No office rate
33120 describes excision of an intracardiac tumor with cardiopulmonary bypass. Use 33130 for a tumor arising on the outside of the heart.
On this page
CMS RVU26D · Effective 2026-10-01
33130 Cardiac tumor excision Medicare reimbursement rates in Kentucky
Reports surgical removal of a tumor arising on the external surface of the heart, rather than a tumor within a heart chamber. Compare 33130 office and facility rates across CMS payment localities in Kentucky.
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 33130 in Kentucky?
Kentucky 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
$1256.85
1 of 1 localities have a supported rate.
Payment area: Kentucky
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 33130: External cardiac tumor excision
Reports surgical removal of a tumor arising on the external surface of the heart, rather than a tumor within a heart chamber.
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.
CMS billing rules for 33130
- 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 RVU23.57 · 60%
- Practice expense (office) RVU10.02 · 26%
- Malpractice RVU5.63 · 14%
32
Medicare services in 2024 · #5616 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.
33130 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
33140 describes transmyocardial revascularization, a procedure intended to improve blood flow to heart muscle; it is not tumor excision.
No office rate
33141 describes transmyocardial revascularization performed with another cardiac procedure, not removal of an external cardiac tumor.
Compare 33130 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$1256.85
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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 33130 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
3,825
- Code
- 33130
- Physician work
- 23.57
- Practice expense
- 10.02
- Malpractice
- 5.63
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 23.57 | × 1.000 | 23.5700 |
| Practice expense | 10.02 | × 0.889 | 8.9078 |
| Malpractice | 5.63 | × 0.915 | 5.1515 |
| Total RVUs | 37.6292 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1256.85
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 23.57 | 1 |
| Practice expense | 10.02 | 0.889 |
| Malpractice | 5.63 | 0.915 |
(23.57 × 1 + 10.02 × 0.889 + 5.63 × 0.915) × $33.4009 = $1256.85
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.
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 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.
3,82233031,,Partial removal of heart sac,A,,43.88,14.45,NA,14.45,,10.88,69.21,69.21,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82333050,,Resect heart sac lesion,A,,16.55,8.30,NA,8.30,,4.17,29.02,29.02,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82433120,,Exc icar tum resc w/card byp,A,,37.49,11.70,NA,11.70,,9.24,58.43,58.43,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82533130,,Rescj external cardiac tumor,A,,23.57,10.02,NA,10.02,,5.63,39.22,39.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82633140,,Heart revascularize (tmr),A,,27.63,9.87,NA,9.87,,6.61,44.11,44.11,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82733141,,Heart tmr w/other procedure,A,,2.48,0.48,NA,0.48,,0.62,3.58,3.58,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,8283315F,,Er+ or pr+ breast cancer,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
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631