15 commercial payer policies list 33228. 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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15 policies from 12 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 33228 |
|---|---|---|
| Addendum to the eviCore Imaging Guidelines | Jan 1, 2021 | Covered with conditions |
| Cardiac Rhythm Implantable Device (CRID) Guidelines | May 22, 2017 | Covered |
| Cardiac Rhythm Implantable Devices (CRID) Guidelines | Oct 15, 2020 | Covered |
| Policy | Effective | Status of 33228 |
|---|---|---|
| Sep 19, 2026 |
| Covered |
| Permanent Implantable Pacemakers [for Wellpoint Massachusetts] | Oct 20, 2024 | Covered |
|---|
| Policy | Effective | Status of 33228 |
|---|---|---|
| Aetna Cardiology and Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 33228 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 33228 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 33228 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 33228 |
|---|---|---|
| Biventricular Pacemakers (Cardiac Resynchronization Therapy) for the Treatment of Heart Failure | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 33228 |
|---|---|---|
| Cigna Commercial & Medicare Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 33228 |
|---|---|---|
| EOCCO Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 33228 |
|---|---|---|
| Health Partners Plans Cardiology, Radiology, and Ultrasound Code List | Jul 1, 2025 | Prior auth required |
| Policy | Effective | Status of 33228 |
|---|---|---|
| Cardiac Pacemakers | Feb 2, 2026 | Covered |
| Policy | Effective | Status of 33228 |
|---|---|---|
| The Health Plan Cardiology & Radiology Code List | Jan 1, 2026 | Prior auth required |