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Billing code 33925: Pulmonary artery repairMedicare rate & RVUs

Reports surgical unifocalization of pulmonary blood supply without cardiopulmonary bypass, typically to establish a usable pulmonary artery pathway in complex congenital heart disease.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,598.57 for 33925 nationally in a facility.

Medicare rate · 33925

Pulmonary artery repair

Swap in your local Medicare rate.

Work RVUs
30.52
Total RVUs
47.86
Global days
090

National rate · 2026

$1,598.57

Facility setting, before claim adjustments.

See every locality for 33925 → · 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 33925 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 33925 covers

This operation brings separate pulmonary blood-supply channels together into a unified pathway, commonly as part of surgical treatment for complex congenital heart disease such as pulmonary atresia with major aortopulmonary collateral arteries. A congenital cardiac surgeon performs it in an operating room. The defining distinction from the related bypass code is that the unifocalization is performed without cardiopulmonary bypass; the operative report should make the technique and bypass use clear.

Report the code for the unifocalization service, not for a different pulmonary artery reconstruction or an operation that removes an obstruction. It has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. 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.

Where 33925 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

33925 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,446.80
Alaska*Unavailable$2,013.89
ArizonaUnavailable$1,551.59
ArkansasUnavailable$1,428.55
AtlantaUnavailable$1,658.41
AustinUnavailable$1,590.02
BakersfieldUnavailable$1,548.45
Baltimore/Surr. CntysUnavailable$1,699.28
BeaumontUnavailable$1,551.32
BrazoriaUnavailable$1,547.31

33925 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
33925 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 33925 rate is calculated

Each of 33925’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 · 33925

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 30.52Practice expense 9.65Malpractice 7.69

47.8600 adjusted RVUs×$33.4009 conversion factor=$1,598.57

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

Payment rules and modifiers for 33925

33925 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33925

Pulmonary artery 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 · 33925

Pulmonary artery 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

33925 without 51 · national facility

$1,598.57

Pulmonary artery repair

33925-51 · Second procedure: 50%

$799.29

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

33925 compared with similar codes

Compare codes

33925 vs 33926 vs 33916 vs 33917: national Medicare rates

Swap in your local Medicare rate.

  • 33925
    Pulmonary artery repair · 30.52 wRVU
    —
  • 33926
    Pulmonary artery repair · 43.61 wRVU
    —
  • 33916
    Pulmonary embolectomy · 76.05 wRVU
    —
  • 33917
    Pulmonary artery repair · 24.67 wRVU
    —

How to choose

33926Pulmonary artery repair
Use 33926 for pulmonary artery unifocalization performed with cardiopulmonary bypass. Code 33925 is the corresponding service without bypass.
33916Pulmonary embolectomy
This code concerns reconstruction for pulmonary artery stenosis. Choose 33925 when the operation unifocalizes pulmonary blood-supply channels instead.
33917Pulmonary artery repair
This code concerns pulmonary artery stenosis reconstruction with cardiopulmonary bypass, not unifocalization without bypass.

Codes related to 33925

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

Codes related to 33925
CodeHow it relatesNational office range
Same family
33926Pulmonary artery repairCorresponding pulmonary artery unifocalization code when cardiopulmonary bypass is used.No office rate
Used instead
33916Pulmonary embolectomyFor pulmonary artery stenosis reconstruction rather than unifocalization.No office rate
33917Pulmonary artery repairPulmonary artery stenosis reconstruction with cardiopulmonary bypass, rather than unifocalization.No office rate

33925 billing questions

How is this code distinguished from 33926?

Both describe pulmonary artery unifocalization. Report 33925 when the procedure is performed without cardiopulmonary bypass; 33926 is the corresponding bypass code.

Is this the code for any pulmonary artery repair?

No. It describes unifocalization, not every reconstruction or repair of a pulmonary artery. For example, repair of pulmonary artery stenosis is represented by a different procedure code.

Can modifier 50 be used?

No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons are paid only with 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.

How does the multiple-procedure reduction affect this code?

When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.

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 33925PPRRVU2026_Oct_nonQPP.csv, line 4,121 (RVU26D)

Open CMS sourceHow we calculate rates

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