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See a sample rate comparisonCPT 33263 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.
Replace Pacemaker, Surgery To Remove A Pacing Cardioverter-Defibrillator And Replace It With A New One. 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 24 - Ambulatory Surgical Center |
| Common Modifiers | GC - Service performed by resident under supervision Q0 - Investigational clinical service provided in a clinical research study |
| Complexity Level | Moderate |
| Medicare Fee Schedule | $342.36 national non-facility rate (2026) · View Medicare rates for 33263 |
| Medicaid Fee Schedule | $266.915 median of the 8 states in the free preview · View Medicaid rates for 33263 |
National average reimbursement for CPT 33263 by major payers:
$548.66
$548.88
$572.97
$651.26
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CPT 33263
5 of 25 sample ratesHigher to lower in this preview
Deaconess Hospital, Inc.
Deaconess Hospital Inc
$46,880.00Published rateSteamboat Surgery Center, LLC
Steamboat Surgery Center LLC
$30,076.00Published rateConnecticut Orthopaedic Surgery Center, LLC
$19,436.00Published rateThibodaux Surgery Center, LLC, Bayou Region Surgical Center
Thibodaux Surgery Center, LLC Dba Bayou Region Surgical Center
$9,410.00Published rateCarnegie Hill Endoscopy LLC
$1,358.00Published rate
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See a sample payer proposalCPT 33263 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33263 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 33263 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 |
|---|---|---|
| 33229-CPT | Moderate | Removal Of Permanent Pacemaker, Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pulse Generator Multiple Lead System |
| 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. |
| 33262-CPT | Moderate | Replace Pacemaker, Surgery To Remove A Pacing Cardioverter-Defibrillator And Replace It With A New One. This Device Delivers An Electric Shock To Control Rapid Or Irregular Heart Rhythms In Order To Restore A Normal Heart Beat. |
| 33263-CPT | Moderate | Replace Pacemaker, Surgery To Remove A Pacing Cardioverter-Defibrillator And Replace It With A New One. This Device Delivers An Electric Shock To Control Rapid Or Irregular Heart Rhythms In Order To Restore A Normal Heart Beat. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 33263. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33263 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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