No office rate
Use 32659 when the pericardial window or partial resection for drainage is performed thoracoscopically. Code 33025 describes the open approach.
On this page
CMS RVU26D · Effective 2026-10-01
33025 in Austin
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$740.75
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiothoracic surgery
About 33025: Open pericardial window for drainage
Reports open creation of a pericardial window or partial pericardial resection to drain an effusion that needs surgical drainage.
The surgeon opens the pericardium and creates a window, or removes part of it, so fluid can drain from around the heart. This open operation is used when an effusion needs ongoing drainage or surgical management, rather than needle drainage alone. A cardiothoracic surgeon typically performs it in an operating room, including for patients with recurrent or clinically significant pericardial effusions.
Report 33025 when the operative work creates a window or removes part of the pericardium for drainage. The operative note should identify the open approach, the pericardial work performed, and its drainage purpose. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33025
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU12.87 · 58%
- Practice expense (office) RVU6.11 · 28%
- Malpractice RVU3.18 · 14%
4.5K
Medicare services in 2024 · #1944 by national volume
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.
33025 compared with similar codes
Office rates for Austin, from the same CMS release.
No office rate
33016 describes imaging-guided pericardiocentesis. Choose 33025 for open surgical creation of a drainage window or partial pericardial resection.
No office rate
33020 concerns pericardial incision to remove a clot or foreign body. Code 33025 is for creating a window or partially removing pericardium to drain fluid.
No office rate
33030 describes subtotal or complete pericardiectomy without cardiopulmonary bypass, a more extensive removal than the drainage-focused window or partial resection reported with 33025.
The same code, a different location
How does Austin compare?
33025 across payment areas
Same release and payment basis · bars start at $0
Austin · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 33025
Office
Unavailable
Facility
$719.45
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 33025
Office
Unavailable
Facility
$759.45
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33025
Office
Unavailable
Facility
$811.71
No comparable office rate is available.
Miami
Florida · 33025
Office
Unavailable
Facility
$910.93
No comparable office rate is available.
Chicago
Illinois · 33025
Office
Unavailable
Facility
$881.74
No comparable office rate is available.
Manhattan
New York · 33025
Office
Unavailable
Facility
$862.98
No comparable office rate is available.
Alaska*
Alaska · 33025
Office
Unavailable
Facility
$920.67
No comparable office rate is available.
Alabama
Alabama · 33025
Office
Unavailable
Facility
$668.56
No comparable office rate is available.
Arkansas
Arkansas · 33025
Office
Unavailable
Facility
$659.87
No comparable office rate is available.
Arizona
Arizona · 33025
Office
Unavailable
Facility
$718.54
No comparable office rate is available.
Bakersfield
California · 33025
Office
Unavailable
Facility
$726.39
No comparable office rate is available.
Chico
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
El Centro
California · 33025
Office
Unavailable
Facility
$718.31
No comparable office rate is available.
Fresno
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Hanford-Corcoran
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Madera
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Merced
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Modesto
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Napa
California · 33025
Office
Unavailable
Facility
$779.89
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33025
Office
Unavailable
Facility
$749.30
No comparable office rate is available.
Redding
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Rest Of California
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33025
Office
Unavailable
Facility
$751.88
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33025
Office
Unavailable
Facility
$739.62
No comparable office rate is available.
Salinas
California · 33025
Office
Unavailable
Facility
$736.65
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33025
Office
Unavailable
Facility
$744.41
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33025
Office
Unavailable
Facility
$807.21
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33025
Office
Unavailable
Facility
$803.60
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33025
Office
Unavailable
Facility
$828.37
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33025
Office
Unavailable
Facility
$813.61
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33025
Office
Unavailable
Facility
$726.56
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33025
Office
Unavailable
Facility
$743.78
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33025
Office
Unavailable
Facility
$736.79
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33025
Office
Unavailable
Facility
$750.31
No comparable office rate is available.
Stockton
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Vallejo
California · 33025
Office
Unavailable
Facility
$774.68
No comparable office rate is available.
Visalia
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Yuba City
California · 33025
Office
Unavailable
Facility
$717.78
No comparable office rate is available.
Colorado
Colorado · 33025
Office
Unavailable
Facility
$735.12
No comparable office rate is available.
Connecticut
Connecticut · 33025
Office
Unavailable
Facility
$786.78
No comparable office rate is available.
Delaware
Delaware · 33025
Office
Unavailable
Facility
$729.14
No comparable office rate is available.
Fort Lauderdale
Florida · 33025
Office
Unavailable
Facility
$828.64
No comparable office rate is available.
