No office rate
Choose 33259 for extensive atrial ablation with cardiopulmonary bypass during another cardiac procedure; 33258 represents the corresponding add-on without bypass.
On this page
CMS RVU26D · Effective 2026-10-01
33259 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$800.58
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.
Cardiac surgery
About 33259: Extensive atrial ablation with bypass
Reports extensive surgical ablation for atrial fibrillation performed with cardiopulmonary bypass during another cardiac operation, as an add-on to that procedure.
This add-on covers an extensive surgical lesion set in the atria to treat atrial fibrillation while the patient is undergoing another cardiac operation with cardiopulmonary bypass. A cardiac surgeon typically performs it in the operating room during open-heart surgery, such as mitral valve surgery or coronary artery bypass grafting. The ablation is performed alongside the primary operation rather than as a standalone service.
Report 33259 only with the primary cardiac procedure when the operative record supports extensive atrial ablation and cardiopulmonary bypass. Documentation should identify the atrial ablation performed, its extent, use of bypass, and the primary operation. Distinguish it from limited ablation and extensive ablation without bypass when selecting among related codes. CMS treats this as an add-on: it is billed with a primary procedure and paid within that procedure's global period.
CMS billing rules for 33259
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU13.79 · 56%
- Practice expense (office) RVU7.43 · 30%
- Malpractice RVU3.36 · 14%
5K
Medicare services in 2024 · #1863 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.
33259 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
33257 is the limited-ablation add-on with bypass. 33259 is for an extensive atrial ablation with bypass.
No office rate
Both concern extensive atrial ablation with cardiopulmonary bypass. 33259 is the add-on used during another cardiac procedure; 33256 is the related base procedure code.
The same code, a different location
How does Chico compare?
33259 across payment areas
Same release and payment basis · bars start at $0
Chico · 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.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 33259
Office
Unavailable
Facility
$800.58
No comparable office rate is available.
Modesto
California · 33259
Office
Unavailable
Facility
$800.58
No comparable office rate is available.
Napa
California · 33259
Office
Unavailable
Facility
$873.71
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33259
Office
Unavailable
Facility
$836.75
No comparable office rate is available.
Redding
California · 33259
Office
Unavailable
Facility
$800.58
No comparable office rate is available.
Rest Of California
California · 33259
Office
Unavailable
Facility
$800.58
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33259
Office
Unavailable
Facility
$836.61
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33259
Office
Unavailable
Facility
$825.95
No comparable office rate is available.
Salinas
California · 33259
Office
Unavailable
Facility
$822.66
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33259
Office
Unavailable
Facility
$832.05
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33259
Office
Unavailable
Facility
$905.79
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33259
Office
Unavailable
Facility
$901.97
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33259
Office
Unavailable
Facility
$929.28
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33259
Office
Unavailable
Facility
$913.68
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33259
Office
Unavailable
Facility
$811.25
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33259
Office
Unavailable
Facility
$831.95
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33259
Office
Unavailable
Facility
$823.01
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33259
Office
Unavailable
Facility
$839.32
No comparable office rate is available.
Stockton
California · 33259
Office
Unavailable
Facility
$800.58
No comparable office rate is available.
Vallejo
California · 33259
Office
Unavailable
Facility
$868.21
No comparable office rate is available.
Visalia
California · 33259
Office
Unavailable
Facility
$800.58
No comparable office rate is available.
Yuba City
California · 33259
Office
Unavailable
Facility
$800.58
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33259
Office
Unavailable
Facility
$902.72
No comparable office rate is available.
Miami
Florida · 33259
Office
Unavailable
Facility
$1002.76
No comparable office rate is available.
Chicago
Illinois · 33259
Office
Unavailable
Facility
$970.79
No comparable office rate is available.
Manhattan
New York · 33259
Office
Unavailable
Facility
$956.44
No comparable office rate is available.
Alaska*
Alaska · 33259
Office
Unavailable
Facility
$1017.03
No comparable office rate is available.
Alabama
Alabama · 33259
Office
Unavailable
Facility
$741.27
No comparable office rate is available.
Arkansas
Arkansas · 33259
Office
Unavailable
Facility
$731.57
No comparable office rate is available.
Arizona
Arizona · 33259
Office
Unavailable
Facility
$797.14
No comparable office rate is available.
Colorado
Colorado · 33259
Office
Unavailable
Facility
$817.83
No comparable office rate is available.
Connecticut
Connecticut · 33259
Office
Unavailable
Facility
$872.88
No comparable office rate is available.
Delaware
Delaware · 33259
Office
Unavailable
Facility
$808.98
No comparable office rate is available.
Fort Lauderdale
Florida · 33259
Office
Unavailable
Facility
$914.90
No comparable office rate is available.
Rest Of Florida
Florida · 33259
Office
Unavailable
Facility
$866.52
No comparable office rate is available.
