CPT 33927
Global XXX ActiveImpltj tot rplcmt hrt sys
CPT 33927 Billing & Documentation Guide
CPT code 33927 (Impltj tot rplcmt hrt sys) is classified under Surgery (Respiratory/Cardiovascular) with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 47.78, a non-facility practice expense RVU of 9.42, and a malpractice RVU of 12.06, a total non-facility RVU of 69.26 and facility RVU of 69.26. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $2301.66, though rates vary from $2021.38 to $2950.88 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 33927, 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 33927 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 33927 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 33927
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 47.78 | 47.78 |
| Practice Expense RVU | 9.42 | 9.42 |
| Malpractice RVU | 12.06 | 12.06 |
| Total RVU | 69.26 | 69.26 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 33927
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 | $2243.84 | $2243.84 | $2183.78 - $2441.06 | 29 |
| Florida | $2695.73 | $2695.73 | $2502.12 - $2942.15 | 3 |
| Georgia | $2380.42 | $2380.42 | $2356.71 - $2404.13 | 2 |
| Illinois | $2675.28 | $2675.28 | $2512.76 - $2847.74 | 4 |
| Michigan | $2458.31 | $2458.31 | $2337.94 - $2578.67 | 2 |
| North Carolina | $2146.85 | $2146.85 | $2146.85 - $2146.85 | 1 |
| New York | $2570.21 | $2570.21 | $2177.98 - $2820.16 | 5 |
| Ohio | $2289.2 | $2289.2 | $2289.2 - $2289.2 | 1 |
| Pennsylvania | $2349.06 | $2349.06 | $2265.39 - $2432.72 | 2 |
| Texas | $2288.6 | $2288.6 | $2234.66 - $2475.37 | 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 33927
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 33927 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 |
| 0228T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0230T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0596T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0597T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0709T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0904T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 33927
What does CPT code 33927 mean? +
CPT code 33927 represents: Impltj tot rplcmt hrt sys. It's in the Surgery (Respiratory/Cardiovascular) category with a global period of XXX.
What is the Medicare reimbursement for CPT 33927? +
The 2026 Medicare national average non-facility payment for CPT 33927 is $2301.66. Rates range from $2021.38 to $2950.88 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 33927? +
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 33927? +
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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