CPT 33275
Global 090 ActiveTcat rmvl perm ldls pm w/img
CPT 33275 Billing & Documentation Guide
CPT code 33275 (Tcat rmvl perm ldls pm w/img) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of 090. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 8.38, a non-facility practice expense RVU of 3.01, and a malpractice RVU of 2, a total non-facility RVU of 13.39 and facility RVU of 13.39. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $447.72, though rates vary from $396.79 to $563.73 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 33275, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 33275 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
90-day global period (major surgery: 1 day pre-op + procedure + 90 days post-op)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 33275 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 33275
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 8.38 | 8.38 |
| Practice Expense RVU | 3.01 | 3.01 |
| Malpractice RVU | 2 | 2 |
| Total RVU | 13.39 | 13.39 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 33275
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $445.12 | $445.12 | $430.65 - $491.47 | 29 |
| Florida | $510.81 | $510.81 | $476.42 - $553.5 | 3 |
| Georgia | $456.16 | $456.16 | $449.21 - $463.11 | 2 |
| Illinois | $505.68 | $505.68 | $476.1 - $536.21 | 4 |
| Michigan | $468.33 | $468.33 | $447.11 - $489.55 | 2 |
| North Carolina | $416.39 | $416.39 | $416.39 - $416.39 | 1 |
| New York | $496.15 | $496.15 | $422.37 - $541.4 | 5 |
| Ohio | $439.03 | $439.03 | $439.03 - $439.03 | 1 |
| Pennsylvania | $452.31 | $452.31 | $435.32 - $469.29 | 2 |
| Texas | $442.47 | $442.47 | $433.45 - $473.89 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 33275
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 33275 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00530 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 00534 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01924 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01925 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01926 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01930 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01931 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01932 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01933 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
Frequently Asked Questions, CPT 33275
What does CPT code 33275 mean? +
CPT code 33275 represents: Tcat rmvl perm ldls pm w/img. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of 090.
What is the Medicare reimbursement for CPT 33275? +
The 2026 Medicare national average non-facility payment for CPT 33275 is $447.72. Rates range from $396.79 to $563.73 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 33275? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 33275? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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