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33218 Repair lead pace-defib one

Surgery Global 90d

Also known as: lead repair, single lead repair, conductor repair

Repair of single transvenous pacemaker or defibrillator lead, addressing insulation defects, fractures, or poor electrical function.

In Plain Language

fixing pacemaker or defibrillator wire

Clinical Context

Used to address lead failures without requiring complete lead extraction. Repair may involve sealing defects or repositioning without device explantation.

RVU Breakdown

Work RVU5.67
Total RVU5.67

Est. Medicare Payment

$189.38

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 5.67, this code ranks in the 38th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

CardiologyArrhythmia Specialists

Frequently Asked Questions

What is CPT code 33218?

CPT 33218 (Repair lead pace-defib one) is a Surgery code. Repair of single transvenous pacemaker or defibrillator lead, addressing insulation defects, fractures, or poor electrical function.

What is the wRVU value for CPT 33218?

The work RVU for CPT 33218 is 5.67. This code is primarily used by Cardiology, Arrhythmia Specialists. It has a 90-day global period.

When is CPT 33218 used?

Used to address lead failures without requiring complete lead extraction. Repair may involve sealing defects or repositioning without device explantation.

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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.