CPT code 33750: Systemic-to-pulmonary shunt, subclavian artery connection2026 Medicare rate & RVUs in Washington, DC area
Reports a palliative congenital heart operation connecting the subclavian artery with a pulmonary artery to increase pulmonary blood flow in selected patients.
In Washington, DC area, Medicare pays $1,304.30 for 33750 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33750 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33750 covers
The surgeon creates a connection from the subclavian artery to a pulmonary artery to augment blood flow to the lungs. This palliative operation is used for selected congenital heart conditions with inadequate pulmonary blood flow, including some forms of pulmonary atresia or tetralogy of Fallot. It is generally performed by a congenital cardiothoracic surgeon in an operating room, often for an infant or child awaiting further repair or as part of a staged treatment plan.
Report the procedure when the operative record supports the subclavian-to-pulmonary-artery route; the congenital diagnosis alone does not establish this code. Documentation should identify the vessels connected and describe the shunt performed. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Washington, DC area compares for 33750
Across 109 of 109 payment localities, the facility rate for 33750 runs from $1,055.35 in Wisconsin to $1,492.13 in Alaska. Washington, DC area pays $1,304.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,304.30
- Los Angeles, CA · California$1,214.60−$89.70
- Miami, FL · Florida$1,483.55+$179.25
- Chicago, IL · Illinois$1,435.65+$131.35
- Manhattan, NY · New York$1,393.03+$88.73
- Alaska · Alaska$1,492.13+$187.83
- Alabama · Alabama$1,078.42−$225.88
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $1,064.53 |
| ArizonaArizona | — | $1,158.28 |
| Bakersfield, CACalifornia | — | $1,163.62 |
| Chico, CACalifornia | — | $1,148.89 |
| El Centro, CACalifornia | — | $1,149.80 |
| Fresno, CACalifornia | — | $1,148.89 |
| Hanford, CACalifornia | — | $1,148.89 |
| Madera, CACalifornia | — | $1,148.89 |
| Merced, CACalifornia | — | $1,148.89 |
| Modesto, CACalifornia | — | $1,148.89 |
| Napa, CACalifornia | — | $1,240.99 |
| Oxnard, CACalifornia | — | $1,197.44 |
| Redding, CACalifornia | — | $1,148.89 |
| Rest of CaliforniaCalifornia | — | $1,148.89 |
| Riverside, CACalifornia | — | $1,207.32 |
| Sacramento, CACalifornia | — | $1,181.92 |
| Salinas, CACalifornia | — | $1,177.16 |
| San Diego, CACalifornia | — | $1,188.18 |
| Marin County, CACalifornia | — | $1,281.71 |
| San Francisco, CACalifornia | — | $1,275.52 |
| San Benito County, CACalifornia | — | $1,315.79 |
| Santa Clara County, CACalifornia | — | $1,290.49 |
| San Luis Obispo, CACalifornia | — | $1,161.27 |
| Santa Cruz, CACalifornia | — | $1,186.04 |
| Santa Maria, CACalifornia | — | $1,177.00 |
| Santa Rosa, CACalifornia | — | $1,196.30 |
| Stockton, CACalifornia | — | $1,148.89 |
| Vallejo, CACalifornia | — | $1,232.07 |
| Visalia, CACalifornia | — | $1,148.89 |
| Yuba City, CACalifornia | — | $1,148.89 |
| ColoradoColorado | — | $1,180.66 |
| ConnecticutConnecticut | — | $1,268.28 |
| DelawareDelaware | — | $1,175.19 |
| Fort Lauderdale, FLFlorida | — | $1,344.24 |
| Rest of FloridaFlorida | — | $1,272.31 |
| Atlanta, GAGeorgia | — | $1,236.78 |
| Rest of GeorgiaGeorgia | — | $1,197.27 |
| Hawaii, Guam, HIHawaii | — | $1,156.22 |
| IowaIowa | — | $1,059.17 |
| IdahoIdaho | — | $1,074.45 |
| East St. Louis, ILIllinois | — | $1,354.96 |
| Rest of IllinoisIllinois | — | $1,270.85 |
| Suburban Chicago, ILIllinois | — | $1,346.78 |
| IndianaIndiana | — | $1,078.83 |
| KansasKansas | — | $1,075.48 |
| KentuckyKentucky | — | $1,145.98 |
| New Orleans, LALouisiana | — | $1,201.18 |
| Rest of LouisianaLouisiana | — | $1,152.66 |
| Metropolitan Boston, MAMassachusetts | — | $1,258.91 |
| Rest of MassachusettsMassachusetts | — | $1,183.30 |
| Baltimore area, MDMaryland | — | $1,269.15 |
| Rest of MarylandMaryland | — | $1,189.18 |
| Rest of MaineMaine | — | $1,101.57 |
| Southern Maine, MEMaine | — | $1,123.65 |
| Detroit, MIMichigan | — | $1,308.21 |
| Rest of MichiganMichigan | — | $1,191.85 |
| MinnesotaMinnesota | — | $1,073.61 |
| Metropolitan Kansas City, MOMissouri | — | $1,171.66 |
| Metropolitan St. Louis, MOMissouri | — | $1,179.96 |
| Rest of MissouriMissouri | — | $1,148.95 |
| MississippiMississippi | — | $1,105.88 |
| MontanaMontana | — | $1,193.05 |
| North CarolinaNorth Carolina | — | $1,108.41 |
| North DakotaNorth Dakota | — | $1,085.29 |
| NebraskaNebraska | — | $1,058.02 |
| New HampshireNew Hampshire | — | $1,182.46 |
| Northern New JerseyNew Jersey | — | $1,297.44 |
| Rest of New JerseyNew Jersey | — | $1,266.50 |
| New MexicoNew Mexico | — | $1,206.11 |
| NevadaNevada | — | $1,163.30 |
| NYC suburbs and Long Island, NYNew York | — | $1,450.14 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,291.55 |
| Queens, NYNew York | — | $1,372.58 |
| Rest of New YorkNew York | — | $1,124.95 |
| OhioOhio | — | $1,169.82 |
| OklahomaOklahoma | — | $1,122.01 |
| Portland, OROregon | — | $1,190.35 |
| Rest of OregonOregon | — | $1,138.20 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,253.37 |
| Rest of PennsylvaniaPennsylvania | — | $1,159.79 |
| Puerto RicoPuerto Rico | — | $1,193.85 |
| Rhode IslandRhode Island | — | $1,197.00 |
| South CarolinaSouth Carolina | — | $1,144.23 |
| South DakotaSouth Dakota | — | $1,072.54 |
| TennesseeTennessee | — | $1,082.93 |
| Austin, TXTexas | — | $1,190.81 |
| Beaumont, TXTexas | — | $1,154.58 |
| Brazoria, TXTexas | — | $1,156.56 |
| Dallas, TXTexas | — | $1,172.92 |
| Fort Worth, TXTexas | — | $1,172.41 |
| Galveston, TXTexas | — | $1,165.88 |
| Houston, TXTexas | — | $1,265.63 |
| Rest of TexasTexas | — | $1,161.07 |
| UtahUtah | — | $1,157.57 |
| VirginiaVirginia | — | $1,135.00 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,193.85 |
| VermontVermont | — | $1,100.61 |
| Rest of WashingtonWashington | — | $1,174.57 |
