33249 Insj/replacement defib with lead(s)
Also known as: ICD placement, defibrillator implantation, ICD with lead, device and lead insertion, ICD implantation
Insertion or replacement of a defibrillator device with one or more lead(s), providing therapy for life-threatening arrhythmias.
In Plain Language
implanting a heart shock device; placing a life-saving defibrillator with wires
Clinical Context
Performed for secondary prevention after sustained ventricular tachycardia/fibrillation or primary prevention in high-risk patients with reduced ejection fraction.
RVU Breakdown
| Work RVU | 14.55 |
| Total RVU | 14.55 |
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 14.55, this code ranks in the 72nd percentile among Surgery codes — 1.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33249?
CPT 33249 (Insj/replacement defib with lead(s)) is a Surgery code. Insertion or replacement of a defibrillator device with one or more lead(s), providing therapy for life-threatening arrhythmias.
What is the wRVU value for CPT 33249?
The work RVU for CPT 33249 is 14.55. This code is primarily used by Electrophysiology, Cardiology, Cardiac Surgery. It has a 90-day global period.
When is CPT 33249 used?
Performed for secondary prevention after sustained ventricular tachycardia/fibrillation or primary prevention in high-risk patients with reduced ejection fraction.
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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.