33238 Remove electrode/thoracotomy
Also known as: multiple lead removal, thoracotomy multi-lead extraction, open multi-lead removal
Removal of three or more pacemaker leads via thoracotomy approach with direct epicardial extraction. Open surgical removal of multiple leads.
In Plain Language
surgical removal of three or more pacemaker wires
Clinical Context
Used for infected or malfunctioning multi-chamber epicardial systems. Requires thoracotomy for complete lead visualization and extraction.
RVU Breakdown
| Work RVU | 15.02 |
| Total RVU | 15.02 |
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 15.02, this code ranks in the 73rd percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33238?
CPT 33238 (Remove electrode/thoracotomy) is a Surgery code. Removal of three or more pacemaker leads via thoracotomy approach with direct epicardial extraction. Open surgical removal of multiple leads.
What is the wRVU value for CPT 33238?
The work RVU for CPT 33238 is 15.02. This code is primarily used by Cardiac Surgery. It has a 90-day global period.
When is CPT 33238 used?
Used for infected or malfunctioning multi-chamber epicardial systems. Requires thoracotomy for complete lead visualization and extraction.
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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.