CPT code 33767: Cavopulmonary shunt, both lungs2026 Medicare rate & RVUs in Alabama
Reports congenital heart surgery connecting superior vena caval blood flow to the pulmonary arteries serving both lungs, commonly as single-ventricle palliation.
In Alabama, Medicare pays $1,210.57 for 33767 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33767 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 33767 covers
A congenital cardiac surgeon creates a pathway from the superior vena cava to the pulmonary arteries so venous blood flows to both lungs. This is commonly a bidirectional Glenn-type operation in staged palliation for selected patients with single-ventricle physiology. It is performed in an operating room, generally by a congenital heart surgery team.
Choose this code when the operative report supports a superior vena cava-to-pulmonary artery shunt serving both lungs; the one-lung version is a different code. Documentation should identify the vessels connected and the extent of the shunt. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team-surgery payment 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 Alabama compares for 33767
Across 109 of 109 payment localities, the facility rate for 33767 runs from $1,182.59 in Wisconsin to $1,677.91 in Alaska. Alabama pays $1,210.57. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alabama · this page$1,210.57
- Los Angeles, CA · California$1,359.43+$148.86
- Washington, DC area · District of Columbia$1,461.73+$251.16
- Miami, FL · Florida$1,668.80+$458.23
- Chicago, IL · Illinois$1,614.96+$404.39
- Manhattan, NY · New York$1,563.16+$352.59
- Alaska · Alaska$1,677.91+$467.34
Other areas in Alabama first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $1,195.07 |
| ArizonaArizona | — | $1,299.64 |
| Bakersfield, CACalifornia | — | $1,303.13 |
| Chico, CACalifornia | — | $1,286.34 |
| El Centro, CACalifornia | — | $1,287.38 |
| Fresno, CACalifornia | — | $1,286.34 |
| Hanford, CACalifornia | — | $1,286.34 |
| Madera, CACalifornia | — | $1,286.34 |
| Merced, CACalifornia | — | $1,286.34 |
| Modesto, CACalifornia | — | $1,286.34 |
| Napa, CACalifornia | — | $1,386.73 |
| Oxnard, CACalifornia | — | $1,339.90 |
| Redding, CACalifornia | — | $1,286.34 |
| Rest of CaliforniaCalifornia | — | $1,286.34 |
| Riverside, CACalifornia | — | $1,352.92 |
| Sacramento, CACalifornia | — | $1,322.61 |
| Salinas, CACalifornia | — | $1,317.26 |
| San Diego, CACalifornia | — | $1,329.06 |
| Marin County, CACalifornia | — | $1,431.23 |
| San Francisco, CACalifornia | — | $1,424.18 |
| San Benito County, CACalifornia | — | $1,469.41 |
| Santa Clara County, CACalifornia | — | $1,440.58 |
| San Luis Obispo, CACalifornia | — | $1,299.57 |
| Santa Cruz, CACalifornia | — | $1,326.24 |
| Santa Maria, CACalifornia | — | $1,316.94 |
| Santa Rosa, CACalifornia | — | $1,337.66 |
| Stockton, CACalifornia | — | $1,286.34 |
| Vallejo, CACalifornia | — | $1,376.56 |
| Visalia, CACalifornia | — | $1,286.34 |
| Yuba City, CACalifornia | — | $1,286.34 |
| ColoradoColorado | — | $1,323.19 |
| ConnecticutConnecticut | — | $1,422.77 |
| DelawareDelaware | — | $1,318.52 |
| Fort Lauderdale, FLFlorida | — | $1,510.64 |
| Rest of FloridaFlorida | — | $1,429.84 |
| Atlanta, GAGeorgia | — | $1,388.13 |
| Rest of GeorgiaGeorgia | — | $1,345.64 |
| Hawaii, Guam, HIHawaii | — | $1,293.86 |
| IowaIowa | — | $1,187.82 |
| IdahoIdaho | — | $1,205.12 |
| East St. Louis, ILIllinois | — | $1,524.76 |
| Rest of IllinoisIllinois | — | $1,429.06 |
| Suburban Chicago, ILIllinois | — | $1,513.24 |
| IndianaIndiana | — | $1,209.97 |
| KansasKansas | — | $1,206.63 |
| KentuckyKentucky | — | $1,287.27 |
| New Orleans, LALouisiana | — | $1,349.10 |
| Rest of LouisianaLouisiana | — | $1,294.95 |
| Metropolitan Boston, MAMassachusetts | — | $1,409.69 |
| Rest of MassachusettsMassachusetts | — | $1,326.42 |
| Baltimore area, MDMaryland | — | $1,423.84 |
| Rest of MarylandMaryland | — | $1,333.97 |
| Rest of MaineMaine | — | $1,236.03 |
| Southern Maine, MEMaine | — | $1,259.74 |
| Detroit, MIMichigan | — | $1,470.57 |
| Rest of MichiganMichigan | — | $1,339.04 |
| MinnesotaMinnesota | — | $1,201.94 |
| Metropolitan Kansas City, MOMissouri | — | $1,315.51 |
| Metropolitan St. Louis, MOMissouri | — | $1,324.69 |
| Rest of MissouriMissouri | — | $1,291.20 |
| MississippiMississippi | — | $1,242.15 |
| MontanaMontana | — | $1,338.63 |
| North CarolinaNorth Carolina | — | $1,243.55 |
| North DakotaNorth Dakota | — | $1,215.83 |
| NebraskaNebraska | — | $1,186.34 |
| New HampshireNew Hampshire | — | $1,325.73 |
| Northern New JerseyNew Jersey | — | $1,454.28 |
| Rest of New JerseyNew Jersey | — | $1,420.42 |
| New MexicoNew Mexico | — | $1,355.20 |
| NevadaNevada | — | $1,304.71 |
| NYC suburbs and Long Island, NYNew York | — | $1,627.68 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,448.90 |
| Queens, NYNew York | — | $1,539.44 |
| Rest of New YorkNew York | — | $1,262.06 |
| OhioOhio | — | $1,313.94 |
| OklahomaOklahoma | — | $1,259.87 |
| Portland, OROregon | — | $1,333.27 |
| Rest of OregonOregon | — | $1,276.21 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,406.52 |
| Rest of PennsylvaniaPennsylvania | — | $1,302.41 |
| Puerto RicoPuerto Rico | — | $1,339.31 |
| Rhode IslandRhode Island | — | $1,342.45 |
| South CarolinaSouth Carolina | — | $1,284.55 |
| South DakotaSouth Dakota | — | $1,201.32 |
| TennesseeTennessee | — | $1,215.01 |
| Austin, TXTexas | — | $1,334.89 |
| Beaumont, TXTexas | — | $1,296.63 |
| Brazoria, TXTexas | — | $1,297.23 |
| Dallas, TXTexas | — | $1,315.77 |
| Fort Worth, TXTexas | — | $1,315.39 |
| Galveston, TXTexas | — | $1,307.80 |
