33745 Tissue cgen car anomal first shnt
Also known as: surgical shunt creation, systemic-pulmonary shunt, palliative shunt
Creation of a surgically constructed shunt (systemic-to-pulmonary artery connection) for congenital cardiac anomaly via transvenous or transarterial approach.
In Plain Language
creating new blood vessel connection
Clinical Context
Palliative procedure for single ventricle or severe cyanotic heart disease; increases pulmonary blood flow pending definitive correction.
RVU Breakdown
| Work RVU | 19.50 |
| Total RVU | 19.50 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 19.50, this code ranks in the 81st percentile among Surgery codes — 2.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33745?
CPT 33745 (Tissue cgen car anomal first shnt) is a Surgery code. Creation of a surgically constructed shunt (systemic-to-pulmonary artery connection) for congenital cardiac anomaly via transvenous or transarterial approach.
What is the wRVU value for CPT 33745?
The work RVU for CPT 33745 is 19.50. This code is primarily used by Cardiac Surgery, Congenital Cardiology.
When is CPT 33745 used?
Palliative procedure for single ventricle or severe cyanotic heart disease; increases pulmonary blood flow pending definitive correction.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.