33226 Reposition l ventric lead
Also known as: LV lead reposition, left ventricular lead repositioning, biventricular lead adjustment
Repositioning of left ventricular pacing lead, typically due to malposition, poor capture, or sensing problems in heart failure patients.
In Plain Language
adjusting left heart chamber wire position
Clinical Context
Used to optimize left ventricular lead position for improved cardiac resynchronization therapy effectiveness and patient symptom improvement.
RVU Breakdown
| Work RVU | 8.46 |
| Total RVU | 8.46 |
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 8.46, this code ranks in the 52nd 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 33226?
CPT 33226 (Reposition l ventric lead) is a Surgery code. Repositioning of left ventricular pacing lead, typically due to malposition, poor capture, or sensing problems in heart failure patients.
What is the wRVU value for CPT 33226?
The work RVU for CPT 33226 is 8.46. This code is primarily used by Cardiology, Heart Failure Specialists.
When is CPT 33226 used?
Used to optimize left ventricular lead position for improved cardiac resynchronization therapy effectiveness and patient symptom improvement.
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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.