33274 Transcatheter insj/rpl perm ldls pm
Also known as: leadless pacemaker insertion, transcatheter pacemaker, Micra implant
Transcatheter insertion or replacement of permanent leadless pacemaker components or system, implanting the entire pacemaker without traditional transvenous leads.
In Plain Language
placing a tiny heartbeat regulator without wires
Clinical Context
Used for patients requiring pacemaker therapy who wish to avoid traditional lead complications; implanted directly into right ventricle.
RVU Breakdown
| Work RVU | 7.61 |
| Total RVU | 7.61 |
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 7.61, this code ranks in the 48th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33274?
CPT 33274 (Transcatheter insj/rpl perm ldls pm) is a Surgery code. Transcatheter insertion or replacement of permanent leadless pacemaker components or system, implanting the entire pacemaker without traditional transvenous leads.
What is the wRVU value for CPT 33274?
The work RVU for CPT 33274 is 7.61. This code is primarily used by Electrophysiology, Cardiology. It has a 90-day global period.
When is CPT 33274 used?
Used for patients requiring pacemaker therapy who wish to avoid traditional lead complications; implanted directly into right ventricle.
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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.