# CPT 33249: Insertion of implantable defibrillator with lead(s), dual chamber

Medicare CPT 33249 pays $797.95 in a non-facility setting and $797.95 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $710.38 in Wisconsin to $1,002.33 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/33249-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $797.95 |
| National facility | $797.95 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,002.33 | $1,002.33 |
| Florida | $907.06 | $907.06 |
| Illinois | $897.35 | $897.35 |
| New York | $885.00 | $885.00 |
| District of Columbia | $872.27 | $872.27 |
| New Jersey | $857.30 | $857.30 |
| Connecticut | $846.93 | $846.93 |
| Michigan | $832.59 | $832.59 |
| Maryland | $821.54 | $821.54 |
| West Virginia | $821.47 | $821.47 |
| Massachusetts | $818.25 | $818.25 |
| Washington | $816.72 | $816.72 |
| Georgia | $812.11 | $812.11 |
| Pennsylvania | $806.18 | $806.18 |
| New Mexico | $804.59 | $804.59 |
| Rhode Island | $801.32 | $801.32 |
| California | $799.11 | $799.11 |
| Puerto Rico | $798.40 | $798.40 |
| Virgin Islands | $798.40 | $798.40 |
| Montana | $797.72 | $797.72 |
| New Hampshire | $791.72 | $791.72 |
| Colorado | $791.32 | $791.32 |
| Texas | $789.41 | $789.41 |
| Delaware | $786.44 | $786.44 |
| Louisiana | $786.16 | $786.16 |
| Ohio | $781.69 | $781.69 |
| Oregon | $780.72 | $780.72 |
| Missouri | $779.90 | $779.90 |
| Nevada | $779.01 | $779.01 |
| Hawaii | $776.76 | $776.76 |
| Arizona | $775.33 | $775.33 |
| Utah | $774.42 | $774.42 |
| Wyoming | $768.16 | $768.16 |
| Kentucky | $766.30 | $766.30 |
| South Carolina | $765.76 | $765.76 |
| Virginia | $760.91 | $760.91 |
| Oklahoma | $751.28 | $751.28 |
| Maine | $746.38 | $746.38 |
| North Carolina | $743.36 | $743.36 |
| Mississippi | $740.61 | $740.61 |
| Vermont | $739.38 | $739.38 |
| North Dakota | $729.90 | $729.90 |
| Tennessee | $726.94 | $726.94 |
| Indiana | $724.65 | $724.65 |
| Alabama | $723.55 | $723.55 |
| Minnesota | $723.02 | $723.02 |
| Kansas | $722.17 | $722.17 |
| South Dakota | $721.88 | $721.88 |
| Idaho | $721.78 | $721.78 |
| Arkansas | $714.55 | $714.55 |
| Iowa | $712.09 | $712.09 |
| Nebraska | $711.49 | $711.49 |
| Wisconsin | $710.38 | $710.38 |

## 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
- 33240: Insertion of implantable defibrillator pulse generator only — https://www.med-reveal.com/rates/33240-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 33249 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