CPT code 33019: Pericardial drainage, CT-guided catheter placement2026 Medicare rate & RVUs in Connecticut
Report CT-guided percutaneous pericardial drainage when a clinician places an indwelling catheter to drain pericardial fluid through a needle-created access.
In Connecticut, Medicare pays $187.48 for 33019 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33019 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 33019 covers
This service involves accessing the pericardial space through the chest wall under CT guidance and leaving an indwelling catheter to drain fluid, such as an effusion associated with cardiac tamponade. It is typically performed by a cardiologist, interventional radiologist, or other physician experienced in percutaneous image-guided procedures in a hospital or other facility. The catheter permits ongoing drainage rather than a single needle aspiration.
Report 33019 when the documented service includes percutaneous catheter placement and CT guidance. The procedure note should identify the indication, CT-guided access, catheter placement, and drainage performed. Imaging guidance is included in the service. 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, the highest-valued procedure is paid in full and the others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate; assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
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 Connecticut compares for 33019
Across 109 of 109 payment localities, the facility rate for 33019 runs from $166.62 in Wisconsin to $243.00 in Alaska. Connecticut pays $187.48. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Connecticut · this page$187.48
- Los Angeles, CA · California$183.52−$3.96
- Washington, DC area · District of Columbia$192.87+$5.39
- Miami, FL · Florida$206.34+$18.86
- Chicago, IL · Illinois$202.51+$15.03
- Manhattan, NY · New York$201.96+$14.48
- Alaska · Alaska$243.00+$55.52
Other areas in Connecticut first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $169.13 |
| ArkansasArkansas | — | $167.90 |
| ArizonaArizona | — | $176.21 |
| Bakersfield, CACalifornia | — | $177.54 |
| Chico, CACalifornia | — | $176.01 |
| El Centro, CACalifornia | — | $176.10 |
| Fresno, CACalifornia | — | $176.01 |
| Hanford, CACalifornia | — | $176.01 |
| Madera, CACalifornia | — | $176.01 |
| Merced, CACalifornia | — | $176.01 |
| Modesto, CACalifornia | — | $176.01 |
| Napa, CACalifornia | — | $187.00 |
| Oxnard, CACalifornia | — | $180.98 |
| Redding, CACalifornia | — | $176.01 |
| Rest of CaliforniaCalifornia | — | $176.01 |
| Riverside, CACalifornia | — | $181.55 |
| Sacramento, CACalifornia | — | $180.19 |
| Salinas, CACalifornia | — | $179.40 |
| San Diego, CACalifornia | — | $180.20 |
| Marin County, CACalifornia | — | $192.72 |
| San Francisco, CACalifornia | — | $192.14 |
| San Benito County, CACalifornia | — | $196.86 |
| Santa Clara County, CACalifornia | — | $194.49 |
| San Luis Obispo, CACalifornia | — | $176.99 |
| Santa Cruz, CACalifornia | — | $179.27 |
| Santa Maria, CACalifornia | — | $179.14 |
| Santa Rosa, CACalifornia | — | $180.83 |
| Stockton, CACalifornia | — | $176.01 |
| Vallejo, CACalifornia | — | $186.17 |
| Visalia, CACalifornia | — | $176.01 |
| Yuba City, CACalifornia | — | $176.01 |
| ColoradoColorado | — | $178.76 |
| DelawareDelaware | — | $178.07 |
| Fort Lauderdale, FLFlorida | — | $193.42 |
| Rest of FloridaFlorida | — | $186.93 |
| Atlanta, GAGeorgia | — | $183.57 |
| Rest of GeorgiaGeorgia | — | $180.18 |
| Hawaii, Guam, HIHawaii | — | $175.30 |
| IowaIowa | — | $167.16 |
| IdahoIdaho | — | $168.57 |
