33140 Heart revascularize (tmr)
Also known as: TMR, laser TMR, transmyocardial channels
Transmyocardial revascularization (TMR) procedure, creating channels through the ventricular wall to improve blood flow. Uses laser or mechanical technique.
In Plain Language
laser treatment to improve blood flow to heart muscle
Clinical Context
Used for angina in patients with coronary disease unsuitable for bypass or percutaneous intervention. Improves myocardial perfusion through neovascularization.
RVU Breakdown
| Work RVU | 27.63 |
| Total RVU | 27.63 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 27.63, this code ranks in the 91st percentile among Surgery codes — 3.5x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33140?
CPT 33140 (Heart revascularize (tmr)) is a Surgery code. Transmyocardial revascularization (TMR) procedure, creating channels through the ventricular wall to improve blood flow. Uses laser or mechanical technique.
What is the wRVU value for CPT 33140?
The work RVU for CPT 33140 is 27.63. This code is primarily used by Cardiac Surgery, Cardiology. It has a 90-day global period.
When is CPT 33140 used?
Used for angina in patients with coronary disease unsuitable for bypass or percutaneous intervention. Improves myocardial perfusion through neovascularization.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.