# CPT 33240: Insertion of implantable defibrillator pulse generator only

Medicare CPT 33240 pays $320.31 in a non-facility setting and $320.31 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $285.71 in Wisconsin to $400.37 in Alaska, a 40% spread.

Web page: https://www.med-reveal.com/rates/33240-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $320.31 |
| National facility | $320.31 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $400.37 | $400.37 |
| Florida | $362.97 | $362.97 |
| Illinois | $358.83 | $358.83 |
| New York | $355.37 | $355.37 |
| District of Columbia | $350.98 | $350.98 |
| New Jersey | $344.65 | $344.65 |
| Connecticut | $340.16 | $340.16 |
| Michigan | $333.28 | $333.28 |
| Maryland | $329.92 | $329.92 |
| Massachusetts | $329.38 | $329.38 |
| Washington | $328.94 | $328.94 |
| West Virginia | $328.27 | $328.27 |
| Georgia | $325.41 | $325.41 |
| Pennsylvania | $323.33 | $323.33 |
| California | $322.46 | $322.46 |
| New Mexico | $322.13 | $322.13 |
| Rhode Island | $321.93 | $321.93 |
| Puerto Rico | $320.59 | $320.59 |
| Virgin Islands | $320.59 | $320.59 |
| Montana | $320.23 | $320.23 |
| Colorado | $318.32 | $318.32 |
| New Hampshire | $318.27 | $318.27 |
| Texas | $316.83 | $316.83 |
| Delaware | $315.70 | $315.70 |
| Louisiana | $314.90 | $314.90 |
| Oregon | $314.08 | $314.08 |
| Hawaii | $313.32 | $313.32 |
| Ohio | $313.15 | $313.15 |
| Nevada | $312.93 | $312.93 |
| Missouri | $312.49 | $312.49 |
| Arizona | $311.19 | $311.19 |
| Utah | $310.56 | $310.56 |
| Wyoming | $308.68 | $308.68 |
| South Carolina | $307.03 | $307.03 |
| Kentucky | $306.91 | $306.91 |
| Virginia | $305.69 | $305.69 |
| Oklahoma | $301.08 | $301.08 |
| Maine | $299.75 | $299.75 |
| North Carolina | $298.36 | $298.36 |
| Vermont | $297.34 | $297.34 |
| Mississippi | $296.61 | $296.61 |
| North Dakota | $293.73 | $293.73 |
| Tennessee | $291.72 | $291.72 |
| Minnesota | $291.31 | $291.31 |
| Indiana | $290.99 | $290.99 |
| South Dakota | $290.60 | $290.60 |
| Alabama | $290.08 | $290.08 |
| Idaho | $289.81 | $289.81 |
| Kansas | $289.81 | $289.81 |
| Arkansas | $286.41 | $286.41 |
| Iowa | $285.97 | $285.97 |
| Nebraska | $285.81 | $285.81 |
| Wisconsin | $285.71 | $285.71 |

## Related codes

- 33016: Pericardiocentesis — https://www.med-reveal.com/rates/33016-cpt-fee-schedule
- 33017: Pericardial drainage with insertion of indwelling catheter — https://www.med-reveal.com/rates/33017-cpt-fee-schedule
- 33206: Insertion of permanent pacemaker, atrial — https://www.med-reveal.com/rates/33206-cpt-fee-schedule
- 33207: Insertion of permanent pacemaker, ventricular — https://www.med-reveal.com/rates/33207-cpt-fee-schedule
- 33208: Insertion of permanent pacemaker, atrial and ventricular — https://www.med-reveal.com/rates/33208-cpt-fee-schedule
- 33210: Insertion of temporary transvenous pacemaker — https://www.med-reveal.com/rates/33210-cpt-fee-schedule
- 33249: Insertion of implantable defibrillator with lead(s), dual chamber — https://www.med-reveal.com/rates/33249-cpt-fee-schedule
- 33262: Removal of implantable defibrillator pulse generator only — https://www.med-reveal.com/rates/33262-cpt-fee-schedule

Commercial negotiated rates for 33240 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules