No office rate
This code describes catheter-based pulmonary artery stent placement. Code 33620 is for surgically placing bands around both pulmonary arteries to restrict flow.
On this page
CMS RVU26D · Effective 2026-10-01
33620 Pulmonary artery banding Medicare reimbursement rates in Pennsylvania
Reports surgical placement of bands on both pulmonary arteries to restrict pulmonary blood flow, commonly as palliation for congenital heart disease with excessive flow. Compare 33620 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 33620 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
$1498.14–$1615.48
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.
Congenital cardiac surgery
About 33620: Bilateral pulmonary artery band placement
Reports surgical placement of bands on both pulmonary arteries to restrict pulmonary blood flow, commonly as palliation for congenital heart disease with excessive flow.
A congenital cardiac surgeon places constricting bands around the right and left pulmonary arteries to limit blood flow to the lungs. The operation is generally used as a palliative or staged intervention for infants with congenital heart disease and pulmonary overcirculation, including situations where a more complete repair is deferred. It is performed in an operating room, typically in a hospital setting.
Report this code when the operative record supports placement of bands on both pulmonary arteries; a unilateral banding procedure is not described by this code. Documentation should identify the treated vessels, the band placement, and the congenital condition prompting flow restriction. The service has a 90-day global period, which includes the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate because bilateral anatomy is built into the service. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
CMS billing rules for 33620
- 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 RVU29.25 · 64%
- Practice expense (office) RVU9.40 · 20%
- Malpractice RVU7.38 · 16%
69
Medicare services in 2024 · #5154 by national volume
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.
33620 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
Code 33688 describes closure of one ventricular septal defect with removal of a pulmonary artery band. Code 33620 describes initial bilateral band placement.
No office rate
Code 33617 describes repair of a single-ventricle anomaly; code 33620 describes bilateral pulmonary artery banding as a flow-restricting operation.
Compare 33620 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
$1615.48
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1498.14
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33620 billing questions
When should this code be selected instead of a pulmonary artery stent code?
Use this code for surgical band placement around both pulmonary arteries to restrict flow. A pulmonary artery stent code describes catheter-based stent placement, not external banding.
Should modifier 50 be appended?
No. The service describes bilateral band placement, and CMS identifies bilateral adjustment as inappropriate for this code.
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 surgeon be reported?
Assistant-at-surgery payment may be made for this service. Co-surgeon payment requires supporting documentation.
How are other procedures in the same operative session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.
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.
4,01533615,,Repair modified fontan,A,,34.99,12.25,NA,12.25,,8.82,56.06,56.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01633617,,Repair single ventricle,A,,38.11,12.86,NA,12.86,,9.62,60.59,60.59,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01733619,,Repair single ventricle,A,,47.54,17.60,NA,17.60,,12.00,77.14,77.14,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01833620,,Apply r&l pulm art bands,A,,29.25,9.40,NA,9.40,,7.38,46.03,46.03,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01933621,,Transthor cath for stent,A,,15.78,6.75,NA,6.75,,3.97,26.50,26.50,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02033622,,Redo compl cardiac anomaly,A,,62.40,16.44,NA,16.44,,15.74,94.58,94.58,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02133641,,Repair heart septum defect,A,,28.84,9.81,NA,9.81,,7.28,45.93,45.93,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00