CPT code 33017: Pericardial drainage, age 6+, no congenital anomaly2026 Medicare rate & RVUs in Nevada
Reports percutaneous drainage of pericardial fluid in a patient age six or older who does not have a congenital cardiac anomaly.
In Nevada, Medicare pays $208.33 for 33017 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Nevada 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. Nevada pays $208.33. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$208.33
- Los Angeles, CA · California$213.91+$5.58
- Washington, DC area · District of Columbia$231.31+$22.98
- Miami, FL · Florida$268.40+$60.07
- Chicago, IL · Illinois$260.28+$51.95
- Manhattan, NY · New York$248.78+$40.45
- Alaska · Alaska$275.54+$67.21
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $203.33 |
| Merced, CACalifornia | — | $203.33 |
| Modesto, CACalifornia | — | $203.33 |
| Napa, CACalifornia | — | $215.72 |
| Oxnard, CACalifornia | — | $210.50 |
| Redding, CACalifornia | — | $203.33 |
| Rest of CaliforniaCalifornia | — | $203.33 |
| Riverside, CACalifornia | — | $214.49 |
| Sacramento, CACalifornia | — | $208.13 |
| Salinas, CACalifornia | — | $207.26 |
| San Diego, CACalifornia | — | $208.39 |
| Marin County, CACalifornia | — | $221.50 |
| San Francisco, CACalifornia | — | $220.32 |
| San Benito County, CACalifornia | — | $227.36 |
| Santa Clara County, CACalifornia | — | $222.53 |
| San Luis Obispo, CACalifornia | — | $204.58 |
| Santa Cruz, CACalifornia | — | $207.39 |
| Santa Maria, CACalifornia | — | $207.01 |
| Santa Rosa, CACalifornia | — | $209.12 |
| Stockton, CACalifornia | — | $203.33 |
| Vallejo, CACalifornia | — | $214.02 |
| Visalia, CACalifornia | — | $203.33 |
| Yuba City, CACalifornia | — | $203.33 |
| ColoradoColorado | — | $210.16 |
| ConnecticutConnecticut | — | $226.64 |
| DelawareDelaware | — | $210.99 |
| Fort Lauderdale, FLFlorida | — | $242.54 |
| Rest of FloridaFlorida | — | $230.29 |
| Atlanta, GAGeorgia | — | $222.00 |
| Rest of GeorgiaGeorgia | — | $217.63 |
| Hawaii, Guam, HIHawaii | — | $203.46 |
| IowaIowa | — | $190.68 |
| IdahoIdaho | — | $193.47 |
| East St. Louis, ILIllinois | — | $247.00 |
| Rest of IllinoisIllinois | — | $231.13 |
| Suburban Chicago, ILIllinois | — | $242.75 |
| IndianaIndiana | — | $194.12 |
| KansasKansas | — | $194.08 |
| KentuckyKentucky | — | $207.92 |
| New Orleans, LALouisiana | — | $217.11 |
| Rest of LouisianaLouisiana | — | $209.30 |
| Metropolitan Boston, MAMassachusetts | — | $222.08 |
| Rest of MassachusettsMassachusetts | — | $210.99 |
| Baltimore area, MDMaryland | — | $226.86 |
| Rest of MarylandMaryland | — | $213.10 |
| Rest of MaineMaine | — | $198.64 |
| Southern Maine, MEMaine | — | $201.02 |
| Detroit, MIMichigan | — | $236.91 |
| Rest of MichiganMichigan | — | $216.05 |
| MinnesotaMinnesota | — | $190.49 |
| Metropolitan Kansas City, MOMissouri | — | $211.53 |
| Metropolitan St. Louis, MOMissouri | — | $212.77 |
| Rest of MissouriMissouri | — | $209.19 |
| MississippiMississippi | — | $200.99 |
| MontanaMontana | — | $214.03 |
| North CarolinaNorth Carolina | — | $199.61 |
| North DakotaNorth Dakota | — | $193.47 |
| NebraskaNebraska | — | $190.26 |
| New HampshireNew Hampshire | — | $210.95 |
| Northern New JerseyNew Jersey | — | $230.58 |
| Rest of New JerseyNew Jersey | — | $226.15 |
| New MexicoNew Mexico | — | $218.67 |
| NYC suburbs and Long Island, NYNew York | — | $258.98 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $230.92 |
| Queens, NYNew York | — | $244.36 |
| Rest of New YorkNew York | — | $202.33 |
| OhioOhio | — | $211.85 |
| OklahomaOklahoma | — | $203.24 |
| Portland, OROregon | — | $210.84 |
| Rest of OregonOregon | — | $203.67 |
