CPT code 33017: Pericardial drainage, age 6+, no congenital anomaly2026 Medicare rate & RVUs in Nebraska

Reports percutaneous drainage of pericardial fluid in a patient age six or older who does not have a congenital cardiac anomaly.

CMS RVU26DEffective Oct 1, 2026One payment locality4.1K Medicare services in 2024

In Nebraska, Medicare pays $190.26 for 33017 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$190.26Hospital or facility

Check a contract rate as a % of Medicare · 33017 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33017 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nebraska
  2. What 33017 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 33017 covers

This code describes percutaneous drainage of fluid from the pericardial space in a patient who is at least six years old and has no congenital cardiac anomaly. The procedure may be performed for a clinically significant pericardial effusion, including an effusion associated with cardiac tamponade. Cardiologists and other physicians who perform pericardial procedures may provide the service in a hospital or another procedural setting.

Choose the code based on the patient’s age and congenital cardiac history, and document the percutaneous drainage, indication, and relevant eligibility details. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and reduces the others to 50%. Modifier 50 is not appropriate for this single pericardial space. Medicare does not pay for an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted for this procedure.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Nebraska compares for 33017

Across 109 of 109 payment localities, the facility rate for 33017 runs from $188.84 in Wisconsin to $275.54 in Alaska. Nebraska pays $190.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

33017 in Nebraska vs other payment areas
  1. Nebraska · this page$190.26
  2. Los Angeles, CA · California$213.91+$23.65
  3. Washington, DC area · District of Columbia$231.31+$41.05
  4. Miami, FL · Florida$268.40+$78.14
  5. Chicago, IL · Illinois$260.28+$70.02
  6. Manhattan, NY · New York$248.78+$58.52
  7. Alaska · Alaska$275.54+$85.28

Other areas in Nebraska first, then benchmark localities. Bars start at $0.

Every other payment area

33017 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$195.39
ArkansasArkansas—$193.16
ArizonaArizona—$208.20
Bakersfield, CACalifornia—$206.16
Chico, CACalifornia—$203.33
El Centro, CACalifornia—$203.50
Fresno, CACalifornia—$203.33
Hanford, CACalifornia—$203.33

33017 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
33017 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33017 in every payment locality

How the 33017 rate is calculated

Each of 33017’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 33017

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.50

4.50 RVUs× 1.000 GPCI

Practice expense0.87

0.87 RVUs× 1.000 GPCI

Malpractice1.04

1.04 RVUs× 1.000 GPCI

Adjusted RVUs

6.4100

Conversion factor

$33.4009

Medicare rate

$214.10

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Nebraska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,815

Code
33017
Physician work
4.50
Practice expense
0.87
Malpractice
1.04

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Facility calculation for 33017 in Nebraska
ComponentRVULocality factorAdjusted
Physician work4.50× 1.0004.5000
Practice expense0.87× 0.9230.8030
Malpractice1.04× 0.3780.3931
Total RVUs5.6961
Conversion factor× 33.4009

Facility rate, Nebraska$190.26

Facility: (4.5 × 1 + 0.87 × 0.923 + 1.04 × 0.378) × $33.4009 = $190.26

Open 33017 in the RVU calculator

Payment rules and modifiers for 33017

The CMS indicators that decide how 33017 is paid alongside other services.

CMS payment indicators · 33017

Pericardial drainage, age 6+, no congenital anomaly

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33017 without 51 · national facility

$214.10

Pericardial drainage, age 6+, no congenital anomaly

33017-51 · Second procedure: 50%

$107.05

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 33017 has changed in Nebraska

33017 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2020

    RVU20A

    No ratechanged toNo rate

    Held through RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$190.26RVU26D
2026-07-01Not available in this setting$190.26RVU26C
2026-04-01Not available in this setting$190.26RVU26B
2026-01-01Not available in this setting$190.26RVU26A
2025-10-01Not available in this setting$207.23RVU25D
2025-07-01Not available in this setting$207.23RVU25C
2025-04-01Not available in this setting$207.23RVU25B
2025-01-01Not available in this setting$207.23RVU25A
2024-10-01Not available in this setting$212.85RVU24D
2024-07-01Not available in this setting$212.85RVU24C
2024-04-01Not available in this setting$212.85RVU24B
2024-03-09Not available in this setting$212.85RVU24AR
2024-01-01Not available in this setting$209.37RVU24A
2023-10-01Not available in this setting$214.99RVU23D
2023-07-01Not available in this setting$214.99RVU23C
2023-04-01Not available in this setting$214.99RVU23B
2023-01-01Not available in this setting$214.99RVU23A
2022-10-01Not available in this setting$218.52RVU22D
2022-07-01Not available in this setting$218.52RVU22C
2022-04-01Not available in this setting$218.52RVU22B
2022-01-01Not available in this setting$218.52RVU22A
2021-10-01Not available in this setting$219.44RVU21D
2021-07-01Not available in this setting$219.44RVU21C
2021-04-01Not available in this setting$219.44RVU21B
2021-01-01Not available in this setting$219.44RVU21A
2020-10-01Not available in this setting$227.56RVU20D
2020-07-01Not available in this setting$227.56RVU20C
2020-04-01Not available in this setting$227.56RVU20B
2020-01-01Not available in this setting$227.56RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 33017 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

  • Abie
  • Adams
  • Agnew
  • Ainsworth
  • Albion
  • Alda
  • Alexandria
  • Allen

Browse all communities in Nebraska

33017 billing questions

How does this code differ from 33018?

Both describe percutaneous pericardial drainage. Use 33017 for a patient age six or older without a congenital cardiac anomaly; 33018 is for a patient younger than six or with a congenital cardiac anomaly.

When is 33019 a better fit?

33019 describes percutaneous pericardial drainage with insertion of an indwelling catheter. Select it when the documented service includes that catheter placement.

Can modifier 50 be reported?

No. The pericardial space is a single anatomic site for this service, and modifier 50 is inappropriate.

What documentation supports reporting 33017?

Document the percutaneous drainage, the clinical reason for treating the pericardial fluid, the patient’s age, and whether a congenital cardiac anomaly is present.

How does 33017 differ from 33016?

33017 is selected by the age and congenital-anomaly criteria for percutaneous pericardial drainage. 33016 describes pericardiocentesis, including imaging guidance when performed.

How are other procedures in the same session paid?

Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and reduces other procedures in the session to 50%.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 33017PPRRVU2026_Oct_nonQPP.csv, line 3,815 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)

Open CMS sourceHow we calculate rates

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