Billing code 33732: Pulmonary vein repairMedicare rate & RVUs in Alabama
Reports surgical correction of partial anomalous pulmonary venous drainage, redirecting affected veins toward the left atrium rather than systemic venous circulation.
CMS doesn’t publish an office rate for 33732 in Alabama.
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 9 sections
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.
33732 in Alabama
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Unavailable | $1,411.41 |
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
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
| 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 · 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.
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%).
33732 compared with similar codes
Compare codes
33732 vs 33730 vs 33726 vs 33724: national Medicare rates
Swap in your local Medicare rate.
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.
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
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