33214 Upgrade of pacemaker system
Also known as: pacemaker upgrade, system upgrade, PM upgrade
Upgrade of existing pacemaker system by addition or replacement of leads, pulse generator, or both. Conversion to more advanced pacing system.
In Plain Language
replacing or adding parts to existing pacemaker
Clinical Context
Used to upgrade single-chamber to dual-chamber pacemakers or to replace failing components. Addresses changing patient requirements over time.
RVU Breakdown
| Work RVU | 7.40 |
| Total RVU | 7.40 |
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 7.40, this code ranks in the 47th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33214?
CPT 33214 (Upgrade of pacemaker system) is a Surgery code. Upgrade of existing pacemaker system by addition or replacement of leads, pulse generator, or both. Conversion to more advanced pacing system.
What is the wRVU value for CPT 33214?
The work RVU for CPT 33214 is 7.40. This code is primarily used by Cardiology, Arrhythmia Specialists. It has a 90-day global period.
When is CPT 33214 used?
Used to upgrade single-chamber to dual-chamber pacemakers or to replace failing components. Addresses changing patient requirements over time.
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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.