Billing code 33922: Pulmonary artery surgeryMedicare rate & RVUs in Oregon
Reports surgical division and reimplantation of a pulmonary artery, commonly to correct an anomalous pulmonary artery origin such as a pulmonary artery sling.
CMS doesn’t publish an office rate for 33922 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 9 sections
What 33922 covers
A congenital cardiac surgeon may divide and reimplant a pulmonary artery to correct an abnormal origin or course. A classic setting is repair of a pulmonary artery sling, in which an anomalously arising pulmonary artery is repositioned to restore a more normal route. The procedure is performed in an operating room, typically in a hospital setting.
Report the code when the operative work includes transection and reimplantation, supported by documentation of the vessel’s anatomy and the reconstruction performed. Distinguish this operation from repair of a stenotic pulmonary artery, repair of pulmonary atresia, or pulmonary artery unifocalization. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation; 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 33922 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $1,320.40 |
| Rest Of Oregon | Unavailable | $1,261.21 |
How the 33922 rate is calculated
Each of 33922’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 · 33922
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 23.61Practice expense 10.00Malpractice 5.96
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33922
33922 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33922
Pulmonary artery surgery
| 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 · 33922
Pulmonary artery surgery
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
33922 without 51 · national facility
$1,321.67
Pulmonary artery surgery
33922-51 · Second procedure: 50%
$660.84
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%).
33922 compared with similar codes
Compare codes
33922 vs 33917 vs 33920 vs 33925 vs 33926: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33917Pulmonary artery repair
- This code describes transection and reimplantation. Code 33917 is for pulmonary artery repair directed at stenosis.
- 33920Congenital heart repair
- Choose 33920 when the operation repairs pulmonary atresia; this code describes transection and reimplantation of a pulmonary artery.
- 33925Pulmonary artery repair
- Code 33925 describes pulmonary artery unifocalization without cardiopulmonary bypass. It is not the code for reimplanting an anomalously arising pulmonary artery.
- 33926Pulmonary artery repair
- Code 33926 describes pulmonary artery unifocalization with cardiopulmonary bypass, rather than pulmonary artery transection and reimplantation.
33922 billing questions
When is this code different from pulmonary artery repair?
Use this code when the documented operation divides and reimplants the pulmonary artery. A repair code is more appropriate when the work addresses a stenotic segment without that reimplantation.
Does the code describe pulmonary artery sling repair?
It can describe the transection and reimplantation performed to correct a pulmonary artery sling. The operative report should establish the anomalous anatomy and the work actually performed.
Can modifier 50 be reported for bilateral work?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor or anatomy.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, with the standard multiple-procedure reduction applied to the other procedures.
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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