No office rate
This code addresses repair of an anomalous coronary artery without bypass. Code 33503 is for the specific anomaly in which a coronary artery arises from the pulmonary artery and the repair uses bypass.
On this page
CMS RVU26D · Effective 2026-10-01
33502 Coronary repair Medicare reimbursement rates in Pennsylvania
Reports surgical correction of an anomalous coronary artery without bypass, such as repair of a congenital coronary artery course or origin abnormality. Compare 33502 office and facility rates across CMS payment localities in Pennsylvania.
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 33502 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1187.85–$1286.23
2 of 2 localities have a supported rate.
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.
Cardiac surgery
About 33502: Anomalous coronary artery repair without bypass
Reports surgical correction of an anomalous coronary artery without bypass, such as repair of a congenital coronary artery course or origin abnormality.
This code is for surgical correction of an anomalous coronary artery performed without bypass. It may be used for a congenital coronary artery origin or course abnormality when the surgeon performs a repair rather than a separately defined procedure such as translocation or unroofing. Cardiothoracic surgeons typically perform the operation in a hospital operating room. The operative report should identify the coronary anomaly, the repair performed, and whether bypass was used.
Choose the code based on the documented anatomy and operative technique, not merely the diagnosis of a coronary anomaly. Medicare assigns 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 multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33502
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU21.30 · 58%
- Practice expense (office) RVU10.02 · 27%
- Malpractice RVU5.36 · 15%
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.
33502 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Use 33506 when the operative technique is translocation of the coronary artery. This code is for a repair without bypass that is not described as translocation.
No office rate
Code 33507 specifically describes unroofing an intramural coronary artery. This code represents a different repair of an anomalous coronary artery without bypass.
No office rate
Code 33500 is for repair of a coronary artery fistula with cardiopulmonary bypass. This code concerns an anomalous coronary artery repair without bypass, not fistula closure.
Compare 33502 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$1286.23
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1187.85
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33502 billing questions
When should this code be chosen instead of a coronary artery translocation code?
Use this code when the surgeon repairs the anomaly without bypass and the documented procedure is not a separately specified translocation. A documented translocation points to the code for that distinct technique.
How does this code differ from repair of an anomalous coronary artery from the pulmonary artery?
The pulmonary-artery anomaly code describes a specific origin abnormality and repair performed with bypass. Select based on the operative anatomy and whether bypass was used.
Are related postoperative visits included?
Yes. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can an assistant surgeon be reported?
An assistant at surgery may be paid for this procedure. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when this procedure is performed with another procedure in the same session?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures.
What documentation supports reporting this code?
The operative report should describe the coronary artery anomaly, the repair technique, and whether bypass was used. Those details distinguish this service from procedures for fistula, translocation, or intramural artery repair.
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.
3,97133496,,Repair prosth valve clot,A,,29.09,11.43,NA,11.43,,6.98,47.50,47.50,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97233500,,Repair heart vessel fistula,A,,27.24,10.78,NA,10.78,,6.53,44.55,44.55,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97333501,,Repair heart vessel fistula,A,,19.02,8.62,NA,8.62,,4.55,32.19,32.19,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97433502,,Coronary artery correction,A,,21.30,10.02,NA,10.02,,5.36,36.68,36.68,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97533503,,Coronary artery graft,A,,21.95,10.77,NA,10.77,,5.53,38.25,38.25,0,090,0.09,0.84,0.07,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97633504,,Coronary artery graft,A,,24.82,10.75,NA,10.75,,6.25,41.82,41.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97733505,,Repair artery w/tunnel,A,,37.44,9.96,NA,9.96,,9.43,56.83,56.83,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00