CPT code 33140: Heart revascularization, standalone thoracotomy procedure2026 Medicare rate & RVUs in Chico, CA
Reports laser-created channels in the heart muscle through thoracotomy when transmyocardial revascularization is performed as a standalone operation.
In Chico, CA, Medicare pays $1,418.21 for 33140 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33140 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 33140 covers
A cardiothoracic surgeon performs transmyocardial laser revascularization through a thoracotomy, creating channels in the heart muscle to address severe angina in selected patients whose coronary disease is not suitable for conventional revascularization. The procedure is performed in an operating room. This code is for TMR performed as a standalone operation; when TMR accompanies another cardiac operation, the separate code for that circumstance is 33141.
Report 33140 when the operative record supports standalone TMR and documents the thoracotomy and laser treatment. 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 the others at 50%. Bilateral adjustment is not appropriate. Assistant-at-surgery payment may be made; 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 Chico, CA compares for 33140
Across 109 of 109 payment localities, the facility rate for 33140 runs from $1,306.69 in Wisconsin to $1,857.05 in Alaska. Chico, CA pays $1,418.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Chico, CA · this page$1,418.21
- Bakersfield, CA · California$1,436.17+$17.96
- El Centro, CA · California$1,419.31+$1.10
- Fresno, CA · California$1,418.21
- Hanford, CA · California$1,418.21
- Los Angeles, CA · California$1,497.30+$79.09
- Madera, CA · California$1,418.21
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | — | $1,418.21 |
| Modesto, CACalifornia | — | $1,418.21 |
| Napa, CACalifornia | — | $1,527.66 |
| Oxnard, CACalifornia | — | $1,475.92 |
| Redding, CACalifornia | — | $1,418.21 |
| Rest of CaliforniaCalifornia | — | $1,418.21 |
| Riverside, CACalifornia | — | $1,489.12 |
| Sacramento, CACalifornia | — | $1,457.83 |
| Salinas, CACalifornia | — | $1,451.90 |
| San Diego, CACalifornia | — | $1,464.50 |
| Marin County, CACalifornia | — | $1,576.71 |
| San Francisco, CACalifornia | — | $1,569.20 |
| San Benito County, CACalifornia | — | $1,618.10 |
| Santa Clara County, CACalifornia | — | $1,587.41 |
| San Luis Obispo, CACalifornia | — | $1,432.38 |
| Santa Cruz, CACalifornia | — | $1,461.13 |
| Santa Maria, CACalifornia | — | $1,451.44 |
| Santa Rosa, CACalifornia | — | $1,473.72 |
| Stockton, CACalifornia | — | $1,418.21 |
| Vallejo, CACalifornia | — | $1,516.85 |
| Visalia, CACalifornia | — | $1,418.21 |
| Yuba City, CACalifornia | — | $1,418.21 |
| Washington, DC areaDistrict of Columbia | — | $1,606.78 |
| Miami, FLFlorida | — | $1,824.40 |
| Chicago, ILIllinois | — | $1,767.33 |
| Manhattan, NYNew York | — | $1,715.16 |
| AlaskaAlaska | — | $1,857.05 |
| AlabamaAlabama | — | $1,336.29 |
| ArkansasArkansas | — | $1,319.75 |
| ArizonaArizona | — | $1,431.30 |
| ColoradoColorado | — | $1,457.14 |
| ConnecticutConnecticut | — | $1,563.52 |
| DelawareDelaware | — | $1,451.67 |
| Fort Lauderdale, FLFlorida | — | $1,655.99 |
| Rest of FloridaFlorida | — | $1,569.86 |
| Atlanta, GAGeorgia | — | $1,525.73 |
| Rest of GeorgiaGeorgia | — | $1,480.10 |
| Hawaii, Guam, HIHawaii | — | $1,425.53 |
| IowaIowa | — | $1,312.16 |
| IdahoIdaho | — | $1,330.59 |
| East St. Louis, ILIllinois | — | $1,670.81 |
| Rest of IllinoisIllinois | — | $1,568.93 |
| Suburban Chicago, ILIllinois | — | $1,659.12 |
| IndianaIndiana | — | $1,335.77 |
| KansasKansas | — | $1,332.16 |
| KentuckyKentucky | — | $1,417.95 |
| New Orleans, LALouisiana | — | $1,483.89 |
| Rest of LouisianaLouisiana | — | $1,426.13 |
| Metropolitan Boston, MAMassachusetts | — | $1,550.82 |
| Rest of MassachusettsMassachusetts | — | $1,460.73 |
| Baltimore area, MDMaryland | — | $1,564.47 |
| Rest of MarylandMaryland | — | $1,468.39 |
| Rest of MaineMaine | — | $1,363.49 |
| Southern Maine, MEMaine | — | $1,388.88 |
| Detroit, MIMichigan | — | $1,613.23 |
| Rest of MichiganMichigan | — | $1,473.11 |
| MinnesotaMinnesota | — | $1,327.44 |
| Metropolitan Kansas City, MOMissouri | — | $1,448.13 |
| Metropolitan St. Louis, MOMissouri | — | $1,457.93 |
| Rest of MissouriMissouri | — | $1,422.08 |
| MississippiMississippi | — | $1,369.87 |
| MontanaMontana | — | $1,472.87 |
| North CarolinaNorth Carolina | — | $1,371.52 |
| North DakotaNorth Dakota | — | $1,342.17 |
| NebraskaNebraska | — | $1,310.60 |
| New HampshireNew Hampshire | — | $1,459.23 |
| Northern New JerseyNew Jersey | — | $1,599.21 |
| Rest of New JerseyNew Jersey | — | $1,561.97 |
| New MexicoNew Mexico | — | $1,490.33 |
| NevadaNevada | — | $1,436.77 |
| NYC suburbs and Long Island, NYNew York | — | $1,783.89 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,592.52 |
| Queens, NYNew York | — | $1,689.96 |
| Rest of New YorkNew York | — | $1,391.26 |
| OhioOhio | — | $1,446.40 |
| OklahomaOklahoma | — | $1,388.81 |
| Portland, OROregon | — | $1,468.15 |
| Rest of OregonOregon | — | $1,406.42 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,546.05 |
| Rest of PennsylvaniaPennsylvania | — | $1,434.14 |
| Puerto RicoPuerto Rico | — | $1,473.63 |
| Rhode IslandRhode Island | — | $1,477.88 |
| South CarolinaSouth Carolina | — | $1,415.14 |
| South DakotaSouth Dakota | — | $1,326.72 |
| TennesseeTennessee | — | $1,341.09 |
| Austin, TXTexas | — | $1,469.11 |
| Beaumont, TXTexas | — | $1,427.97 |
