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See a sample rate comparisonCPT 33225 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.
L Ventric Pacing Lead Add On, Insertion Of Pacing Electrode Cardiac Venous System For Left Ventricular Pacing At Time Of Insertion Of Implantable Defibrillator Or Pacemaker Pulse Generator Eg For Upgrade To Dual Chamber System List Separately In Addition To Code For Primary Procedure
| 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 | KX - Requirements specified in the medical policy have been met 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $394.47 national non-facility rate (2026) · View Medicare rates for 33225 |
| Medicaid Fee Schedule | $307.57 median of the 8 states in the free preview · View Medicaid rates for 33225 |
National average reimbursement for CPT 33225 by major payers:
$604.99
$644.32
$684.28
$747.65
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CPT 33225
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$51,872.00Published rateColorado Urologic Surgery Center, LLC, Colorado Urologic Surgery Center
Colorado Urologic Surgery Center LLC
$11,937.00Published ratePalo Pinto County Hospital District, Palo Pinto General Hospital
$6,671.00Published rateChase Gardens Surgery Center LLC
$2,900.00Published ratePhysicians Outpatient Surgery Center, LLC
Physicians Outpatient Surgery Center LLC
$1,000.00Published rate
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See a sample payer proposalCPT 33225 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33225 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 33225 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 |
|---|---|---|
| 33221-CPT | Moderate | Insrt Of Pacemker Pulse Generator Only; W/ Exist Multi Le, Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Le |
| 33222-CPT | Moderate | Revise Skin Sac Heart Device, Surgery To Relocate Pocket Of Skin That Holds Heart-Assist Device. The Device Emits Electrical Pulses To Train The Heart Improving Its Function. |
| 33223-CPT | Moderate | Revise Skin Sac Heart Device, Surgery To Relocate Pocket Of Skin That Holds Heart-Assist Device. The Device Emits Electrical Pulses To Train The Heart Improving Its Function. |
| 33225-CPT | Moderate | L Ventric Pacing Lead Add On, Insertion Of Pacing Electrode Cardiac Venous System For Left Ventricular Pacing At Time Of Insertion Of Implantable Defibrillator Or Pacemaker Pulse Generator Eg For Upgrade To Dual Chamber System List Separately In Addition To Code For Primary Procedure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33225. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33225 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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Frequently Asked Questions
Factors that affect CPT 33225 fee schedules include Medicare & Medicaid rates (government-set), private insurance rates (negotiated between providers and insurance companies), geographic location (costs may be higher in urban areas), and provider type (hospital providers may have different rates than private practice).