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CPT code 33141: Heart revascularization, with another cardiac procedure2026 Medicare rate & RVUs

Reports transmyocardial laser revascularization performed during the same operative session as another open cardiac procedure, such as coronary bypass surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities25 Medicare services in 2024

Medicare pays $119.58 for 33141 nationally in a facility.

Medicare rate · 33141

Heart revascularization, with another cardiac procedure

Office or facility?

Work RVUs
2.48
Total RVUs
3.58
Global days
ZZZ

National rate · 2026

$119.58

Facility setting, before claim adjustments.

See every locality for 33141 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 33141 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33141 covers

A cardiac surgeon uses a laser to create channels in the heart muscle as a revascularization treatment, typically for severe angina associated with coronary artery disease that cannot be adequately treated by conventional revascularization. Code 33141 describes this work when it is performed during the same operative session as another open cardiac procedure, rather than as a stand-alone operation. Coronary artery bypass surgery is a recognized example of a concurrent procedure.

Report 33141 as an add-on with the code for the primary cardiac procedure; it is not reported by itself. The operative report should identify the laser revascularization work and the other open cardiac procedure performed in the same session. CMS pays this add-on within the primary procedure's global period. Use 33140 when transmyocardial laser revascularization is performed without another open cardiac procedure in that session.

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.

Where 33141 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33141 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$108.58
AlaskaUnavailable$152.74
ArizonaUnavailable$116.10
ArkansasUnavailable$107.27
Atlanta, GAUnavailable$124.24
Austin, TXUnavailable$118.31
Bakersfield, CAUnavailable$114.59
Baltimore area, MDUnavailable$126.98
Beaumont, TXUnavailable$116.66
Brazoria, TXUnavailable$115.54

33141 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
33141 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

How the 33141 rate is calculated

Each of 33141’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 · 33141

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.48

2.48 RVUs× 1.000 GPCI

Practice expense0.48

0.48 RVUs× 1.000 GPCI

Malpractice0.62

0.62 RVUs× 1.000 GPCI

Adjusted RVUs

3.5800

Conversion factor

$33.4009

Medicare rate

$119.58

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

Payment rules and modifiers for 33141

The CMS indicators that decide how 33141 is paid alongside other services.

CMS payment indicators · 33141

Heart revascularization, with another cardiac procedure

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

33141 without 80 · national facility

$119.58

Heart revascularization, with another cardiac procedure

33141-80 · Assistant: 16%

$19.13

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

33141 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 33141

    Heart revascularization, with another cardiac procedure2.48 wRVU

    Not priced

  • 33140

    Heart revascularization, standalone thoracotomy procedure27.63 wRVU

    Not priced

  • 33533

    Arterial CABG, single arterial graft32.91 wRVU

    Not priced

  • 33510

    Coronary bypass, single vein graft34.11 wRVU

    Not priced

How to choose

33140Heart revascularizationStandalone thoracotomy procedure
33140 describes transmyocardial laser revascularization performed without another open cardiac procedure in the same session. Choose 33141 when the laser work accompanies another open cardiac procedure.
33533Arterial CABGSingle arterial graft
33533 reports an arterial coronary bypass procedure and can serve as the primary code when transmyocardial laser revascularization is also performed. It does not describe the laser work reported with 33141.
33510Coronary bypassSingle vein graft
33510 reports a venous coronary bypass procedure and may be the primary procedure for 33141. It identifies the bypass work, not the concurrent transmyocardial laser revascularization.

Codes related to 33141

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 33141
CodeHow it relatesNational office range
Used instead
33140Heart revascularization, standalone thoracotomy procedureReports transmyocardial laser revascularization performed without another open cardiac procedure in the same session.No office rate
Primary code
33533Arterial CABG, single arterial graftArterial coronary bypass code that may be the primary procedure for concurrent transmyocardial laser revascularization.No office rate
33510Coronary bypass, single vein graftVenous coronary bypass code that may be the primary procedure for concurrent transmyocardial laser revascularization.No office rate

33141 billing questions

When should 33141 be chosen instead of 33140?

Use 33141 when transmyocardial laser revascularization is performed in the same operative session as another open cardiac procedure. Use 33140 for the stand-alone transmyocardial laser revascularization procedure.

Can 33141 be reported by itself?

No. It is an add-on code and must be reported with the primary procedure performed in the same operative session.

What documentation supports reporting 33141?

The operative report should describe the transmyocardial laser revascularization and identify the other open cardiac procedure performed during that session.

How does the global period affect payment?

CMS pays 33141 within the global period of the primary procedure with which it is reported.

Is coronary artery bypass surgery a possible primary procedure?

Yes. Transmyocardial laser revascularization performed during the same session as coronary artery bypass surgery is a recognized use of 33141; report the applicable bypass code as the primary procedure.

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 33141PPRRVU2026_Oct_nonQPP.csv, line 3,827 (RVU26D)

Open CMS sourceHow we calculate rates

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