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33278 Rmvl phrnc nrv stim sys

What 33278 is

CMS fee schedule short descriptor: Rmvl phrnc nrv stim sys.

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 33278 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)9.313.512.0614.88$497.01
Facility (hospital, ASC)9.313.512.0614.88$497.01

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.

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Medically Unlikely Edit (MUE)

Medicare caps 33278 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 33278? These codes are bundled into it

33278 is a Column 1 code in 34 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
11000Dbrdmt ecz/infected skin<10%1 - 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
11042Dbrdmt subq tis 1st 20sqcm/<1 - modifier may bypassCheck pair
11043Dbrdmt musc&/fsca 1st 20/<1 - modifier may bypassCheck pair
11044Dbrdmt bone 1st 20 sq cm/<1 - modifier may bypassCheck pair
33277Insj phrnc nrv stim transvns0 - no modifier bypassCheck pair
35201Repair blood vessel dir neck1 - modifier may bypassCheck pair
35206Repair blood vessel dir uxtr1 - modifier may bypassCheck pair
35207Rpr bld vsl dir hand finger1 - modifier may bypassCheck pair
35211Rpr blvsl dir ntrathrc w/byp1 - modifier may bypassCheck pair
35216Rpr blvsl dir ntrthrc wo byp1 - modifier may bypassCheck pair
35221Rpr bld vsl dir intra-abdl1 - modifier may bypassCheck pair
35226Repair blood vessel dir lxtr1 - modifier may bypassCheck pair
35231Repair blvsl vn grf neck1 - modifier may bypassCheck pair
35236Repair blvsl vn grf uxtr1 - modifier may bypassCheck pair
35241Rpr blvsl vn grf ntrthrc w/b1 - modifier may bypassCheck pair
35246Rpr blvsl vn grf ntrthrc w/o1 - modifier may bypassCheck pair
35251Rpr blvsl vn grf intra-abdl1 - modifier may bypassCheck pair
35256Repair blvsl vn grf lxtr1 - modifier may bypassCheck pair
35261Rpr blvsl grf oth/thn vn nck1 - modifier may bypassCheck pair
35266Rpr blvsl grf oth/th vn uxtr1 - modifier may bypassCheck pair
35271Rpr blvs gr ot/th vn ntrth w1 - modifier may bypassCheck pair
35276Rpr blvs gr ot/t vn ntrth wo1 - modifier may bypassCheck pair
35281Rpr blvsl gr ot/th vn ntr-ab1 - modifier may bypassCheck pair
35286Rpr blvsl grf oth/th vn lxtr1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
69990Microsurgery add-on0 - no modifier bypassCheck pair

Showing 30 of 34 column 2 codes. Use the pair checker for any specific combination.

33278 is bundled into these codes

33278 appears as a Column 2 code in 4 active edits. Reported with one of these Column 1 codes on the same date of service, 33278 is the code that denies.

Column 1 codeShort descriptionModifier indicator
33276Insj phrnc nrv stim sys0Check pair
33281Reposg phrnc nrv stim trnsvn0Check pair
33287Rmv&rplcmt phrnc nrv stim pg0Check pair
33288Rmv&rplcmt phrnc nrv stim ld0Check 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.