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See a sample rate comparisonCPT 33264 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 | $355.39 national non-facility rate (2026) · View Medicare rates for 33264 |
| Medicaid Fee Schedule | $277.04 median of the 8 states in the free preview · View Medicaid rates for 33264 |
National average reimbursement for CPT 33264 by major payers:
$566.51
$572.14
$594.60
$678.42
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CPT 33264
5 of 25 sample ratesHigher to lower in this preview
Coast Surgery Center L P, Coast Surgery Center Of South Bay
Coast Surgery Center L P
$46,296.00Published rateUnova Asc, Inc
Unova Asc Inc
$24,648.00Published rateWindsor Mill Surgery Center, LLC
Windsor Mill Surgery Center LLC
$20,381.00Published rateEast Memphis Urology Center, Lp, Urocenter
East Memphis Urology Center Lp
$10,217.00Published rateEye Laser And Surgery Center LLC
$1,215.00Published rate
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See a sample payer proposalCPT 33264 vs. Other Surgical Procedures on the Cardiovascular System Codes
The CPT 33264 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 33264 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 |
| 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. |
| 33264-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 33264. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 33264 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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