No office rate
33502 describes direct aortic implantation of the anomalous coronary artery; 33505 is the tunnel-based Takeuchi repair.
On this page
CMS RVU26D · Effective 2026-10-01
33505 Coronary repair Medicare reimbursement rates in Florida
Reports surgical creation of an intrapulmonary tunnel to route an anomalous coronary artery arising from the pulmonary artery toward the aorta. Compare 33505 office and facility rates across CMS payment localities in Florida.
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 33505 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2041.97–$2393.40
3 of 3 localities have a supported rate.
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.
Where 33505 pays more and less in Florida
Cardiac surgery
About 33505: Anomalous coronary artery tunnel repair
Reports surgical creation of an intrapulmonary tunnel to route an anomalous coronary artery arising from the pulmonary artery toward the aorta.
A congenital cardiac surgeon uses this operation to redirect blood flow when a coronary artery arises abnormally from the pulmonary artery. In the Takeuchi procedure, the surgeon creates a tunnel within the pulmonary artery to connect the anomalous coronary opening to the aorta. The operative report should identify the anomalous origin and describe construction of the intrapulmonary tunnel; the service is performed as open cardiac surgery.
Select this code when the documented repair uses the intrapulmonary tunnel technique, rather than direct coronary reimplantation or a bypass-based repair. The 90-day global period includes 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 other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33505
- 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 RVU37.44 · 66%
- Practice expense (office) RVU9.96 · 18%
- Malpractice RVU9.43 · 17%
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.
33505 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
33503 describes a ligation-and-bypass approach, while 33505 creates an intrapulmonary tunnel.
No office rate
33506 addresses an anomalous coronary artery arising from the aorta and uses ostial translocation, rather than routing a pulmonary-origin artery through a tunnel.
No office rate
33507 treats an anomalous aortic coronary origin by unroofing an intramural segment; 33505 treats a pulmonary-origin anomaly with an intrapulmonary tunnel.
Compare 33505 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$2156.99
Miami →
Office / nonfacility
Unavailable
Facility
$2393.40
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$2041.97
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33505 billing questions
When is this code chosen instead of 33502?
Use this code for repair by creating an intrapulmonary tunnel. Code 33502 describes direct aortic implantation of the anomalous coronary artery.
How does this differ from 33503?
This code represents the tunnel technique. Code 33503 describes repair using coronary artery ligation and bypass grafting.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be allowed. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What documentation supports reporting the tunnel repair?
The operative report should establish that the coronary artery arises from the pulmonary artery and describe creation of the intrapulmonary tunnel.
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.
3,97433502,,Coronary artery correction,A,,21.30,10.02,NA,10.02,,5.36,36.68,36.68,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97533503,,Coronary artery graft,A,,21.95,10.77,NA,10.77,,5.53,38.25,38.25,0,090,0.09,0.84,0.07,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97633504,,Coronary artery graft,A,,24.82,10.75,NA,10.75,,6.25,41.82,41.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97733505,,Repair artery w/tunnel,A,,37.44,9.96,NA,9.96,,9.43,56.83,56.83,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97833506,,Repair artery translocation,A,,36.90,10.72,NA,10.72,,9.29,56.91,56.91,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97933507,,Repair art intramural,A,,30.62,9.67,NA,9.67,,7.72,48.01,48.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,98033508,,Endoscopic vein harvest,A,,0.30,0.06,NA,0.06,,0.07,0.43,0.43,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00