CPT code 33340: Appendage closure, transcatheter implant2026 Medicare rate & RVUs in New Mexico

Reports catheter-based placement of an implant to close the left atrial appendage, commonly for stroke-risk reduction in patients with atrial fibrillation.

CMS RVU26DEffective Oct 1, 2026One payment locality60.1K Medicare services in 2024

In New Mexico, Medicare pays $617.23 for 33340 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$617.23Hospital or facility

Check a contract rate as a % of Medicare · 33340 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 33340 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 33340 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 33340 covers

An interventional cardiologist or electrophysiologist advances a catheter through a transseptal route and places an endocardial implant to close the left atrial appendage. The procedure is generally performed in a hospital catheterization or electrophysiology lab with imaging guidance. It is used for selected patients with atrial fibrillation when a strategy to reduce embolic stroke risk is being pursued; the record should identify the indication, implant placement, and procedural findings.

Report 33340 for the transcatheter closure procedure, including its transseptal access and integral fluoroscopic and angiographic guidance. The code has a 0-day global period, so same-day preoperative and postoperative care is included. If other procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment requires documented medical necessity; co-surgeons are permitted, and team-surgery payment requires supporting documentation.

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 New Mexico compares for 33340

Across 109 of 109 payment localities, the facility rate for 33340 runs from $551.41 in Arkansas to $763.60 in Alaska. New Mexico pays $617.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

33340 in New Mexico vs other payment areas
  1. New Mexico · this page$617.23
  2. Los Angeles, CA · California$643.67+$26.44
  3. Washington, DC area · District of Columbia$682.22+$64.99
  4. Miami, FL · Florida$747.06+$129.83
  5. Chicago, IL · Illinois$723.60+$106.37
  6. Manhattan, NY · New York$719.38+$102.15
  7. Alaska · Alaska$763.60+$146.37

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

Every other payment area

33340 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$558.72
ArkansasArkansas—$551.41
ArizonaArizona—$600.88
Bakersfield, CACalifornia—$614.05
Chico, CACalifornia—$607.65
El Centro, CACalifornia—$608.05
Fresno, CACalifornia—$607.65
Hanford, CACalifornia—$607.65

33340 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
33340 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 33340 in every payment locality

How the 33340 rate is calculated

Each of 33340’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 · 33340

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.99

9.99 RVUs× 1.000 GPCI

Practice expense6.18

6.18 RVUs× 1.000 GPCI

Malpractice2.35

2.35 RVUs× 1.000 GPCI

Adjusted RVUs

18.5200

Conversion factor

$33.4009

Medicare rate

$618.58

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

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,922

Code
33340
Physician work
9.99
Practice expense
6.18
Malpractice
2.35

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 33340 in New Mexico
ComponentRVULocality factorAdjusted
Physician work9.99× 1.0009.9900
Practice expense6.18× 0.9175.6671
Malpractice2.35× 1.2012.8224
Total RVUs18.4794
Conversion factor× 33.4009

Facility rate, New Mexico$617.23

Facility: (9.99 × 1 + 6.18 × 0.917 + 2.35 × 1.201) × $33.4009 = $617.23

Open 33340 in the RVU calculator

Payment rules and modifiers for 33340

The CMS indicators that decide how 33340 is paid alongside other services.

CMS payment indicators · 33340

Appendage closure, transcatheter implant

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)2Permitted.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33340 without 51 · national facility

$618.58

Appendage closure, transcatheter implant

33340-51 · Second procedure: 50%

$309.29

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%).

When to use modifier 51

How 33340 has changed in New Mexico

33340 · 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
  1. January 1, 2017

    RVU17A

    No ratechanged toNo rate

    Held through RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$617.23RVU26D
2026-07-01Not available in this setting$617.23RVU26C
2026-04-01Not available in this setting$617.23RVU26B
2026-01-01Not available in this setting$617.23RVU26A
2025-10-01Not available in this setting$740.18RVU25D
2025-07-01Not available in this setting$740.18RVU25C
2025-04-01Not available in this setting$740.18RVU25B
2025-01-01Not available in this setting$740.18RVU25A
2024-10-01Not available in this setting$761.25RVU24D
2024-07-01Not available in this setting$761.25RVU24C
2024-04-01Not available in this setting$761.25RVU24B
2024-03-09Not available in this setting$761.25RVU24AR
2024-01-01Not available in this setting$748.82RVU24A
2023-10-01Not available in this setting$776.43RVU23D
2023-07-01Not available in this setting$776.43RVU23C
2023-04-01Not available in this setting$776.43RVU23B
2023-01-01Not available in this setting$776.43RVU23A
2022-10-01Not available in this setting$797.76RVU22D
2022-07-01Not available in this setting$797.76RVU22C
2022-04-01Not available in this setting$797.76RVU22B
2022-01-01Not available in this setting$797.76RVU22A
2021-10-01Not available in this setting$800.96RVU21D
2021-07-01Not available in this setting$800.96RVU21C
2021-04-01Not available in this setting$800.96RVU21B
2021-01-01Not available in this setting$800.96RVU21A
2020-10-01Not available in this setting$831.12RVU20D
2020-07-01Not available in this setting$831.12RVU20C
2020-04-01Not available in this setting$831.12RVU20B
2020-01-01Not available in this setting$831.12RVU20A
2019-10-01Not available in this setting$841.32RVU19D
2019-07-01Not available in this setting$841.32RVU19C
2019-04-01Not available in this setting$841.32RVU19B
2019-01-01Not available in this setting$841.32RVU19A
2018-10-01Not available in this setting$841.76RVU18D
2018-07-01Not available in this setting$841.76RVU18C
2018-04-01Not available in this setting$841.76RVU18B
2018-01-01Not available in this setting$841.76RVU18AR1
2017-10-01Not available in this setting$838.26RVU17D
2017-07-01Not available in this setting$838.26RVU17C
2017-04-01Not available in this setting$838.26RVU17B
2017-01-01Not available in this setting$838.26RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 33340 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

33340 billing questions

When should 33340 be reported instead of an atrial fibrillation ablation code?

Report 33340 for catheter-based implant closure of the left atrial appendage. Atrial fibrillation ablation treats the arrhythmia itself; appendage closure is intended to reduce embolic stroke risk.

Does 33340 include transseptal access and fluoroscopic guidance?

Yes. The closure service includes the transseptal catheter access and integral fluoroscopic and angiographic guidance used for implant placement.

Can an assistant surgeon be billed for this procedure?

Assistant-at-surgery payment is allowed only when the record supports medical necessity. Co-surgeons are permitted, while team-surgery payment requires supporting documentation.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure. The code has no postoperative global days beyond the date of service.

How is 33340 paid when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this 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 33340PPRRVU2026_Oct_nonQPP.csv, line 3,922 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 33340 pays in New Mexico?

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

Fee sheets · Coming soon

Put 33340 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist