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See a sample rate comparisonCPT 33213 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.
Insertion Or Replacement Of Pa, Insertion Or Replacement Of Pacemaker Pulse Generator Only Dual Chamber Insertion Or Replacement Of Pacemaker Pulse Generator Only
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 51 - Multiple procedures KX - Requirements specified in the medical policy have been met |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $303.61 national non-facility rate (2026) · View Medicare rates for 33213 |
| Medicaid Fee Schedule | $259.035 median of the 8 states in the free preview · View Medicaid rates for 33213 |
National average reimbursement for CPT 33213 by major payers:
$473.96
$489.90
$505.94
$567.24
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CPT 33213
5 of 25 sample ratesHigher to lower in this preview
Southern Hills Medical Center, LLC, Southern Hills Hospital & Medical Center
Southern Hills Medical Center LLC
$32,390.00Published rateGreenbrae Surgery Center LLC
$9,000.00Published rate4th Street Laser & Surgery Center Inc
Fourth Street Laser & Surgery
$5,358.00Published rateGypsy Lane Endoscopy Suites, Inc.
Gypsy Lane Endoscopy Suites Inc
$1,358.00Published rateMelissa Johnson
Deaconess Hospital Inc
$267.11Published rate
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See a sample payer proposalCPT 33213 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33213 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 33213 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 |
|---|---|---|
| 33212-CPT | Moderate | Insertion Or Replacement Of Pa, Insertion Or Replacement Of Pacemaker Pulse Generator Only Single Chamber Atrial Or Ventricular Insertion Or Replacement Of Pacemaker Pulse Generator Only |
| 33213-CPT | Moderate | Insertion Or Replacement Of Pa, Insertion Or Replacement Of Pacemaker Pulse Generator Only Dual Chamber Insertion Or Replacement Of Pacemaker Pulse Generator Only |
| 33214-CPT | Moderate | Upgrade Of Pacemaker System, Upgrade Of Implanted Pacemaker System Conversion Of Single Chamber System To Dual Chamber System Includes Removal Of Previously Placed Pulse Generator Testing Of Existing Lead Insertion Of New Lead Insertion Of New Pulse Generator |
| 33215-CPT | Moderate | Repositioning Of Previously Im, Repositioning Of Previously Implanted Transvenous Pacemaker Or Implantable Defibrillator (Right Atrial Or Right Ventricular) Electrode |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33213. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33213 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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