| Metropolitan Philadelphia, PAPennsylvania | — | $224.70 |
| Rest of PennsylvaniaPennsylvania | — | $209.81 |
| Puerto RicoPuerto Rico | — | $213.90 |
| Rhode IslandRhode Island | — | $214.16 |
| South CarolinaSouth Carolina | — | $206.68 |
| South DakotaSouth Dakota | — | $191.03 |
| TennesseeTennessee | — | $195.37 |
| Austin, TXTexas | — | $212.13 |
| Beaumont, TXTexas | — | $209.02 |
| Brazoria, TXTexas | — | $207.40 |
| Dallas, TXTexas | — | $210.40 |
| Fort Worth, TXTexas | — | $210.56 |
| Galveston, TXTexas | — | $209.12 |
| Houston, TXTexas | — | $228.16 |
| Rest of TexasTexas | — | $209.25 |
| UtahUtah | — | $208.81 |
| VirginiaVirginia | — | $203.39 |
| Virgin Islands, VIUnited States Virgin Islands | — | $213.90 |
| VermontVermont | — | $196.65 |
| Rest of WashingtonWashington | — | $209.29 |
| King County, WAWashington | — | $221.85 |
| WisconsinWisconsin | — | $188.84 |
| West VirginiaWest Virginia | — | $225.26 |
| WyomingWyoming | — | $205.07 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
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
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 Nevada 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
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.50 | × 1.000 | 4.5000 |
| Practice expense | 0.87 | × 1.001 | 0.8709 |
| Malpractice | 1.04 | × 0.833 | 0.8663 |
| Total RVUs | 6.2372 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$208.33
Facility: (4.5 × 1 + 0.87 × 1.001 + 1.04 × 0.833) × $33.4009 = $208.33
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
How 33017 has changed in Nevada
33017 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $208.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $208.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $208.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $208.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $229.37 | RVU25D |
| 2025-07-01 | Not available in this setting | $229.37 | RVU25C |
| 2025-04-01 | Not available in this setting | $229.37 | RVU25B |
| 2025-01-01 | Not available in this setting | $229.37 | RVU25A |
| 2024-10-01 | Not available in this setting | $235.93 | RVU24D |
| 2024-07-01 | Not available in this setting | $235.93 | RVU24C |
| 2024-04-01 | Not available in this setting | $235.93 | RVU24B |
| 2024-03-09 | Not available in this setting | $235.93 | RVU24AR |
| 2024-01-01 | Not available in this setting | $232.08 | RVU24A |
| 2023-10-01 | Not available in this setting | $247.24 | RVU23D |
| 2023-07-01 | Not available in this setting | $247.24 | RVU23C |
| 2023-04-01 | Not available in this setting | $247.24 | RVU23B |
| 2023-01-01 | Not available in this setting | $247.24 | RVU23A |
| 2022-10-01 | Not available in this setting | $262.68 | RVU22D |
| 2022-07-01 | Not available in this setting | $262.68 | RVU22C |
| 2022-04-01 | Not available in this setting | $262.68 | RVU22B |
| 2022-01-01 | Not available in this setting | $262.68 | RVU22A |
| 2021-10-01 | Not available in this setting | $261.21 | RVU21D |
| 2021-07-01 | Not available in this setting | $261.21 | RVU21C |
| 2021-04-01 | Not available in this setting | $261.21 | RVU21B |
| 2021-01-01 | Not available in this setting | $261.21 | RVU21A |
| 2020-10-01 | Not available in this setting | $261.13 | RVU20D |
| 2020-07-01 | Not available in this setting | $261.13 | RVU20C |
| 2020-04-01 | Not available in this setting | $261.13 | RVU20B |
| 2020-01-01 | Not available in this setting | $261.13 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
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
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