No office rate
Both describe open pulmonary artery embolectomy. Choose 33915 when cardiopulmonary bypass is used and 33910 when it is not.
On this page
CMS RVU26D · Effective 2026-10-01
33915 Pulmonary embolectomy Medicare reimbursement rates in Guam
Reports open removal of pulmonary artery emboli using cardiopulmonary bypass, typically for a major pulmonary embolism requiring surgical treatment. Compare 33915 office and facility rates across CMS payment localities in Guam.
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 33915 in Guam?
Guam 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
$1261.87
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 33915: Open pulmonary artery embolectomy with bypass
Reports open removal of pulmonary artery emboli using cardiopulmonary bypass, typically for a major pulmonary embolism requiring surgical treatment.
This code describes open surgical removal of embolic material from the pulmonary artery with cardiopulmonary bypass. A cardiothoracic surgeon typically performs the operation in a hospital operating room. A common clinical setting is a serious pulmonary embolism for which the treating team selects surgical embolectomy rather than a catheter-based approach. The operative report should establish the pulmonary artery target, embolus removal, open approach, and use of bypass.
Choose this code when the operation uses cardiopulmonary bypass; code 33910 describes the corresponding open embolectomy without bypass. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate for this operation. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33915
- 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 RVU24.33 · 62%
- Practice expense (office) RVU8.86 · 23%
- Malpractice RVU5.83 · 15%
46
Medicare services in 2024 · #5401 by national volume
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.
33915 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
Code 33917 describes pulmonary artery repair. Use 33915 for open removal of embolic material with bypass, not vessel repair as the primary work.
$1,788.74
Code 37184 describes catheter-based mechanical arterial thrombectomy. Code 33915 is the open pulmonary artery operation performed with cardiopulmonary bypass.
Compare 33915 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$1261.87
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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 33915 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,115
- Code
- 33915
- Physician work
- 24.33
- Practice expense
- 8.86
- Malpractice
- 5.83
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.33 | × 1.000 | 24.3300 |
| Practice expense | 8.86 | × 1.137 | 10.0738 |
| Malpractice | 5.83 | × 0.579 | 3.3756 |
| Total RVUs | 37.7794 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1261.87
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.33 | 1 |
| Practice expense | 8.86 | 1.137 |
| Malpractice | 5.83 | 0.579 |
(24.33 × 1 + 8.86 × 1.137 + 5.83 × 0.579) × $33.4009 = $1261.87
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.
33915 billing questions
How does this differ from code 33910?
This code is for open pulmonary artery embolectomy with cardiopulmonary bypass. Code 33910 describes the open procedure without bypass.
Can both 33915 and 33910 be reported for the same embolectomy?
They distinguish the bypass circumstances of the operation. Do not report both for the same embolectomy.
What documentation supports code selection?
The operative report should identify pulmonary artery embolus removal through an open approach and document use of cardiopulmonary bypass.
Does modifier 50 apply?
No. Modifier 50 is inappropriate for this pulmonary artery operation; report the procedure without bilateral reporting.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What care is included in the global period?
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.
4,11233904,,Perq p-art revsc each addl,A,,5.39,1.01,NA,1.01,,1.30,7.70,7.70,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,1133390F,,Ajcc cln cncr stage 4 docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11433910,,Remove lung artery emboli,A,,47.00,15.20,NA,15.20,,11.29,73.49,73.49,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11533915,,Remove lung artery emboli,A,,24.33,8.86,NA,8.86,,5.83,39.02,39.02,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11633916,,Surgery of great vessel,A,,76.05,20.45,NA,20.45,,18.87,115.37,115.37,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11733917,,Repair pulmonary artery,A,,24.67,10.72,NA,10.72,,6.21,41.60,41.60,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11833920,,Repair pulmonary atresia,A,,31.92,10.63,NA,10.63,,8.05,50.60,50.60,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014