| East St. Louis, ILIllinois | — | $194.82 |
| Rest of IllinoisIllinois | — | $186.98 |
| Suburban Chicago, ILIllinois | — | $194.10 |
| IndianaIndiana | — | $168.95 |
| KansasKansas | — | $168.73 |
| KentuckyKentucky | — | $175.39 |
| New Orleans, LALouisiana | — | $180.34 |
| Rest of LouisianaLouisiana | — | $176.04 |
| Metropolitan Boston, MAMassachusetts | — | $187.62 |
| Rest of MassachusettsMassachusetts | — | $179.34 |
| Baltimore area, MDMaryland | — | $187.29 |
| Rest of MarylandMaryland | — | $179.63 |
| Rest of MaineMaine | — | $171.11 |
| Southern Maine, MEMaine | — | $172.87 |
| Detroit, MIMichigan | — | $190.25 |
| Rest of MichiganMichigan | — | $179.58 |
| MinnesotaMinnesota | — | $168.03 |
| Metropolitan Kansas City, MOMissouri | — | $177.59 |
| Metropolitan St. Louis, MOMissouri | — | $178.31 |
| Rest of MissouriMissouri | — | $175.79 |
| MississippiMississippi | — | $171.76 |
| MontanaMontana | — | $179.33 |
| North CarolinaNorth Carolina | — | $171.69 |
| North DakotaNorth Dakota | — | $169.24 |
| NebraskaNebraska | — | $167.02 |
| New HampshireNew Hampshire | — | $178.16 |
| Northern New JerseyNew Jersey | — | $192.95 |
| Rest of New JerseyNew Jersey | — | $188.69 |
| New MexicoNew Mexico | — | $180.90 |
| NevadaNevada | — | $176.54 |
| NYC suburbs and Long Island, NYNew York | — | $207.19 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $191.38 |
| Queens, NYNew York | — | $199.96 |
| Rest of New YorkNew York | — | $173.17 |
| OhioOhio | — | $177.52 |
| OklahomaOklahoma | — | $173.13 |
| Portland, OROregon | — | $179.76 |
| Rest of OregonOregon | — | $174.21 |
| Metropolitan Philadelphia, PAPennsylvania | — | $186.09 |
| Rest of PennsylvaniaPennsylvania | — | $176.56 |
| Puerto RicoPuerto Rico | — | $179.36 |
| Rhode IslandRhode Island | — | $180.93 |
| South CarolinaSouth Carolina | — | $175.08 |
| South DakotaSouth Dakota | — | $168.05 |
| TennesseeTennessee | — | $169.41 |
| Austin, TXTexas | — | $179.02 |
| Beaumont, TXTexas | — | $176.11 |
| Brazoria, TXTexas | — | $176.53 |
| Dallas, TXTexas | — | $178.11 |
| Fort Worth, TXTexas | — | $178.10 |
| Galveston, TXTexas | — | $177.39 |
| Houston, TXTexas | — | $186.73 |
| Rest of TexasTexas | — | $176.55 |
| UtahUtah | — | $176.26 |
| VirginiaVirginia | — | $173.97 |
| Virgin Islands, VIUnited States Virgin Islands | — | $179.36 |
| VermontVermont | — | $170.72 |
| Rest of WashingtonWashington | — | $178.31 |
| King County, WAWashington | — | $188.38 |
| WisconsinWisconsin | — | $166.62 |
| West VirginiaWest Virginia | — | $183.73 |
| WyomingWyoming | — | $174.93 |
33019 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 33019 rate is calculated
Each of 33019’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 · 33019
RVUs × geographic indexes × conversion factor
Work4.18
4.18 RVUs× 1.000 GPCI
Practice expense0.68
0.68 RVUs× 1.000 GPCI
Malpractice0.51
0.51 RVUs× 1.000 GPCI
Adjusted RVUs
5.3700
Conversion factor
$33.4009
Medicare rate
$179.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Connecticut inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,817
- Code
- 33019
- Physician work
- 4.18
- Practice expense
- 0.68
- Malpractice
- 0.51
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.18 | × 1.020 | 4.2636 |
| Practice expense | 0.68 | × 1.077 | 0.7324 |
| Malpractice | 0.51 | × 1.210 | 0.6171 |
| Total RVUs | 5.6131 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$187.48
Facility: (4.18 × 1.02 + 0.68 × 1.077 + 0.51 × 1.21) × $33.4009 = $187.48
Payment rules and modifiers for 33019
The CMS indicators that decide how 33019 is paid alongside other services.
