No office rate
33900 describes the primary vessel for unilateral treatment with normal native connections. Use 33904 for each additional vessel treated during that procedure.
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CMS RVU26D · Effective 2026-10-01
33904 Pulmonary revascularization Medicare reimbursement rates in Idaho
Report this add-on for each additional pulmonary artery vessel treated during percutaneous revascularization beyond the vessel represented by the primary code. Compare 33904 office and facility rates across CMS payment localities in Idaho.
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 33904 in Idaho?
Idaho 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
$231.61
1 of 1 localities have a supported rate.
Payment area: Idaho
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.
Interventional cardiology
About 33904: Additional pulmonary artery revascularization vessel
Report this add-on for each additional pulmonary artery vessel treated during percutaneous revascularization beyond the vessel represented by the primary code.
This add-on represents treatment of an additional pulmonary artery vessel during a catheter-based revascularization. It may be used in cases such as branch pulmonary artery narrowing in patients with congenital heart disease or after prior repair. The interventional cardiologist or another physician performing the catheter procedure documents the vessels treated and the revascularization performed.
Report 33904 with the applicable primary code from 33900–33903, which describes the first vessel and distinguishes native connections and unilateral or bilateral treatment. Use one unit for each additional vessel treated beyond that primary vessel. The procedure report should identify the treated vessels and support the vessel count and primary-code selection. CMS classifies 33904 as an add-on: it is billed only with a primary procedure, and payment is within that procedure’s global period.
CMS billing rules for 33904
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU5.39 · 70%
- Practice expense (office) RVU1.01 · 13%
- Malpractice RVU1.30 · 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.
33904 compared with similar codes
Office rates for Idaho, from the same CMS release.
No office rate
33901 describes the primary vessel for bilateral treatment with normal native connections. It does not represent each additional vessel; that is the role of 33904.
No office rate
33902 describes the primary vessel for unilateral treatment with abnormal native connections. Report 33904 for each additional treated vessel.
No office rate
33903 describes the primary vessel for bilateral treatment with abnormal native connections. Use 33904 to account for additional treated vessels.
Compare 33904 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
Idaho →
Office / nonfacility
Unavailable
Facility
$231.61
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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 33904 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
4,112
- Code
- 33904
- Physician work
- 5.39
- Practice expense
- 1.01
- Malpractice
- 1.30
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.39 | × 1.000 | 5.3900 |
| Practice expense | 1.01 | × 0.920 | 0.9292 |
| Malpractice | 1.30 | × 0.473 | 0.6149 |
| Total RVUs | 6.9341 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$231.61
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.39 | 1 |
| Practice expense | 1.01 | 0.92 |
| Malpractice | 1.3 | 0.473 |
(5.39 × 1 + 1.01 × 0.92 + 1.3 × 0.473) × $33.4009 = $231.61
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.
33904 billing questions
Which primary code is reported with 33904?
Use the applicable code from 33900–33903 for the primary vessel. Those codes distinguish normal versus abnormal native connections and unilateral versus bilateral treatment.
How many units of 33904 should be reported?
Report one unit for each additional pulmonary artery vessel treated beyond the vessel represented by the primary code.
Can 33904 be billed by itself?
No. CMS identifies it as an add-on code that must be billed with a primary procedure, with payment within that procedure’s global period.
What documentation supports an additional-vessel unit?
The procedure report should identify each pulmonary artery vessel treated and describe the revascularization performed, supporting the count beyond the primary vessel.
How does 33904 differ from codes 33900–33903?
Codes 33900–33903 describe the primary vessel and classify the native connections and laterality. Code 33904 captures each additional vessel treated.
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.
4,10933901,,Perq p-art revsc 1 nm nt bi,A,,14.14,2.63,NA,2.63,,3.38,20.15,20.15,0,000,0.00,0.00,0.00,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11033902,,Perq p-art revsc 1 abnor uni,A,,13.65,2.54,NA,2.54,,3.26,19.45,19.45,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11133903,,Perq p-art revsc 1 abnor bi,A,,16.09,3.00,NA,3.00,,3.86,22.95,22.95,0,000,0.00,0.00,0.00,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772