Billing code 33730: Pulmonary vein repairMedicare rate & RVUs in Ohio

Reports surgical correction of total anomalous pulmonary venous connection, rerouting pulmonary venous blood to the left atrium during congenital heart surgery.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 33730 in Ohio.

—Office (non-facility)
$1,845.96Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33730 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Ohio
  2. What 33730 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 33730 covers

This code describes surgery to correct total anomalous pulmonary venous connection, a congenital defect in which pulmonary veins drain to the right side of the circulation instead of normally connecting to the left atrium. A congenital cardiothoracic surgeon reroutes the pulmonary venous return to the left atrium, commonly using cardiopulmonary bypass. The operation may address associated cardiac defects as part of the same congenital repair. It is performed in a hospital operating room, often for an infant or child with the defect.

Select this code when the operative report documents a total anomalous connection and its surgical correction; partial anomalous drainage is coded differently. The record should identify the anatomy and describe the repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard reduction. Bilateral adjustment is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires 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.

33730 in Ohio

33730 office and facility rates by payment locality
Payment localityOfficeFacility
OhioUnavailable$1,845.96

How the 33730 rate is calculated

Each of 33730’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 · 33730

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 35.24Practice expense 12.12Malpractice 8.89

56.2500 adjusted RVUs×$33.4009 conversion factor=$1,878.80

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 33730

33730 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33730

Pulmonary vein repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33730

Pulmonary vein 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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33730 without 51 · national facility

$1,878.80

Pulmonary vein repair

33730-51 · Second procedure: 50%

$939.40

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%).

When to use modifier 51

33730 compared with similar codes

Compare codes

33730 vs 33732 vs 33724 vs 33726: national Medicare rates

Swap in your local Medicare rate.

  • 33730
    Pulmonary vein repair · 35.24 wRVU
    —
  • 33732
    Pulmonary vein repair · 28.24 wRVU
    —
  • 33724
    Venous anomaly repair · 26.94 wRVU
    —
  • 33726
    Pulmonary vein repair · 36.19 wRVU
    —

How to choose

33732Pulmonary vein repair
33732 applies to repair of a partial anomalous pulmonary venous connection. This code is for total anomalous connection.
33724Venous anomaly repair
33724 is another repair code for anomalous pulmonary venous connection. Choose based on the documented anatomy and the specific service performed, not simply the presence of an abnormal vein.
33726Pulmonary vein repair
33726 addresses pulmonary venous stenosis. This code addresses total anomalous pulmonary venous connection, a defect in where the veins drain.

33730 billing questions

How is this distinguished from repair of a partial anomalous connection?

Use this code for correction of total anomalous pulmonary venous connection. A partial anomalous connection is represented by a different code, such as 33732 or 33724, depending on the service.

What documentation supports reporting this code?

The operative report should establish that the connection is total and describe the venous anatomy and rerouting performed. Include details of any associated defect repair documented in the operation.

Does the code have a postoperative global period?

Yes. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant surgeon be reported?

CMS indicates that assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How does CMS handle other procedures performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are reduced when performed in the same session. Modifier 50 is inappropriate for this code.

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
RVUs for 33730PPRRVU2026_Oct_nonQPP.csv, line 4,044 (RVU26D)
Geographic factors for OhioGPCI2026.csv, line 85 (RVU26D)

Open CMS sourceHow we calculate rates

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