Atlanta
Georgia · 33259
Office
Unavailable
Facility
$848.90
No comparable office rate is available.
Rest Of Georgia
Georgia · 33259
Office
Unavailable
Facility
$815.74
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33259
Office
Unavailable
Facility
$807.75
No comparable office rate is available.
Iowa
Iowa · 33259
Office
Unavailable
Facility
$732.23
No comparable office rate is available.
Idaho
Idaho · 33259
Office
Unavailable
Facility
$742.00
No comparable office rate is available.
East St. Louis
Illinois · 33259
Office
Unavailable
Facility
$914.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 33259
Office
Unavailable
Facility
$862.59
No comparable office rate is available.
Suburban Chicago
Illinois · 33259
Office
Unavailable
Facility
$917.56
No comparable office rate is available.
Indiana
Indiana · 33259
Office
Unavailable
Facility
$745.19
No comparable office rate is available.
Kansas
Kansas · 33259
Office
Unavailable
Facility
$741.51
No comparable office rate is available.
Kentucky
Kentucky · 33259
Office
Unavailable
Facility
$783.91
No comparable office rate is available.
New Orleans
Louisiana · 33259
Office
Unavailable
Facility
$821.62
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33259
Office
Unavailable
Facility
$787.74
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33259
Office
Unavailable
Facility
$875.68
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33259
Office
Unavailable
Facility
$818.73
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33259
Office
Unavailable
Facility
$873.08
No comparable office rate is available.
Rest Of Maryland
Maryland · 33259
Office
Unavailable
Facility
$819.38
No comparable office rate is available.
Rest Of Maine
Maine · 33259
Office
Unavailable
Facility
$758.72
No comparable office rate is available.
Southern Maine
Maine · 33259
Office
Unavailable
Facility
$777.35
No comparable office rate is available.
Detroit
Michigan · 33259
Office
Unavailable
Facility
$889.30
No comparable office rate is available.
Rest Of Michigan
Michigan · 33259
Office
Unavailable
Facility
$813.88
No comparable office rate is available.
Minnesota
Minnesota · 33259
Office
Unavailable
Facility
$749.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33259
Office
Unavailable
Facility
$803.27
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33259
Office
Unavailable
Facility
$809.31
No comparable office rate is available.
Rest Of Missouri
Missouri · 33259
Office
Unavailable
Facility
$783.83
No comparable office rate is available.
Mississippi
Mississippi · 33259
Office
Unavailable
Facility
$757.21
No comparable office rate is available.
Montana**
Montana · 33259
Office
Unavailable
Facility
$820.77
No comparable office rate is available.
North Carolina
North Carolina · 33259
Office
Unavailable
Facility
$763.85
No comparable office rate is available.
North Dakota**
North Dakota · 33259
Office
Unavailable
Facility
$754.33
No comparable office rate is available.
Nebraska
Nebraska · 33259
Office
Unavailable
Facility
$732.08
No comparable office rate is available.
New Hampshire
New Hampshire · 33259
Office
Unavailable
Facility
$817.14
No comparable office rate is available.
Northern Nj
New Jersey · 33259
Office
Unavailable
Facility
$897.35
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33259
Office
Unavailable
Facility
$873.14
No comparable office rate is available.
New Mexico
New Mexico · 33259
Office
Unavailable
Facility
$822.95
No comparable office rate is available.
Nevada**
Nevada · 33259
Office
Unavailable
Facility
$802.50
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33259
Office
Unavailable
Facility
$993.55
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33259
Office
Unavailable
Facility
$888.86
No comparable office rate is available.
Queens
New York · 33259
Office
Unavailable
Facility
$945.24
No comparable office rate is available.
Rest Of New York
New York · 33259
Office
Unavailable
Facility
$775.25
No comparable office rate is available.
Ohio
Ohio · 33259
Office
Unavailable
Facility
$800.30
No comparable office rate is available.
Oklahoma
Oklahoma · 33259
Office
Unavailable
Facility
$769.41
No comparable office rate is available.
Portland
Oregon · 33259
Office
Unavailable
Facility
$827.18
No comparable office rate is available.
Rest Of Oregon
Oregon · 33259
Office
Unavailable
Facility
$786.67
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33259
Office
Unavailable
Facility
$861.12
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33259
Office
Unavailable
Facility
$794.47
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33259
Office
Unavailable
Facility
$822.04
No comparable office rate is available.
Rhode Island
Rhode Island · 33259
Office
Unavailable
Facility
$825.81
No comparable office rate is available.
South Carolina
South Carolina · 33259
Office
Unavailable
Facility
$785.30
No comparable office rate is available.
South Dakota**
South Dakota · 33259
Office
Unavailable
Facility
$746.48
No comparable office rate is available.
Tennessee
Tennessee · 33259
Office
Unavailable
Facility
$746.45
No comparable office rate is available.
