CPT code 33506: Coronary repair2026 Medicare rate & RVUs in Georgia
Reports surgical correction of an anomalous coronary artery by moving its origin, typically reimplanting it at an appropriate site on the aorta.
CMS doesn’t publish an office rate for 33506 in Georgia.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 33506 covers
A congenital cardiac surgeon uses this operation to correct an anomalous coronary artery origin by mobilizing the vessel and moving its origin to an appropriate aortic location. It is used for selected congenital coronary artery arrangements, including an artery arising from the opposite aortic sinus when the surgeon chooses translocation rather than unroofing an intramural segment. The service is generally performed in a hospital operating room as part of cardiac surgery.
Select the code from the documented coronary origin and the operative technique; the report should identify the anomalous anatomy and describe the translocation or reimplantation. 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 others at 50%. Modifier 50 is inappropriate for this code. An assistant at surgery may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.
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.
Where 33506 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $1,972.64 |
| Rest Of Georgia | Unavailable | $1,921.75 |
How the 33506 rate is calculated
Each of 33506’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33506
RVUs × geographic indexes × conversion factor
Work36.90
36.90 RVUs× 1.000 GPCI
Practice expense10.72
10.72 RVUs× 1.000 GPCI
Malpractice9.29
9.29 RVUs× 1.000 GPCI
Adjusted RVUs
56.9100
Conversion factor
$33.4009
Medicare rate
$1,900.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33506
33506 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33506
Coronary repair
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33506
Coronary repair
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33506 without 51 · national facility
$1,900.85
Coronary repair
33506-51 · Second procedure: 50%
$950.43
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
33506 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 33504Coronary repair
- Choose 33504 for translocation of a coronary artery arising from the pulmonary artery. Code 33506 describes translocation for a different anomalous coronary origin.
- 33505Coronary repair
- 33505 uses an intrapulmonary tunnel for an anomalous coronary artery arising from the pulmonary artery; 33506 uses origin translocation.
- 33507Coronary repair
- 33507 describes unroofing an intramural coronary segment. Use 33506 when the documented repair moves the anomalous origin instead.
33506 billing questions
How does 33506 differ from 33507?
33506 is for correcting the anomalous origin by translocation. 33507 describes repair by unroofing an intramural coronary segment; use the technique documented in the operative report.
How does 33506 differ from 33504?
33504 addresses an anomalous coronary artery arising from the pulmonary artery and translocates that origin. 33506 is for translocation of an anomalous coronary origin in a different anatomic setting.
What documentation supports reporting 33506?
The operative report should identify the coronary artery's anomalous origin and describe mobilization and translocation or reimplantation of its origin.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How are assistants and co-surgeons handled?
An assistant at surgery may be paid. Co-surgeons are paid only with 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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