CPT code 33141: Heart revascularization, with another cardiac procedure2026 Medicare rate & RVUs in Rhode Island
Reports transmyocardial laser revascularization performed during the same operative session as another open cardiac procedure, such as coronary bypass surgery.
In Rhode Island, Medicare pays $119.44 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.
On this page 11 sections
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 Rhode Island 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. Rhode Island pays $119.44. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$119.44
- Los Angeles, CA · California$118.95−$0.49
- Washington, DC area · District of Columbia$129.24+$9.80
- Miami, FL · Florida$151.90+$32.46
- Chicago, IL · Illinois$147.05+$27.61
- Manhattan, NY · New York$139.61+$20.17
- Alaska · Alaska$152.74+$33.30
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $108.58 |
| 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 |
| Merced, CACalifornia | — | $112.91 |
| Modesto, CACalifornia | — | $112.91 |
| Napa, CACalifornia | — | $119.70 |
| Oxnard, CACalifornia | — | $117.01 |
| Redding, CACalifornia | — | $112.91 |
| Rest of CaliforniaCalifornia | — | $112.91 |
| Riverside, CACalifornia | — | $119.56 |
| Sacramento, CACalifornia | — | $115.56 |
| Salinas, CACalifornia | — | $115.08 |
| San Diego, CACalifornia | — | $115.72 |
| Marin County, CACalifornia | — | $122.81 |
| San Francisco, CACalifornia | — | $122.11 |
| San Benito County, CACalifornia | — | $126.16 |
| Santa Clara County, CACalifornia | — | $123.29 |
| San Luis Obispo, CACalifornia | — | $113.60 |
| Santa Cruz, CACalifornia | — | $115.15 |
| Santa Maria, CACalifornia | — | $114.95 |
| Santa Rosa, CACalifornia | — | $116.11 |
| Stockton, CACalifornia | — | $112.91 |
| Vallejo, CACalifornia | — | $118.69 |
| Visalia, CACalifornia | — | $112.91 |
| Yuba City, CACalifornia | — | $112.91 |
| ColoradoColorado | — | $117.06 |
| ConnecticutConnecticut | — | $126.82 |
| DelawareDelaware | — | $117.71 |
| Fort Lauderdale, FLFlorida | — | $136.52 |
| Rest of FloridaFlorida | — | $129.29 |
| Atlanta, GAGeorgia | — | $124.24 |
| Rest of GeorgiaGeorgia | — | $121.82 |
| Hawaii, Guam, HIHawaii | — | $113.05 |
| IowaIowa | — | $105.73 |
| IdahoIdaho | — | $107.38 |
| East St. Louis, ILIllinois | — | $139.29 |
| Rest of IllinoisIllinois | — | $129.84 |
| Suburban Chicago, ILIllinois | — | $136.57 |
| IndianaIndiana | — | $107.76 |
| KansasKansas | — | $107.76 |
| KentuckyKentucky | — | $116.04 |
| New Orleans, LALouisiana | — | $121.45 |
| Rest of LouisianaLouisiana | — | $116.86 |
| Metropolitan Boston, MAMassachusetts | — | $123.80 |
| Rest of MassachusettsMassachusetts | — | $117.55 |
| Baltimore area, MDMaryland | — | $126.98 |
| Rest of MarylandMaryland | — | $118.90 |
| Rest of MaineMaine | — | $110.46 |
| Southern Maine, MEMaine | — | $111.79 |
| Detroit, MIMichigan | — | $133.22 |
| Rest of MichiganMichigan | — | $120.85 |
| MinnesotaMinnesota | — | $105.46 |
| Metropolitan Kansas City, MOMissouri | — | $118.12 |
| Metropolitan St. Louis, MOMissouri | — | $118.85 |
| Rest of MissouriMissouri | — | $116.82 |
| MississippiMississippi | — | $111.94 |
| MontanaMontana | — | $119.53 |
| North CarolinaNorth Carolina | — | $111.03 |
| North DakotaNorth Dakota | — | $107.27 |
| NebraskaNebraska | — | $105.46 |
| New HampshireNew Hampshire | — | $117.64 |
| Northern New JerseyNew Jersey | — | $128.77 |
| Rest of New JerseyNew Jersey | — | $126.37 |
| New MexicoNew Mexico | — | $122.41 |
| NevadaNevada | — | $116.13 |
| NYC suburbs and Long Island, NYNew York | — | $145.65 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $129.17 |
| Queens, NYNew York | — | $136.95 |
| Rest of New YorkNew York | — | $112.62 |
| OhioOhio | — | $118.35 |
| OklahomaOklahoma | — | $113.24 |
| Portland, OROregon | — | $117.38 |
| Rest of OregonOregon | — | $113.36 |
| Metropolitan Philadelphia, PAPennsylvania | — | $125.72 |
| Rest of PennsylvaniaPennsylvania | — | $117.12 |
| Puerto RicoPuerto Rico | — | $119.44 |
| South CarolinaSouth Carolina | — | $115.25 |
| South DakotaSouth Dakota | — | $105.82 |
| TennesseeTennessee | — | $108.53 |
| Austin, TXTexas | — | $118.31 |
| Beaumont, TXTexas | — | $116.66 |
| Brazoria, TXTexas | — | $115.54 |
| Dallas, TXTexas | — | $117.32 |
| Fort Worth, TXTexas | — | $117.42 |
| Galveston, TXTexas | — | $116.56 |
| Houston, TXTexas | — | $127.91 |
| Rest of TexasTexas | — | $116.75 |
| UtahUtah | — | $116.50 |
| VirginiaVirginia | — | $113.21 |
| Virgin Islands, VIUnited States Virgin Islands | — | $119.44 |
| VermontVermont | — | $109.18 |
| Rest of WashingtonWashington | — | $116.55 |
| King County, WAWashington | — | $123.57 |
| WisconsinWisconsin | — | $104.57 |
| West VirginiaWest Virginia | — | $126.40 |
| WyomingWyoming | — | $114.19 |
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
| 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 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
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 Rhode Island 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
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.48 | × 1.019 | 2.5271 |
| Practice expense | 0.48 | × 1.033 | 0.4958 |
| Malpractice | 0.62 | × 0.892 | 0.5530 |
| Total RVUs | 3.5760 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$119.44
Facility: (2.48 × 1.019 + 0.48 × 1.033 + 0.62 × 0.892) × $33.4009 = $119.44
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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.