| Houston, TXTexas | — | $1,421.47 |
| Rest of TexasTexas | — | $1,303.23 |
| UtahUtah | — | $1,299.43 |
| VirginiaVirginia | — | $1,272.83 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,339.31 |
| VermontVermont | — | $1,233.50 |
| Rest of WashingtonWashington | — | $1,316.48 |
| King County, WAWashington | — | $1,412.11 |
| WisconsinWisconsin | — | $1,182.59 |
| West VirginiaWest Virginia | — | $1,388.14 |
| WyomingWyoming | — | $1,285.11 |
33767 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 33767 rate is calculated
Each of 33767’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 · 33767
RVUs × geographic indexes × conversion factor
Work24.67
24.67 RVUs× 1.000 GPCI
Practice expense9.21
9.21 RVUs× 1.000 GPCI
Malpractice6.21
6.21 RVUs× 1.000 GPCI
Adjusted RVUs
40.0900
Conversion factor
$33.4009
Medicare rate
$1,339.04
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alabama inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,057
- Code
- 33767
- Physician work
- 24.67
- Practice expense
- 9.21
- Malpractice
- 6.21
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.67 | × 1.000 | 24.6700 |
| Practice expense | 9.21 | × 0.875 | 8.0587 |
| Malpractice | 6.21 | × 0.566 | 3.5149 |
| Total RVUs | 36.2436 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alabama$1210.57
Facility: (24.67 × 1 + 9.21 × 0.875 + 6.21 × 0.566) × $33.4009 = $1210.57
Payment rules and modifiers for 33767
33767 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33767
Cavopulmonary shunt, both lungs
| 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 · 33767
Cavopulmonary shunt, both lungs
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
33767 without 51 · national facility
$1,339.04
Cavopulmonary shunt, both lungs
33767-51 · Second procedure: 50%
$669.52
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 33767 has changed in Alabama
33767 · 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 | $1,210.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,210.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,210.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,210.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,231.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,231.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,231.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,231.64 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,263.80 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,263.80 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,263.80 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,263.80 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,243.17 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,322.04 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,322.04 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,322.04 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,322.04 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,389.75 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,389.75 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,389.75 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,389.75 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,395.45 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,395.45 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,395.45 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,395.45 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,384.53 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,384.53 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,384.53 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,384.53 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,339.10 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,339.10 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,339.10 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,339.10 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,338.35 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,338.35 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,338.35 | RVU18B |
| 2018-01-01 | Not available in this setting | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Not available in this setting | Rate data unavailable | RVU17D |
| 2017-07-01 | Not available in this setting | Rate data unavailable | RVU17C |
| 2017-04-01 | Not available in this setting | Rate data unavailable | RVU17B |
| 2017-01-01 | Not available in this setting | Rate data unavailable | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Alabama rate applies
Alabama is a Medicare payment area, not a city. Our Census mapping connects it to 595 cities and communities in Alabama. Some span more than one payment area; confirm with the service ZIP.
- Abanda
- Abbeville
- Adamsville
- Addison
- Akron
- Alabaster
- Albertville
- Alexander City
33767 billing questions
How does this differ from 33766?
33767 describes the superior vena cava-to-pulmonary artery shunt serving both lungs. Use 33766 when the documented shunt serves one lung.
Should modifier 50 be appended because both lungs are involved?
No. The bilateral anatomy is built into this code, and CMS identifies modifier 50 as inappropriate.
What operative documentation supports this code?
The operative report should identify the superior vena cava and pulmonary artery connections and show that the shunt serves both lungs.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
Does the code include related postoperative care?
Yes. Its 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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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