PFS ExplorerMedicare Physician Fee Schedule · 2026

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33416

Revise ventricle muscle

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Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary33416Revise ventricle muscle
1
$1,902.18
$1,902.18
Add-on33141Heart tmr w/other procedure
0
$119.58/ unit
$119.58/ unit
Add-on33257Ablate atria lmtd add-on
0
$569.15/ unit
$569.15/ unit
Add-on33259Ablate atria w/bypass add-on
0
$820.99/ unit
$820.99/ unit
Add-on33530Coronary artery bypass/reop
0
$477.30/ unit
$477.30/ unit
Add-on34714Opn fem art expos cndt crtj
0
$245.16/ unit
$245.16/ unit
Add-on34716Opn ax/subcla art expos cndt
0
$338.35/ unit
$338.35/ unit
Add-on34833Opn ilac art expos cndt crtj
0
$355.05/ unit
$355.05/ unit
Whole procedure · 35.65 wRVU credited
$1,902.18
$1,902.18

RVU Breakdown

Component
Office
Facility
Work
35.65
35.65
Practice expense
12.53
12.53
Malpractice
8.77
8.77
Total RVU
56.95
56.95

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 9% is attributed to pre-operative care, 84% to the procedure itself, and 7% to post-operative visits.