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Billing code 33732: Pulmonary vein repairMedicare rate & RVUs

Reports surgical correction of partial anomalous pulmonary venous drainage, redirecting affected veins toward the left atrium rather than systemic venous circulation.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,562.16 for 33732 nationally in a facility.

Medicare rate · 33732

Pulmonary vein repair

Swap in your local Medicare rate.

Work RVUs
28.24
Total RVUs
46.77
Global days
090

National rate · 2026

$1,562.16

Facility setting, before claim adjustments.

See every locality for 33732 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 33732 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33732 covers

This operation corrects a congenital connection in which one or more pulmonary veins drain to the right atrium or a systemic vein instead of the left atrium. A congenital cardiac surgeon typically performs the repair in an operating room, often using an intracardiac baffle or venous reconstruction to route the blood appropriately. The clinical setting may involve evaluation of a patient with partial anomalous pulmonary venous return, sometimes identified with an associated atrial septal defect.

Select the code from the operative anatomy and the repair performed, not from the diagnosis alone. The record should identify the anomalous veins and their drainage, describe the rerouting or reconstruction, and explain any associated cardiac work. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. 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.

Where 33732 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33732 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,411.41
Alaska*Unavailable$1,951.95
ArizonaUnavailable$1,516.14
ArkansasUnavailable$1,393.20
AtlantaUnavailable$1,618.83
AustinUnavailable$1,559.10
BakersfieldUnavailable$1,523.84
Baltimore/Surr. CntysUnavailable$1,661.38
BeaumontUnavailable$1,510.97
BrazoriaUnavailable$1,514.03

33732 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
33732 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

How the 33732 rate is calculated

Each of 33732’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 · 33732

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 28.24Practice expense 11.42Malpractice 7.11

46.7700 adjusted RVUs×$33.4009 conversion factor=$1,562.16

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 33732

33732 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33732

Pulmonary vein repair

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 · 33732

Pulmonary vein repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

33732 without 51 · national facility

$1,562.16

Pulmonary vein repair

33732-51 · Second procedure: 50%

$781.08

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

33732 compared with similar codes

Compare codes

33732 vs 33730 vs 33726 vs 33724: national Medicare rates

Swap in your local Medicare rate.

  • 33732
    Pulmonary vein repair · 28.24 wRVU
    —
  • 33730
    Pulmonary vein repair · 35.24 wRVU
    —
  • 33726
    Pulmonary vein repair · 36.19 wRVU
    —
  • 33724
    Venous anomaly repair · 26.94 wRVU
    —

How to choose

33730Pulmonary vein repair
Use 33732 for a partial anomalous pulmonary venous connection repair; 33730 is the related repair for a total anomalous connection.
33726Pulmonary vein repair
33732 corrects anomalous pulmonary venous drainage. Code 33726 concerns repair of pulmonary venous stenosis.
33724Venous anomaly repair
Both are nearby venous-anomaly repair codes, but the documented anatomy and procedure determine which code applies.

Codes related to 33732

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 33732
CodeHow it relatesNational office range
Same family
33730Pulmonary vein repairRelated repair code for a total rather than partial anomalous pulmonary venous connection.No office rate
Used instead
33726Pulmonary vein repairAddresses pulmonary venous stenosis rather than anomalous pulmonary venous drainage.No office rate
33724Venous anomaly repairA nearby venous-anomaly repair code; distinguish by the specific anomaly and operation documented.No office rate

33732 billing questions

How does this differ from 33730?

33732 is used for repair of a partial anomalous pulmonary venous connection. Code 33730 is the related repair for a total anomalous connection.

What operative details support reporting 33732?

Document which pulmonary veins drain anomalously, where they drain, and how the surgeon redirects or reconstructs their connection. The operative report should support a partial anomalous connection repair.

Can an associated atrial septal defect repair also be reported?

Review the operative work and applicable billing code instructions to determine whether a separately reportable defect repair was performed. Document distinct work rather than relying on the diagnosis alone.

Is modifier 50 appropriate?

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

How does the multiple-procedure payment rule affect this repair?

When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

What surgical-assistance rules apply?

Assistant-at-surgery payment may be made. Co-surgeons require supporting documentation, and team surgery is not permitted.

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 33732PPRRVU2026_Oct_nonQPP.csv, line 4,045 (RVU26D)

Open CMS sourceHow we calculate rates

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