Billing code 33824: PDA repairMedicare rate & RVUs in Utah

Surgical division and closure of a patent ductus arteriosus in a patient age 18 or older, reported for operative repair of this persistent vascular connection.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 33824 in Utah.

—Office (non-facility)
$1,095.99Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33824 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 33824 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 33824 covers

A patent ductus arteriosus is a persistent connection between the aorta and pulmonary artery. This code describes surgical division of the ductus and closure of the divided ends in an adult. A cardiothoracic surgeon typically performs the operation in an operating room, often through a thoracic surgical approach, when the ductus is being treated with open repair rather than ligation alone.

Report this code for patients age 18 or older when the operative documentation supports division and repair; age and the documented technique distinguish it from the pediatric division code and the ligation code. The 90-day global period includes 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 other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this single ductus. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

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.

33824 in Utah

33824 office and facility rates by payment locality
Payment localityOfficeFacility
UtahUnavailable$1,095.99

How the 33824 rate is calculated

Each of 33824’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 33824

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 19.72Practice expense 9.20Malpractice 4.95

33.8700 adjusted RVUs×$33.4009 conversion factor=$1,131.29

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 33824

33824 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33824

PDA repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33824

PDA repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33824 without 51 · national facility

$1,131.29

PDA repair

33824-51 · Second procedure: 50%

$565.65

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

33824 compared with similar codes

Compare codes

33824 vs 33820 vs 33822: national Medicare rates

Swap in your local Medicare rate.

  • 33824
    PDA repair · 19.72 wRVU
    —
  • 33820
    PDA repair · 16.27 wRVU
    —
  • 33822
    PDA repair · 17.27 wRVU
    —

How to choose

33820PDA repair
Choose 33820 when the operative technique is ligation. Choose 33824 when the surgeon divides and repairs the ductus in a patient age 18 or older.
33822PDA repair
Both codes describe PDA division and repair; 33822 is for patients younger than 18, while 33824 is for patients age 18 or older.

33824 billing questions

How is this code distinguished from 33820?

33824 describes division and repair of the ductus in a patient age 18 or older. 33820 describes PDA repair by ligation, so the documented operative technique matters.

When should 33822 be reported instead?

33822 is the division-and-repair code for patients younger than 18. Use 33824 for patients age 18 or older when the operative report supports division and repair.

Does the 90-day global period include routine postoperative care?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used for PDA repair?

No. The code concerns repair of a single ductus, so modifier 50 is inappropriate.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 33824PPRRVU2026_Oct_nonQPP.csv, line 4,082 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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