CPT code 33120: Cardiac tumor excision, with cardiopulmonary bypass2026 Medicare rate & RVUs in Washington, DC area

Reports surgical removal of a tumor within a heart chamber using cardiopulmonary bypass, commonly for an intracardiac mass such as an atrial myxoma.

CMS RVU26DEffective Oct 1, 2026One payment locality879 Medicare services in 2024

In Washington, DC area, Medicare pays $2,123.67 for 33120 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,123.67Hospital or facility

Check a contract rate as a % of Medicare · 33120 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 33120 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 33120 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 33120 covers

A cardiac surgeon removes a tumor located inside a heart chamber during an operation using cardiopulmonary bypass. An atrial myxoma is a typical example. The operation is generally performed in a hospital operating room; the operative report should establish the tumor’s intracardiac location, its removal, and use of bypass. This code distinguishes removal of an intracardiac tumor from excision of a tumor on the heart’s external surface.

Report the code when the documented procedure matches that service, not merely because a cardiac mass was evaluated or treated. Cardiopulmonary bypass is part of the coded service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this procedure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery billing is 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 Washington, DC area compares for 33120

Across 109 of 109 payment localities, the facility rate for 33120 runs from $1,721.63 in Wisconsin to $2,464.54 in Alaska. Washington, DC area pays $2,123.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

33120 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$2,123.67
  2. Los Angeles, CA · California$1,970.77−$152.90
  3. Miami, FL · Florida$2,439.52+$315.85
  4. Chicago, IL · Illinois$2,362.00+$238.33
  5. Manhattan, NY · New York$2,275.92+$152.25
  6. Alaska · Alaska$2,464.54+$340.87
  7. Alabama · Alabama$1,768.82−$354.85

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

33120 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$1,746.83
ArizonaArizona—$1,895.06
Bakersfield, CACalifornia—$1,892.25
Chico, CACalifornia—$1,867.22
El Centro, CACalifornia—$1,868.76
Fresno, CACalifornia—$1,867.22
Hanford, CACalifornia—$1,867.22
Madera, CACalifornia—$1,867.22

33120 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
33120 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 33120 in every payment locality

How the 33120 rate is calculated

Each of 33120’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 · 33120

RVUs × geographic indexes × conversion factor

Office or facility?

Work37.49

37.49 RVUs× 1.000 GPCI

Practice expense11.70

11.70 RVUs× 1.000 GPCI

Malpractice9.24

9.24 RVUs× 1.000 GPCI

Adjusted RVUs

58.4300

Conversion factor

$33.4009

Medicare rate

$1,951.61

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,824

Code
33120
Physician work
37.49
Practice expense
11.70
Malpractice
9.24

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 33120 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work37.49× 1.05439.5145
Practice expense11.70× 1.17813.7826
Malpractice9.24× 1.11310.2841
Total RVUs63.5812
Conversion factor× 33.4009

Facility rate, Washington, DC area$2123.67

Facility: (37.49 × 1.054 + 11.7 × 1.178 + 9.24 × 1.113) × $33.4009 = $2123.67

Open 33120 in the RVU calculator

Payment rules and modifiers for 33120

33120 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33120

Cardiac tumor excision, with cardiopulmonary bypass

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33120

Cardiac tumor excision, with cardiopulmonary bypass

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33120 without 51 · national facility

$1,951.61

Cardiac tumor excision, with cardiopulmonary bypass

33120-51 · Second procedure: 50%

$975.81

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 33120 has changed in Washington, DC area