Austin
Texas · 33259
Office
Unavailable
Facility
$823.52
No comparable office rate is available.
Beaumont
Texas · 33259
Office
Unavailable
Facility
$790.69
No comparable office rate is available.
Brazoria
Texas · 33259
Office
Unavailable
Facility
$797.76
No comparable office rate is available.
Dallas
Texas · 33259
Office
Unavailable
Facility
$808.21
No comparable office rate is available.
Fort Worth
Texas · 33259
Office
Unavailable
Facility
$807.19
No comparable office rate is available.
Galveston
Texas · 33259
Office
Unavailable
Facility
$803.64
No comparable office rate is available.
Houston
Texas · 33259
Office
Unavailable
Facility
$865.14
No comparable office rate is available.
Rest Of Texas
Texas · 33259
Office
Unavailable
Facility
$797.45
No comparable office rate is available.
Utah
Utah · 33259
Office
Unavailable
Facility
$794.66
No comparable office rate is available.
Virginia
Virginia · 33259
Office
Unavailable
Facility
$783.78
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33259
Office
Unavailable
Facility
$822.04
No comparable office rate is available.
Vermont
Vermont · 33259
Office
Unavailable
Facility
$763.07
No comparable office rate is available.
Rest Of Washington
Washington · 33259
Office
Unavailable
Facility
$813.31
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33259
Office
Unavailable
Facility
$879.82
No comparable office rate is available.
Wisconsin
Wisconsin · 33259
Office
Unavailable
Facility
$732.91
No comparable office rate is available.
West Virginia
West Virginia · 33259
Office
Unavailable
Facility
$836.85
No comparable office rate is available.
Wyoming**
Wyoming · 33259
Office
Unavailable
Facility
$791.82
No comparable office rate is available.
See how rates vary across the country
33259 · 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?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33259 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$880.64
$800.58 × 110% = $880.64
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 33259 in Chico.
PPRRVU2026_Oct_nonQPP.csv
3,882
- Code
- 33259
- Physician work
- 13.79
- Practice expense
- 7.43
- Malpractice
- 3.36
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.79 | × 1.017 | 14.0244 |
| Practice expense | 7.43 | × 1.096 | 8.1433 |
| Malpractice | 3.36 | × 0.536 | 1.8010 |
| Total RVUs | 23.9687 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$800.58
Open 33259 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.79 | 1.017 |
| Practice expense | 7.43 | 1.096 |
| Malpractice | 3.36 | 0.536 |
(13.79 × 1.017 + 7.43 × 1.096 + 3.36 × 0.536) × $33.4009 = $800.58
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
33259 · 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 | $800.58 | RVU26D |
| 2026-07-01 | Not available in this setting | $800.58 | RVU26C |
| 2026-04-01 | Not available in this setting | $800.58 | RVU26B |
| 2026-01-01 | Not available in this setting | $800.58 | RVU26A |
| 2025-10-01 | Not available in this setting | $797.74 | RVU25D |
| 2025-07-01 | Not available in this setting | $797.74 | RVU25C |
| 2025-04-01 | Not available in this setting | $797.74 | RVU25B |
| 2025-01-01 | Not available in this setting | $797.74 | RVU25A |
33259 billing questions
Can 33259 be billed by itself?
No. It is an add-on for extensive atrial ablation performed with cardiopulmonary bypass during another cardiac procedure, and must be reported with the primary procedure.
How does 33259 differ from 33258?
Both represent extensive atrial ablation as an add-on during another cardiac procedure. 33259 is the choice when cardiopulmonary bypass is used; 33258 is for the corresponding service without bypass.
When is 33257 a better choice?
Use 33257 for limited atrial ablation with cardiopulmonary bypass during another cardiac procedure. 33259 describes an extensive ablation with bypass.
Does cardiopulmonary bypass alone support 33259?
No. The record must support the extensive atrial ablation as well as use of bypass during the primary cardiac operation.
What should the operative report document?
Document the atrial ablation and its extent, whether cardiopulmonary bypass was used, and the concurrent primary cardiac 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 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.
3,87933256,,Ablate atria w/bypass exten,A,,34.03,12.52,NA,12.52,,8.15,54.70,54.70,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88033257,,Ablate atria lmtd add-on,A,,9.39,5.32,NA,5.32,,2.33,17.04,17.04,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88133258,,Ablate atria x10sv add-on,A,,10.73,5.75,NA,5.75,,2.57,19.05,19.05,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88233259,,Ablate atria w/bypass add-on,A,,13.79,7.43,NA,7.43,,3.36,24.58,24.58,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8833325F,,Preop asses 4 cataract surg,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
3,88433261,,Ablate heart dysrhythm focus,A,,28.20,10.97,NA,10.97,,6.75,45.92,45.92,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,88533262,,Rmvl& replc pulse gen 1 lead,A,,5.66,2.87,NA,2.87,,1.33,9.86,9.86,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536