33262 removal& replc pulse gen 1 lead
Also known as: PM generator replacement 1 lead, pacemaker box change single lead, pulse gen removal replacement
Removal and replacement of pacemaker pulse generator with a single lead system, removing the old device and implanting a new one while managing the existing lead.
In Plain Language
replacing pacemaker battery with one wire; changing pacemaker box
Clinical Context
Performed for pacemaker battery depletion, malfunction, or infection; single lead devices are less common but used in select cases.
RVU Breakdown
| Work RVU | 5.66 |
| Total RVU | 5.66 |
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 5.66, this code ranks in the 38th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33262?
CPT 33262 (removal& replc pulse gen 1 lead) is a Surgery code. Removal and replacement of pacemaker pulse generator with a single lead system, removing the old device and implanting a new one while managing the existing lead.
What is the wRVU value for CPT 33262?
The work RVU for CPT 33262 is 5.66. This code is primarily used by Electrophysiology, Cardiology, Cardiac Surgery. It has a 90-day global period.
When is CPT 33262 used?
Performed for pacemaker battery depletion, malfunction, or infection; single lead devices are less common but used in select 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.