33120 · 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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$2,123.67RVU26D
2026-07-01Not available in this setting$2,123.67RVU26C
2026-04-01Not available in this setting$2,123.67RVU26B
2026-01-01Not available in this setting$2,123.67RVU26A
2025-10-01Not available in this setting$2,203.61RVU25D
2025-07-01Not available in this setting$2,203.61RVU25C
2025-04-01Not available in this setting$2,203.61RVU25B
2025-01-01Not available in this setting$2,203.61RVU25A
2024-10-01Not available in this setting$2,258.50RVU24D
2024-07-01Not available in this setting$2,258.50RVU24C
2024-04-01Not available in this setting$2,258.50RVU24B
2024-03-09Not available in this setting$2,258.50RVU24AR
2024-01-01Not available in this setting$2,221.64RVU24A
2023-10-01Not available in this setting$2,317.80RVU23D
2023-07-01Not available in this setting$2,317.80RVU23C
2023-04-01Not available in this setting$2,317.80RVU23B
2023-01-01Not available in this setting$2,317.80RVU23A
2022-10-01Not available in this setting$2,401.42RVU22D
2022-07-01Not available in this setting$2,401.42RVU22C
2022-04-01Not available in this setting$2,401.42RVU22B
2022-01-01Not available in this setting$2,401.42RVU22A
2021-10-01Not available in this setting$2,410.80RVU21D
2021-07-01Not available in this setting$2,410.80RVU21C
2021-04-01Not available in this setting$2,410.80RVU21B
2021-01-01Not available in this setting$2,410.80RVU21A
2020-10-01Not available in this setting$2,452.80RVU20D
2020-07-01Not available in this setting$2,452.80RVU20C
2020-04-01Not available in this setting$2,452.80RVU20B
2020-01-01Not available in this setting$2,452.80RVU20A
2019-10-01Not available in this setting$2,430.73RVU19D
2019-07-01Not available in this setting$2,430.73RVU19C
2019-04-01Not available in this setting$2,430.73RVU19B
2019-01-01Not available in this setting$2,430.73RVU19A
2018-10-01Not available in this setting$2,425.08RVU18D
2018-07-01Not available in this setting$2,425.08RVU18C
2018-04-01Not available in this setting$2,425.08RVU18B
2018-01-01Not available in this setting$2,425.08RVU18AR1
2017-10-01Not available in this setting$2,437.68RVU17D
2017-07-01Not available in this setting$2,437.68RVU17C
2017-04-01Not available in this setting$2,437.68RVU17B
2017-01-01Not available in this setting$2,437.68RVU17A
2016-10-01Not available in this setting$2,445.06RVU16D
2016-07-01Not available in this setting$2,445.06RVU16C
2016-04-01Not available in this setting$2,445.06RVU16B
2016-01-01Not available in this setting$2,445.06RVU16A
2015-10-01Not available in this setting$2,454.67RVU15D
2015-07-01Not available in this setting$2,454.67RVU15C
2015-04-01Not available in this setting$2,442.46RVU15B
2015-01-01Not available in this setting$2,442.46RVU15A
2014-10-01Not available in this setting$2,425.07RVU14D
2014-07-01Not available in this setting$2,425.07RVU14C
2014-04-01Not available in this setting$2,425.07RVU14B
2014-01-01Not available in this setting$2,425.07RVU14A
2013-10-01Not available in this setting$2,348.79RVU13D
2013-07-01Not available in this setting$2,348.79RVU13C
2013-04-01Not available in this setting$2,348.79RVU13B
2013-01-01Not available in this setting$2,348.79RVU13AR

Price 33120 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

33120 billing questions

When should 33120 be chosen over 33130?

Use 33120 for a tumor located inside a heart chamber and removed using cardiopulmonary bypass. Code 33130 describes excision of a tumor on the heart’s external surface.

Is cardiopulmonary bypass separately reported with 33120?

Bypass is included in this service’s code definition. The operative report should document its use as part of the tumor excision.

Can modifier 50 be reported?

No. Modifier 50 is inappropriate for this cardiac tumor excision.

How does the global period affect postoperative billing?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

What documentation supports assistant or co-surgeon billing?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team-surgery billing is 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
RVUs for 33120PPRRVU2026_Oct_nonQPP.csv, line 3,824 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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