No office rate
Choose 33910 when the pulmonary artery embolectomy is performed with cardiopulmonary bypass. Code 33915 is for the procedure without bypass.
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CMS RVU26D · Effective 2026-10-01
33910 Pulmonary embolectomy Medicare reimbursement rates in Texas
Open removal of embolic material from the pulmonary artery using cardiopulmonary bypass, typically for a serious pulmonary embolism requiring surgical treatment. Compare 33910 office and facility rates across CMS payment localities in Texas.
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 33910 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 33910 pays more and less in Texas
Cardiothoracic surgery
About 33910: Pulmonary artery embolectomy with bypass
Open removal of embolic material from the pulmonary artery using cardiopulmonary bypass, typically for a serious pulmonary embolism requiring surgical treatment.
This service involves surgically removing obstructing embolic material from the pulmonary artery while the patient is supported by cardiopulmonary bypass. A cardiothoracic surgeon typically performs it in an operating room for a serious pulmonary embolism when operative embolectomy is selected. The work centers on clearing the pulmonary artery; it is distinct from treating chronic pulmonary artery obstruction through a percutaneous revascularization approach.
Report this code when the operative record supports pulmonary artery embolectomy performed with cardiopulmonary bypass. Documentation should identify the embolic disease, the operative removal, and use of bypass. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur 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 for this service. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33910
- 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 RVU47.00 · 64%
- Practice expense (office) RVU15.20 · 21%
- Malpractice RVU11.29 · 15%
41
Medicare services in 2024 · #5481 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.
33910 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
33900 describes percutaneous pulmonary artery revascularization, not open removal of embolic material with cardiopulmonary bypass.
No office rate
33917 concerns pulmonary artery repair. Use 33910 for embolic material removal with bypass, rather than repair of the artery.
Compare 33910 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $2444.23 |
| Beaumont | Office Unavailable | Facility $2382.17 |
| Brazoria | Office Unavailable | Facility $2379.66 |
| Dallas | Office Unavailable | Facility $2413.18 |
| Fort Worth | Office Unavailable | Facility $2413.01 |
| Galveston | Office Unavailable | Facility $2398.78 |
| Houston | Office Unavailable | Facility $2605.43 |
| Rest Of Texas | Office Unavailable | Facility $2392.16 |
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33910 billing questions
How is 33910 distinguished from 33915?
33910 is for pulmonary artery embolectomy performed with cardiopulmonary bypass. 33915 describes the corresponding embolectomy without bypass.
What documentation supports reporting 33910?
The operative report should establish removal of embolic material from the pulmonary artery and use of cardiopulmonary bypass. It should also describe the operative service performed.
Does the 90-day global period include postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be appended for emboli in both pulmonary arteries?
No. Modifier 50 is inappropriate for this service; report the procedure without treating it as a bilateral service.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure 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.
4,11133903,,Perq p-art revsc 1 abnor bi,A,,16.09,3.00,NA,3.00,,3.86,22.95,22.95,0,000,0.00,0.00,0.00,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11233904,,Perq p-art revsc each addl,A,,5.39,1.01,NA,1.01,,1.30,7.70,7.70,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,1133390F,,Ajcc cln cncr 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
4,11433910,,Remove lung artery emboli,A,,47.00,15.20,NA,15.20,,11.29,73.49,73.49,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11533915,,Remove lung artery emboli,A,,24.33,8.86,NA,8.86,,5.83,39.02,39.02,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11633916,,Surgery of great vessel,A,,76.05,20.45,NA,20.45,,18.87,115.37,115.37,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11733917,,Repair pulmonary artery,A,,24.67,10.72,NA,10.72,,6.21,41.60,41.60,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00