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

In Washington, DC area, Medicare pays $129.24 for 33141 in a facility. There’s no office rate.

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.

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 Washington, DC area 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. Washington, DC area pays $129.24. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33141 rates by state

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

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.

Payment rules and modifiers for 33141

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

What modifiers do to the payment

When to use modifier 80

Codes related to 33141

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

How 33141 has changed in Washington, DC area

Price 33141 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

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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

Open CMS sourceHow we calculate rates