No office rate
This code includes cardiopulmonary bypass for pulmonary artery unifocalization. Code 33925 describes the corresponding unifocalization performed without bypass.
On this page
CMS RVU26D · Effective 2026-10-01
33926 Pulmonary artery repair Medicare reimbursement rates in Colorado
Reports surgical unifocalization of pulmonary arteries using cardiopulmonary bypass, typically to assemble collateral vessels into a usable pulmonary blood-flow pathway. Compare 33926 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 33926 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
$2195.94
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.
Cardiothoracic surgery
About 33926: Pulmonary artery unifocalization with bypass
Reports surgical unifocalization of pulmonary arteries using cardiopulmonary bypass, typically to assemble collateral vessels into a usable pulmonary blood-flow pathway.
During unifocalization, the surgeon brings separate pulmonary blood-supply vessels, often major aortopulmonary collateral arteries, into a reconstructed pulmonary artery pathway. This operation is commonly part of congenital heart surgery for pulmonary atresia with ventricular septal defect and collateral-supplied lungs. A cardiothoracic surgeon performs the reconstruction in an operating room using cardiopulmonary bypass.
Choose this code when the operative report supports pulmonary artery unifocalization and use of cardiopulmonary bypass; code 33925 is the corresponding option when bypass is not used. Document the vessels incorporated, the reconstruction performed, and bypass use. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. CMS does not permit team-surgery payment for this service.
CMS billing rules for 33926
- 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 RVU43.61 · 65%
- Practice expense (office) RVU12.23 · 18%
- Malpractice RVU11.01 · 16%
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.
33926 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
Use 33917 for pulmonary artery stenosis repair with bypass. Code 33926 describes unifocalization of pulmonary blood-supply vessels, not repair of a focal stenosis.
No office rate
Code 33920 describes repair of pulmonary atresia. Code 33926 is selected when the operative work is pulmonary artery unifocalization with bypass.
Compare 33926 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
$2195.94
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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 33926 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
4,122
- Code
- 33926
- Physician work
- 43.61
- Practice expense
- 12.23
- Malpractice
- 11.01
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 43.61 | × 1.012 | 44.1333 |
| Practice expense | 12.23 | × 1.064 | 13.0127 |
| Malpractice | 11.01 | × 0.781 | 8.5988 |
| Total RVUs | 65.7448 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$2195.94
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 43.61 | 1.012 |
| Practice expense | 12.23 | 1.064 |
| Malpractice | 11.01 | 0.781 |
(43.61 × 1.012 + 12.23 × 1.064 + 11.01 × 0.781) × $33.4009 = $2195.94
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.
33926 billing questions
How does this code differ from 33925?
Both describe pulmonary artery unifocalization. Use 33926 when cardiopulmonary bypass is used and 33925 when the operation is performed without it.
What documentation supports reporting 33926?
The operative report should describe the unifocalization and pulmonary artery reconstruction, identify the vessels incorporated, and document use of cardiopulmonary bypass.
Are related postoperative visits separately reported?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be paid for this operation?
CMS permits assistant-at-surgery payment for this service. Co-surgeon payment requires supporting documentation.
How does the multiple-procedure rule affect payment?
When other 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.
Can team-surgery payment be reported?
CMS does not permit team-surgery payment 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 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.
4,11933922,,Transect pulmonary artery,A,,23.61,10.00,NA,10.00,,5.96,39.57,39.57,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12033924,,Remove pulmonary shunt,A,,5.35,1.06,NA,1.06,,1.33,7.74,7.74,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12133925,,Rpr pul art unifocal w/o cpb,A,,30.52,9.65,NA,9.65,,7.69,47.86,47.86,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12233926,,Repr pul art unifocal w/cpb,A,,43.61,12.23,NA,12.23,,11.01,66.85,66.85,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12333927,,Impltj tot rplcmt hrt sys,A,,47.78,9.42,NA,9.42,,12.06,69.26,69.26,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12433928,,Rmvl & rplcmt tot hrt sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12533929,,Rmvl rplcmt hrt sys f/trnspl,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,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