CPT code 33130: Cardiac tumor excision, external heart surface2026 Medicare rate & RVUs in South Dakota

Reports surgical removal of a tumor arising on the external surface of the heart, rather than a tumor within a heart chamber.

CMS RVU26DEffective Oct 1, 2026One payment locality32 Medicare services in 2024

In South Dakota, Medicare pays $1,185.12 for 33130 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,185.12Hospital or facility

Check a contract rate as a % of Medicare · 33130 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 33130 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Dakota
  2. What 33130 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 33130 covers

A cardiothoracic surgeon uses this code for operative removal of a tumor located on the outside of the heart. The key distinction is the tumor’s relationship to the heart: it arises on the external surface rather than within a chamber. The service is generally performed in an operating room during hospital-based cardiac surgery. The operative report should identify the tumor’s location and describe its removal.

Report the code when documentation supports excision of an external cardiac tumor; do not choose it solely because a tumor is near the heart. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery 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 South Dakota compares for 33130

Across 109 of 109 payment localities, the facility rate for 33130 runs from $1,165.80 in Wisconsin to $1,640.93 in Alaska. South Dakota pays $1,185.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

33130 in South Dakota vs other payment areas
  1. South Dakota · this page$1,185.12
  2. Los Angeles, CA · California$1,340.32+$155.20
  3. Washington, DC area · District of Columbia$1,433.32+$248.20
  4. Miami, FL · Florida$1,611.23+$426.11
  5. Chicago, IL · Illinois$1,560.69+$375.57
  6. Manhattan, NY · New York$1,524.78+$339.66
  7. Alaska · Alaska$1,640.93+$455.81

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

Every other payment area

33130 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,186.54
ArkansasArkansas—$1,171.59
ArizonaArizona—$1,272.53
Bakersfield, CACalifornia—$1,283.54
Chico, CACalifornia—$1,268.24
El Centro, CACalifornia—$1,269.18
Fresno, CACalifornia—$1,268.24
Hanford, CACalifornia—$1,268.24

33130 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
33130 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 33130 in every payment locality

How the 33130 rate is calculated

Each of 33130’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 · 33130

RVUs × geographic indexes × conversion factor

Office or facility?

Work23.57

23.57 RVUs× 1.000 GPCI

Practice expense10.02

10.02 RVUs× 1.000 GPCI

Malpractice5.63

5.63 RVUs× 1.000 GPCI

Adjusted RVUs

39.2200

Conversion factor

$33.4009

Medicare rate

$1,309.98

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

The exact South Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,825

Code
33130
Physician work
23.57
Practice expense
10.02
Malpractice
5.63

GPCI2026.csv

94

Locality
South Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.336
Facility calculation for 33130 in South Dakota
ComponentRVULocality factorAdjusted
Physician work23.57× 1.00023.5700
Practice expense10.02× 1.00010.0200
Malpractice5.63× 0.3361.8917
Total RVUs35.4817
Conversion factor× 33.4009

Facility rate, South Dakota$1185.12

Facility: (23.57 × 1 + 10.02 × 1 + 5.63 × 0.336) × $33.4009 = $1185.12

Open 33130 in the RVU calculator

Payment rules and modifiers for 33130

33130 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33130

Cardiac tumor excision, external heart surface

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 · 33130

Cardiac tumor excision, external heart surface

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

33130 without 51 · national facility

$1,309.98

Cardiac tumor excision, external heart surface

33130-51 · Second procedure: 50%

$654.99

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 33130 has changed in South Dakota

