No office rate
Use 33926 for pulmonary artery unifocalization performed with cardiopulmonary bypass. Code 33925 is the corresponding service without bypass.
On this page
CMS RVU26D · Effective 2026-10-01
33925 Pulmonary artery repair Medicare reimbursement rates in Pennsylvania
Reports surgical unifocalization of pulmonary blood supply without cardiopulmonary bypass, typically to establish a usable pulmonary artery pathway in complex congenital heart disease. Compare 33925 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 33925 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
$1558.01–$1679.70
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 33925: Pulmonary artery unifocalization without bypass
Reports surgical unifocalization of pulmonary blood supply without cardiopulmonary bypass, typically to establish a usable pulmonary artery pathway in complex congenital heart disease.
This operation brings separate pulmonary blood-supply channels together into a unified pathway, commonly as part of surgical treatment for complex congenital heart disease such as pulmonary atresia with major aortopulmonary collateral arteries. A congenital cardiac surgeon performs it in an operating room. The defining distinction from the related bypass code is that the unifocalization is performed without cardiopulmonary bypass; the operative report should make the technique and bypass use clear.
Report the code for the unifocalization service, not for a different pulmonary artery reconstruction or an operation that removes an obstruction. It 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. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33925
- 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 RVU30.52 · 64%
- Practice expense (office) RVU9.65 · 20%
- Malpractice RVU7.69 · 16%
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.
33925 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
This code concerns reconstruction for pulmonary artery stenosis. Choose 33925 when the operation unifocalizes pulmonary blood-supply channels instead.
No office rate
This code concerns pulmonary artery stenosis reconstruction with cardiopulmonary bypass, not unifocalization without bypass.
Compare 33925 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
$1679.70
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$1558.01
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33925 billing questions
How is this code distinguished from 33926?
Both describe pulmonary artery unifocalization. Report 33925 when the procedure is performed without cardiopulmonary bypass; 33926 is the corresponding bypass code.
Is this the code for any pulmonary artery repair?
No. It describes unifocalization, not every reconstruction or repair of a pulmonary artery. For example, repair of pulmonary artery stenosis is represented by a different procedure code.
Can modifier 50 be used?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons are paid only with supporting documentation, and team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care through the 90-day period.
How does the multiple-procedure reduction affect this code?
When it is performed with other procedures in the same session, the highest-valued procedure is paid in full and the other procedures are subject to the standard 50% reduction.
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.
4,11833920,,Repair pulmonary atresia,A,,31.92,10.63,NA,10.63,,8.05,50.60,50.60,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11933922,,Transect pulmonary artery,A,,23.61,10.00,NA,10.00,,5.96,39.57,39.57,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12033924,,Remove pulmonary shunt,A,,5.35,1.06,NA,1.06,,1.33,7.74,7.74,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12133925,,Rpr pul art unifocal w/o cpb,A,,30.52,9.65,NA,9.65,,7.69,47.86,47.86,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12233926,,Repr pul art unifocal w/cpb,A,,43.61,12.23,NA,12.23,,11.01,66.85,66.85,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12333927,,Impltj tot rplcmt hrt sys,A,,47.78,9.42,NA,9.42,,12.06,69.26,69.26,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,12433928,,Rmvl & rplcmt tot hrt sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,XXX,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00