33278 removal phrnc nerve stim sys
Also known as: phrenic nerve stimulator removal, phrenic pacing system removal
Removal of an implanted phrenic nerve stimulation system, extracting the entire system including electrodes and generator.
In Plain Language
removing breathing nerve stimulator
Clinical Context
Performed for device infection, malfunction, or when respiratory support is no longer needed.
RVU Breakdown
| Work RVU | 9.31 |
| Total RVU | 9.31 |
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 9.31, this code ranks in the 56th percentile among Surgery codes — 1.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33278?
CPT 33278 (removal phrnc nerve stim sys) is a Surgery code. Removal of an implanted phrenic nerve stimulation system, extracting the entire system including electrodes and generator.
What is the wRVU value for CPT 33278?
The work RVU for CPT 33278 is 9.31. This code is primarily used by Cardiac Surgery, Pulmonology. It has a 90-day global period.
When is CPT 33278 used?
Performed for device infection, malfunction, or when respiratory support is no longer needed.
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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.