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See a sample rate comparisonCPT 33216 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 Replacement Or Repo, Insertion Replacement Or Repositioning Of Permanenttransvenous Electrode(S) Only (15 Days Or More After Initial Insertion) Single Chamber Atrial Or Ventricular
| 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 | 78 - Return to OR - related procedure 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $331.34 national non-facility rate (2026) · View Medicare rates for 33216 |
| Medicaid Fee Schedule | $289.81 median of the 8 states in the free preview · View Medicaid rates for 33216 |
National average reimbursement for CPT 33216 by major payers:
$497.08
$521.75
$571.34
$611.89
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CPT 33216
5 of 25 sample ratesHigher to lower in this preview
Phoenix Asc, Lp, Cardiac Surgery Center Of Phoenix
$7,800.00Published rateCapital Nephrology Access Center, LLC
Capital Nephrology Access Center LLC
$4,474.00Published rateMeridian Surgery Center LLC
$2,163.00Published rateCampus Eye Group Asc Inc, Surgicenter Anesthesia Associates
$819.00Published ratePaige Ambrose
Deaconess Hospital Inc
$295.51Published rate
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See a sample payer proposalCPT 33216 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33216 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 33216 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 |
|---|---|---|
| 33216-CPT | Moderate | Insertion Replacement Or Repo, Insertion Replacement Or Repositioning Of Permanenttransvenous Electrode(S) Only (15 Days Or More After Initial Insertion) Single Chamber Atrial Or Ventricular |
| 33217-CPT | Moderate | Insertion Of 2 Transvenous Electrodes Permanent Pacemaker Or Implantable Defibrillator (Desc Revised 01/01/15) Chamber Pacing Cardioverter- Defibrillator (Desc Revised 1/1/03) |
| 33218-CPT | Moderate | Repair Of Pacemaker Wire, Surgery To Reposition Or Replace One Or More Wires (Electrodes) For A Pacemaker Or Defibrillator (Devices For Regulating The Heartbeat). |
| 33220-CPT | Moderate | Repair Of Pacemaker Wire, Surgery To Reposition Or Replace One Or More Wires (Electrodes) For A Pacemaker Or Defibrillator (Devices For Regulating The Heartbeat). |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33216. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33216 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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