How 33141 has changed in Rhode Island
33141 · 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 | $119.44 | RVU26D |
| 2026-07-01 | Not available in this setting | $119.44 | RVU26C |
| 2026-04-01 | Not available in this setting | $119.44 | RVU26B |
| 2026-01-01 | Not available in this setting | $119.44 | RVU26A |
| 2025-10-01 | Not available in this setting | $125.38 | RVU25D |
| 2025-07-01 | Not available in this setting | $125.38 | RVU25C |
| 2025-04-01 | Not available in this setting | $125.38 | RVU25B |
| 2025-01-01 | Not available in this setting | $125.38 | RVU25A |
| 2024-10-01 | Not available in this setting | $128.40 | RVU24D |
| 2024-07-01 | Not available in this setting | $128.40 | RVU24C |
| 2024-04-01 | Not available in this setting | $128.40 | RVU24B |
| 2024-03-09 | Not available in this setting | $128.40 | RVU24AR |
| 2024-01-01 | Not available in this setting | $126.30 | RVU24A |
| 2023-10-01 | Not available in this setting | $131.78 | RVU23D |
| 2023-07-01 | Not available in this setting | $131.78 | RVU23C |
| 2023-04-01 | Not available in this setting | $131.78 | RVU23B |
| 2023-01-01 | Not available in this setting | $131.78 | RVU23A |
| 2022-10-01 | Not available in this setting | $136.23 | RVU22D |
| 2022-07-01 | Not available in this setting | $136.23 | RVU22C |
| 2022-04-01 | Not available in this setting | $136.23 | RVU22B |
| 2022-01-01 | Not available in this setting | $136.23 | RVU22A |
| 2021-10-01 | Not available in this setting | $137.38 | RVU21D |
| 2021-07-01 | Not available in this setting | $137.38 | RVU21C |
| 2021-04-01 | Not available in this setting | $137.38 | RVU21B |
| 2021-01-01 | Not available in this setting | $137.38 | RVU21A |
| 2020-10-01 | Not available in this setting | $141.11 | RVU20D |
| 2020-07-01 | Not available in this setting | $141.11 | RVU20C |
| 2020-04-01 | Not available in this setting | $141.11 | RVU20B |
| 2020-01-01 | Not available in this setting | $141.11 | RVU20A |
| 2019-10-01 | Not available in this setting | $140.66 | RVU19D |
| 2019-07-01 | Not available in this setting | $140.66 | RVU19C |
| 2019-04-01 | Not available in this setting | $140.66 | RVU19B |
| 2019-01-01 | Not available in this setting | $140.66 | RVU19A |
| 2018-10-01 | Not available in this setting | $140.87 | RVU18D |
| 2018-07-01 | Not available in this setting | $140.87 | RVU18C |
| 2018-04-01 | Not available in this setting | $140.87 | RVU18B |
| 2018-01-01 | Not available in this setting | $140.87 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $138.60 | RVU17D |
| 2017-07-01 | Not available in this setting | $138.60 | RVU17C |
| 2017-04-01 | Not available in this setting | $138.60 | RVU17B |
| 2017-01-01 | Not available in this setting | $138.60 | RVU17A |
| 2016-10-01 | Not available in this setting | $135.85 | RVU16D |
| 2016-07-01 | Not available in this setting | $135.85 | RVU16C |
| 2016-04-01 | Not available in this setting | $135.85 | RVU16B |
| 2016-01-01 | Not available in this setting | $135.85 | RVU16A |
| 2015-10-01 | Not available in this setting | $135.80 | RVU15D |
| 2015-07-01 | Not available in this setting | $135.80 | RVU15C |
| 2015-04-01 | Not available in this setting | $135.12 | RVU15B |
| 2015-01-01 | Not available in this setting | $135.12 | RVU15A |
| 2014-10-01 | Not available in this setting | $140.94 | RVU14D |
| 2014-07-01 | Not available in this setting | $140.94 | RVU14C |
| 2014-04-01 | Not available in this setting | $140.94 | RVU14B |
| 2014-01-01 | Not available in this setting | $140.94 | 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 Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
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
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