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See a sample rate comparisonCPT 33226 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.
Repositioning Of Previously Im, Repositioning Of Previously Implanted Cardiac Venous System (Left Ventricular) Electrode (Including Removal Insertion Andor Replacement Of Existing Generator)
| 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 | $423.19 national non-facility rate (2026) · View Medicare rates for 33226 |
| Medicaid Fee Schedule | $330.21 median of the 8 states in the free preview · View Medicaid rates for 33226 |
National average reimbursement for CPT 33226 by major payers:
$652.72
$684.17
$701.44
$790.05
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CPT 33226
5 of 25 sample ratesHigher to lower in this preview
Reston Surgery Center, Lp
Reston Surgery Center Lp
$5,623.00Published rateSelect Physicians Surgery Centers
Select Physicians Surgery Center, LLC
$3,347.00Published ratePacific Ritz Surgery Center, LLC
Pacific Ritz Surgery Center LLC
$2,100.00Published rateLewes De Endoscopy Asc LLC, Seaside Endoscopy Pavilion
Lewes De Endoscopy Asc LLC
$1,399.00Published rateAdvanced Eye Surgery Center, L.L.C.
Advanced Eye Surgery Center LLC
$624.00Published rate
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See a sample payer proposalCPT 33226 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33226 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 33226 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. |
| 33226-CPT | Moderate | Repositioning Of Previously Im, Repositioning Of Previously Implanted Cardiac Venous System (Left Ventricular) Electrode (Including Removal Insertion Andor Replacement Of Existing Generator) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33226. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33226 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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