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 RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 2.44 | 0.48 | 0.59 | 3.51 | $117.24 |
| Facility (hospital, ASC) | 2.44 | 0.48 | 0.59 | 3.51 | $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.
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 code | Short description | Modifier indicator | |
|---|---|---|---|
00537 | Anes cardiac ep procedures | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
0596T | Temp fml iu vlv-pmp 1st insj | 1 - modifier may bypass | Check pair |
0597T | Temp fml iu valve-pmp rplcmt | 1 - modifier may bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 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 |
0919T | Rmvl perm ccm-d sys pg only | 0 - no modifier bypass | Check pair |
0920T | Rmvl perm ccm-d sys 1 pac ld | 0 - no modifier bypass | Check pair |
0921T | Rmvl perm ccm-d sys 1 dfb ld | 0 - no modifier bypass | Check pair |
0922T | Rmvl 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 |
0928T | Rem interrog dev ccm-d phys | 0 - no modifier bypass | Check pair |
0929T | Rem interrog dev ccm-d tech | 0 - no modifier bypass | Check pair |
0930T | Ephys eval ccm-d ld 1st impl | 0 - no modifier bypass | Check pair |
0931T | Ephys eval ccm-d ld separate | 0 - no modifier bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11001 | Dbrdmt ecz/infct skn ea addl | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0695T | Bdy srf mpg pm/cvdfb tm impl | 1 | Check pair |
33254 | Ablate atria lmtd | 0 | Check pair |
33255 | Ablate atria w/o bypass ext | 0 | Check pair |
33256 | Ablate atria w/bypass exten | 0 | Check pair |
33257 | Ablate atria lmtd add-on | 0 | Check pair |
33258 | Ablate atria x10sv add-on | 0 | Check pair |
33259 | Ablate atria w/bypass add-on | 0 | Check pair |
33261 | Ablate heart dysrhythm focus | 0 | Check pair |
33265 | Ablate atria lmtd endo | 0 | Check pair |
33266 | Ablate atria x10sv endo | 0 | Check pair |
33420 | Revision of mitral valve | 0 | Check pair |
33422 | Revision of mitral valve | 0 | Check pair |
33425 | Repair of mitral valve | 0 | Check pair |
33426 | Repair of mitral valve | 0 | Check pair |
33427 | Repair of mitral valve | 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.