33234 Removal of pacemaker system
Also known as: pacemaker system removal, complete device extraction, generator and lead removal
Removal of entire pacemaker system including pulse generator and all transvenous leads. Complete device and lead explantation.
In Plain Language
removing entire pacemaker including wires
Clinical Context
Used for infection, device rejection, or when pacing is no longer needed. Requires extraction of all leads from vasculature.
RVU Breakdown
| Work RVU | 7.47 |
| Total RVU | 7.47 |
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 7.47, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33234?
CPT 33234 (Removal of pacemaker system) is a Surgery code. Removal of entire pacemaker system including pulse generator and all transvenous leads. Complete device and lead explantation.
What is the wRVU value for CPT 33234?
The work RVU for CPT 33234 is 7.47. This code is primarily used by Cardiac Surgery, Cardiology. It has a 90-day global period.
When is CPT 33234 used?
Used for infection, device rejection, or when pacing is no longer needed. Requires extraction of all leads from vasculature.
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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.