No office rate
33130 is for a tumor on the heart’s external surface. 33120 is for an intracardiac tumor removed using cardiopulmonary bypass.
On this page
CMS RVU26D · Effective 2026-10-01
33120 Cardiac tumor excision Medicare reimbursement rates in Ohio
Reports surgical removal of a tumor within a heart chamber using cardiopulmonary bypass, commonly for an intracardiac mass such as an atrial myxoma. Compare 33120 office and facility rates across CMS payment localities in Ohio.
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 33120 in Ohio?
Ohio 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
$1920.08
1 of 1 localities have a supported rate.
Payment area: Ohio
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 33120: Intracardiac tumor excision with bypass
Reports surgical removal of a tumor within a heart chamber using cardiopulmonary bypass, commonly for an intracardiac mass such as an atrial myxoma.
A cardiac surgeon removes a tumor located inside a heart chamber during an operation using cardiopulmonary bypass. An atrial myxoma is a typical example. The operation is generally performed in a hospital operating room; the operative report should establish the tumor’s intracardiac location, its removal, and use of bypass. This code distinguishes removal of an intracardiac tumor from excision of a tumor on the heart’s external surface.
Report the code when the documented procedure matches that service, not merely because a cardiac mass was evaluated or treated. Cardiopulmonary bypass is part of the coded service. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this procedure. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery billing is not permitted.
CMS billing rules for 33120
- 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 RVU37.49 · 64%
- Practice expense (office) RVU11.70 · 20%
- Malpractice RVU9.24 · 16%
879
Medicare services in 2024 · #3062 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.
33120 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
33140 describes transmyocardial laser revascularization, not removal of a cardiac tumor.
No office rate
33141 describes transmyocardial laser revascularization performed with another procedure; it does not describe tumor excision.
Compare 33120 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
Ohio →
Office / nonfacility
Unavailable
Facility
$1920.08
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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 33120 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
3,824
- Code
- 33120
- Physician work
- 37.49
- Practice expense
- 11.70
- Malpractice
- 9.24
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.49 | × 1.000 | 37.4900 |
| Practice expense | 11.70 | × 0.913 | 10.6821 |
| Malpractice | 9.24 | × 1.008 | 9.3139 |
| Total RVUs | 57.4860 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Ohio$1920.08
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 37.49 | 1 |
| Practice expense | 11.7 | 0.913 |
| Malpractice | 9.24 | 1.008 |
(37.49 × 1 + 11.7 × 0.913 + 9.24 × 1.008) × $33.4009 = $1920.08
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.
33120 billing questions
When should 33120 be chosen over 33130?
Use 33120 for a tumor located inside a heart chamber and removed using cardiopulmonary bypass. Code 33130 describes excision of a tumor on the heart’s external surface.
Is cardiopulmonary bypass separately reported with 33120?
Bypass is included in this service’s code definition. The operative report should document its use as part of the tumor excision.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this cardiac tumor excision.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What documentation supports assistant or co-surgeon billing?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team-surgery billing is not permitted.
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.
3,82133030,,Partial removal of heart sac,A,,35.10,12.42,NA,12.42,,8.70,56.22,56.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82233031,,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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703