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CPT 33208 — Insrt heart pm atrial & vent

CPT code 33208 (Insrt heart pm atrial & vent) carries 8.31 work RVUs under the CMS 2026 Medicare Physician Fee Schedule. Total RVUs are 13.65 in a non-facility setting and 13.65 in a facility setting, which at the 2026 conversion factor of $33.40 works out to $455.92 and $455.92 respectively.

8.31
Work RVU
13.65
Total RVU (non-facility)
$455.92
Medicare, non-facility
$455.92
Medicare, facility
Calculate your total wRVUs →

RVU breakdown for CPT 33208

ComponentRVUsWhat it covers
Work RVU8.31Physician time, skill, effort, and stress.
Practice expense RVU (non-facility)3.39Office overhead, staff, supplies.
Practice expense RVU (facility)0.0Overhead when performed in a hospital.
Malpractice RVU1.95Professional liability cost.
Total RVU (non-facility)13.65Work + non-facility PE + malpractice.
Total RVU (facility)13.65Work + facility PE + malpractice.

How Medicare payment is calculated

Medicare multiplies total RVUs by the annual conversion factor. For CPT 33208 in 2026:

SettingTotal RVUConversion factorNational payment
Non-facility13.65$33.40$455.92
Facility13.65$33.40$455.92

These are national amounts. Actual payment is adjusted by the Geographic Practice Cost Index for your locality — check yours with the GPCI lookup.

Billing rules for CPT 33208

Global period
90-day global — major surgery; 90 days of follow-up care included.
Multiple procedure reduction
Subject to the standard multiple-procedure reduction (100%/50%/50%…).
Bilateral surgery
Bilateral adjustment does not apply.
Assistant surgeon
Not permitted.
Co-surgeon
Permitted.
Team surgery
Not permitted unless documentation supports medical necessity.

Questions about CPT 33208

How many work RVUs is CPT 33208?

CPT 33208 is assigned 8.31 work RVUs in the CMS 2026 Medicare Physician Fee Schedule.

What does Medicare pay for CPT 33208?

At the 2026 national conversion factor of $33.40, CPT 33208 pays approximately $455.92 in a non-facility setting and $455.92 in a facility setting before geographic adjustment.

What is the global period for CPT 33208?

90-day global — major surgery; 90 days of follow-up care included.

RVU values reflect the CMS 2026 Medicare Physician Fee Schedule (conversion factor $33.40). Payment figures are national and unadjusted for geography. Verify against the official fee schedule before using for billing.