Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); dual chamber

CPT 33207 is the billing code for "Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); dual chamber". For insertion or replacement of dual chamber permanent pacemaker

Medicare pays approximately $458.35 for CPT 33207 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 33207 has a total RVU of 41.85, broken down as: Work RVU 18.50, Practice Expense RVU 21.50, and Malpractice RVU 1.85. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 33207 include: Indication for dual chamber pacemaker; Pacemaker type and model; Atrial and ventricular lead placement; Threshold testing results. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 33207: Includes dual chamber pacemaker insertion or replacement. Includes atrial and ventricular lead placement Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 33207 include: 22 (Increased procedural services for complex cases), 51 (Multiple procedures performed same session), 52 (Reduced services if procedure not completed). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 33207 is 75-105 minutes typical operative time. Time-based codes require documentation of the actual time spent providing the service.