No office rate
33140 describes transmyocardial laser revascularization performed without another open cardiac procedure in the same session. Choose 33141 when the laser work accompanies another open cardiac procedure.
On this page
CMS RVU26D · Effective 2026-10-01
33141 Heart revascularization Medicare reimbursement rates in Texas
Reports transmyocardial laser revascularization performed during the same operative session as another open cardiac procedure, such as coronary bypass surgery. Compare 33141 office and facility rates across CMS payment localities in Texas.
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 33141 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
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.
Where 33141 pays more and less in Texas
Cardiac surgery
About 33141: Transmyocardial laser revascularization with another procedure
Reports transmyocardial laser revascularization performed during the same operative session as another open cardiac procedure, such as coronary bypass surgery.
A cardiac surgeon uses a laser to create channels in the heart muscle as a revascularization treatment, typically for severe angina associated with coronary artery disease that cannot be adequately treated by conventional revascularization. Code 33141 describes this work when it is performed during the same operative session as another open cardiac procedure, rather than as a stand-alone operation. Coronary artery bypass surgery is a recognized example of a concurrent procedure.
Report 33141 as an add-on with the code for the primary cardiac procedure; it is not reported by itself. The operative report should identify the laser revascularization work and the other open cardiac procedure performed in the same session. CMS pays this add-on within the primary procedure's global period. Use 33140 when transmyocardial laser revascularization is performed without another open cardiac procedure in that session.
CMS billing rules for 33141
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU2.48 · 69%
- Practice expense (office) RVU0.48 · 13%
- Malpractice RVU0.62 · 17%
25
Medicare services in 2024 · #5785 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.
33141 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
33533 reports an arterial coronary bypass procedure and can serve as the primary code when transmyocardial laser revascularization is also performed. It does not describe the laser work reported with 33141.
No office rate
33510 reports a venous coronary bypass procedure and may be the primary procedure for 33141. It identifies the bypass work, not the concurrent transmyocardial laser revascularization.
Compare 33141 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $118.31 |
| Beaumont | Office Unavailable | Facility $116.66 |
| Brazoria | Office Unavailable | Facility $115.54 |
| Dallas | Office Unavailable | Facility $117.32 |
| Fort Worth | Office Unavailable | Facility $117.42 |
| Galveston | Office Unavailable | Facility $116.56 |
| Houston | Office Unavailable | Facility $127.91 |
| Rest Of Texas | Office Unavailable | Facility $116.75 |
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33141 billing questions
When should 33141 be chosen instead of 33140?
Use 33141 when transmyocardial laser revascularization is performed in the same operative session as another open cardiac procedure. Use 33140 for the stand-alone transmyocardial laser revascularization procedure.
Can 33141 be reported by itself?
No. It is an add-on code and must be reported with the primary procedure performed in the same operative session.
What documentation supports reporting 33141?
The operative report should describe the transmyocardial laser revascularization and identify the other open cardiac procedure performed during that session.
How does the global period affect payment?
CMS pays 33141 within the global period of the primary procedure with which it is reported.
Is coronary artery bypass surgery a possible primary procedure?
Yes. Transmyocardial laser revascularization performed during the same session as coronary artery bypass surgery is a recognized use of 33141; report the applicable bypass code as the primary procedure.
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.
3,82433120,,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
3,8293316F,,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
3,8303317F,,Path rpt malig cancer docd,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