| Brazoria, TXTexas | — | $1,429.16 |
| Dallas, TXTexas | — | $1,448.95 |
| Fort Worth, TXTexas | — | $1,448.52 |
| Galveston, TXTexas | — | $1,440.41 |
| Houston, TXTexas | — | $1,561.40 |
| Rest of TexasTexas | — | $1,435.09 |
| UtahUtah | — | $1,431.01 |
| VirginiaVirginia | — | $1,402.80 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,473.63 |
| VermontVermont | — | $1,360.95 |
| Rest of WashingtonWashington | — | $1,450.02 |
| King County, WAWashington | — | $1,553.89 |
| WisconsinWisconsin | — | $1,306.69 |
| West VirginiaWest Virginia | — | $1,525.28 |
| WyomingWyoming | — | $1,415.91 |
33140 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 33140 rate is calculated
Each of 33140’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 · 33140
RVUs × geographic indexes × conversion factor
Work27.63
27.63 RVUs× 1.000 GPCI
Practice expense9.87
9.87 RVUs× 1.000 GPCI
Malpractice6.61
6.61 RVUs× 1.000 GPCI
Adjusted RVUs
44.1100
Conversion factor
$33.4009
Medicare rate
$1,473.31
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Chico, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,826
- Code
- 33140
- Physician work
- 27.63
- Practice expense
- 9.87
- Malpractice
- 6.61
GPCI2026.csv
9
- Locality
- Chico, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 27.63 | × 1.017 | 28.0997 |
| Practice expense | 9.87 | × 1.096 | 10.8175 |
| Malpractice | 6.61 | × 0.536 | 3.5430 |
| Total RVUs | 42.4602 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico, CA$1418.21
Facility: (27.63 × 1.017 + 9.87 × 1.096 + 6.61 × 0.536) × $33.4009 = $1418.21
Payment rules and modifiers for 33140
33140 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33140
Heart revascularization, standalone thoracotomy procedure
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33140
Heart revascularization, standalone thoracotomy procedure
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33140 without 51 · national facility
$1,473.31
Heart revascularization, standalone thoracotomy procedure
33140-51 · Second procedure: 50%
$736.66
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 33140 has changed in Chico, CA
33140 · 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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,418.21 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,418.21 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,418.21 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,418.21 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,437.41 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,437.41 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,437.41 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,437.41 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,469.62 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,469.62 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,469.62 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,469.62 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,445.63 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,502.83 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,502.83 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,502.83 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,502.83 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,540.60 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,540.60 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,540.60 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,540.60 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,549.00 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,549.00 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,549.00 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,549.00 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,583.43 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,583.43 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,583.43 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,583.43 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,582.91 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,582.91 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,576.03 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,576.03 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,582.45 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,582.45 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,582.45 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,582.45 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,605.92 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,605.92 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,605.92 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,605.92 | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Chico, CA rate applies
Chico, CA is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Chico
- Bangor
- Berry Creek
- Biggs
- Butte Creek Canyon
- Butte Meadows
- Butte Valley
- Cherokee
33140 billing questions
When should 33140 be chosen instead of 33141?
Use 33140 for TMR performed as a standalone operation. Use 33141 when TMR is performed during another cardiac procedure.
Can TMR be reported with a coronary bypass procedure?
When TMR is performed during a bypass or another cardiac operation, 33141 describes that TMR circumstance; 33140 is for standalone TMR.
Does modifier 50 apply to 33140?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted for this code.
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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