33231 insertion pulse gen with mult leads
Also known as: biventricular pacemaker insertion, CRT-P implantation, multi-chamber generator
Insertion of pulse generator for multi-chamber (three or more leads) pacemaker system. Comprehensive biventricular pacemaker implantation.
In Plain Language
implanting pacemaker with three or more wires
Clinical Context
Used for heart failure with reduced ejection fraction and ventricular dyssynchrony. Cardiac resynchronization therapy improves hemodynamics and symptoms.
RVU Breakdown
| Work RVU | 6.18 |
| Total RVU | 6.18 |
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 6.18, this code ranks in the 41st percentile among Surgery codes — 1.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33231?
CPT 33231 (insertion pulse gen with mult leads) is a Surgery code. Insertion of pulse generator for multi-chamber (three or more leads) pacemaker system. Comprehensive biventricular pacemaker implantation.
What is the wRVU value for CPT 33231?
The work RVU for CPT 33231 is 6.18. This code is primarily used by Cardiology, Heart Failure Specialists. It has a 90-day global period.
When is CPT 33231 used?
Used for heart failure with reduced ejection fraction and ventricular dyssynchrony. Cardiac resynchronization therapy improves hemodynamics and symptoms.
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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.