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See a sample rate comparisonCPT 33218 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.
Repair Of Pacemaker Wire, Surgery To Reposition Or Replace 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 | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $348.37 national non-facility rate (2026) · View Medicare rates for 33218 |
| Medicaid Fee Schedule | $274.715 median of the 8 states in the free preview · View Medicaid rates for 33218 |
National average reimbursement for CPT 33218 by major payers:
$508.38
$539.50
$571.86
$635.65
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CPT 33218
5 of 25 sample ratesHigher to lower in this preview
Park Nicollet Methodist Hospital, Park Nicollet Same Day Surgery Center
Park Nicollet Health Services
$6,074.00Published rateMiami Children'S Hospital Ambulatory Surgery Center, LLC
Miami Childrens Hospital Ambula
$2,468.00Published ratePhysicians Clinic Inc
$1,823.00Published rateSouthwestern Endoscopy Center, LLC
$1,300.00Published rateCentral Florida Eye Institute Pl
$617.03Published rate
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See a sample payer proposalCPT 33218 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33218 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 33218 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 33218. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33218 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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