No office rate
The key distinction is vessel continuity: 33802 describes division without reconnection, while 33803 includes reanastomosis.
On this page
CMS RVU26D · Effective 2026-10-01
33802 Vessel division Medicare reimbursement rates in Arkansas
Reports surgical division of an aberrant vessel, commonly to relieve compression from a congenital vascular ring, without restoring vessel continuity. Compare 33802 office and facility rates across CMS payment localities in Arkansas.
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 33802 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$930.57
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
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.
Cardiovascular surgery
About 33802: Division of aberrant vessel
Reports surgical division of an aberrant vessel, commonly to relieve compression from a congenital vascular ring, without restoring vessel continuity.
A cardiovascular or thoracic surgeon divides an abnormally positioned vessel to relieve compression of structures such as the esophagus or trachea. A typical setting is operative treatment of a congenital vascular ring, including an aberrant subclavian artery causing swallowing or airway symptoms. The procedure may be performed in a hospital operating room through an open approach.
Select this code when the aberrant vessel is divided and not reconnected; use the related reanastomosis code when continuity is restored. The operative report should identify the vessel and document its division and whether it was reanastomosed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33802
- 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 RVU17.91 · 57%
- Practice expense (office) RVU8.88 · 28%
- Malpractice RVU4.51 · 14%
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.
33802 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
Aortic suspension treats compression related to aortic position; 33802 is for division of an aberrant vessel.
Compare 33802 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.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$930.57
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33802 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
4,076
- Code
- 33802
- Physician work
- 17.91
- Practice expense
- 8.88
- Malpractice
- 4.51
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.91 | × 1.000 | 17.9100 |
| Practice expense | 8.88 | × 0.859 | 7.6279 |
| Malpractice | 4.51 | × 0.515 | 2.3226 |
| Total RVUs | 27.8606 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$930.57
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.91 | 1 |
| Practice expense | 8.88 | 0.859 |
| Malpractice | 4.51 | 0.515 |
(17.91 × 1 + 8.88 × 0.859 + 4.51 × 0.515) × $33.4009 = $930.57
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
33802 billing questions
How do I distinguish this from 33803?
Use 33802 when the aberrant vessel is divided without reconnection. Use 33803 when the surgeon restores continuity by reanastomosis.
What documentation supports this code?
The operative report should identify the aberrant vessel, describe its division, and clarify whether continuity was restored.
Should modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
4,07333788,,Revision of pulmonary artery,A,,26.73,9.62,NA,9.62,,6.71,43.06,43.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0743378F,,Ajcc brstcncr stage 3 docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07533800,,Aortic suspension,A,,16.85,6.94,NA,6.94,,4.24,28.03,28.03,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07633802,,Division aberrant vessel,A,,17.91,8.88,NA,8.88,,4.51,31.30,31.30,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07733803,,Div aberrant vsl w/reanast,A,,19.80,7.76,NA,7.76,,4.97,32.53,32.53,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0783380F,,Ajcc brstcncr stage 4 docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07933814,,Obltrj a-pulm sep def w/byp,A,,25.91,10.96,NA,10.96,,6.53,43.40,43.40,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541