CPT code 33755: Systemic-pulmonary shunt, ascending aorta origin2026 Medicare rate & RVUs in Colorado

Reports surgical creation of a connection from the ascending aorta to the pulmonary artery to increase pulmonary blood flow in congenital heart disease.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Colorado, Medicare pays $1,252.26 for 33755 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,252.26Hospital or facility

Check a contract rate as a % of Medicare · 33755 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33755 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 33755 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 33755 covers

This operation creates a systemic-to-pulmonary blood-flow connection from the ascending aorta to the pulmonary artery. A congenital or pediatric cardiac surgeon typically performs it in an operating room as palliation for congenital heart disease with inadequate pulmonary blood flow. The operative anatomy distinguishes this shunt from procedures using the subclavian artery, descending aorta, or a prosthetic central graft.

Report the code when the documented operation creates this connection; the operative report should identify the shunt’s origin and destination and describe the surgical work performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; 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 Colorado compares for 33755

Across 109 of 109 payment localities, the facility rate for 33755 runs from $1,119.63 in Wisconsin to $1,569.21 in Alaska. Colorado pays $1,252.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

33755 in Colorado vs other payment areas
  1. Colorado · this page$1,252.26
  2. Los Angeles, CA · California$1,292.46+$40.20
  3. Washington, DC area · District of Columbia$1,383.56+$131.30
  4. Miami, FL · Florida$1,559.63+$307.37
  5. Chicago, IL · Illinois$1,509.14+$256.88
  6. Manhattan, NY · New York$1,473.16+$220.90
  7. Alaska · Alaska$1,569.21+$316.95

Other areas in Colorado first, then benchmark localities. Bars start at $0.

Every other payment area

33755 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,139.18
ArkansasArkansas—$1,124.28
ArizonaArizona—$1,224.96
Bakersfield, CACalifornia—$1,236.43
Chico, CACalifornia—$1,221.43
El Centro, CACalifornia—$1,222.35
Fresno, CACalifornia—$1,221.43
Hanford, CACalifornia—$1,221.43

33755 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
33755 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33755 in every payment locality

How the 33755 rate is calculated

Each of 33755’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 · 33755

RVUs × geographic indexes × conversion factor

Office or facility?

Work22.04

22.04 RVUs× 1.000 GPCI

Practice expense10.20

10.20 RVUs× 1.000 GPCI

Malpractice5.55

5.55 RVUs× 1.000 GPCI

Adjusted RVUs

37.7900

Conversion factor

$33.4009

Medicare rate

$1,262.22

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,053

Code
33755
Physician work
22.04
Practice expense
10.20
Malpractice
5.55

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Facility calculation for 33755 in Colorado
ComponentRVULocality factorAdjusted
Physician work22.04× 1.01222.3045
Practice expense10.20× 1.06410.8528
Malpractice5.55× 0.7814.3346
Total RVUs37.4918
Conversion factor× 33.4009

Facility rate, Colorado$1252.26

Facility: (22.04 × 1.012 + 10.2 × 1.064 + 5.55 × 0.781) × $33.4009 = $1252.26

Open 33755 in the RVU calculator

Payment rules and modifiers for 33755

33755 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33755

Systemic-pulmonary shunt, ascending aorta origin

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33755

Systemic-pulmonary shunt, ascending aorta origin

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33755 without 51 · national facility

$1,262.22

Systemic-pulmonary shunt, ascending aorta origin

33755-51 · Second procedure: 50%

$631.11

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%).

When to use modifier 51

How 33755 has changed in Colorado

33755 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,252.26RVU26D
2026-07-01Not available in this setting$1,252.26RVU26C
2026-04-01Not available in this setting$1,252.26RVU26B
2026-01-01Not available in this setting$1,252.26RVU26A
2025-10-01Not available in this setting$1,262.89RVU25D
2025-07-01Not available in this setting$1,262.89RVU25C
2025-04-01Not available in this setting$1,262.89RVU25B
2025-01-01Not available in this setting$1,262.89RVU25A
2024-10-01Not available in this setting$1,293.56RVU24D
2024-07-01Not available in this setting$1,293.56RVU24C
2024-04-01Not available in this setting$1,293.56RVU24B
2024-03-09Not available in this setting$1,293.56RVU24AR
2024-01-01Not available in this setting$1,272.45RVU24A
2023-10-01Not available in this setting$1,300.53RVU23D
2023-07-01Not available in this setting$1,300.53RVU23C
2023-04-01Not available in this setting$1,300.53RVU23B
2023-01-01Not available in this setting$1,300.53RVU23A
2022-10-01Not available in this setting$1,315.74RVU22D
2022-07-01Not available in this setting$1,315.74RVU22C
2022-04-01Not available in this setting$1,315.74RVU22B
2022-01-01Not available in this setting$1,315.74RVU22A
2021-10-01Not available in this setting$1,321.10RVU21D
2021-07-01Not available in this setting$1,321.10RVU21C
2021-04-01Not available in this setting$1,321.10RVU21B
2021-01-01Not available in this setting$1,321.10RVU21A
2020-10-01Not available in this setting$1,368.56RVU20D
2020-07-01Not available in this setting$1,368.56RVU20C
2020-04-01Not available in this setting$1,368.56RVU20B
2020-01-01Not available in this setting$1,368.56RVU20A
2019-10-01Not available in this setting$1,390.72RVU19D
2019-07-01Not available in this setting$1,390.72RVU19C
2019-04-01Not available in this setting$1,390.72RVU19B
2019-01-01Not available in this setting$1,390.72RVU19A
2018-10-01Not available in this setting$1,390.63RVU18D
2018-07-01Not available in this setting$1,390.63RVU18C
2018-04-01Not available in this setting$1,390.63RVU18B
2018-01-01Not available in this setting$1,390.63RVU18AR1
2017-10-01Not available in this setting$1,455.42RVU17D
2017-07-01Not available in this setting$1,455.42RVU17C
2017-04-01Not available in this setting$1,455.42RVU17B
2017-01-01Not available in this setting$1,455.42RVU17A
2016-10-01Not available in this setting$1,400.70RVU16D
2016-07-01Not available in this setting$1,400.70RVU16C
2016-04-01Not available in this setting$1,400.70RVU16B
2016-01-01Not available in this setting$1,400.70RVU16A
2015-10-01Not available in this setting$1,462.99RVU15D
2015-07-01Not available in this setting$1,310.23RVU15C
2015-04-01Not available in this setting$1,303.71RVU15B
2015-01-01Not available in this setting$1,303.71RVU15A
2014-10-01Not available in this setting$1,410.22RVU14D
2014-07-01Not available in this setting$1,410.22RVU14C
2014-04-01Not available in this setting$1,410.22RVU14B
2014-01-01Not available in this setting$1,410.22RVU14A
2013-10-01Not available in this setting$1,356.13RVU13D
2013-07-01Not available in this setting$1,356.13RVU13C
2013-04-01Not available in this setting$1,356.13RVU13B
2013-01-01Not available in this setting$1,356.13RVU13AR

Price 33755 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

33755 billing questions

How is this distinguished from a subclavian-to-pulmonary shunt?

Use this code when the shunt originates from the ascending aorta. A shunt originating from the subclavian artery is represented by 33750.

How is this distinguished from a descending aorta shunt?

The aortic origin determines the choice: this code is for the ascending aorta, while 33762 is for the descending aorta.

Does modifier 50 apply?

No. CMS identifies bilateral adjustment as inappropriate for this code.

Are related postoperative visits included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

What happens when another procedure is performed in the same session?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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
RVUs for 33755PPRRVU2026_Oct_nonQPP.csv, line 4,053 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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