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See a sample rate comparisonCPT 33227 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.
Removal Of Permanent Pacemaker, Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator Singlelead System
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Cardiovascular System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | KX - Requirements specified in the medical policy have been met SC - Medically necessary service or supply |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $301.94 national non-facility rate (2026) · View Medicare rates for 33227 |
| Medicaid Fee Schedule | $235.695 median of the 8 states in the free preview · View Medicaid rates for 33227 |
National average reimbursement for CPT 33227 by major payers:
$449.81
$481.11
$496.36
$569.52
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CPT 33227
5 of 25 sample ratesHigher to lower in this preview
Memorialcare Surgical Center At Saddleback LLC, Memorialcare Surgical Center Laguna Woods
$19,350.00Published rateFw Specialty Surgicare, LLC
Fw Specialty Surgicare LLC
$10,101.00Published rateOconto Hospital & Medical Center, Inc., Bellin Health Marinette Surgery Center
Oconto Hospital & Medical Center Inc
$8,671.00Published rateShrewsbury Surgery Center, LLC, Shrewsbury Surgery Center
Shrewsbury Surgery Center LLC
$3,787.00Published rateIndependent Surgery Center LLC
$846.00Published rate
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See a sample payer proposalCPT 33227 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33227 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 33227 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. |
| 33227-CPT | Moderate | Removal Of Permanent Pacemaker, Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator Singlelead System |
| 33228-CPT | Moderate | Removal Of Permanent Pacemaker, Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator Dual Lead System |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33227. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33227 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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