| King County, WAWashington | — | $1,261.63 |
| WisconsinWisconsin | — | $1,055.35 |
| West VirginiaWest Virginia | — | $1,234.15 |
| WyomingWyoming | — | $1,146.09 |
33750 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33750 rate is calculated
Each of 33750’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33750
RVUs × geographic indexes × conversion factor
Work21.66
21.66 RVUs× 1.000 GPCI
Practice expense8.62
8.62 RVUs× 1.000 GPCI
Malpractice5.45
5.45 RVUs× 1.000 GPCI
Adjusted RVUs
35.7300
Conversion factor
$33.4009
Medicare rate
$1,193.41
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,052
- Code
- 33750
- Physician work
- 21.66
- Practice expense
- 8.62
- Malpractice
- 5.45
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.66 | × 1.054 | 22.8296 |
| Practice expense | 8.62 | × 1.178 | 10.1544 |
| Malpractice | 5.45 | × 1.113 | 6.0659 |
| Total RVUs | 39.0498 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1304.30
Facility: (21.66 × 1.054 + 8.62 × 1.178 + 5.45 × 1.113) × $33.4009 = $1304.30
Payment rules and modifiers for 33750
33750 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33750
Systemic-to-pulmonary shunt, subclavian artery connection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33750
Systemic-to-pulmonary shunt, subclavian artery connection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33750 without 51 · national facility
$1,193.41
Systemic-to-pulmonary shunt, subclavian artery connection
33750-51 · Second procedure: 50%
$596.71
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 33750 has changed in Washington, DC area
33750 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,304.30 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,304.30 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,304.30 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,304.30 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,341.18 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,341.18 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,341.18 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,341.18 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,375.78 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,375.78 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,375.78 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,375.78 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,353.32 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,412.43 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,412.43 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,412.43 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,412.43 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,458.82 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,458.82 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,458.82 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,458.82 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,464.10 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,464.10 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,464.10 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,464.10 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,482.89 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,482.89 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,482.89 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,482.89 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,473.24 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,473.24 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,473.24 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,473.24 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,471.55 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,471.55 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,471.55 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,471.55 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,554.37 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,554.37 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,554.37 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,554.37 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,485.46 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,485.46 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,485.46 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,485.46 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,567.89 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,567.89 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,560.09 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,560.09 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,563.44 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,563.44 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,563.44 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,563.44 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,610.96 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,610.96 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,610.96 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,610.96 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
33750 billing questions
How is this distinguished from an aorta-to-pulmonary artery shunt?
Select this code when the subclavian artery is the systemic source for the shunt. A shunt originating from the aorta is represented by a different code.
What operative documentation supports this code?
The operative report should identify the subclavian artery and pulmonary artery as the connected vessels and describe the shunt performed.
Can modifier 50 be used for shunts to both lungs?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the procedure supported by the documented operative anatomy rather than adding modifier 50.
Is an assistant surgeon payable?
CMS indicates that assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through the 90-day period.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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