33224 Insert pacing lead & connect
Also known as: add pacing lead to ICD, ICD pacing lead addition, single-lead addition
Insertion of single transvenous pacing lead and connection to existing defibrillator pulse generator. Addition of pacing lead to existing ICD.
In Plain Language
adding pacemaker wire to existing defibrillator
Clinical Context
Used to convert ICD to ICD-pacemaker (CRT-D or DDD) for patients developing bradycardia or requiring synchronized pacing.
RVU Breakdown
| Work RVU | 8.81 |
| Total RVU | 8.81 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 8.81, this code ranks in the 54th percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33224?
CPT 33224 (Insert pacing lead & connect) is a Surgery code. Insertion of single transvenous pacing lead and connection to existing defibrillator pulse generator. Addition of pacing lead to existing ICD.
What is the wRVU value for CPT 33224?
The work RVU for CPT 33224 is 8.81. This code is primarily used by Cardiology, Arrhythmia Specialists.
When is CPT 33224 used?
Used to convert ICD to ICD-pacemaker (CRT-D or DDD) for patients developing bradycardia or requiring synchronized pacing.
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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.