33220 Repair lead pace-defib dual
Also known as: dual lead repair, two-lead repair, bilateral conductor repair
Repair of dual transvenous pacemaker or defibrillator leads, addressing insulation defects, fractures, or poor electrical function in both leads.
In Plain Language
fixing two pacemaker or defibrillator wires
Clinical Context
Used to address failures in dual-chamber systems without requiring lead extraction. Preserves existing lead positioning.
RVU Breakdown
| Work RVU | 5.75 |
| Total RVU | 5.75 |
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 5.75, 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
Frequently Asked Questions
What is CPT code 33220?
CPT 33220 (Repair lead pace-defib dual) is a Surgery code. Repair of dual transvenous pacemaker or defibrillator leads, addressing insulation defects, fractures, or poor electrical function in both leads.
What is the wRVU value for CPT 33220?
The work RVU for CPT 33220 is 5.75. This code is primarily used by Cardiology, Arrhythmia Specialists. It has a 90-day global period.
When is CPT 33220 used?
Used to address failures in dual-chamber systems without requiring lead extraction. Preserves existing lead positioning.
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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.