33202 Insert epicard eltrd open
Also known as: epicardial lead placement, epicardial electrode insertion, surgical lead placement
Insertion of epicardial electrode/electrodes on the epicardium via open surgical approach. Direct placement of pacing or sensing leads on heart surface.
In Plain Language
surgery to attach wires to outside of heart
Clinical Context
Used for pacemaker or defibrillator implantation when transvenous access is unavailable or contraindicated, such as in congenital heart disease or failed transvenous attempts.
RVU Breakdown
| Work RVU | 12.87 |
| Total RVU | 12.87 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 12.87, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33202?
CPT 33202 (Insert epicard eltrd open) is a Surgery code. Insertion of epicardial electrode/electrodes on the epicardium via open surgical approach. Direct placement of pacing or sensing leads on heart surface.
What is the wRVU value for CPT 33202?
The work RVU for CPT 33202 is 12.87. This code is primarily used by Cardiac Surgery, Cardiology, Arrhythmia Specialists. It has a 90-day global period.
When is CPT 33202 used?
Used for pacemaker or defibrillator implantation when transvenous access is unavailable or contraindicated, such as in congenital heart disease or failed transvenous attempts.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.