{"procedure":{"code_type":"CPT","code":"0409T","lay_name":"Insertion or replacement of contractility pulse generator","blurb":"Placement or replacement of only the battery-and-circuit unit of a cardiac contractility modulation system, with the existing leads left in place.","slug":"cpt-0409t-insertion-or-replacement-of-contractility-pulse-generator","description":"Insj/Rplc Cardiac Modulj Sys Pls Generator Only","name_source":"llm:claude-opus-5","name_reviewed":false,"ccs":{"code":"48","label":"Insertion, revision, replacement, removal of cardiac pacemaker or cardioverter/defibrillator","surgery_flag":"narrow"}},"settings":{"outpatient":{"setting":"outpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T20:59:17.979422Z","filing_date_min":"2025-10-14","filing_date_max":"2026-09-16","checked_from":"2026-09-05T02:22:45.003818Z","checked_through":"2026-09-25T01:13:19.715392Z","n_priced_setters":3956,"n_filed":240,"n_usable":221,"n_not_usable":2,"n_labelled":8,"n_no_cash":9,"n_estimated":0,"n_states":26,"cash_p10":8222.55,"cash_p20":14029.0,"cash_p25":14926.5,"cash_p50":22584.54,"cash_p75":46658.0,"cash_p80":54502.85,"cash_p90":68938.0,"cash_mean_trimmed":26828.09,"gross_p50":49755.0,"cash_to_gross_p50":0.5,"medicare_rate":22725.36,"medicare_schedule":"opps","medicare_year":2026,"cash_to_medicare_p50":0.9938,"by_state":[{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":2,"p20":null,"p50":null,"p80":null},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":24,"p20":43393.2,"p50":43393.2,"p80":75268.05},{"state":"GA","n":22,"p20":14926.5,"p50":14926.5,"p80":38109.75},{"state":"HI","n":1,"p20":null,"p50":null,"p80":null},{"state":"IN","n":12,"p20":3617.55,"p50":4109.74,"p80":5554.44},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":4,"p20":null,"p50":null,"p80":null},{"state":"MI","n":16,"p20":14029.0,"p50":15902.7,"p80":15902.7},{"state":"MO","n":2,"p20":null,"p50":null,"p80":null},{"state":"NC","n":10,"p20":54502.85,"p50":54502.85,"p80":54502.85},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":3,"p20":null,"p50":null,"p80":null},{"state":"NV","n":1,"p20":null,"p50":null,"p80":null},{"state":"NY","n":10,"p20":15922.32,"p50":26402.78,"p80":46658.0},{"state":"OH","n":14,"p20":18607.5,"p50":58312.5,"p80":58312.5},{"state":"OK","n":4,"p20":null,"p50":null,"p80":null},{"state":"PA","n":18,"p20":25102.38,"p50":26279.99,"p80":75544.94},{"state":"SC","n":8,"p20":null,"p50":null,"p80":null},{"state":"TN","n":3,"p20":null,"p50":null,"p80":null},{"state":"TX","n":41,"p20":9668.0,"p50":16497.14,"p80":19669.95},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WV","n":8,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":205,"p20":14926.5,"p50":22584.54,"p80":54502.85},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":15,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":34,"p20":14926.5,"p50":16868.24,"p80":58312.5},{"key":"government","n":23,"p20":20607.0,"p50":54502.85,"p80":54502.85},{"key":"nonprofit","n":164,"p20":11493.3,"p50":19669.95,"p80":46658.0}],"affiliation":[{"key":"affiliated","n":206,"p20":12033.0,"p50":19761.0,"p80":54502.85},{"key":"independent","n":15,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":5451.66,"hi":7090.82,"n":4},{"lo":7090.82,"hi":9222.83,"n":13},{"lo":9222.83,"hi":11995.87,"n":12},{"lo":11995.87,"hi":15602.69,"n":23},{"lo":15602.69,"hi":20293.97,"n":45},{"lo":20293.97,"hi":26395.79,"n":26},{"lo":26395.79,"hi":34332.26,"n":9},{"lo":34332.26,"hi":44655.0,"n":20},{"lo":44655.0,"hi":58081.49,"n":20},{"lo":58081.49,"hi":75544.94,"n":30}],"previous":null},"inpatient":{"setting":"inpatient","computed_at":"2026-09-25T11:55:12.319193Z","corpus_loaded_through":"2026-09-23T18:18:13.425760Z","filing_date_min":"2025-10-14","filing_date_max":"2026-09-16","checked_from":"2026-09-05T11:47:50.319688Z","checked_through":"2026-09-25T01:13:19.715392Z","n_priced_setters":3956,"n_filed":179,"n_usable":166,"n_not_usable":2,"n_labelled":7,"n_no_cash":4,"n_estimated":0,"n_states":22,"cash_p10":11493.3,"cash_p20":14926.5,"cash_p25":15435.0,"cash_p50":23048.35,"cash_p75":48788.52,"cash_p80":54502.85,"cash_p90":67683.85,"cash_mean_trimmed":28092.03,"gross_p50":50813.0,"cash_to_gross_p50":0.6,"medicare_rate":null,"medicare_schedule":null,"medicare_year":null,"cash_to_medicare_p50":