No office rate
Both codes describe cardiac wound repair; choose 33300 when cardiopulmonary bypass is not used and 33305 when it is.
On this page
CMS RVU26D · Effective 2026-10-01
33300 Heart wound repair Medicare reimbursement rates in Alabama
Surgical repair of a cardiac wound without cardiopulmonary bypass, typically during urgent treatment of a penetrating or procedural heart injury. Compare 33300 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 33300 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2056.40
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiac surgery
About 33300: Cardiac wound repair without bypass
Surgical repair of a cardiac wound without cardiopulmonary bypass, typically during urgent treatment of a penetrating or procedural heart injury.
This code describes operative repair of a wound in the heart when cardiopulmonary bypass is not used. A cardiothoracic surgeon may perform it in a hospital operating room for a penetrating cardiac injury, such as a laceration, or for an unintended wound created during another procedure. The service addresses the heart wound itself, rather than exploration alone or repair of a neighboring major blood vessel.
Select this code when the operative report documents the cardiac wound and its repair, and confirms that cardiopulmonary bypass was not used; use the bypass-specific sibling when it was. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted. Bilateral adjustment does not apply.
CMS billing rules for 33300
- 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 RVU43.85 · 65%
- Practice expense (office) RVU13.23 · 19%
- Malpractice RVU10.85 · 16%
250
Medicare services in 2024 · #4140 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.
33300 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
33310 describes heart exploration without bypass, not repair of a cardiac wound.
No office rate
33315 describes heart exploration with bypass, not repair of a cardiac wound.
No office rate
33320 is for repair of a major blood vessel, whereas 33300 is for repair of a wound in the heart.
Compare 33300 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
Unavailable
Facility
$2056.40
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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 33300 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
3,911
- Code
- 33300
- Physician work
- 43.85
- Practice expense
- 13.23
- Malpractice
- 10.85
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 43.85 | × 1.000 | 43.8500 |
| Practice expense | 13.23 | × 0.875 | 11.5762 |
| Malpractice | 10.85 | × 0.566 | 6.1411 |
| Total RVUs | 61.5674 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$2056.40
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 43.85 | 1 |
| Practice expense | 13.23 | 0.875 |
| Malpractice | 10.85 | 0.566 |
(43.85 × 1 + 13.23 × 0.875 + 10.85 × 0.566) × $33.4009 = $2056.40
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.
33300 billing questions
How does this differ from 33305?
Code 33300 is for cardiac wound repair without cardiopulmonary bypass. Code 33305 is the related repair code when bypass is used.
Can this be reported for cardiac exploration without a repair?
No. This code describes repair of a cardiac wound; 33310 or 33315 may be relevant when the service is exploration without wound repair, depending on bypass use.
Can modifier 50 be used for wounds on both sides of the heart?
No. CMS identifies bilateral adjustment as inapplicable for this code, so modifier 50 is inappropriate.
What documentation supports reporting 33300?
The operative report should identify the cardiac wound, describe the repair performed, and establish that cardiopulmonary bypass was not used.
Can an assistant surgeon be paid for this procedure?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the 90-day global period affect postoperative reporting?
The day-before preoperative visit and 90 days of related postoperative care are included in this major-surgery global period.
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.
3,90833288,,Rmv&rplcmt phrnc nrv stim ld,A,,8.30,3.52,NA,3.52,,1.84,13.66,13.66,0,090,0.09,0.84,0.07,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,90933289,,Tcat impl wrls p-art prs snr,A,,5.85,1.47,NA,1.47,,1.19,8.51,8.51,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9103328F,,Prfrmnc docd 2 wks b/4 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
3,91133300,,Repair of heart wound,A,,43.85,13.23,NA,13.23,,10.85,67.93,67.93,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,91233305,,Repair of heart wound,A,,75.01,19.13,NA,19.13,,18.66,112.80,112.80,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9133330F,,Imaging study ordered (bkp),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
3,91433310,,Exploratory heart surgery,A,,19.83,9.25,NA,9.25,,4.75,33.83,33.83,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515