No office rate
Choose 33820 for PDA repair by ligation; choose 33822 when the operative technique divides the ductus in a patient younger than 18.
On this page
CMS RVU26D · Effective 2026-10-01
33822 PDA repair Medicare reimbursement rates in Tennessee
Surgical division of a patent ductus arteriosus in a patient younger than 18, reported when open repair separates the persistent aortic-to-pulmonary connection. Compare 33822 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 33822 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
$883.12
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.
Cardiothoracic surgery
About 33822: Patent ductus repair by division, pediatric
Surgical division of a patent ductus arteriosus in a patient younger than 18, reported when open repair separates the persistent aortic-to-pulmonary connection.
A patent ductus arteriosus is a persistent connection between the aorta and pulmonary artery. This code describes surgical repair by dividing that connection in a patient younger than 18. A congenital cardiothoracic surgeon typically performs the operation in a hospital operating room, commonly through a left thoracotomy. The operative report should establish the patient’s age and document division of the ductus, rather than ligation alone.
Report this code for the division approach in a patient under 18; age and operative technique distinguish it from the adult division code and the ligation code. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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% reduction. Modifier 50 is inappropriate because the anatomy is not bilateral. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33822
- 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 RVU17.27 · 59%
- Practice expense (office) RVU7.53 · 26%
- Malpractice RVU4.33 · 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.
33822 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
Both describe PDA division repair. The age distinction is under 18 for 33822 and 18 or older for 33824.
No office rate
93582 describes percutaneous transcatheter PDA closure. This code describes open surgical division in a patient younger than 18.
Compare 33822 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
$883.12
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 33822 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
4,081
- Code
- 33822
- Physician work
- 17.27
- Practice expense
- 7.53
- Malpractice
- 4.33
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 17.27 | × 1.000 | 17.2700 |
| Practice expense | 7.53 | × 0.909 | 6.8448 |
| Malpractice | 4.33 | × 0.537 | 2.3252 |
| Total RVUs | 26.4400 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$883.12
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 17.27 | 1 |
| Practice expense | 7.53 | 0.909 |
| Malpractice | 4.33 | 0.537 |
(17.27 × 1 + 7.53 × 0.909 + 4.33 × 0.537) × $33.4009 = $883.12
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.
33822 billing questions
How does this code differ from PDA ligation?
Use this code when the surgeon divides the ductus as part of the repair. The ligation code, 33820, describes repair by ligation.
Does the patient’s age determine whether this or 33824 applies?
Yes. This code is for division repair in a patient younger than 18; 33824 is the corresponding division code for a patient 18 or older.
Can modifier 50 be reported?
No. The PDA is a single connection, and CMS identifies bilateral adjustment as inappropriate for this service.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and 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.
4,0783380F,,Ajcc brstcncr stage 4 docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07933814,,Obltrj a-pulm sep def w/byp,A,,25.91,10.96,NA,10.96,,6.53,43.40,43.40,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,08033820,,Repair pda by ligation,A,,16.27,7.34,NA,7.34,,4.09,27.70,27.70,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,08133822,,Repair pda div<18 years,A,,17.27,7.53,NA,7.53,,4.33,29.13,29.13,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,08233824,,Repair pda div 18 yrs&older,A,,19.72,9.20,NA,9.20,,4.95,33.87,33.87,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0833382F,,Ajcc cln cncr stage 0 docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,08433840,,Exc coa w/direct anastomosis,A,,20.81,9.45,NA,9.45,,5.23,35.49,35.49,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780