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See a sample rate comparisonCPT 33240 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.
Pacemaker Placement, Surgery To Insert A Pacing Cardioverter-Defibrillator. This Device Delivers An Electric Shock To Control Rapid Or Irregular Heart Rhythms In Order To Restore A Normal Heart Beat.
| 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 | Q0 - Investigational clinical service provided in a clinical research study 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $320.32 national non-facility rate (2026) · View Medicare rates for 33240 |
| Medicaid Fee Schedule | $276.90 median of the 8 states in the free preview · View Medicaid rates for 33240 |
National average reimbursement for CPT 33240 by major payers:
$537.59
$549.18
$558.72
$629.48
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CPT 33240
5 of 25 sample ratesHigher to lower in this preview
Presbyterian Sameday Surgery Center At Huntersville LLC, Novant Health Huntersville Outpatient Surgery
Presbyterian Sameday Surgery Center At Huntersville LLC
$80,353.00Published rateTimonium Surgery Center, LLC
Timonium Surgery Center LLC
$20,789.00Published rateMemorial Hermann Surgery Center Sugar Land LLP
$17,857.00Published rateMobile-Sc, Ltd, Mobile Surgery Center
$10,404.00Published rateNaveen Devabhaktuni
Deaconess Hospital Inc
$633.17Published rate
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See a sample payer proposalCPT 33240 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33240 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 33240 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 |
|---|---|---|
| 33230-CPT | Moderate | Pacemaker Placement, Surgery To Insert A Pacing Cardioverter-Defibrillator. This Device Delivers An Electric Shock To Control Rapid Or Irregular Heart Rhythms In Order To Restore A Normal Heart Beat. |
| 33231-CPT | Moderate | Pacemaker Placement, Surgery To Insert A Pacing Cardioverter-Defibrillator. This Device Delivers An Electric Shock To Control Rapid Or Irregular Heart Rhythms In Order To Restore A Normal Heart Beat. |
| 33240-CPT | Moderate | Pacemaker Placement, Surgery To Insert A Pacing Cardioverter-Defibrillator. This Device Delivers An Electric Shock To Control Rapid Or Irregular Heart Rhythms In Order To Restore A Normal Heart Beat. |
| 33249-CPT | High | Insertion Or Replacement Of Im, Insertion Or Replacement Of Implantablecardioverter-Defibrillator Lead(S) By Other Than Thoracotomy With Insertion Of Cardio-Defibrillator Pulse |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33240 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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