No office rate
33050 removes a focal pericardial cyst or tumor. 33030 describes partial or complete pericardiectomy without cardiopulmonary bypass.
On this page
CMS RVU26D · Effective 2026-10-01
33050 Pericardial lesion resection Medicare reimbursement rates in Wyoming
Reports operative removal of a focal pericardial cyst or tumor, rather than drainage of pericardial fluid or broader removal of the pericardium. Compare 33050 office and facility rates across CMS payment localities in Wyoming.
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 33050 in Wyoming?
Wyoming 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
$933.08
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Cardiothoracic surgery
About 33050: Pericardial cyst or tumor resection
Reports operative removal of a focal pericardial cyst or tumor, rather than drainage of pericardial fluid or broader removal of the pericardium.
This service covers surgical removal of a focal cyst or tumor involving the pericardium, the sac surrounding the heart. It is typically performed by a cardiothoracic surgeon in an operating room when a lesion requires excision. The operative approach depends on the lesion and the patient; the defining service is removal of the pericardial lesion, not simply opening the sac or creating a drainage window.
Report the code when the operative documentation supports excision of a pericardial cyst or tumor. The report should identify the lesion and describe its location and removal. A broad pericardiectomy for diseased pericardium is a different service. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Bilateral adjustment is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33050
- 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 RVU16.55 · 57%
- Practice expense (office) RVU8.30 · 29%
- Malpractice RVU4.17 · 14%
66
Medicare services in 2024 · #5181 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.
33050 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Choose 33050 for focal lesion excision. 33031 describes pericardiectomy performed with cardiopulmonary bypass.
No office rate
33025 creates a pericardial window or partial resection for drainage; 33050 removes a pericardial cyst or tumor.
Compare 33050 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$933.08
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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 33050 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,823
- Code
- 33050
- Physician work
- 16.55
- Practice expense
- 8.30
- Malpractice
- 4.17
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 16.55 | × 1.000 | 16.5500 |
| Practice expense | 8.30 | × 1.000 | 8.3000 |
| Malpractice | 4.17 | × 0.740 | 3.0858 |
| Total RVUs | 27.9358 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$933.08
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 16.55 | 1 |
| Practice expense | 8.3 | 1 |
| Malpractice | 4.17 | 0.74 |
(16.55 × 1 + 8.3 × 1 + 4.17 × 0.74) × $33.4009 = $933.08
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.
33050 billing questions
How is this different from pericardiectomy?
Use 33050 for removal of a focal pericardial cyst or tumor. Pericardiectomy codes describe broader removal of pericardium, such as for extensive pericardial disease.
Is opening the pericardium separately reportable?
The operative access needed to remove the lesion is part of the surgical service. Do not separately report an incision code solely for access to the lesion.
Does this code have a global period?
Yes. CMS assigns a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be used for bilateral lesions?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How are other procedures in the same session paid?
Under the standard multiple procedure rule, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery 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.
3,82033025,,Incision of heart sac,A,,12.87,6.11,NA,6.11,,3.18,22.16,22.16,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,82133030,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,