Billing code 33726: Pulmonary vein repairMedicare rate & RVUs in Oregon
Surgical reconstruction enlarges a narrowed pulmonary vein, commonly for congenital or recurrent pulmonary venous stenosis treated by a cardiothoracic surgeon.
CMS doesn’t publish an office rate for 33726 in Oregon.
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 8 sections
What 33726 covers
This code describes an operation to widen or reconstruct a narrowed pulmonary venous pathway so blood can flow from the lungs to the heart. Cardiothoracic surgeons may use tissue reconstruction or a sutureless approach, particularly for congenital or recurrent pulmonary vein stenosis. The service is performed in an operating room, commonly in a hospital setting; the patient may be an infant or child, though pulmonary vein stenosis can also occur in adults.
Report the code when the operative work treats stenosis of a pulmonary vein, not an abnormal connection or drainage pattern alone. The operative report should identify the affected vein and document the narrowing and reconstruction performed. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be available; 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.
Where 33726 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,873.46 |
| Rest Of Oregon | Unavailable | $1,798.32 |
How the 33726 rate is calculated
Each of 33726’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 · 33726
RVUs × geographic indexes × conversion factor
Work36.19
36.19 RVUs× 1.000 GPCI
Practice expense11.27
11.27 RVUs× 1.000 GPCI
Malpractice9.14
9.14 RVUs× 1.000 GPCI
Adjusted RVUs
56.6000
Conversion factor
$33.4009
Medicare rate
$1,890.49
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33726
33726 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33726
Pulmonary vein repair
| 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 · 33726
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33726 without 51 · national facility
$1,890.49
Pulmonary vein repair
33726-51 · Second procedure: 50%
$945.25
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%).
33726 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 33724Venous anomaly repair
- This code addresses pulmonary venous stenosis. Code 33724 is for repair of a pulmonary venous anomaly, rather than narrowing of the vein itself.
- 33730Pulmonary vein repair
- Use this code for pulmonary venous stenosis reconstruction; code 33730 is for repair of an anomalous pulmonary venous connection, not stenosis alone.
- 33732Pulmonary vein repair
- This code treats a narrowed pulmonary vein. Code 33732 concerns repair of a heart-vein defect such as an anomalous pulmonary venous connection.
33726 billing questions
When is this code appropriate instead of a pulmonary venous anomaly repair code?
Use it when the operation reconstructs a stenosed pulmonary vein. A procedure correcting anomalous pulmonary venous drainage is a different service, even if it involves the same veins.
What documentation supports reporting this code?
The operative report should identify the stenosed pulmonary vein and describe the narrowing and the reconstruction performed, such as tissue enlargement or a sutureless repair.
Can modifier 50 be reported for stenosis affecting both sides?
No. The CMS bilateral adjustment is not applicable to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What postoperative 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 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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