No office rate
This code describes transection and reimplantation. Code 33917 is for pulmonary artery repair directed at stenosis.
On this page
CMS RVU26D · Effective 2026-10-01
33922 Pulmonary artery surgery Medicare reimbursement rates
Reports surgical division and reimplantation of a pulmonary artery, commonly to correct an anomalous pulmonary artery origin such as a pulmonary artery sling. Compare 33922 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 33922?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 33922 pays more and less
Cardiovascular surgery
About 33922: Pulmonary artery transection with reimplantation
Reports surgical division and reimplantation of a pulmonary artery, commonly to correct an anomalous pulmonary artery origin such as a pulmonary artery sling.
A congenital cardiac surgeon may divide and reimplant a pulmonary artery to correct an abnormal origin or course. A classic setting is repair of a pulmonary artery sling, in which an anomalously arising pulmonary artery is repositioned to restore a more normal route. The procedure is performed in an operating room, typically in a hospital setting.
Report the code when the operative work includes transection and reimplantation, supported by documentation of the vessel’s anatomy and the reconstruction performed. Distinguish this operation from repair of a stenotic pulmonary artery, repair of pulmonary atresia, or pulmonary artery unifocalization. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation; team surgery is not permitted.
CMS billing rules for 33922
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU23.61 · 60%
- Practice expense (office) RVU10.00 · 25%
- Malpractice RVU5.96 · 15%
18
Medicare services in 2024 · #5974 by national volume
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.
33922 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
Choose 33920 when the operation repairs pulmonary atresia; this code describes transection and reimplantation of a pulmonary artery.
No office rate
Code 33925 describes pulmonary artery unifocalization without cardiopulmonary bypass. It is not the code for reimplanting an anomalously arising pulmonary artery.
No office rate
Code 33926 describes pulmonary artery unifocalization with cardiopulmonary bypass, rather than pulmonary artery transection and reimplantation.
See how rates vary across the country
33922 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Compare 33922 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $1193.53 |
| Alaska* | Office Unavailable | Facility $1648.30 |
| Arizona | Office Unavailable | Facility $1282.65 |
| Arkansas | Office Unavailable | Facility $1178.03 |
| Atlanta | Office Unavailable | Facility $1369.40 |
| Austin | Office Unavailable | Facility $1319.93 |
| Bakersfield | Office Unavailable | Facility $1290.89 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $1405.85 |
| Beaumont | Office Unavailable | Facility $1277.48 |
| Brazoria | Office Unavailable | Facility $1281.18 |
| Chicago | Office Unavailable | Facility $1586.66 |
| Chico | Office Unavailable | Facility $1274.78 |
| Colorado | Office Unavailable | Facility $1308.92 |
| Connecticut | Office Unavailable | Facility $1404.97 |
| Dallas | Office Unavailable | Facility $1299.17 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $1446.21 |
| Delaware | Office Unavailable | Facility $1301.50 |
| Detroit | Office Unavailable | Facility $1446.54 |
| East St. Louis | Office Unavailable | Facility $1496.81 |
| El Centro | Office Unavailable | Facility $1275.77 |
| Fort Lauderdale | Office Unavailable | Facility $1486.86 |
| Fort Worth | Office Unavailable | Facility $1298.41 |
| Fresno | Office Unavailable | Facility $1274.78 |
| Galveston | Office Unavailable | Facility $1291.40 |
| Hanford-Corcoran | Office Unavailable | Facility $1274.78 |
| Hawaii, Guam | Office Unavailable | Facility $1283.62 |
| Houston | Office Unavailable | Facility $1400.49 |
| Idaho | Office Unavailable | Facility $1190.04 |
| Indiana | Office Unavailable | Facility $1194.97 |
| Iowa | Office Unavailable | Facility $1173.24 |
| Kansas | Office Unavailable | Facility $1190.87 |
| Kentucky | Office Unavailable | Facility $1267.68 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $1348.24 |
| Madera | Office Unavailable | Facility $1274.78 |
| Manhattan | Office Unavailable | Facility $1542.91 |
| Merced | Office Unavailable | Facility $1274.78 |
| Metropolitan Boston | Office Unavailable | Facility $1396.91 |
| Metropolitan Kansas City | Office Unavailable | Facility $1296.72 |
| Metropolitan Philadelphia | Office Unavailable | Facility $1387.98 |
| Metropolitan St. Louis | Office Unavailable | Facility $1306.04 |
| Miami | Office Unavailable | Facility $1639.75 |
| Minnesota | Office Unavailable | Facility $1191.22 |
| Mississippi | Office Unavailable | Facility $1223.29 |
| Modesto | Office Unavailable | Facility $1274.78 |
| Montana** | Office Unavailable | Facility $1321.28 |
| Napa | Office Unavailable | Facility $1379.63 |
| Nebraska | Office Unavailable | Facility $1172.13 |
| Nevada** | Office Unavailable | Facility $1288.76 |
| New Hampshire | Office Unavailable | Facility $1310.48 |
| New Mexico | Office Unavailable | Facility $1333.96 |
