33229 Remv & replc pm gen mult leads
Also known as: biventricular pacemaker replacement, CRT-P replacement, multi-chamber generator exchange
Complete removal and replacement of multi-chamber (three or more leads) pacemaker pulse generator. Explantation and reimplantation of CRT-P device.
In Plain Language
replacing pacemaker with three or more wires
Clinical Context
Used for battery depletion or malfunction in cardiac resynchronization therapy patients. Preserves existing multi-chamber lead configuration.
RVU Breakdown
| Work RVU | 5.65 |
| Total RVU | 5.65 |
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 5.65, 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 33229?
CPT 33229 (Remv & replc pm gen mult leads) is a Surgery code. Complete removal and replacement of multi-chamber (three or more leads) pacemaker pulse generator. Explantation and reimplantation of CRT-P device.
What is the wRVU value for CPT 33229?
The work RVU for CPT 33229 is 5.65. This code is primarily used by Cardiology, Heart Failure Specialists. It has a 90-day global period.
When is CPT 33229 used?
Used for battery depletion or malfunction in cardiac resynchronization therapy patients. Preserves existing multi-chamber lead configuration.
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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.