No office rate
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.
On this page
CMS RVU26D · Effective 2026-10-01
33824 PDA repair Medicare reimbursement rates in Wyoming
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. Compare 33824 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 33824 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
$1088.30
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 33824: Adult patent ductus arteriosus division and repair
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.
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.
CMS billing rules for 33824
- 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 RVU19.72 · 58%
- Practice expense (office) RVU9.20 · 27%
- Malpractice RVU4.95 · 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.
33824 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Both codes describe PDA division and repair; 33822 is for patients younger than 18, while 33824 is for patients age 18 or older.
Compare 33824 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
$1088.30
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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 33824 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,082
- Code
- 33824
- Physician work
- 19.72
- Practice expense
- 9.20
- Malpractice
- 4.95
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.72 | × 1.000 | 19.7200 |
| Practice expense | 9.20 | × 1.000 | 9.2000 |
| Malpractice | 4.95 | × 0.740 | 3.6630 |
| Total RVUs | 32.5830 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1088.30
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.72 | 1 |
| Practice expense | 9.2 | 1 |
| Malpractice | 4.95 | 0.74 |
(19.72 × 1 + 9.2 × 1 + 4.95 × 0.74) × $33.4009 = $1088.30
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.
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 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.
4,07933814,,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
4,08533845,,Excision coa w/graft,A,,22.36,10.26,NA,10.26,,5.62,38.24,38.24,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,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.,,,,,,