CPT 33904
Global ZZZ ActivePerq p-art revsc each addl
CPT 33904 Billing & Documentation Guide
CPT code 33904 (Perq p-art revsc each addl) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of ZZZ. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 5.39, a non-facility practice expense RVU of 1.01, and a malpractice RVU of 1.3, a total non-facility RVU of 7.7 and facility RVU of 7.7. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $256.08, though rates vary from $225.72 to $329.9 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 33904, 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 33904 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Add-on code (global concept does not apply)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 33904 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 33904
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 5.39 | 5.39 |
| Practice Expense RVU | 1.01 | 1.01 |
| Malpractice RVU | 1.3 | 1.3 |
| Total RVU | 7.7 | 7.7 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 33904
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 | $249.95 | $249.95 | $243.34 - $271.75 | 29 |
| Florida | $298.4 | $298.4 | $277.54 - $324.96 | 3 |
| Georgia | $264.44 | $264.44 | $261.88 - $266.99 | 2 |
| Illinois | $296.24 | $296.24 | $278.7 - $314.85 | 4 |
| Michigan | $272.82 | $272.82 | $259.85 - $285.79 | 2 |
| North Carolina | $239.25 | $239.25 | $239.25 - $239.25 | 1 |
| New York | $285.23 | $285.23 | $242.6 - $312.3 | 5 |
| Ohio | $254.6 | $254.6 | $254.6 - $254.6 | 1 |
| Pennsylvania | $261.11 | $261.11 | $252.03 - $270.19 | 2 |
| Texas | $254.57 | $254.57 | $248.77 - $274.72 | 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 33904
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 33904 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 12001 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12002 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12004 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12005 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12006 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12007 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12011 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 12013 | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 33904
What does CPT code 33904 mean? +
CPT code 33904 represents: Perq p-art revsc each addl. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of ZZZ.
What is the Medicare reimbursement for CPT 33904? +
The 2026 Medicare national average non-facility payment for CPT 33904 is $256.08. Rates range from $225.72 to $329.9 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 33904? +
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 33904? +
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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