CPT code 33130: Cardiac tumor excision2026 Medicare rate & RVUs in Florida
Reports surgical removal of a tumor arising on the external surface of the heart, rather than a tumor within a heart chamber.
CMS doesn’t publish an office rate for 33130 in Florida.
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 9 sections
What 33130 covers
A cardiothoracic surgeon uses this code for operative removal of a tumor located on the outside of the heart. The key distinction is the tumor’s relationship to the heart: it arises on the external surface rather than within a chamber. The service is generally performed in an operating room during hospital-based cardiac surgery. The operative report should identify the tumor’s location and describe its removal.
Report the code when documentation supports excision of an external cardiac tumor; do not choose it solely because a tumor is near the heart. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is 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.
Where 33130 pays more and less in Florida
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Fort Lauderdale | Unavailable | $1,466.28 |
| Miami | Unavailable | $1,611.23 |
| Rest Of Florida | Unavailable | $1,389.85 |
How the 33130 rate is calculated
Each of 33130’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 · 33130
RVUs × geographic indexes × conversion factor
Work23.57
23.57 RVUs× 1.000 GPCI
Practice expense10.02
10.02 RVUs× 1.000 GPCI
Malpractice5.63
5.63 RVUs× 1.000 GPCI
Adjusted RVUs
39.2200
Conversion factor
$33.4009
Medicare rate
$1,309.98
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33130
33130 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33130
Cardiac tumor excision
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are 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) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33130
Cardiac tumor excision
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33130 without 51 · national facility
$1,309.98
Cardiac tumor excision
33130-51 · Second procedure: 50%
$654.99
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%).
33130 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 33120Cardiac tumor excision
- 33120 describes excision of an intracardiac tumor with cardiopulmonary bypass. Use 33130 for a tumor arising on the outside of the heart.
- 33140Heart revascularization
- 33140 describes transmyocardial revascularization, a procedure intended to improve blood flow to heart muscle; it is not tumor excision.
- 33141Heart revascularization
- 33141 describes transmyocardial revascularization performed with another cardiac procedure, not removal of an external cardiac tumor.
33130 billing questions
How does this differ from 33120?
33130 is for a tumor arising on the external surface of the heart. 33120 describes excision of an intracardiac tumor with cardiopulmonary bypass.
What operative documentation supports 33130?
The operative report should establish that the tumor arose on the external heart surface and describe its excision. A mass merely adjacent to the heart is not enough to establish this code.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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