CPT 33230
Global 090 ActiveInsrt pulse gen w/dual leads
CPT 33230 Billing & Documentation Guide
CPT code 33230 (Insrt pulse gen w/dual leads) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.92, a non-facility practice expense RVU of 2.64, and a malpractice RVU of 1.41, a total non-facility RVU of 9.97 and facility RVU of 9.97. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $334.11, though rates vary from $296.71 to $416.46 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 33230, 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 33230 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 33230 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 33230
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.92 | 5.92 |
| Practice Expense RVU | 2.64 | 2.64 |
| Malpractice RVU | 1.41 | 1.41 |
| Total RVU | 9.97 | 9.97 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 33230
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 | $334.7 | $334.7 | $322.98 - $371.88 | 29 |
| Florida | $377.89 | $377.89 | $352.82 - $408.63 | 3 |
| Georgia | $338.51 | $338.51 | $332.53 - $344.48 | 2 |
| Illinois | $373.63 | $373.63 | $351.85 - $395.82 | 4 |
| Michigan | $346.82 | $346.82 | $331.41 - $362.23 | 2 |
| North Carolina | $310.1 | $310.1 | $310.1 - $310.1 | 1 |
| New York | $369.51 | $369.51 | $314.61 - $402.69 | 5 |
| Ohio | $325.71 | $325.71 | $325.71 - $325.71 | 1 |
| Pennsylvania | $336.23 | $336.23 | $323.19 - $349.27 | 2 |
| Texas | $329.38 | $329.38 | $321.73 - $351.68 | 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 33230
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 33230 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00530 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 00534 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | 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 |
Frequently Asked Questions, CPT 33230
What does CPT code 33230 mean? +
CPT code 33230 represents: Insrt pulse gen w/dual leads. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 33230? +
The 2026 Medicare national average non-facility payment for CPT 33230 is $334.11. Rates range from $296.71 to $416.46 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 33230? +
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 33230? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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