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.
In Redding, Medicare pays $193.83 for 33016 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Redding · this page$193.83
- Bakersfield · California$196.53+$2.70
- Chico · California$193.83
- El Centro · California$194.00+$0.17
- Fresno · California$193.83
- Hanford-Corcoran · California$193.83
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$203.92+$10.09
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| SalinasCalifornia | — | $197.59 |
| San Diego-Chula Vista-CarlsbadCalifornia | — | $198.67 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | — | $211.17 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | — | $210.04 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | — | $216.75 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | — | $212.16 |
| San Luis Obispo-Paso RoblesCalifornia | — | $195.03 |
| Santa Cruz-WatsonvilleCalifornia | — | $197.71 |
| Santa Maria-Santa BarbaraCalifornia | — | $197.35 |
| Santa Rosa-PetalumaCalifornia | — | $199.36 |
| StocktonCalifornia | — | $193.83 |
| VallejoCalifornia | — | $204.03 |
| VisaliaCalifornia | — | $193.83 |
| Yuba CityCalifornia | — | $193.83 |
| Dc + Md/Va SuburbsDistrict of Columbia | — | $220.49 |
| MiamiFlorida | — | $255.78 |
| ChicagoIllinois | — | $248.04 |
| ManhattanNew York | — | $237.12 |
| Alaska*Alaska | — | $262.68 |
| AlabamaAlabama | — | $186.26 |
| ArkansasArkansas | — | $184.13 |
| ArizonaArizona | — | $198.46 |
| ColoradoColorado | — | $200.33 |
| ConnecticutConnecticut | — | $216.02 |
| DelawareDelaware | — | $201.12 |
| Fort LauderdaleFlorida | — | $231.16 |
| Rest Of FloridaFlorida | — | $219.49 |
| AtlantaGeorgia | — | $211.60 |
| Rest Of GeorgiaGeorgia | — | $207.43 |
| Hawaii, GuamHawaii | — | $193.96 |
| IowaIowa | — | $181.78 |
| IdahoIdaho | — | $184.44 |
| East St. LouisIllinois | — | $235.39 |
| Rest Of IllinoisIllinois | — | $220.28 |
| Suburban ChicagoIllinois | — | $231.36 |
| IndianaIndiana | — | $185.06 |
| KansasKansas | — | $185.02 |
| KentuckyKentucky | — | $198.19 |
| New OrleansLouisiana | — | $206.94 |
| Rest Of LouisianaLouisiana | — | $199.50 |
| Metropolitan BostonMassachusetts | — | $211.70 |
| Rest Of MassachusettsMassachusetts | — | $201.13 |
| Baltimore/Surr. CntysMaryland | — | $216.23 |
| Rest Of MarylandMaryland | — | $203.13 |
| Rest Of MaineMaine | — | $189.36 |
| Southern MaineMaine | — | $191.63 |
| DetroitMichigan | — | $225.79 |
| Rest Of MichiganMichigan | — | $205.93 |
| MinnesotaMinnesota | — | $181.60 |
| Metropolitan Kansas CityMissouri | — | $201.63 |
| Metropolitan St. LouisMissouri | — | $202.81 |
| Rest Of MissouriMissouri | — | $199.39 |
| MississippiMississippi | — | $191.60 |
| Montana**Montana | — | $204.01 |
| North CarolinaNorth Carolina | — | $190.28 |
| North Dakota**North Dakota | — | $184.44 |
| NebraskaNebraska | — | $181.38 |
| New HampshireNew Hampshire | — | $201.08 |
| Northern NjNew Jersey | — | $219.79 |
| Rest Of New JerseyNew Jersey | — | $215.57 |
| New MexicoNew Mexico | — | $208.42 |
| Nevada**Nevada | — | $198.59 |
| Nyc Suburbs/Long IslandNew York | — | $246.83 |
| Poughkpsie/N Nyc SuburbsNew York | — | $220.11 |
| QueensNew York | — | $232.91 |
| Rest Of New YorkNew York | — | $192.87 |
| OhioOhio | — | $201.93 |
| OklahomaOklahoma | — | $193.74 |
| PortlandOregon | — | $200.98 |
| Rest Of OregonOregon | — | $194.15 |
| Metropolitan PhiladelphiaPennsylvania | — | $214.18 |
| Rest Of PennsylvaniaPennsylvania | — | $199.99 |
| Puerto RicoPuerto Rico | — | $203.89 |
| Rhode IslandRhode Island | — | $204.15 |
| South CarolinaSouth Carolina | — | $197.01 |