CMS payment indicators · 33019
Pericardial drainage, CT-guided catheter placement
| 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
33019 without 51 · national facility
$179.36
Pericardial drainage, CT-guided catheter placement
33019-51 · Second procedure: 50%
$89.68
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 33019 has changed in Connecticut
33019 · 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 | $187.48 | RVU26D |
| 2026-07-01 | Not available in this setting | $187.48 | RVU26C |
| 2026-04-01 | Not available in this setting | $187.48 | RVU26B |
| 2026-01-01 | Not available in this setting | $187.48 | RVU26A |
| 2025-10-01 | Not available in this setting | $209.33 | RVU25D |
| 2025-07-01 | Not available in this setting | $209.33 | RVU25C |
| 2025-04-01 | Not available in this setting | $209.33 | RVU25B |
| 2025-01-01 | Not available in this setting | $209.33 | RVU25A |
| 2024-10-01 | Not available in this setting | $215.50 | RVU24D |
| 2024-07-01 | Not available in this setting | $215.50 | RVU24C |
| 2024-04-01 | Not available in this setting | $215.50 | RVU24B |
| 2024-03-09 | Not available in this setting | $215.50 | RVU24AR |
| 2024-01-01 | Not available in this setting | $211.98 | RVU24A |
| 2023-10-01 | Not available in this setting | $220.86 | RVU23D |
| 2023-07-01 | Not available in this setting | $220.86 | RVU23C |
| 2023-04-01 | Not available in this setting | $220.86 | RVU23B |
| 2023-01-01 | Not available in this setting | $220.86 | RVU23A |
| 2022-10-01 | Not available in this setting | $228.09 | RVU22D |
| 2022-07-01 | Not available in this setting | $228.09 | RVU22C |
| 2022-04-01 | Not available in this setting | $228.09 | RVU22B |
| 2022-01-01 | Not available in this setting | $228.09 | RVU22A |
| 2021-10-01 | Not available in this setting | $239.87 | RVU21D |
| 2021-07-01 | Not available in this setting | $239.87 | RVU21C |
| 2021-04-01 | Not available in this setting | $239.87 | RVU21B |
| 2021-01-01 | Not available in this setting | $239.87 | RVU21A |
| 2020-10-01 | Not available in this setting | $250.34 | RVU20D |
| 2020-07-01 | Not available in this setting | $250.34 | RVU20C |
| 2020-04-01 | Not available in this setting | $250.34 | RVU20B |
| 2020-01-01 | Not available in this setting | $250.34 | 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 Connecticut rate applies
Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.
- Ansonia
- Ball Pond
- Baltic
- Bantam
- Bethel
- Bethlehem Village
- Bigelow Corners
- Blue Hills
33019 billing questions
When should 33019 be selected instead of 33016?
33019 describes percutaneous drainage with an indwelling catheter under CT guidance. 33016 describes pericardiocentesis, which may involve aspiration without leaving a catheter.
Is CT guidance separately reported with 33019?
No. The imaging guidance is included in this service; do not separately report the same CT guidance used to place the catheter.
How does 33019 differ from 33017 and 33018?
33019 identifies CT-guided catheter drainage. Codes 33017 and 33018 describe related percutaneous catheter drainage services distinguished by patient age and congenital cardiac anomaly criteria.
Can modifier 50 be appended for drainage on both sides?
No. The CMS bilateral adjustment does not apply to 33019, and modifier 50 is inappropriate for this service.
What payment rules apply when another procedure is performed in the same session?
The highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant, co-surgeon, or surgical team be paid for 33019?
Assistant-at-surgery payment is barred for this code. Co-surgeons and team surgery are not permitted.
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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