33243 Remove eltrd/thoracotomy
Also known as: electrode removal thoracotomy, device extraction, open electrode removal
Removal of implanted cardiac device electrode(s) via thoracotomy, an open surgical approach through the chest wall to access and extract the electrode from the heart.
In Plain Language
removing heart device wire through chest surgery; open removal of heart pacemaker/defibrillator lead
Clinical Context
Used when transvenous electrode removal is not possible or when epicardial leads need to be removed surgically; common in infected devices or complex lead extraction cases.
RVU Breakdown
| Work RVU | 22.98 |
| Total RVU | 22.98 |
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 22.98, this code ranks in the 86th percentile among Surgery codes — 2.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33243?
CPT 33243 (Remove eltrd/thoracotomy) is a Surgery code. Removal of implanted cardiac device electrode(s) via thoracotomy, an open surgical approach through the chest wall to access and extract the electrode from the heart.
What is the wRVU value for CPT 33243?
The work RVU for CPT 33243 is 22.98. This code is primarily used by Cardiac Surgery, Electrophysiology, Cardiothoracic Surgery. It has a 90-day global period.
When is CPT 33243 used?
Used when transvenous electrode removal is not possible or when epicardial leads need to be removed surgically; common in infected devices or complex lead extraction cases.
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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.