CPT 33225
Global ZZZ ActiveL ventric pacing lead add-on
CPT 33225 Billing & Documentation Guide
CPT code 33225 (L ventric pacing lead add-on) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 8.12, a non-facility practice expense RVU of 1.78, and a malpractice RVU of 1.91, a total non-facility RVU of 11.81 and facility RVU of 11.81. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $393.41, though rates vary from $347.82 to $505.29 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 33225, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 33225 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 33225 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 33225
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 8.12 | 8.12 |
| Practice Expense RVU | 1.78 | 1.78 |
| Malpractice RVU | 1.91 | 1.91 |
| Total RVU | 11.81 | 11.81 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 33225
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $385.88 | $385.88 | $375.18 - $420.98 | 29 |
| Florida | $455.06 | $455.06 | $423.94 - $494.45 | 3 |
| Georgia | $404.67 | $404.67 | $400.29 - $409.05 | 2 |
| Illinois | $451.53 | $451.53 | $425.21 - $479.28 | 4 |
| Michigan | $416.84 | $416.84 | $397.52 - $436.15 | 2 |
| North Carolina | $367.45 | $367.45 | $367.45 - $367.45 | 1 |
| New York | $437.13 | $437.13 | $372.54 - $477.73 | 5 |
| Ohio | $389.8 | $389.8 | $389.8 - $389.8 | 1 |
| Pennsylvania | $400.09 | $400.09 | $386.08 - $414.1 | 2 |
| Texas | $390.5 | $390.5 | $382.06 - $420.21 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 33225
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 33225 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0293T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0294T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0302T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0303T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0304T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0305T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0306T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0387T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
Frequently Asked Questions, CPT 33225
What does CPT code 33225 mean? +
CPT code 33225 represents: L ventric pacing lead add-on. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 33225? +
The 2026 Medicare national average non-facility payment for CPT 33225 is $393.41. Rates range from $347.82 to $505.29 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 33225? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 33225? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 2, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team