PFS ExplorerMedicare Physician Fee Schedule · 2026

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33783

Nikaidoh proc w/ostia implt

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Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary33783Nikaidoh proc w/ostia implt
1
$3,210.16
$3,210.16
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-on33924Remove pulmonary shunt
0
$258.52/ unit
$258.52/ 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 · 63.45 wRVU credited
$3,210.16
$3,210.16

RVU Breakdown

Component
Office
Facility
Work
63.45
63.45
Practice expense
16.65
16.65
Malpractice
16.01
16.01
Total RVU
96.11
96.11

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.