No office rate
Use 33620 when the operation applies bands to both the right and left pulmonary arteries; 33690 describes pulmonary artery banding without that bilateral specification.
On this page
CMS RVU26D · Effective 2026-10-01
33690 Pulmonary artery banding Medicare reimbursement rates in Colorado
Reports surgical placement of a pulmonary artery band to limit excessive pulmonary blood flow, commonly as palliation for congenital heart disease. Compare 33690 office and facility rates across CMS payment localities in Colorado.
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 33690 in Colorado?
Colorado 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
$1147.99
1 of 1 localities have a supported rate.
Payment area: Colorado
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.
Congenital cardiac surgery
About 33690: Pulmonary artery band placement
Reports surgical placement of a pulmonary artery band to limit excessive pulmonary blood flow, commonly as palliation for congenital heart disease.
A surgeon places a constricting band around the pulmonary artery to reduce blood flow to the lungs. This is a palliative operation used in selected congenital heart conditions with excessive pulmonary blood flow, including situations in which a child needs protection from ongoing pulmonary overcirculation before another cardiac operation. The procedure is performed in an operating room by a congenital cardiac surgeon, generally in a hospital setting.
Report the code for banding the pulmonary artery; distinguish it from code 33620, which describes bands on both the right and left pulmonary arteries. The operative report should identify the treated vessel and document the band placement and clinical reason for limiting pulmonary flow. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are paid at 50%. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33690
- 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 RVU19.85 · 57%
- Practice expense (office) RVU9.76 · 28%
- Malpractice RVU4.99 · 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.
33690 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
33688 describes closure of a single ventricular septal defect with removal of a pulmonary artery band, rather than placement of a band.
No office rate
33677 describes closure of multiple ventricular septal defects with removal of a pulmonary artery band; it is not the band-placement service.
Compare 33690 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
Colorado →
Office / nonfacility
Unavailable
Facility
$1147.99
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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 33690 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
4,033
- Code
- 33690
- Physician work
- 19.85
- Practice expense
- 9.76
- Malpractice
- 4.99
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.85 | × 1.012 | 20.0882 |
| Practice expense | 9.76 | × 1.064 | 10.3846 |
| Malpractice | 4.99 | × 0.781 | 3.8972 |
| Total RVUs | 34.3700 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1147.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.85 | 1.012 |
| Practice expense | 9.76 | 1.064 |
| Malpractice | 4.99 | 0.781 |
(19.85 × 1.012 + 9.76 × 1.064 + 4.99 × 0.781) × $33.4009 = $1147.99
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.
33690 billing questions
How does 33690 differ from 33620?
33690 is for banding the pulmonary artery. Code 33620 describes applying bands to both the right and left pulmonary arteries, so use the operative report to identify which vessels were treated.
Should modifier 50 be added for bilateral banding?
No. CMS identifies bilateral adjustment as inappropriate for this code; the separate bilateral pulmonary artery banding code is 33620.
What documentation supports reporting 33690?
Document the congenital condition and reason for restricting pulmonary blood flow, the vessel treated, and the surgical work performed to place the band.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; 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 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.
4,03033681,,Closure 1 vsd w/wo patch,A,,31.53,12.79,NA,12.79,,7.95,52.27,52.27,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,03133684,,Clsr 1 vsd w/wo patch w/vlvt,A,,33.51,10.73,NA,10.73,,8.46,52.70,52.70,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,03233688,,Clsr 1vsd w/wo ptch rmvl bnd,A,,33.88,9.74,NA,9.74,,8.55,52.17,52.17,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,03333690,,Banding pulmonary artery,A,,19.85,9.76,NA,9.76,,4.99,34.60,34.60,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,03433692,,Comp rpr tof wo pulm atresia,A,,35.25,10.01,NA,10.01,,8.90,54.16,54.16,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,03533694,,Cmp rpr tof wo plm atrs ptch,A,,34.68,10.96,NA,10.96,,8.74,54.38,54.38,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,03633697,,Compl rpr tof w/pulm atresia,A,,36.63,11.34,NA,11.34,,9.24,57.21,57.21,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899