CPT 33225

Across 12,582 services billed by 708 providers to 12,527 beneficiaries, Medicare allowed an average of $440.17 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

• 33208Insertion of pacemaker and upper and lower heart chamber electrode$734.65
• 33285Insertion of heart rhythm monitor under skin$1927.21
• 33228Removal and replacement of dual lead permanent pacemaker$1057.50
• 33249Insertion of implantable defibrillator system$1981.50
• 33286Removal of heart rhythm monitor from under the skin$112.40
• 33268Exclusion of appendage of left upper chamber of heart performed during$92.67
• 33274Insertion of permanent leadless pacemaker$421.36
• 33264Removal and replacement of multiple lead defibrillator$4811.78
• 33207Insertion of pacemaker and lower heart chamber electrode$592.59

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

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