33236 Remove electrode/thoracotomy
Also known as: epicardial lead removal, thoracotomy lead extraction, open lead removal
Removal of pacemaker lead via thoracotomy approach with direct epicardial lead extraction. Open surgical lead removal.
In Plain Language
surgical removal of pacemaker wire
Clinical Context
Used for epicardial leads or when transvenous extraction is not feasible. Requires open chest approach for direct visualization.
RVU Breakdown
| Work RVU | 12.41 |
| Total RVU | 12.41 |
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 12.41, this code ranks in the 66th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33236?
CPT 33236 (Remove electrode/thoracotomy) is a Surgery code. Removal of pacemaker lead via thoracotomy approach with direct epicardial lead extraction. Open surgical lead removal.
What is the wRVU value for CPT 33236?
The work RVU for CPT 33236 is 12.41. This code is primarily used by Cardiac Surgery. It has a 90-day global period.
When is CPT 33236 used?
Used for epicardial leads or when transvenous extraction is not feasible. Requires open chest approach for direct visualization.
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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.