CPT 33244
Global 090 ActiveRemove elctrd transvenously
CPT 33244 Billing & Documentation Guide
CPT code 33244 (Remove elctrd transvenously) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 13.4, a non-facility practice expense RVU of 6.37, and a malpractice RVU of 3.18, a total non-facility RVU of 22.95 and facility RVU of 22.95. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $769.68, though rates vary from $684.1 to $956.48 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 33244, 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 33244 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 33244 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 33244
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 13.4 | 13.4 |
| Practice Expense RVU | 6.37 | 6.37 |
| Malpractice RVU | 3.18 | 3.18 |
| Total RVU | 22.95 | 22.95 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 33244
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 | $772.97 | $772.97 | $745.3 - $860.54 | 29 |
| Florida | $867.81 | $867.81 | $810.62 - $937.68 | 3 |
| Georgia | $778.31 | $778.31 | $763.97 - $792.65 | 2 |
| Illinois | $857.7 | $857.7 | $807.84 - $908.3 | 4 |
| Michigan | $796.86 | $796.86 | $761.74 - $831.97 | 2 |
| North Carolina | $713.95 | $713.95 | $713.95 - $713.95 | 1 |
| New York | $850.56 | $850.56 | $724.37 - $926.43 | 5 |
| Ohio | $748.89 | $748.89 | $748.89 - $748.89 | 1 |
| Pennsylvania | $773.55 | $773.55 | $743.26 - $803.83 | 2 |
| Texas | $758.16 | $758.16 | $739.86 - $808.58 | 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 33244
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 33244 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 | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 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 33244
What does CPT code 33244 mean? +
CPT code 33244 represents: Remove elctrd transvenously. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 33244? +
The 2026 Medicare national average non-facility payment for CPT 33244 is $769.68. Rates range from $684.1 to $956.48 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 33244? +
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 33244? +
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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