Rest Of Florida
Florida · 33025
Office
Unavailable
Facility
$784.61
No comparable office rate is available.
Atlanta
Georgia · 33025
Office
Unavailable
Facility
$766.07
No comparable office rate is available.
Rest Of Georgia
Georgia · 33025
Office
Unavailable
Facility
$738.52
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33025
Office
Unavailable
Facility
$723.41
No comparable office rate is available.
Iowa
Iowa · 33025
Office
Unavailable
Facility
$658.77
No comparable office rate is available.
Idaho
Idaho · 33025
Office
Unavailable
Facility
$667.86
No comparable office rate is available.
East St. Louis
Illinois · 33025
Office
Unavailable
Facility
$831.54
No comparable office rate is available.
Rest Of Illinois
Illinois · 33025
Office
Unavailable
Facility
$782.21
No comparable office rate is available.
Suburban Chicago
Illinois · 33025
Office
Unavailable
Facility
$830.68
No comparable office rate is available.
Indiana
Indiana · 33025
Office
Unavailable
Facility
$670.67
No comparable office rate is available.
Kansas
Kansas · 33025
Office
Unavailable
Facility
$667.89
No comparable office rate is available.
Kentucky
Kentucky · 33025
Office
Unavailable
Facility
$708.48
No comparable office rate is available.
New Orleans
Louisiana · 33025
Office
Unavailable
Facility
$742.57
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33025
Office
Unavailable
Facility
$712.23
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33025
Office
Unavailable
Facility
$785.70
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33025
Office
Unavailable
Facility
$736.30
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33025
Office
Unavailable
Facility
$787.11
No comparable office rate is available.
Rest Of Maryland
Maryland · 33025
Office
Unavailable
Facility
$738.20
No comparable office rate is available.
Rest Of Maine
Maine · 33025
Office
Unavailable
Facility
$683.69
No comparable office rate is available.
Southern Maine
Maine · 33025
Office
Unavailable
Facility
$699.13
No comparable office rate is available.
Detroit
Michigan · 33025
Office
Unavailable
Facility
$805.88
No comparable office rate is available.
Rest Of Michigan
Michigan · 33025
Office
Unavailable
Facility
$736.11
No comparable office rate is available.
Minnesota
Minnesota · 33025
Office
Unavailable
Facility
$671.31
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33025
Office
Unavailable
Facility
$725.27
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33025
Office
Unavailable
Facility
$730.58
No comparable office rate is available.
Rest Of Missouri
Missouri · 33025
Office
Unavailable
Facility
$709.24
No comparable office rate is available.
Mississippi
Mississippi · 33025
Office
Unavailable
Facility
$684.07
No comparable office rate is available.
Montana**
Montana · 33025
Office
Unavailable
Facility
$739.95
No comparable office rate is available.
North Carolina
North Carolina · 33025
Office
Unavailable
Facility
$688.15
No comparable office rate is available.
North Dakota**
North Dakota · 33025
Office
Unavailable
Facility
$677.07
No comparable office rate is available.
Nebraska
Nebraska · 33025
Office
Unavailable
Facility
$658.38
No comparable office rate is available.
New Hampshire
New Hampshire · 33025
Office
Unavailable
Facility
$735.25
No comparable office rate is available.
Northern Nj
New Jersey · 33025
Office
Unavailable
Facility
$807.12
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33025
Office
Unavailable
Facility
$786.44
No comparable office rate is available.
New Mexico
New Mexico · 33025
Office
Unavailable
Facility
$744.57
No comparable office rate is available.
Nevada**
Nevada · 33025
Office
Unavailable
Facility
$722.63
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33025
Office
Unavailable
Facility
$897.27
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33025
Office
Unavailable
Facility
$801.20
No comparable office rate is available.
Queens
New York · 33025
Office
Unavailable
Facility
$851.77
No comparable office rate is available.
Rest Of New York
New York · 33025
Office
Unavailable
Facility
$698.41
No comparable office rate is available.
Ohio
Ohio · 33025
Office
Unavailable
Facility
$723.26
No comparable office rate is available.
Oklahoma
Oklahoma · 33025
Office
Unavailable
Facility
$694.64
No comparable office rate is available.
Portland
Oregon · 33025
Office
Unavailable
Facility
$742.50
No comparable office rate is available.
Rest Of Oregon
Oregon · 33025
Office
Unavailable
Facility
$707.80
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33025
Office
Unavailable
Facility
$776.77
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33025
Office
Unavailable
Facility
$717.59
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33025
Office
Unavailable
Facility
$740.82
No comparable office rate is available.
Rhode Island
Rhode Island · 33025
Office
Unavailable
Facility
$743.59
No comparable office rate is available.
