Billing code 33902: Pulmonary artery revascularizationMedicare rate & RVUs in Alaska

Reports catheter-based revascularization of one abnormal pulmonary artery on one side, such as treatment of a pulmonary artery stenosis.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 33902 in Alaska.

—Office (non-facility)
$834.23Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33902 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Alaska
  2. What 33902 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 33902 covers

Code 33902 represents catheter-based treatment to restore flow through one abnormal pulmonary artery on one side. It is used for interventions such as balloon dilation or stent treatment of a narrowed pulmonary artery, often in patients with congenital heart disease or narrowing after prior surgery. An interventional cardiologist, commonly a congenital heart specialist, performs the procedure in a cardiac catheterization setting.

Select this code when one abnormal vessel on one side is treated; document the vessel, laterality, abnormality, and intervention performed. The bilateral code for abnormal vessels is 33903, and 33904 is used for each additional treated vessel when applicable. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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.

33902 in Alaska*

33902 office and facility rates by payment locality
Payment localityOfficeFacility
Alaska*Unavailable$834.23

How the 33902 rate is calculated

Each of 33902’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 · 33902

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 13.65Practice expense 2.54Malpractice 3.26

19.4500 adjusted RVUs×$33.4009 conversion factor=$649.65

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

Payment rules and modifiers for 33902

The CMS indicators that decide how 33902 is paid alongside other services.

CMS payment indicators · 33902

Pulmonary artery revascularization

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33902 without 51 · national facility

$649.65

Pulmonary artery revascularization

33902-51 · Second procedure: 50%

$324.83

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

33902 compared with similar codes

Compare codes

33902 vs 33900 vs 33903 vs 33904: national Medicare rates

Swap in your local Medicare rate.

  • 33902
    Pulmonary artery revascularization · 13.65 wRVU
    —
  • 33900
    Pulmonary artery treatment · 10.75 wRVU
    —
  • 33903
    Pulmonary artery revascularization · 16.09 wRVU
    —
  • 33904
    Pulmonary revascularization · 5.39 wRVU
    —

How to choose

33900Pulmonary artery treatment
Both are unilateral pulmonary artery revascularization codes. Choose 33902 for an abnormal vessel and 33900 for a non-native vessel.
33903Pulmonary artery revascularization
Use 33903 when abnormal pulmonary arteries on both sides are treated; 33902 describes unilateral treatment.
33904Pulmonary revascularization
33902 covers the primary unilateral vessel; 33904 is the add-on for each additional vessel treated.

33902 billing questions

When should I choose 33902 rather than 33900?

Both describe unilateral pulmonary artery revascularization, but 33902 is for an abnormal vessel; 33900 is for a non-native vessel. Use the category supported by the operative findings and documentation.

What code applies when abnormal vessels on both sides are treated?

Use 33903 for bilateral treatment of abnormal pulmonary arteries. Modifier 50 is inappropriate for 33902.

How do I report treatment of an additional vessel?

Code 33904 is the add-on code for each additional vessel treated. Document the number of vessels and the work performed on each.

Is same-day preoperative or postoperative care separately included?

No. The 0-day global period includes same-day preoperative and postoperative care for this procedure.

When is assistant-at-surgery payment allowed?

CMS payment for an assistant at surgery requires documentation of medical necessity. Co-surgeons and team surgery are not permitted for this service.

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 33902PPRRVU2026_Oct_nonQPP.csv, line 4,110 (RVU26D)
Geographic factors for Alaska*GPCI2026.csv, line 5 (RVU26D)

Open CMS sourceHow we calculate rates

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