33732 applies to repair of a partial anomalous pulmonary venous connection. This code is for total anomalous connection.
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CMS RVU26D · Effective 2026-10-01
33730 Pulmonary vein repair Medicare reimbursement rates in Tennessee
Reports surgical correction of total anomalous pulmonary venous connection, rerouting pulmonary venous blood to the left atrium during congenital heart surgery. Compare 33730 office and facility rates across CMS payment localities in Tennessee.
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 33730 in Tennessee?
Tennessee has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1704.48
1 of 1 localities have a supported rate.
Payment area: Tennessee
One mapped payment locality.
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 heart surgery
About 33730: Total anomalous pulmonary venous connection repair
Reports surgical correction of total anomalous pulmonary venous connection, rerouting pulmonary venous blood to the left atrium during congenital heart surgery.
This code describes surgery to correct total anomalous pulmonary venous connection, a congenital defect in which pulmonary veins drain to the right side of the circulation instead of normally connecting to the left atrium. A congenital cardiothoracic surgeon reroutes the pulmonary venous return to the left atrium, commonly using cardiopulmonary bypass. The operation may address associated cardiac defects as part of the same congenital repair. It is performed in a hospital operating room, often for an infant or child with the defect.
Select this code when the operative report documents a total anomalous connection and its surgical correction; partial anomalous drainage is coded differently. The record should identify the anatomy and describe the repair performed. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others are subject to the standard reduction. Bilateral adjustment is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33730
- 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 RVU35.24 · 63%
- Practice expense (office) RVU12.12 · 22%
- Malpractice RVU8.89 · 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.
33730 compared with similar codes
Office rates for Tennessee, from the same CMS release.
33724 is another repair code for anomalous pulmonary venous connection. Choose based on the documented anatomy and the specific service performed, not simply the presence of an abnormal vein.
33726 addresses pulmonary venous stenosis. This code addresses total anomalous pulmonary venous connection, a defect in where the veins drain.
Compare 33730 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.
1 of 1 payment localities
Tennessee →
Office / nonfacility
Unavailable
Facility
$1704.48
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33730 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
4,044
- Code
- 33730
- Physician work
- 35.24
- Practice expense
- 12.12
- Malpractice
- 8.89
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 35.24 | × 1.000 | 35.2400 |
| Practice expense | 12.12 | × 0.909 | 11.0171 |
| Malpractice | 8.89 | × 0.537 | 4.7739 |
| Total RVUs | 51.0310 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1704.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 35.24 | 1 |
| Practice expense | 12.12 | 0.909 |
| Malpractice | 8.89 | 0.537 |
(35.24 × 1 + 12.12 × 0.909 + 8.89 × 0.537) × $33.4009 = $1704.48
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
33730 billing questions
How is this distinguished from repair of a partial anomalous connection?
Use this code for correction of total anomalous pulmonary venous connection. A partial anomalous connection is represented by a different code, such as 33732 or 33724, depending on the service.
What documentation supports reporting this code?
The operative report should establish that the connection is total and describe the venous anatomy and rerouting performed. Include details of any associated defect repair documented in the operation.
Does the code have a postoperative global period?
Yes. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon be reported?
CMS indicates that assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does CMS handle other procedures performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are reduced when performed in the same session. Modifier 50 is inappropriate for this code.
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.
