33726 Pulmonary vein repair Medicare reimbursement rates in California

This code describes an operation to widen or reconstruct a narrowed pulmonary venous pathway so blood can flow from the lungs to the heart. Cardiothoracic surgeons may use tissue reconstruction or a sutureless approach, particularly for congenital or recurrent pulmonary vein stenosis. The service is performed in an operating room, commonly in a hospital setting; the patient may be an infant or child, though pulmonary vein stenosis can also occur in adults.

Report the code when the operative work treats stenosis of a pulmonary vein, not an abnormal connection or drainage pattern alone. The operative report should identify the affected vein and document the narrowing and reconstruction performed. The service 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 for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.