33230 Insrt pulse gen w/dual leads
What 33230 is
CMS fee schedule short descriptor: Insrt pulse gen w/dual leads.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 33230 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 5.92 | 2.64 | 1.41 | 9.97 | $333.01 |
| Facility (hospital, ASC) | 5.92 | 2.64 | 1.41 | 9.97 | $333.01 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: 90-day global period.
Medically Unlikely Edit (MUE)
Medicare caps 33230 at 1 unit per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 33230? These codes are bundled into it
33230 is a Column 1 code in 312 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
00530 | Anes perm transvns pm insj | 0 - no modifier bypass | Check pair |
00534 | Anes insertion/rplcmt cvdfb | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0521T | Interrog dev eval wcs ip | 1 - modifier may bypass | Check pair |
0522T | Prgrmg dev eval wcs ip | 1 - modifier may bypass | Check pair |
0525T | Insj/rplcmt compl iims | 1 - modifier may bypass | Check pair |
0526T | Insj/rplcmt iims eltrd only | 1 - modifier may bypass | Check pair |
0527T | Insj/rplcmt iims implt mntr | 1 - modifier may bypass | Check pair |
0528T | Prgrmg dev eval iims ip | 1 - modifier may bypass | Check pair |
0529T | Interrog dev eval iims ip | 1 - modifier may bypass | Check pair |
0571T | Insj/rplcmt icds ss eltrd | 0 - no modifier bypass | Check pair |
0572T | Insertion ss dfb electrode | 0 - no modifier bypass | Check pair |
0573T | Removal ss dfb electrode | 0 - no modifier bypass | Check pair |
0574T | Repos prev ss impl dfb eltrd | 0 - no modifier bypass | Check pair |
0575T | Prgrmg dev eval icds ss ip | 0 - no modifier bypass | Check pair |
0576T | Interrog dev eval icds ss ip | 0 - no modifier bypass | Check pair |
0577T | Ephys eval icds ss | 0 - no modifier bypass | Check pair |
0578T | Rem interrog dev icds phys | 0 - no modifier bypass | Check pair |
0579T | Rem interrog dev icds tech | 0 - no modifier bypass | Check pair |
0580T | Rmvl ss impl dfb pg only | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0650T | Prgrmg dev eval scrms remote | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
0915T | Insj perm ccm-d sys pg&eltrd | 0 - no modifier bypass | Check pair |
Showing 30 of 312 column 2 codes. Use the pair checker for any specific combination.
33230 is bundled into these codes
33230 appears as a Column 2 code in 17 active edits. Reported with one of these Column 1 codes on the same date of service, 33230 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0515T | Insj wcs lv compl sys | 1 | Check pair |
0516T | Insj wcs lv eltrd only | 1 | Check pair |
0517T | Insj wcs lv both compnt pg | 1 | Check pair |
0519T | Rmv&rplcmt pg wcs lv both | 0 | Check pair |
0520T | Rmv&rplcmt pg wcs lv battery | 0 | Check pair |
0614T | Rmvl&rplcmt ss impl dfb pg | 0 | Check pair |
0695T | Bdy srf mpg pm/cvdfb tm impl | 0 | Check pair |
33218 | Repair lead pace-defib one | 0 | Check pair |
33220 | Repair lead pace-defib dual | 0 | Check pair |
33224 | Insert pacing lead & connect | 0 | Check pair |
33226 | Reposition l ventric lead | 1 | Check pair |
33231 | Insrt pulse gen w/mult leads | 0 | Check pair |
33249 | Insj/rplcmt defib w/lead(s) | 0 | Check pair |
33262 | Rmvl& replc pulse gen 1 lead | 0 | Check pair |
33263 | Rmvl & rplcmt dfb gen 2 lead | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.