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33268 Excl laa opn oth px any meth

What 33268 is

CMS fee schedule short descriptor: Excl laa opn oth px any meth.

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 33268 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)2.440.480.593.51$117.24
Facility (hospital, ASC)2.440.480.593.51$117.24

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.

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Medically Unlikely Edit (MUE)

Medicare caps 33268 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 33268? These codes are bundled into it

33268 is a Column 1 code in 288 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 codeShort descriptionModifier indicator
00537Anes cardiac ep procedures0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
0915TInsj perm ccm-d sys pg&eltrd0 - no modifier bypassCheck pair
0916TInsj perm ccm-d sys pg only0 - no modifier bypassCheck pair
0917TInsj perm ccm-d sys 1 lead0 - no modifier bypassCheck pair
0918TInsj perm ccm-d sys dual ld0 - no modifier bypassCheck pair
0919TRmvl perm ccm-d sys pg only0 - no modifier bypassCheck pair
0920TRmvl perm ccm-d sys 1 pac ld0 - no modifier bypassCheck pair
0921TRmvl perm ccm-d sys 1 dfb ld0 - no modifier bypassCheck pair
0922TRmvl perm ccm-d sys dual ld0 - no modifier bypassCheck pair
0923TRmvl&rplcmt perm ccm-d pg0 - no modifier bypassCheck pair
0924TRpos prv ccm-d trnsvns eltrd0 - no modifier bypassCheck pair
0925TRlcj skin pocket ccm-d pg0 - no modifier bypassCheck pair
0926TPrgrmg dev eval ccm-d ip0 - no modifier bypassCheck pair
0927TInterrog dev eval ccm-d ip0 - no modifier bypassCheck pair
0928TRem interrog dev ccm-d phys0 - no modifier bypassCheck pair
0929TRem interrog dev ccm-d tech0 - no modifier bypassCheck pair
0930TEphys eval ccm-d ld 1st impl0 - no modifier bypassCheck pair
0931TEphys eval ccm-d ld separate0 - no modifier bypassCheck pair
11000Dbrdmt ecz/infected skin<10%1 - modifier may bypassCheck pair
11001Dbrdmt ecz/infct skn ea addl1 - modifier may bypassCheck pair
11004Dbrdmt skin xtrnl gent&per1 - modifier may bypassCheck pair
11005Dbrdmt skin abdominal wall1 - modifier may bypassCheck pair
11006Dbrdmt skin xtrnl gent per1 - modifier may bypassCheck pair

Showing 30 of 288 column 2 codes. Use the pair checker for any specific combination.

33268 is bundled into these codes

33268 appears as a Column 2 code in 17 active edits. Reported with one of these Column 1 codes on the same date of service, 33268 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0695TBdy srf mpg pm/cvdfb tm impl1Check pair
33254Ablate atria lmtd0Check pair
33255Ablate atria w/o bypass ext0Check pair
33256Ablate atria w/bypass exten0Check pair
33257Ablate atria lmtd add-on0Check pair
33258Ablate atria x10sv add-on0Check pair
33259Ablate atria w/bypass add-on0Check pair
33261Ablate heart dysrhythm focus0Check pair
33265Ablate atria lmtd endo0Check pair
33266Ablate atria x10sv endo0Check pair
33420Revision of mitral valve0Check pair
33422Revision of mitral valve0Check pair
33425Repair of mitral valve0Check pair
33426Repair of mitral valve0Check pair
33427Repair of mitral valve0Check 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.