33217 Insert 2 electrode pm-defib
Also known as: dual ICD lead insertion, dual defibrillator leads, pacemaker-ICD dual leads
Insertion of dual transvenous electrodes for combination pacemaker-defibrillator system. Addition of two leads for hybrid device.
In Plain Language
adding two wires to pacemaker-defibrillator device
Clinical Context
Used for patients requiring dual-chamber pacing and defibrillation. Provides synchronized pacing with arrhythmia detection and treatment.
RVU Breakdown
| Work RVU | 5.45 |
| Total RVU | 5.45 |
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 5.45, this code ranks in the 37th percentile among Surgery codes — 1.5x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33217?
CPT 33217 (Insert 2 electrode pm-defib) is a Surgery code. Insertion of dual transvenous electrodes for combination pacemaker-defibrillator system. Addition of two leads for hybrid device.
What is the wRVU value for CPT 33217?
The work RVU for CPT 33217 is 5.45. This code is primarily used by Cardiology, Arrhythmia Specialists. It has a 90-day global period.
When is CPT 33217 used?
Used for patients requiring dual-chamber pacing and defibrillation. Provides synchronized pacing with arrhythmia detection and treatment.
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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.