| New Orleans | Office Unavailable | Facility $1329.04 |
| North Carolina | Office Unavailable | Facility $1227.43 |
| North Dakota** | Office Unavailable | Facility $1203.43 |
| Northern Nj | Office Unavailable | Facility $1438.33 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $1605.87 |
| Ohio | Office Unavailable | Facility $1294.21 |
| Oklahoma | Office Unavailable | Facility $1241.54 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $1329.49 |
| Portland | Office Unavailable | Facility $1320.40 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $1430.70 |
| Puerto Rico | Office Unavailable | Facility $1322.36 |
| Queens | Office Unavailable | Facility $1520.92 |
| Redding | Office Unavailable | Facility $1274.78 |
| Rest Of California | Office Unavailable | Facility $1274.78 |
| Rest Of Florida | Office Unavailable | Facility $1407.11 |
| Rest Of Georgia | Office Unavailable | Facility $1323.82 |
| Rest Of Illinois | Office Unavailable | Facility $1404.69 |
| Rest Of Louisiana | Office Unavailable | Facility $1274.90 |
| Rest Of Maine | Office Unavailable | Facility $1219.70 |
| Rest Of Maryland | Office Unavailable | Facility $1317.24 |
| Rest Of Massachusetts | Office Unavailable | Facility $1311.58 |
| Rest Of Michigan | Office Unavailable | Facility $1318.29 |
| Rest Of Missouri | Office Unavailable | Facility $1270.40 |
| Rest Of New Jersey | Office Unavailable | Facility $1403.26 |
| Rest Of New York | Office Unavailable | Facility $1245.85 |
| Rest Of Oregon | Office Unavailable | Facility $1261.21 |
| Rest Of Pennsylvania | Office Unavailable | Facility $1283.34 |
| Rest Of Texas | Office Unavailable | Facility $1285.33 |
| Rest Of Washington | Office Unavailable | Facility $1302.05 |
| Rhode Island | Office Unavailable | Facility $1326.18 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $1338.67 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $1312.14 |
| Salinas | Office Unavailable | Facility $1306.86 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $1319.62 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $1425.84 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $1419.07 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $1463.68 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $1436.01 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $1289.14 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $1317.68 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $1306.83 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $1329.12 |
| Seattle (King Cnty) | Office Unavailable | Facility $1400.49 |
| South Carolina | Office Unavailable | Facility $1266.43 |
| South Dakota** | Office Unavailable | Facility $1189.49 |
| Southern Maine | Office Unavailable | Facility $1245.21 |
| Stockton | Office Unavailable | Facility $1274.78 |
| Suburban Chicago | Office Unavailable | Facility $1489.89 |
| Tennessee | Office Unavailable | Facility $1199.11 |
| Utah | Office Unavailable | Facility $1281.33 |
| Vallejo | Office Unavailable | Facility $1369.87 |
| Vermont | Office Unavailable | Facility $1219.99 |
| Virgin Islands | Office Unavailable | Facility $1322.36 |
| Virginia | Office Unavailable | Facility $1257.47 |
| Visalia | Office Unavailable | Facility $1274.78 |
| West Virginia | Office Unavailable | Facility $1363.72 |
| Wisconsin | Office Unavailable | Facility $1169.89 |
| Wyoming** | Office Unavailable | Facility $1269.92 |
| Yuba City | Office Unavailable | Facility $1274.78 |
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33922 billing questions
When is this code different from pulmonary artery repair?
Use this code when the documented operation divides and reimplants the pulmonary artery. A repair code is more appropriate when the work addresses a stenotic segment without that reimplantation.
Does the code describe pulmonary artery sling repair?
It can describe the transection and reimplantation performed to correct a pulmonary artery sling. The operative report should establish the anomalous anatomy and the work actually performed.
Can modifier 50 be reported for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor or anatomy.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with the standard multiple-procedure reduction applied to the other procedures.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,11633916,,Surgery of great vessel,A,,76.05,20.45,NA,20.45,,18.87,115.37,115.37,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11733917,,Repair pulmonary artery,A,,24.67,10.72,NA,10.72,,6.21,41.60,41.60,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11833920,,Repair pulmonary atresia,A,,31.92,10.63,NA,10.63,,8.05,50.60,50.60,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11933922,,Transect pulmonary artery,A,,23.61,10.00,NA,10.00,,5.96,39.57,39.57,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12033924,,Remove pulmonary shunt,A,,5.35,1.06,NA,1.06,,1.33,7.74,7.74,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12133925,,Rpr pul art unifocal w/o cpb,A,,30.52,9.65,NA,9.65,,7.69,47.86,47.86,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12233926,,Repr pul art unifocal w/cpb,A,,43.61,12.23,NA,12.23,,11.01,66.85,66.85,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00