null,"by_state":[{"state":"AR","n":1,"p20":null,"p50":null,"p80":null},{"state":"AZ","n":2,"p20":null,"p50":null,"p80":null},{"state":"CA","n":2,"p20":null,"p50":null,"p80":null},{"state":"CO","n":7,"p20":null,"p50":null,"p80":null},{"state":"FL","n":25,"p20":27079.2,"p50":43393.2,"p80":75268.05},{"state":"GA","n":22,"p20":14926.5,"p50":14926.5,"p80":38109.75},{"state":"KY","n":2,"p20":null,"p50":null,"p80":null},{"state":"LA","n":2,"p20":null,"p50":null,"p80":null},{"state":"MI","n":7,"p20":null,"p50":null,"p80":null},{"state":"MO","n":1,"p20":null,"p50":null,"p80":null},{"state":"NC","n":10,"p20":54502.85,"p50":54502.85,"p80":54502.85},{"state":"NE","n":2,"p20":null,"p50":null,"p80":null},{"state":"NJ","n":2,"p20":null,"p50":null,"p80":null},{"state":"NY","n":6,"p20":null,"p50":null,"p80":null},{"state":"OH","n":12,"p20":58312.5,"p50":58312.5,"p80":58312.5},{"state":"OK","n":2,"p20":null,"p50":null,"p80":null},{"state":"PA","n":16,"p20":25102.38,"p50":26279.99,"p80":75544.94},{"state":"SC","n":5,"p20":null,"p50":null,"p80":null},{"state":"TN","n":2,"p20":null,"p50":null,"p80":null},{"state":"TX","n":34,"p20":9668.0,"p50":16497.14,"p80":19669.95},{"state":"VA","n":3,"p20":null,"p50":null,"p80":null},{"state":"WY","n":1,"p20":null,"p50":null,"p80":null}],"by_segment":{"hospital_type":[{"key":"acute","n":159,"p20":14926.5,"p50":24967.86,"p80":54502.85},{"key":"childrens","n":1,"p20":null,"p50":null,"p80":null},{"key":"critical_access","n":6,"p20":null,"p50":null,"p80":null}],"ownership":[{"key":"for_profit","n":21,"p20":14926.5,"p50":16497.14,"p80":22584.54},{"key":"government","n":21,"p20":37755.3,"p50":54502.85,"p80":54502.85},{"key":"nonprofit","n":124,"p20":14926.5,"p50":22584.54,"p80":48788.52}],"affiliation":[{"key":"affiliated","n":157,"p20":14926.5,"p50":23048.35,"p80":54502.85},{"key":"independent","n":9,"p20":null,"p50":null,"p80":null}]},"histogram":[{"lo":9668.0,"hi":11870.36,"n":11},{"lo":11870.36,"hi":14574.43,"n":9},{"lo":14574.43,"hi":17894.47,"n":35},{"lo":17894.47,"hi":21970.82,"n":13},{"lo":21970.82,"hi":26975.76,"n":21},{"lo":26975.76,"hi":33120.82,"n":4},{"lo":33120.82,"hi":40665.72,"n":9},{"lo":40665.72,"hi":49929.34,"n":17},{"lo":49929.34,"hi":61303.22,"n":22},{"lo":61303.22,"hi":75268.05,"n":11}],"previous":null}},"related":[{"code_type":"CPT","code":"33210","lay_name":"Temporary pacing wire placed through a vein, one chamber","slug":"cpt-33210-temporary-pacing-wire-placed-through-a-vein-one-chamber"},{"code_type":"CPT","code":"33208","lay_name":"Permanent pacemaker implant with two heart wires","slug":"cpt-33208-permanent-pacemaker-implant-with-two-heart-wires"},{"code_type":"CPT","code":"33228","lay_name":"Pacemaker battery replacement, two-wire system","slug":"cpt-33228-pacemaker-battery-replacement-two-wire-system"},{"code_type":"CPT","code":"33215","lay_name":"Repositioning of a pacemaker or defibrillator wire","slug":"cpt-33215-repositioning-of-a-pacemaker-or-defibrillator-wire"},{"code_type":"CPT","code":"33207","lay_name":"Permanent pacemaker implant with lower chamber wire","slug":"cpt-33207-permanent-pacemaker-implant-with-lower-chamber-wire"},{"code_type":"CPT","code":"33249","lay_name":"Implanted defibrillator with placement of new wires","slug":"cpt-33249-implanted-defibrillator-with-placement-of-new-wires"},{"code_type":"CPT","code":"33216","lay_name":"Placement of one heart wire through a vein","slug":"cpt-33216-placement-of-one-heart-wire-through-a-vein"},{"code_type":"CPT","code":"33227","lay_name":"Pacemaker battery replacement, single-wire system","slug":"cpt-33227-pacemaker-battery-replacement-single-wire-system"},{"code_type":"CPT","code":"33233","lay_name":"Removal of a pacemaker generator only","slug":"cpt-33233-removal-of-a-pacemaker-generator-only"},{"code_type":"CPT","code":"33241","lay_name":"Removal of an implanted defibrillator generator","slug":"cpt-33241-removal-of-an-implanted-defibrillator-generator"},{"code_type":"CPT","code":"33222","lay_name":"Moving or revising the pacemaker pocket under the skin","slug":"cpt-33222-moving-or-revising-the-pacemaker-pocket-under-the-skin"},{"code_type":"CPT","code":"33235","lay_name":"Removal of pacemaker wires through a vein, two-wire system","slug":"cpt-33235-removal-of-pacemaker-wires-through-a-vein-two-wire-system"}]}