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

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

CMS RVU26DEffective Oct 1, 2026One payment locality25 Medicare services in 2024

In Alaska, Medicare pays $152.74 for 33141 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$152.74Hospital or facility

Check a contract rate as a % of Medicare · 33141 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 33141 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Alaska
  2. What 33141 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 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.

How Alaska compares for 33141

Across 109 of 109 payment localities, the facility rate for 33141 runs from $104.57 in Wisconsin to $152.74 in Alaska. Alaska pays $152.74. The RVUs are the same everywhere; the geographic indexes change the dollars.

33141 in Alaska vs other payment areas
  1. Alaska · this page$152.74
  2. Los Angeles, CA · California$118.95−$33.79
  3. Washington, DC area · District of Columbia$129.24−$23.50
  4. Miami, FL · Florida$151.90−$0.84
  5. Chicago, IL · Illinois$147.05−$5.69
  6. Manhattan, NY · New York$139.61−$13.13
  7. Alabama · Alabama$108.58−$44.16

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

Every other payment area

33141 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$107.27
ArizonaArizona—$116.10
Bakersfield, CACalifornia—$114.59
Chico, CACalifornia—$112.91
El Centro, CACalifornia—$113.02
Fresno, CACalifornia—$112.91
Hanford, CACalifornia—$112.91
Madera, CACalifornia—$112.91

33141 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
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

See 33141 in every payment locality

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.

The exact Alaska inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,827

Code
33141
Physician work
2.48
Practice expense
0.48
Malpractice
0.62

GPCI2026.csv

5

Locality
Alaska
Physician work
1.500
Practice expense
1.065
Malpractice
0.551
Facility calculation for 33141 in Alaska
ComponentRVULocality factorAdjusted
Physician work2.48× 1.5003.7200
Practice expense0.48× 1.0650.5112
Malpractice0.62× 0.5510.3416
Total RVUs4.5728
Conversion factor× 33.4009

Facility rate, Alaska$152.74

Facility: (2.48 × 1.5 + 0.48 × 1.065 + 0.62 × 0.551) × $33.4009 = $152.74

Open 33141 in the RVU calculator

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

How 33141 has changed in Alaska

33141 · 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$152.74RVU26D
2026-07-01Not available in this setting$152.74RVU26C
2026-04-01Not available in this setting$152.74RVU26B
2026-01-01Not available in this setting$152.74RVU26A
2025-10-01Not available in this setting$160.13RVU25D
2025-07-01Not available in this setting$160.13RVU25C
2025-04-01Not available in this setting$160.13RVU25B
2025-01-01Not available in this setting$160.13RVU25A
2024-10-01Not available in this setting$164.23RVU24D
2024-07-01Not available in this setting$164.23RVU24C
2024-04-01Not available in this setting$164.23RVU24B
2024-03-09Not available in this setting$164.23RVU24AR
2024-01-01Not available in this setting$161.55RVU24A
2023-10-01Not available in this setting$167.84RVU23D
2023-07-01Not available in this setting$167.84RVU23C
2023-04-01Not available in this setting$167.84RVU23B
2023-01-01Not available in this setting$167.84RVU23A
2022-10-01Not available in this setting$172.46RVU22D
2022-07-01Not available in this setting$172.46RVU22C
2022-04-01Not available in this setting$172.46RVU22B
2022-01-01Not available in this setting$172.46RVU22A
2021-10-01Not available in this setting$174.06RVU21D
2021-07-01Not available in this setting$174.06RVU21C
2021-04-01Not available in this setting$174.06RVU21B
2021-01-01Not available in this setting$174.06RVU21A
2020-10-01Not available in this setting$179.75RVU20D
2020-07-01Not available in this setting$179.75RVU20C
2020-04-01Not available in this setting$179.75RVU20B
2020-01-01Not available in this setting$179.75RVU20A
2019-10-01Not available in this setting$179.78RVU19D
2019-07-01Not available in this setting$179.78RVU19C
2019-04-01Not available in this setting$179.78RVU19B
2019-01-01Not available in this setting$179.78RVU19A
2018-10-01Not available in this setting$179.83RVU18D
2018-07-01Not available in this setting$179.83RVU18C
2018-04-01Not available in this setting$179.83RVU18B
2018-01-01Not available in this setting$179.83RVU18AR1
2017-10-01Not available in this setting$179.99RVU17D
2017-07-01Not available in this setting$179.99RVU17C
2017-04-01Not available in this setting$179.99RVU17B
2017-01-01Not available in this setting$179.99RVU17A
2016-10-01Not available in this setting$179.74RVU16D
2016-07-01Not available in this setting$179.74RVU16C
2016-04-01Not available in this setting$179.74RVU16B
2016-01-01Not available in this setting$179.74RVU16A
2015-10-01Not available in this setting$179.87RVU15D
2015-07-01Not available in this setting$179.87RVU15C
2015-04-01Not available in this setting$178.98RVU15B
2015-01-01Not available in this setting$178.98RVU15A
2014-10-01Not available in this setting$179.57RVU14D
2014-07-01Not available in this setting$179.57RVU14C
2014-04-01Not available in this setting$179.57RVU14B
2014-01-01Not available in this setting$179.57RVU14A
2013-10-01Not available in this setting$172.39RVU13D
2013-07-01Not available in this setting$172.39RVU13C
2013-04-01Not available in this setting$172.39RVU13B
2013-01-01Not available in this setting$172.39RVU13AR

Price 33141 for an earlier date of service

Where the Alaska rate applies

Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in Alaska

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)
Geographic factors for AlaskaGPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 33141 pays in Alaska?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 33141 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →