33285 Insj subq car rhythm mntr
What 33285 is
CMS fee schedule short descriptor: Insj subq car rhythm mntr.
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 33285 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 1.49 | 118.27 | 0.36 | 120.12 | $4,012.12 |
| Facility (hospital, ASC) | 1.49 | 0.42 | 0.36 | 2.27 | $75.82 |
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: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).
Medically Unlikely Edit (MUE)
Medicare caps 33285 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 33285? These codes are bundled into it
33285 is a Column 1 code in 278 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 | |
|---|---|---|---|
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 |
0417T | Prgrmg eval cardiac modulj | 1 - modifier may bypass | Check pair |
0418T | Interro eval cardiac modulj | 1 - modifier may 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 |
0575T | Prgrmg dev eval icds ss ip | 1 - modifier may bypass | Check pair |
0576T | Interrog dev eval icds ss ip | 1 - modifier may bypass | Check pair |
0578T | Rem interrog dev icds phys | 1 - modifier may bypass | Check pair |
0579T | Rem interrog dev icds tech | 1 - modifier may 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 |
0926T | Prgrmg dev eval ccm-d ip | 1 - modifier may bypass | Check pair |
0927T | Interrog dev eval ccm-d ip | 1 - modifier may bypass | Check pair |
0928T | Rem interrog dev ccm-d phys | 1 - modifier may bypass | Check pair |
0929T | Rem interrog dev ccm-d tech | 1 - modifier may bypass | Check pair |
0934T | Rem mntr wrls l atr prs snr | 1 - modifier may bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11001 | Dbrdmt ecz/infct skn ea addl | 1 - modifier may bypass | Check pair |
Showing 30 of 278 column 2 codes. Use the pair checker for any specific combination.
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.