33208 insertion heart pm atrial & vent
Also known as: dual-chamber lead insertion, A-V lead placement, dual lead pacemaker, pacemaker insertion
Insertion of both atrial and ventricular electrodes/leads for dual-chamber pacemaker function. Transvenous placement of two cardiac leads.
In Plain Language
placing pacemaker wires in both upper and lower heart chambers
Clinical Context
Used for dual-chamber pacemaker implantation providing synchronized atrial and ventricular pacing. Improves hemodynamics compared to single-chamber systems.
RVU Breakdown
| Work RVU | 8.31 |
| Total RVU | 8.31 |
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 8.31, this code ranks in the 51st percentile among Surgery codes — 1.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33208?
CPT 33208 (insertion heart pm atrial & vent) is a Surgery code. Insertion of both atrial and ventricular electrodes/leads for dual-chamber pacemaker function. Transvenous placement of two cardiac leads.
What is the wRVU value for CPT 33208?
The work RVU for CPT 33208 is 8.31. This code is primarily used by Cardiology, Arrhythmia Specialists, Cardiac Surgery. It has a 90-day global period.
When is CPT 33208 used?
Used for dual-chamber pacemaker implantation providing synchronized atrial and ventricular pacing. Improves hemodynamics compared to single-chamber systems.
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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.