No office rate
Use 33788 when the pulmonary artery is revised; 33736 concerns revision of a heart chamber.
On this page
CMS RVU26D · Effective 2026-10-01
33788 Pulmonary artery revision Medicare reimbursement rates in Wyoming
Reports operative revision of a pulmonary artery when the vessel itself requires surgical correction, such as during repair of a prior reconstruction or other structural abnormality. Compare 33788 office and facility rates across CMS payment localities in Wyoming.
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 33788 in Wyoming?
Wyoming 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
$1379.97
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 33788: Pulmonary artery revision surgery
Reports operative revision of a pulmonary artery when the vessel itself requires surgical correction, such as during repair of a prior reconstruction or other structural abnormality.
This code represents an operation to revise the pulmonary artery itself. A cardiothoracic surgeon may perform the procedure in a hospital operating room when an existing pulmonary artery repair or reconstruction needs surgical correction, or when another structural abnormality of the vessel requires revision. The operative report should identify the vessel and describe the revision performed; the diagnosis and procedure details should support why pulmonary artery revision, rather than a different congenital heart repair, was necessary.
Report the service for the pulmonary artery revision documented in the operative record. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. 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 for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33788
- 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 RVU26.73 · 62%
- Practice expense (office) RVU9.62 · 22%
- Malpractice RVU6.71 · 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.
33788 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Code 33778 describes a specific repair for transposition of the great arteries that includes aortic and pulmonary artery reconstruction, not an isolated pulmonary artery revision.
No office rate
Code 33786 is for repair of an arterial trunk. Choose 33788 when the documented operative target is revision of the pulmonary artery.
Compare 33788 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$1379.97
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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 33788 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,073
- Code
- 33788
- Physician work
- 26.73
- Practice expense
- 9.62
- Malpractice
- 6.71
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.73 | × 1.000 | 26.7300 |
| Practice expense | 9.62 | × 1.000 | 9.6200 |
| Malpractice | 6.71 | × 0.740 | 4.9654 |
| Total RVUs | 41.3154 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1379.97
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.73 | 1 |
| Practice expense | 9.62 | 1 |
| Malpractice | 6.71 | 0.74 |
(26.73 × 1 + 9.62 × 1 + 6.71 × 0.74) × $33.4009 = $1379.97
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.
33788 billing questions
How is this different from a code for revising a heart chamber?
Code 33788 is for revision of the pulmonary artery. A heart chamber revision, such as 33736, involves a different anatomic target; the operative report should make clear which structure was revised.
What documentation supports reporting 33788?
Document the pulmonary artery involved, the structural problem or prior repair being addressed, and the operative work performed to revise it. The record should distinguish this work from a broader congenital heart repair.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.
How are other procedures in the same session treated?
The highest-valued procedure is paid in full, and other procedures are subject to the standard 50% multiple-procedure reduction. Assistant-at-surgery payment may be made; co-surgeons require supporting documentation, and 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 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.
4,07033782,,Nikaidoh proc,A,,58.58,15.69,NA,15.69,,14.79,89.06,89.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07133783,,Nikaidoh proc w/ostia implt,A,,63.45,16.65,NA,16.65,,16.01,96.11,96.11,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07233786,,Repair arterial trunk,A,,40.82,12.03,NA,12.03,,10.29,63.14,63.14,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07333788,,Revision of pulmonary artery,A,,26.73,9.62,NA,9.62,,6.71,43.06,43.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0743378F,,Ajcc brstcncr stage 3 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
4,07533800,,Aortic suspension,A,,16.85,6.94,NA,6.94,,4.24,28.03,28.03,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07633802,,Division aberrant vessel,A,,17.91,8.88,NA,8.88,,4.51,31.30,31.30,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,