{
    "code": "33249",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/33249/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/33249/2022/C",
    "description": "Placement of a complete implantable cardioverter-defibrillator. A pulse generator is set in a pocket under the skin below the collarbone and connected to one or two leads that are threaded through a vein into the right side of the heart. The device watches every beat and delivers a shock or a burst of rapid pacing when it sees a dangerous fast rhythm, and it paces the heart if the rate falls too low. This entry covers the whole system going in through the veins, whether one chamber or two are wired, and applies to replacing an entire system as well as to a first implant.",
    "answer": {
        "question": "How much did Medicare pay for CPT 33249 in Q3 2022?",
        "text": "Medicare paid $939.21 for CPT 33249 in the office (non-facility) setting and $939.21 in a facility under the Q3 2022 Physician Fee Schedule, effective July 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 0.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "C",
        "label": "Q3 2022",
        "effective": "July 1 – September 30, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 939.21,
        "facility": 939.21,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 14.92,
        "practice_expense_non_facility": 8.76,
        "practice_expense_facility": 8.76,
        "malpractice": 3.46
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q3 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22c-updated-06172022.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/C",
        "file": "PPRRVU22_JUL.csv",
        "row": 8629,
        "sha256": "f0a493a192a21b1faa980aa71d22c8ae064e87b564f51a67e1229fcee376df41"
    },
    "modified_at": "2026-08-04T03:11:49+00:00"
}