33263 removal & replacement defibrillator gen 2 lead
Also known as: ICD generator replacement 2 leads, defibrillator box change dual lead
Removal and replacement of implantable cardioverter-defibrillator (defibrillator) generator with two leads, removing the old device and implanting a new one.
In Plain Language
replacing defibrillator battery with two wires
Clinical Context
Common procedure for ICD battery depletion or device malfunction; dual-lead ICDs typical for most patients.
RVU Breakdown
| Work RVU | 5.93 |
| Total RVU | 5.93 |
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 5.93, this code ranks in the 40th percentile among Surgery codes — 1.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33263?
CPT 33263 (removal & replacement defibrillator gen 2 lead) is a Surgery code. Removal and replacement of implantable cardioverter-defibrillator (defibrillator) generator with two leads, removing the old device and implanting a new one.
What is the wRVU value for CPT 33263?
The work RVU for CPT 33263 is 5.93. This code is primarily used by Electrophysiology, Cardiology, Cardiac Surgery. It has a 90-day global period.
When is CPT 33263 used?
Common procedure for ICD battery depletion or device malfunction; dual-lead ICDs typical for most patients.
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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.