No office rate
33925 describes pulmonary artery unifocalization without cardiopulmonary bypass. Choose 33917 for direct repair of a pulmonary artery rather than unifocalization.
On this page
CMS RVU26D · Effective 2026-10-01
33917 Pulmonary artery repair Medicare reimbursement rates in Vermont
Reports operative repair of a pulmonary artery, commonly to address stenosis, when the surgeon directly reconstructs the vessel with or without a patch. Compare 33917 office and facility rates across CMS payment localities in Vermont.
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 33917 in Vermont?
Vermont 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
$1283.43
1 of 1 localities have a supported rate.
Payment area: Vermont
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 33917: Pulmonary artery stenosis repair
Reports operative repair of a pulmonary artery, commonly to address stenosis, when the surgeon directly reconstructs the vessel with or without a patch.
A cardiothoracic or congenital heart surgeon uses this service to reconstruct a pulmonary artery, often to relieve a narrowed segment. The repair may use the patient’s own tissue or a patch graft. It is typically performed in a hospital operating room as part of surgery for pulmonary artery disease, including congenital narrowing. The operative report should identify the artery and lesion and describe the repair performed.
Select this code for direct pulmonary artery repair, not an operation whose principal work is unifocalizing collateral vessels or removing emboli. Document the site, reason for repair, and whether reconstruction or patching was performed. CMS assigns a 90-day major-surgery 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% 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 33917
- 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 RVU24.67 · 59%
- Practice expense (office) RVU10.72 · 26%
- Malpractice RVU6.21 · 15%
47
Medicare services in 2024 · #5390 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.
33917 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
33926 describes pulmonary artery unifocalization with cardiopulmonary bypass. It is not the direct pulmonary artery repair represented by 33917.
No office rate
33910 is for removal of pulmonary artery emboli. Use 33917 when the operative work is repair of the artery, not embolus removal.
No office rate
33915 is also an embolus-removal code, not a direct artery repair code. The operative objective distinguishes it from 33917.
Compare 33917 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
Vermont →
Office / nonfacility
Unavailable
Facility
$1283.43
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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 33917 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
4,117
- Code
- 33917
- Physician work
- 24.67
- Practice expense
- 10.72
- Malpractice
- 6.21
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.67 | × 1.000 | 24.6700 |
| Practice expense | 10.72 | × 0.990 | 10.6128 |
| Malpractice | 6.21 | × 0.506 | 3.1423 |
| Total RVUs | 38.4251 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1283.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.67 | 1 |
| Practice expense | 10.72 | 0.99 |
| Malpractice | 6.21 | 0.506 |
(24.67 × 1 + 10.72 × 0.99 + 6.21 × 0.506) × $33.4009 = $1283.43
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.
33917 billing questions
When is this code appropriate instead of 33925 or 33926?
Use 33917 for direct pulmonary artery repair. Codes 33925 and 33926 describe pulmonary artery unifocalization, with the code choice reflecting whether cardiopulmonary bypass is used.
Is modifier 50 appropriate for repair of both pulmonary arteries?
No. CMS identifies bilateral adjustment as inappropriate for this code. Report the operation according to the applicable coding instructions and documented work, not by adding modifier 50.
Does the code include related postoperative visits?
Yes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What operative documentation supports reporting 33917?
The report should identify the pulmonary artery and the lesion being treated, and describe the direct repair or patch reconstruction. It should make clear that the procedure was not unifocalization or embolus removal.
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 under the CMS facts for this code.
How does CMS handle another procedure performed in the same session?
The highest-valued procedure is paid in full, while other procedures are subject to the standard multiple-procedure reduction when performed in the same session.
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.
4,11433910,,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
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
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817