| South Dakota**South Dakota | — | $182.12 |
| TennesseeTennessee | — | $186.25 |
| AustinTexas | — | $202.20 |
| BeaumontTexas | — | $199.24 |
| BrazoriaTexas | — | $197.70 |
| DallasTexas | — | $200.56 |
| Fort WorthTexas | — | $200.72 |
| GalvestonTexas | — | $199.34 |
| HoustonTexas | — | $217.46 |
| Rest Of TexasTexas | — | $199.46 |
| UtahUtah | — | $199.04 |
| VirginiaVirginia | — | $193.89 |
| Virgin IslandsUnited States Virgin Islands | — | $203.89 |
| VermontVermont | — | $187.47 |
| Rest Of WashingtonWashington | — | $199.51 |
| Seattle (King Cnty)Washington | — | $211.49 |
| WisconsinWisconsin | — | $180.03 |
| West VirginiaWest Virginia | — | $214.70 |
| Wyoming**Wyoming | — | $195.48 |
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
| 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 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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.29 | × 1.017 | 4.3629 |
| Practice expense | 0.83 | × 1.096 | 0.9097 |
| Malpractice | 0.99 | × 0.536 | 0.5306 |
| Total RVUs | 5.8032 | ||
| 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
Payment rules and modifiers for 33016
The CMS indicators that decide how 33016 is paid alongside other services.
CMS payment indicators · 33016
Pericardiocentesis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician 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%).
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.
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
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.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $193.83 | RVU26D |
| 2026-07-01 | Not available in this setting | $193.83 | RVU26C |
| 2026-04-01 | Not available in this setting | $193.83 | RVU26B |
| 2026-01-01 | Not available in this setting | $193.83 | RVU26A |
| 2025-10-01 | Not available in this setting | $215.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $215.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $215.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $215.63 | RVU25A |
| 2024-10-01 | Not available in this setting | $221.17 | RVU24D |
| 2024-07-01 | Not available in this setting | $221.17 | RVU24C |
| 2024-04-01 | Not available in this setting | $221.17 | RVU24B |
| 2024-03-09 | Not available in this setting | $221.17 | RVU24AR |
| 2024-01-01 | Not available in this setting | $217.56 | RVU24A |
| 2023-10-01 | Not available in this setting | $226.26 | RVU23D |
| 2023-07-01 | Not available in this setting | $226.26 | RVU23C |
| 2023-04-01 | Not available in this setting | $226.26 | RVU23B |
| 2023-01-01 | Not available in this setting | $226.26 | RVU23A |
| 2022-10-01 | Not available in this setting | $232.97 | RVU22D |
| 2022-07-01 | Not available in this setting | $232.97 | RVU22C |
| 2022-04-01 | Not available in this setting | $232.97 | RVU22B |
| 2022-01-01 | Not available in this setting | $232.97 | RVU22A |
| 2021-10-01 | Not available in this setting | $234.86 | RVU21D |
| 2021-07-01 | Not available in this setting | $234.86 | RVU21C |
| 2021-04-01 | Not available in this setting | $234.86 | RVU21B |
| 2021-01-01 | Not available in this setting | $234.86 | RVU21A |
| 2020-10-01 | Not available in this setting | $240.94 | RVU20D |
| 2020-07-01 | Not available in this setting | $240.94 | RVU20C |
| 2020-04-01 | Not available in this setting | $240.94 | RVU20B |
| 2020-01-01 | Not available in this setting | $240.94 | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
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.
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
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