Billing code 33762: Systemic-to-pulmonary shuntMedicare rate & RVUs in Nebraska
Reports a congenital cardiac shunt connecting the descending aorta to a pulmonary artery to provide pulmonary blood flow in selected patients.
CMS doesn’t publish an office rate for 33762 in Nebraska.
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 33762 covers
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.
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 in Nebraska
| Payment locality | Office | Facility |
|---|---|---|
| Nebraska | Unavailable | $1,074.13 |
How the 33762 rate is calculated
Each of 33762’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 · 33762
RVUs × geographic indexes × conversion factor
Work22.04
22.04 RVUs× 1.000 GPCI
Practice expense8.69
8.69 RVUs× 1.000 GPCI
Malpractice5.55
5.55 RVUs× 1.000 GPCI
Adjusted RVUs
36.2800
Conversion factor
$33.4009
Medicare rate
$1,211.78
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33762
33762 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33762
Systemic-to-pulmonary shunt
| 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 · 33762
Systemic-to-pulmonary shunt
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
33762 without 51 · national facility
$1,211.78
Systemic-to-pulmonary shunt
33762-51 · Second procedure: 50%
$605.89
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%).
33762 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 33750Systemic-to-pulmonary shunt
- Choose 33750 when the shunt originates from the subclavian artery; this code identifies a descending-aorta origin.
- 33755Systemic-pulmonary shunt
- Choose 33755 for an ascending-aorta-to-pulmonary-artery route. This code is for the descending aorta.
- 33764Systemic-pulmonary shunt
- 33764 describes a central shunt using a prosthetic graft. This code identifies the descending-aorta-to-pulmonary-artery route.
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 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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