# CPT 33251: Ablation Arrhythmogenic Foci/pathway W/bypass

Medicare CPT 33251 pays $1,533.10 in a non-facility setting and $1,533.10 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,354.13 in Wisconsin to $1,920.59 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/33251-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $1,533.10 |
| National facility | $1,533.10 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $1,920.59 | $1,920.59 |
| Florida | $1,758.78 | $1,758.78 |
| Illinois | $1,740.49 | $1,740.49 |
| New York | $1,703.95 | $1,703.95 |
| District of Columbia | $1,673.78 | $1,673.78 |
| New Jersey | $1,645.79 | $1,645.79 |
| Connecticut | $1,629.00 | $1,629.00 |
| Michigan | $1,608.14 | $1,608.14 |
| West Virginia | $1,588.93 | $1,588.93 |
| Maryland | $1,578.77 | $1,578.77 |
| Massachusetts | $1,566.56 | $1,566.56 |
| Georgia | $1,564.83 | $1,564.83 |
| Washington | $1,562.30 | $1,562.30 |
| New Mexico | $1,551.38 | $1,551.38 |
| Pennsylvania | $1,550.69 | $1,550.69 |
| Rhode Island | $1,537.07 | $1,537.07 |
| Puerto Rico | $1,533.44 | $1,533.44 |
| Virgin Islands | $1,533.44 | $1,533.44 |
| Montana | $1,532.63 | $1,532.63 |
| California | $1,523.21 | $1,523.21 |
| New Hampshire | $1,517.97 | $1,517.97 |
| Texas | $1,515.93 | $1,515.93 |
| Colorado | $1,515.13 | $1,515.13 |
| Louisiana | $1,513.45 | $1,513.45 |
| Delaware | $1,509.61 | $1,509.61 |
| Ohio | $1,504.20 | $1,504.20 |
| Missouri | $1,500.24 | $1,500.24 |
| Oregon | $1,494.01 | $1,494.01 |
| Nevada | $1,493.85 | $1,493.85 |
| Arizona | $1,487.98 | $1,487.98 |
| Utah | $1,487.67 | $1,487.67 |
| Hawaii | $1,481.77 | $1,481.77 |
| Kentucky | $1,473.64 | $1,473.64 |
| Wyoming | $1,471.44 | $1,471.44 |
| South Carolina | $1,470.62 | $1,470.62 |
| Virginia | $1,457.36 | $1,457.36 |
| Oklahoma | $1,442.33 | $1,442.33 |
| Maine | $1,428.78 | $1,428.78 |
| North Carolina | $1,423.77 | $1,423.77 |
| Mississippi | $1,421.99 | $1,421.99 |
| Vermont | $1,412.41 | $1,412.41 |
| North Dakota | $1,392.24 | $1,392.24 |
| Tennessee | $1,391.08 | $1,391.08 |
| Alabama | $1,385.92 | $1,385.92 |
| Indiana | $1,385.36 | $1,385.36 |
| Kansas | $1,381.49 | $1,381.49 |
| Idaho | $1,379.80 | $1,379.80 |
| Minnesota | $1,376.42 | $1,376.42 |
| South Dakota | $1,375.64 | $1,375.64 |
| Arkansas | $1,368.16 | $1,368.16 |
| Iowa | $1,360.01 | $1,360.01 |
| Nebraska | $1,358.33 | $1,358.33 |
| Wisconsin | $1,354.13 | $1,354.13 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 33251 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules