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See a sample rate comparisonCPT 33203 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Pacemaker Placement, Surgery To Insert One Or More Wires (Electrodes) For A Pacemaker Or Defibrillator (Devices For Regulating The Heartbeat).
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 21 - Inpatient Hospital 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $771.23 national non-facility rate (2026) · View Medicare rates for 33203 |
| Medicaid Fee Schedule | $602.80 median of the 8 states in the free preview · View Medicaid rates for 33203 |
National average reimbursement for CPT 33203 by major payers:
$998.20
$1,107.52
$1,174.49
$1,310.25
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CPT 33203
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Pinecroft, LLC
Memorial Hermann Surgery Center Pinecroft LLC
$5,554.00Published rateMillennium Surgical Center LLC
Millennium Surgical Center, LLC
$1,049.00Published rateWatsonville Surgeons Group LLC, Central Coast Surgery Center
Watsonville Surgeon'S Group Inc
$600.00Published rateRoss Surgery Center Inc
$450.00Published rateForest Canyon Endoscopy & Surgery Ctr PC
Forest Canyon Endoscopy & Surgery Center, PC
$100.00Published rate
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See a sample payer proposalCPT 33203 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33203 code is part of the Surgery services used for Surgical Procedures on the Cardiovascular System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 33203 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 33202-CPT | Moderate | Pacemaker Placement, Surgery To Insert One Or More Wires (Electrodes) For A Pacemaker Or Defibrillator (Devices For Regulating The Heartbeat). |
| 33203-CPT | Moderate | Pacemaker Placement, Surgery To Insert One Or More Wires (Electrodes) For A Pacemaker Or Defibrillator (Devices For Regulating The Heartbeat). |
| 33206-CPT | Moderate | Pacemaker Placement, Surgery To Insert Or Replace A Heart Pacemaker (Medical Device For Regulating The Heartbeat) By Placing An Electrode Into The Atrium Of The Heart. |
| 33207-CPT | Moderate | Pacemaker Placement, Surgery To Insert Or Replace A Heart Pacemaker (Medical Device For Regulating The Heartbeat) By Placing An Electrode Into The Ventricle Of The Heart. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33203. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33203 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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