33228 Remv & replc pm gen dual lead
Also known as: dual-chamber pacemaker replacement, generator replacement, device exchange
Complete removal and replacement of dual-chamber pacemaker pulse generator. Explantation and reimplantation of device.
In Plain Language
replacing dual-wire pacemaker
Clinical Context
Used for battery depletion, device malfunction, or system upgrade. Existing dual leads are preserved and reconnected.
RVU Breakdown
| Work RVU | 5.38 |
| Total RVU | 5.38 |
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 5.38, this code ranks in the 36th 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 33228?
CPT 33228 (Remv & replc pm gen dual lead) is a Surgery code. Complete removal and replacement of dual-chamber pacemaker pulse generator. Explantation and reimplantation of device.
What is the wRVU value for CPT 33228?
The work RVU for CPT 33228 is 5.38. This code is primarily used by Cardiology, Cardiac Surgery. It has a 90-day global period.
When is CPT 33228 used?
Used for battery depletion, device malfunction, or system upgrade. Existing dual leads are preserved and reconnected.
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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.