No office rate
Choose 33750 when the shunt originates from the subclavian artery; this code identifies a descending-aorta origin.
On this page
CMS RVU26D · Effective 2026-10-01
33762 Systemic-to-pulmonary shunt Medicare reimbursement rates in Hawaii
Reports a congenital cardiac shunt connecting the descending aorta to a pulmonary artery to provide pulmonary blood flow in selected patients. Compare 33762 office and facility rates across CMS payment localities in Hawaii.
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 33762 in Hawaii?
Hawaii 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
$1173.51
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.
Congenital cardiac surgery
About 33762: Descending aorta-to-pulmonary artery shunt
Reports a congenital cardiac shunt connecting the descending aorta to a pulmonary artery to provide pulmonary blood flow in selected patients.
This operation creates a connection from the descending aorta to a pulmonary artery, directing systemic blood into the pulmonary circulation. It is a palliative congenital heart operation, generally performed by a congenital cardiac surgeon in a hospital operating room when the anatomy and clinical plan call for this specific route of pulmonary blood flow. The Potts-Smith route distinguishes it from shunts originating at the subclavian or ascending aorta, and from a central shunt constructed with a prosthetic graft.
Select the code from the operative report’s documented shunt origin and destination; the report should identify the descending aorta and pulmonary artery and describe the constructed connection. 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 other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate for this anatomy.
CMS billing rules for 33762
- 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 RVU22.04 · 61%
- Practice expense (office) RVU8.69 · 24%
- Malpractice RVU5.55 · 15%
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.
33762 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
Choose 33755 for an ascending-aorta-to-pulmonary-artery route. This code is for the descending aorta.
No office rate
33764 describes a central shunt using a prosthetic graft. This code identifies the descending-aorta-to-pulmonary-artery route.
Compare 33762 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
$1173.51
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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 33762 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,054
- Code
- 33762
- Physician work
- 22.04
- Practice expense
- 8.69
- Malpractice
- 5.55
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 22.04 | × 1.000 | 22.0400 |
| Practice expense | 8.69 | × 1.137 | 9.8805 |
| Malpractice | 5.55 | × 0.579 | 3.2134 |
| Total RVUs | 35.1340 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1173.51
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 22.04 | 1 |
| Practice expense | 8.69 | 1.137 |
| Malpractice | 5.55 | 0.579 |
(22.04 × 1 + 8.69 × 1.137 + 5.55 × 0.579) × $33.4009 = $1173.51
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.
33762 billing questions
How is this distinguished from the other systemic-to-pulmonary shunt codes?
Use the documented arterial origin and route. This code is for a connection from the descending aorta; the related codes cover subclavian-to-pulmonary or ascending-aorta-to-pulmonary routes.
What operative documentation supports this code?
The operative report should identify the descending aorta as the source and the pulmonary artery as the destination, and describe the shunt created.
Is modifier 50 appropriate?
No. Modifier 50 is inappropriate for this shunt’s anatomy.
How are related postoperative visits handled?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction.
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.
4,0513374F,,Ajcc brst cncr stage 1 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
4,05233750,,Shunt subclavian to pulm art,A,,21.66,8.62,NA,8.62,,5.45,35.73,35.73,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,05333755,,Shunt as-aort to pulm art,A,,22.04,10.20,NA,10.20,,5.55,37.79,37.79,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,05433762,,Shunt desc aorta to pulm art,A,,22.04,8.69,NA,8.69,,5.55,36.28,36.28,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,05533764,,Shunt central w/prostc graft,A,,22.04,10.20,NA,10.20,,5.55,37.79,37.79,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,05633766,,Shunt supr v/c p-art 1 lung,A,,22.98,8.88,NA,8.88,,5.78,37.64,37.64,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,05733767,,Shunt supr v/c p-art bth lng,A,,24.67,9.21,NA,9.21,,6.21,40.09,40.09,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,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