CPT code 33016: Pericardiocentesis2026 Medicare rate & RVUs in Redding

Reports needle drainage of pericardial fluid, with imaging guidance included when performed, for an effusion or cardiac tamponade.

CMS RVU26DEffective Oct 1, 2026One payment locality3.8K Medicare services in 2024

In Redding, Medicare pays $193.83 for 33016 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$193.83Hospital or facility

Check a contract rate as a % of Medicare · 33016 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 33016 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding
  2. What 33016 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 33016 covers

A clinician accesses the pericardial space with a needle to aspirate fluid, often to relieve pressure from an effusion or tamponade and, when indicated, obtain fluid for analysis. Cardiologists and other clinicians experienced in the procedure commonly perform it in a hospital, such as in a catheterization laboratory or intensive care unit. Imaging guidance is included when used. This code fits pericardiocentesis rather than drainage that leaves an indwelling catheter in place.

Document the clinical indication, pericardial access and aspiration, and imaging used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur 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. CMS does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.

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 Redding compares for 33016

Across 109 of 109 payment localities, the facility rate for 33016 runs from $180.03 in Wisconsin to $262.68 in Alaska*. Redding pays $193.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

33016 in Redding vs other payment areas
  1. Redding · this page$193.83
  2. Bakersfield · California$196.53+$2.70
  3. Chico · California$193.83
  4. El Centro · California$194.00+$0.17
  5. Fresno · California$193.83
  6. Hanford-Corcoran · California$193.83

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

Every other payment area

33016 in every other Medicare payment locality
Payment localityOfficeFacility
MaderaCalifornia—$193.83
MercedCalifornia—$193.83
ModestoCalifornia—$193.83
NapaCalifornia—$205.65
Oxnard-Thousand Oaks-VenturaCalifornia—$200.67
Rest Of CaliforniaCalifornia—$193.83
Riverside-San Bernardino-OntarioCalifornia—$204.46
Sacramento-Roseville-FolsomCalifornia—$198.41

33016 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
33016 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 33016 in every payment locality

How the 33016 rate is calculated

Each of 33016’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 · 33016

RVUs × geographic indexes × conversion factor

Work4.29

4.29 RVUs× 1.000 GPCI

Practice expense0.83

0.83 RVUs× 1.000 GPCI

Malpractice0.99

0.99 RVUs× 1.000 GPCI

Adjusted RVUs

6.1100

Conversion factor

$33.4009

Medicare rate

$204.08

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

The exact Redding inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,814

Code
33016
Physician work
4.29
Practice expense
0.83
Malpractice
0.99

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Facility calculation for 33016 in Redding
ComponentRVULocality factorAdjusted
Physician work4.29× 1.0174.3629
Practice expense0.83× 1.0960.9097
Malpractice0.99× 0.5360.5306
Total RVUs5.8032
Conversion factor× 33.4009

Facility rate, Redding$193.83

Facility: (4.29 × 1.017 + 0.83 × 1.096 + 0.99 × 0.536) × $33.4009 = $193.83

Open 33016 in the RVU calculator

Payment rules and modifiers for 33016

The CMS indicators that decide how 33016 is paid alongside other services.

CMS payment indicators · 33016

Pericardiocentesis

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)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33016 without 51 · national facility

$204.08

Pericardiocentesis

33016-51 · Second procedure: 50%

$102.04

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 33016 has changed in Redding

33016 · 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, 2020

    RVU20A

    No ratechanged toNo rate

    Held through 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, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$193.83RVU26D
2026-07-01Not available in this setting$193.83RVU26C
2026-04-01Not available in this setting$193.83RVU26B
2026-01-01Not available in this setting$193.83RVU26A
2025-10-01Not available in this setting$215.63RVU25D
2025-07-01Not available in this setting$215.63RVU25C
2025-04-01Not available in this setting$215.63RVU25B
2025-01-01Not available in this setting$215.63RVU25A
2024-10-01Not available in this setting$221.17RVU24D
2024-07-01Not available in this setting$221.17RVU24C
2024-04-01Not available in this setting$221.17RVU24B
2024-03-09Not available in this setting$221.17RVU24AR
2024-01-01Not available in this setting$217.56RVU24A
2023-10-01Not available in this setting$226.26RVU23D
2023-07-01Not available in this setting$226.26RVU23C
2023-04-01Not available in this setting$226.26RVU23B
2023-01-01Not available in this setting$226.26RVU23A
2022-10-01Not available in this setting$232.97RVU22D
2022-07-01Not available in this setting$232.97RVU22C
2022-04-01Not available in this setting$232.97RVU22B
2022-01-01Not available in this setting$232.97RVU22A
2021-10-01Not available in this setting$234.86RVU21D
2021-07-01Not available in this setting$234.86RVU21C
2021-04-01Not available in this setting$234.86RVU21B
2021-01-01Not available in this setting$234.86RVU21A
2020-10-01Not available in this setting$240.94RVU20D
2020-07-01Not available in this setting$240.94RVU20C
2020-04-01Not available in this setting$240.94RVU20B
2020-01-01Not available in this setting$240.94RVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
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 33016 for an earlier date of service

Where the Redding rate applies

Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

Browse all communities in California

33016 billing questions

How does 33016 differ from 33017 or 33018?

33016 is for pericardiocentesis without the indwelling catheter service described by 33017 and 33018. Those codes distinguish patient age and congenital cardiac anomaly status.

Can imaging guidance be billed separately?

Imaging guidance, when performed for the pericardiocentesis, is included in 33016. Document the guidance used as part of the procedure.

Does 33016 have a global period?

Yes. It has a 0-day global period, and same-day preoperative and postoperative care is included.

Can modifier 50 or an assistant-at-surgery modifier be reported?

Modifier 50 is inappropriate for this code. CMS does not pay an assistant at surgery for 33016.

How does CMS handle other procedures performed in the same session?

The highest-valued procedure is paid in full; other procedures in the same session are subject to the standard multiple-procedure reduction. Co-surgeons and team surgery are not permitted for 33016.

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 33016PPRRVU2026_Oct_nonQPP.csv, line 3,814 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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