South Carolina
South Carolina · 33025
Office
Unavailable
Facility
$708.72
No comparable office rate is available.
South Dakota**
South Dakota · 33025
Office
Unavailable
Facility
$669.64
No comparable office rate is available.
Tennessee
Tennessee · 33025
Office
Unavailable
Facility
$672.42
No comparable office rate is available.
Utah
Utah · 33025
Office
Unavailable
Facility
$717.09
No comparable office rate is available.
Virginia
Virginia · 33025
Office
Unavailable
Facility
$705.47
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33025
Office
Unavailable
Facility
$740.82
No comparable office rate is available.
Vermont
Vermont · 33025
Office
Unavailable
Facility
$685.65
No comparable office rate is available.
Rest Of Washington
Washington · 33025
Office
Unavailable
Facility
$731.18
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33025
Office
Unavailable
Facility
$788.55
No comparable office rate is available.
Wisconsin
Wisconsin · 33025
Office
Unavailable
Facility
$658.09
No comparable office rate is available.
West Virginia
West Virginia · 33025
Office
Unavailable
Facility
$759.21
No comparable office rate is available.
Wyoming**
Wyoming · 33025
Office
Unavailable
Facility
$712.55
No comparable office rate is available.
See how rates vary across the country
33025 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 33025 in Austin
Multiple payment areas
- 33025 in Barton Creek
- 33025 in Bee Cave
- 33025 in Briarcliff
- 33025 in Cedar Park
Multiple payment areas
- 33025 in Creedmoor
Multiple payment areas
- 33025 in Elgin
Multiple payment areas
- 33025 in Garfield
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33025 in Austin. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$814.83
$740.75 × 110% = $814.83
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33025 in Austin.
PPRRVU2026_Oct_nonQPP.csv
3,820
- Code
- 33025
- Physician work
- 12.87
- Practice expense
- 6.11
- Malpractice
- 3.18
GPCI2026.csv
96
- Locality
- Austin
- Physician work
- 1.002
- Practice expense
- 1.058
- Malpractice
- 0.886
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 12.87 | × 1.002 | 12.8957 |
| Practice expense | 6.11 | × 1.058 | 6.4644 |
| Malpractice | 3.18 | × 0.886 | 2.8175 |
| Total RVUs | 22.1776 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Austin$740.75
Open 33025 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 12.87 | 1.002 |
| Practice expense | 6.11 | 1.058 |
| Malpractice | 3.18 | 0.886 |
(12.87 × 1.002 + 6.11 × 1.058 + 3.18 × 0.886) × $33.4009 = $740.75
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
33025 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $740.75 | RVU26D |
| 2026-07-01 | Not available in this setting | $740.75 | RVU26C |
| 2026-04-01 | Not available in this setting | $740.75 | RVU26B |
| 2026-01-01 | Not available in this setting | $740.75 | RVU26A |
| 2025-10-01 | Not available in this setting | $742.78 | RVU25D |
| 2025-07-01 | Not available in this setting | $742.78 | RVU25C |
| 2025-04-01 | Not available in this setting | $742.78 | RVU25B |
| 2025-01-01 | Not available in this setting | $742.78 | RVU25A |
33025 billing questions
How does 33025 differ from percutaneous pericardial drainage?
33025 is for surgically opening the pericardium to create a drainage window or remove part of it. Percutaneous drainage codes describe needle or catheter-based drainage instead.
Can 33025 be reported for a thoracoscopic pericardial window?
No. For a thoracoscopic window or partial pericardial resection for drainage, compare 32659; 33025 describes the open operation.
What documentation supports reporting 33025?
The operative report should establish the open approach and describe creation of the window or partial pericardial resection for drainage. It should distinguish this work from an incision made to remove a clot or foreign body.
Does modifier 50 apply to 33025?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are assistants and co-surgeons handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,81733019,,Perq prcrd drg insj cath ct,A,,4.18,0.68,NA,0.68,,0.51,5.37,5.37,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8183301F,,Cancer stage docd metast,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,81933020,,Incision of heart sac,A,,13.95,6.10,NA,6.10,,3.41,23.46,23.46,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82033025,,Incision of heart sac,A,,12.87,6.11,NA,6.11,,3.18,22.16,22.16,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82133030,,Partial removal of heart sac,A,,35.10,12.42,NA,12.42,,8.70,56.22,56.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82233031,,Partial removal of heart sac,A,,43.88,14.45,NA,14.45,,10.88,69.21,69.21,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82333050,,Resect heart sac lesion,A,,16.55,8.30,NA,8.30,,4.17,29.02,29.02,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858