# CPT 33270: Insertion of subcutaneous implantable defibrillator system

Medicare CPT 33270 pays $493.00 in a non-facility setting and $493.00 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $439.58 in Wisconsin to $618.21 in Alaska, a 41% spread.

Web page: https://www.med-reveal.com/rates/33270-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $493.00 |
| National facility | $493.00 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $618.21 | $618.21 |
| Florida | $559.19 | $559.19 |
| Illinois | $553.03 | $553.03 |
| New York | $546.74 | $546.74 |
| District of Columbia | $539.50 | $539.50 |
| New Jersey | $530.02 | $530.02 |
| Connecticut | $523.31 | $523.31 |
| Michigan | $513.55 | $513.55 |
| Maryland | $507.64 | $507.64 |
| Massachusetts | $506.29 | $506.29 |
| West Virginia | $506.27 | $506.27 |
| Washington | $505.49 | $505.49 |
| Georgia | $501.24 | $501.24 |
| Pennsylvania | $497.85 | $497.85 |
| New Mexico | $496.40 | $496.40 |
| Rhode Island | $495.32 | $495.32 |
| California | $495.14 | $495.14 |
| Puerto Rico | $493.36 | $493.36 |
| Virgin Islands | $493.36 | $493.36 |
| Montana | $492.86 | $492.86 |
| New Hampshire | $489.53 | $489.53 |
| Colorado | $489.48 | $489.48 |
| Texas | $487.71 | $487.71 |
| Delaware | $485.93 | $485.93 |
| Louisiana | $485.19 | $485.19 |
| Oregon | $482.97 | $482.97 |
| Ohio | $482.48 | $482.48 |
| Nevada | $481.52 | $481.52 |
| Missouri | $481.43 | $481.43 |
| Hawaii | $481.18 | $481.18 |
| Arizona | $479.05 | $479.05 |
| Utah | $478.28 | $478.28 |
| Wyoming | $474.93 | $474.93 |
| Kentucky | $472.97 | $472.97 |
| South Carolina | $472.90 | $472.90 |
| Virginia | $470.41 | $470.41 |
| Oklahoma | $463.89 | $463.89 |
| Maine | $461.39 | $461.39 |
| North Carolina | $459.39 | $459.39 |
| Vermont | $457.40 | $457.40 |
| Mississippi | $457.18 | $457.18 |
| North Dakota | $451.73 | $451.73 |
| Tennessee | $449.25 | $449.25 |
| Indiana | $448.00 | $448.00 |
| Minnesota | $447.78 | $447.78 |
| Alabama | $446.94 | $446.94 |
| South Dakota | $446.87 | $446.87 |
| Kansas | $446.32 | $446.32 |
| Idaho | $446.20 | $446.20 |
| Arkansas | $441.36 | $441.36 |
| Iowa | $440.29 | $440.29 |
| Nebraska | $439.99 | $439.99 |
| Wisconsin | $439.58 | $439.58 |

## 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
- 33249: Insertion of implantable defibrillator with lead(s), dual chamber — https://www.med-reveal.com/rates/33249-cpt-fee-schedule

Commercial negotiated rates for 33270 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