33130 · 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$1,185.12RVU26D
2026-07-01Not available in this setting$1,185.12RVU26C
2026-04-01Not available in this setting$1,185.12RVU26B
2026-01-01Not available in this setting$1,185.12RVU26A
2025-10-01Not available in this setting$1,196.25RVU25D
2025-07-01Not available in this setting$1,196.25RVU25C
2025-04-01Not available in this setting$1,196.25RVU25B
2025-01-01Not available in this setting$1,196.25RVU25A
2024-10-01Not available in this setting$1,222.50RVU24D
2024-07-01Not available in this setting$1,222.50RVU24C
2024-04-01Not available in this setting$1,222.50RVU24B
2024-03-09Not available in this setting$1,222.50RVU24AR
2024-01-01Not available in this setting$1,202.54RVU24A
2023-10-01Not available in this setting$1,240.95RVU23D
2023-07-01Not available in this setting$1,240.95RVU23C
2023-04-01Not available in this setting$1,240.95RVU23B
2023-01-01Not available in this setting$1,240.95RVU23A
2022-10-01Not available in this setting$1,262.11RVU22D
2022-07-01Not available in this setting$1,262.11RVU22C
2022-04-01Not available in this setting$1,262.11RVU22B
2022-01-01Not available in this setting$1,262.11RVU22A
2021-10-01Not available in this setting$1,268.77RVU21D
2021-07-01Not available in this setting$1,268.77RVU21C
2021-04-01Not available in this setting$1,268.77RVU21B
2021-01-01Not available in this setting$1,268.77RVU21A
2020-10-01Not available in this setting$1,302.90RVU20D
2020-07-01Not available in this setting$1,302.90RVU20C
2020-04-01Not available in this setting$1,302.90RVU20B
2020-01-01Not available in this setting$1,302.90RVU20A
2019-10-01Not available in this setting$1,309.78RVU19D
2019-07-01Not available in this setting$1,309.78RVU19C
2019-04-01Not available in this setting$1,307.68RVU19B
2019-01-01Not available in this setting$1,307.68RVU19A
2018-10-01Not available in this setting$1,309.31RVU18D
2018-07-01Not available in this setting$1,309.31RVU18C
2018-04-01Not available in this setting$1,309.31RVU18B
2018-01-01Not available in this setting$1,309.31RVU18AR1
2017-10-01Not available in this setting$1,313.36RVU17D
2017-07-01Not available in this setting$1,313.36RVU17C
2017-04-01Not available in this setting$1,313.36RVU17B
2017-01-01Not available in this setting$1,313.36RVU17A
2016-10-01Not available in this setting$1,317.17RVU16D
2016-07-01Not available in this setting$1,317.17RVU16C
2016-04-01Not available in this setting$1,317.17RVU16B
2016-01-01Not available in this setting$1,317.17RVU16A
2015-10-01Not available in this setting$1,326.59RVU15D
2015-07-01Not available in this setting$1,326.59RVU15C
2015-04-01Not available in this setting$1,319.99RVU15B
2015-01-01Not available in this setting$1,319.99RVU15A
2014-10-01Not available in this setting$1,325.96RVU14D
2014-07-01Not available in this setting$1,325.96RVU14C
2014-04-01Not available in this setting$1,325.96RVU14B
2014-01-01Not available in this setting$1,325.96RVU14A
2013-10-01Not available in this setting$1,301.70RVU13D
2013-07-01Not available in this setting$1,301.70RVU13C
2013-04-01Not available in this setting$1,301.70RVU13B
2013-01-01Not available in this setting$1,301.70RVU13AR

Price 33130 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Agar
  • Agency Village
  • Akaska
  • Albee
  • Alcester
  • Alexandria
  • Allen

Browse all communities in South Dakota

33130 billing questions

How does this differ from 33120?

33130 is for a tumor arising on the external surface of the heart. 33120 describes excision of an intracardiac tumor with cardiopulmonary bypass.

What operative documentation supports 33130?

The operative report should establish that the tumor arose on the external heart surface and describe its excision. A mass merely adjacent to the heart is not enough to establish this code.

Can modifier 50 be reported?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.

How are assistant and co-surgeon services handled?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What care is included in the global period?

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

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 33130PPRRVU2026_Oct_nonQPP.csv, line 3,825 (RVU26D)
Geographic factors for South DakotaGPCI2026.csv, line 94 (RVU26D)

Open CMS sourceHow we calculate rates

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