | × 0.308 | 0.4096 |
| Total RVUs | 8.8191 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wisconsin$294.57
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.66 | 1 |
| Practice expense | 2.87 | 0.958 |
| Malpractice | 1.33 | 0.308 |
(5.66 × 1 + 2.87 × 0.958 + 1.33 × 0.308) × $33.4009 = $294.57
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.
33262 billing questions
How is the single-lead code selected?
Use the documented lead configuration of the ICD system undergoing generator exchange. The operative report should establish that it is a single-lead system.
How does this differ from the two-lead code?
This code is for a single-lead system; 33263 is for a dual-lead system. The number of leads in the system, rather than the reason for exchange, distinguishes them.
Does this code include lead replacement or revision?
It reports the generator exchange in a single-lead system, not lead work by itself. Document any lead procedure performed separately and assess its reporting under the applicable coding rules.
What global period applies?
The service has a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, paid at 50%. Modifier 50 is inappropriate for this code.
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.
3,88233259,,Ablate atria w/bypass add-on,A,,13.79,7.43,NA,7.43,,3.36,24.58,24.58,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8833325F,,Preop asses 4 cataract surg,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88433261,,Ablate heart dysrhythm focus,A,,28.20,10.97,NA,10.97,,6.75,45.92,45.92,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88533262,,Rmvl& replc pulse gen 1 lead,A,,5.66,2.87,NA,2.87,,1.33,9.86,9.86,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88633263,,Rmvl & rplcmt dfb gen 2 lead,A,,5.93,2.92,NA,2.92,,1.40,10.25,10.25,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88733264,,Rmvl & rplcmt dfb gen mlt ld,A,,6.19,2.99,NA,2.99,,1.46,10.64,10.64,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88833265,,Ablate atria lmtd endo,A,,23.12,9.94,NA,9.94,,5.69,38.75,38.75,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
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