33206 coverage policies: Medicare and commercial payers

7 active Medicare policies list 33206, and 10 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.

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Medicare policies listing 33206

Article · A54831

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker

National · Effective Oct 1, 2023

Article · A54958

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker

J5 · Effective Jan 1, 2026

Article · A54909

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

J6 · Effective Apr 1, 2026

Article · A54926

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

J9 · Effective Feb 10, 2025

Article · A54982

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

JL · Effective Feb 10, 2025

Article · A54929

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers â Coding and Billing

National · Effective Nov 6, 2025

Article · A54961

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers â Coding and Billing

National · Effective Mar 26, 2026

Commercial payer policies listing 33206

10 policies from 8 payers

Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.

Carelon Medical Benefits Management

Carelon Medical Benefits Management policies listing 33206, with the code’s status in each
Policy	Effective	Status of 33206
Cardiac Implantable Electronic DevicesClinical Guideline · CARELON-CARDIAC-IMPLANTABLE-ELECTRONIC-DEVICES	Sep 19, 2026	Covered
Permanent Implantable Pacemakers [for Wellpoint Massachusetts]Clinical Guideline · CARELON-PERMANENT-IMPLANTABLE-PACEMAKERS	Oct 20, 2024	Covered

EviCore by Evernorth

EviCore by Evernorth policies listing 33206, with the code’s status in each
Policy	Effective	Status of 33206
Cardiac Rhythm Implantable Device (CRID) GuidelinesPayerPolicy · EVICORE-CARDIOVASCULAR_RADIOLOGY-F97A96D4EA8F	May 22, 2017	Covered

33206 coverage policies: Medicare and commercial payers

Medicare policies listing 33206

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers â Coding and Billing

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers â Coding and Billing

Commercial payer policies listing 33206

Carelon Medical Benefits Management

EviCore by Evernorth

33206 coverage policies: Medicare and commercial payers

Medicare policies listing 33206

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemaker

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers â Coding and Billing

Billing and Coding: Single Chamber and Dual Chamber Permanent Cardiac Pacemakers â Coding and Billing

Commercial payer policies listing 33206

Carelon Medical Benefits Management

EviCore by Evernorth

Aetna

Cigna Medicare Advantage / HealthSpring

EOCCO / Moda Health

Health Partners Plans / Jefferson Health Plans

Humana

The Health Plan