33269 Excl laa thrscp any method
What 33269 is
CMS fee schedule short descriptor: Excl laa thrscp any method.
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 33269 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 13.95 | 6.42 | 3.46 | 23.83 | $795.94 |
| Facility (hospital, ASC) | 13.95 | 6.42 | 3.46 | 23.83 | $795.94 |
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: 90-day global period.
Medically Unlikely Edit (MUE)
Medicare caps 33269 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 33269? These codes are bundled into it
33269 is a Column 1 code in 305 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 | |
|---|---|---|---|
00528 | Anes clsd ch mediast&thrc wo | 0 - no modifier bypass | Check pair |
00529 | Anes clsd ch mediast&thrc w/ | 0 - no modifier bypass | Check pair |
00537 | Anes cardiac ep procedures | 0 - no modifier bypass | Check pair |
00540 | Anes thoracotomy px nos | 0 - no modifier bypass | Check pair |
00541 | Anes thrcm px 1 lung vntj | 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 |
0934T | Rem mntr wrls l atr prs snr | 1 - modifier may bypass | Check pair |
Showing 30 of 305 column 2 codes. Use the pair checker for any specific combination.
33269 is bundled into these codes
33269 appears as a Column 2 code in 11 active edits. Reported with one of these Column 1 codes on the same date of service, 33269 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 |
33265 | Ablate atria lmtd endo | 0 | Check pair |
33266 | Ablate atria x10sv endo | 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 |
33430 | Replacement 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.