33257 Ablate atria lmtd add-on
What 33257 is
CMS fee schedule short descriptor: Ablate atria lmtd add-on.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 33257 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 9.39 | 5.32 | 2.33 | 17.04 | $569.15 |
| Facility (hospital, ASC) | 9.39 | 5.32 | 2.33 | 17.04 | $569.15 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 33257 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 33257? These codes are bundled into it
33257 is a Column 1 code in 53 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
00537 | Anes cardiac ep procedures | 1 - modifier may bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 1 - modifier may bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 1 - modifier may bypass | Check pair |
0708T | Id ca immntx prep & 1st njx | 1 - modifier may bypass | Check pair |
0709T | Id ca immntx each addl njx | 1 - modifier may bypass | Check pair |
0915T | Insj perm ccm-d sys pg&eltrd | 0 - no modifier bypass | Check pair |
0916T | Insj perm ccm-d sys pg only | 0 - no modifier bypass | Check pair |
0917T | Insj perm ccm-d sys 1 lead | 0 - no modifier bypass | Check pair |
0918T | Insj perm ccm-d sys dual ld | 0 - no modifier bypass | Check pair |
0923T | Rmvl&rplcmt perm ccm-d pg | 0 - no modifier bypass | Check pair |
0924T | Rpos prv ccm-d trnsvns eltrd | 0 - no modifier bypass | Check pair |
0925T | Rlcj skin pocket ccm-d pg | 0 - no modifier bypass | Check pair |
0926T | Prgrmg dev eval ccm-d ip | 0 - no modifier bypass | Check pair |
0927T | Interrog dev eval ccm-d ip | 0 - no modifier bypass | Check pair |
32551 | Insertion of chest tube | 1 - modifier may bypass | Check pair |
33210 | Insert electrd/pm cath sngl | 0 - no modifier bypass | Check pair |
33211 | Insert card electrodes dual | 0 - no modifier bypass | Check pair |
33268 | Excl laa opn oth px any meth | 0 - no modifier bypass | Check pair |
36000 | Place needle in vein | 1 - modifier may bypass | Check pair |
36410 | Vnpnxr 3yr/> phy/qhp dx/ther | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
61650 | Evasc prlng admn rx agnt 1st | 1 - modifier may bypass | Check pair |
62324 | Njx interlaminar crv/thrc | 0 - no modifier bypass | Check pair |
62325 | Njx interlaminar crv/thrc | 0 - no modifier bypass | Check pair |
62326 | Njx interlaminar lmbr/sac | 0 - no modifier bypass | Check pair |
62327 | Njx interlaminar lmbr/sac | 0 - no modifier bypass | Check pair |
64415 | Njx aa&/strd brch plxs img | 1 - modifier may bypass | Check pair |
64416 | Njx aa&/strd brch pl nfs img | 1 - modifier may bypass | Check pair |
64417 | Njx aa&/strd ax nerve img | 1 - modifier may bypass | Check pair |
Showing 30 of 53 column 2 codes. Use the pair checker for any specific combination.
33257 is bundled into these codes
33257 appears as a Column 2 code in 18 active edits. Reported with one of these Column 1 codes on the same date of service, 33257 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
0571T | Insj/rplcmt icds ss eltrd | 0 | Check pair |
0572T | Insertion ss dfb electrode | 0 | Check pair |
0573T | Removal ss dfb electrode | 0 | Check pair |
0574T | Repos prev ss impl dfb eltrd | 0 | Check pair |
0575T | Prgrmg dev eval icds ss ip | 0 | Check pair |
0576T | Interrog dev eval icds ss ip | 0 | Check pair |
0577T | Ephys eval icds ss | 0 | Check pair |
0578T | Rem interrog dev icds phys | 0 | Check pair |
0579T | Rem interrog dev icds tech | 0 | Check pair |
0580T | Rmvl ss impl dfb pg only | 0 | Check pair |
0695T | Bdy srf mpg pm/cvdfb tm impl | 1 | Check pair |
33254 | Ablate atria lmtd | 1 | Check pair |
33255 | Ablate atria w/o bypass ext | 1 | Check pair |
33256 | Ablate atria w/bypass exten | 1 | Check pair |
33265 | Ablate atria lmtd endo | 0 | Check pair |
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.