CPT code 33768: Cavopulmonary anastomosis, second superior vena cava2026 Medicare rate & RVUs in Arizona
Reports the additional cavopulmonary connection of a second superior vena cava during surgical palliation for congenital heart disease with bilateral superior vena cavae.
In Arizona, Medicare pays $366.41 for 33768 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33768 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33768 covers
This add-on identifies the additional surgical connection of a second superior vena cava to the pulmonary artery circulation, typically when a patient has bilateral superior vena cavae and undergoes cavopulmonary palliation. Congenital cardiac surgeons perform the work in the operating room, often in children with complex congenital heart disease. The operative report should establish the bilateral venous anatomy and describe the separate connection made for the second vena cava.
Report 33768 with the primary cavopulmonary procedure, not as a stand-alone service. Select the primary code based on the extent and configuration of the main SVC-to-pulmonary-artery operation; this code identifies the additional second-SVC anastomosis. Documentation should distinguish that work from the primary connection. CMS treats this as an add-on code billed only with a primary procedure, and payment is included within that procedure's global period.
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.
How Arizona compares for 33768
Across 109 of 109 payment localities, the facility rate for 33768 runs from $329.97 in Wisconsin to $481.64 in Alaska. Arizona pays $366.41. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$366.41
- Los Angeles, CA · California$375.53+$9.12
- Washington, DC area · District of Columbia$408.05+$41.64
- Miami, FL · Florida$479.64+$113.23
- Chicago, IL · Illinois$464.29+$97.88
- Manhattan, NY · New York$440.80+$74.39
- Alaska · Alaska$481.64+$115.23
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $342.59 |
| ArkansasArkansas | — | $338.43 |
| Bakersfield, CACalifornia | — | $361.72 |
| Chico, CACalifornia | — | $356.42 |
| El Centro, CACalifornia | — | $356.75 |
| Fresno, CACalifornia | — | $356.42 |
| Hanford, CACalifornia | — | $356.42 |
| Madera, CACalifornia | — | $356.42 |
| Merced, CACalifornia | — | $356.42 |
| Modesto, CACalifornia | — | $356.42 |
| Napa, CACalifornia | — | $377.99 |
| Oxnard, CACalifornia | — | $369.41 |
| Redding, CACalifornia | — | $356.42 |
| Rest of CaliforniaCalifornia | — | $356.42 |
| Riverside, CACalifornia | — | $377.43 |
| Sacramento, CACalifornia | — | $364.82 |
| Salinas, CACalifornia | — | $363.31 |
| San Diego, CACalifornia | — | $365.34 |
| Marin County, CACalifornia | — | $387.85 |
| San Francisco, CACalifornia | — | $385.63 |
| San Benito County, CACalifornia | — | $398.45 |
| Santa Clara County, CACalifornia | — | $389.35 |
| San Luis Obispo, CACalifornia | — | $358.63 |
| Santa Cruz, CACalifornia | — | $363.58 |
| Santa Maria, CACalifornia | — | $362.89 |
| Santa Rosa, CACalifornia | — | $366.60 |
| Stockton, CACalifornia | — | $356.42 |
| Vallejo, CACalifornia | — | $374.78 |
| Visalia, CACalifornia | — | $356.42 |
| Yuba City, CACalifornia | — | $356.42 |
| ColoradoColorado | — | $369.51 |
| ConnecticutConnecticut | — | $400.35 |
| DelawareDelaware | — | $371.50 |
| Fort Lauderdale, FLFlorida | — | $431.00 |
| Rest of FloridaFlorida | — | $408.10 |
| Atlanta, GAGeorgia | — | $392.19 |
| Rest of GeorgiaGeorgia | — | $384.44 |
| Hawaii, Guam, HIHawaii | — | $356.92 |
| IowaIowa | — | $333.58 |
| IdahoIdaho | — | $338.81 |
| East St. Louis, ILIllinois | — | $439.70 |
| Rest of IllinoisIllinois | — | $409.81 |
| Suburban Chicago, ILIllinois | — | $431.18 |
| IndianaIndiana | — | $340.03 |
| KansasKansas | — | $340.02 |
| KentuckyKentucky | — | $366.16 |
| New Orleans, LALouisiana | — | $383.30 |
| Rest of LouisianaLouisiana | — | $368.77 |
| Metropolitan Boston, MAMassachusetts | — | $390.89 |
| Rest of MassachusettsMassachusetts | — | $371.04 |
| Baltimore area, MDMaryland | — | $400.87 |
| Rest of MarylandMaryland | — | $375.28 |
| Rest of MaineMaine | — | $348.57 |
| Southern Maine, MEMaine | — | $352.81 |
| Detroit, MIMichigan | — | $420.54 |
| Rest of MichiganMichigan | — | $381.40 |
| MinnesotaMinnesota | — | $332.83 |
| Metropolitan Kansas City, MOMissouri | — | $372.79 |
| Metropolitan St. Louis, MOMissouri | — | $375.09 |
| Rest of MissouriMissouri | — | $368.63 |
| MississippiMississippi | — | $353.19 |
| MontanaMontana | — | $377.30 |
| North CarolinaNorth Carolina | — | $350.35 |
| North DakotaNorth Dakota | — | $338.54 |
| NebraskaNebraska | — | $332.75 |
| New HampshireNew Hampshire | — | $371.36 |
| Northern New JerseyNew Jersey | — | $406.53 |
| Rest of New JerseyNew Jersey | — | $398.93 |
| New MexicoNew Mexico | — | $386.32 |
| NevadaNevada | — | $366.55 |
| NYC suburbs and Long Island, NYNew York | — | $459.93 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $407.79 |
| Queens, NYNew York | — | $432.40 |
| Rest of New YorkNew York | — | $355.41 |
| OhioOhio | — | $373.48 |
| OklahomaOklahoma | — | $357.33 |
| Portland, OROregon | — | $370.55 |
| Rest of OregonOregon | — | $357.78 |
| Metropolitan Philadelphia, PAPennsylvania | — | $396.86 |
| Rest of PennsylvaniaPennsylvania | — | $369.61 |
| Puerto RicoPuerto Rico | — | $377.01 |
| Rhode IslandRhode Island | — | $377.01 |
| South CarolinaSouth Carolina | — | $363.70 |
| South DakotaSouth Dakota | — | $333.96 |
| TennesseeTennessee | — | $342.44 |
| Austin, TXTexas | — | $373.47 |
| Beaumont, TXTexas | — | $368.15 |
| Brazoria, TXTexas | — | $364.65 |
| Dallas, TXTexas | — | $370.27 |
| Fort Worth, TXTexas | — | $370.61 |
| Galveston, TXTexas | — | $367.89 |
| Houston, TXTexas | — | $403.77 |
| Rest of TexasTexas | — | $368.46 |
| UtahUtah | — | $367.67 |
| VirginiaVirginia | — | $357.31 |
| Virgin Islands, VIUnited States Virgin Islands | — | $377.01 |
| VermontVermont | — | $344.58 |
| Rest of WashingtonWashington | — | $367.90 |
| King County, WAWashington | — | $390.15 |
| WisconsinWisconsin | — | $329.97 |
| West VirginiaWest Virginia | — | $398.91 |
| WyomingWyoming | — | $360.41 |
33768 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33768 rate is calculated
Each of 33768’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 · 33768
RVUs × geographic indexes × conversion factor
Work7.80
7.80 RVUs× 1.000 GPCI
Practice expense1.54
1.54 RVUs× 1.000 GPCI
Malpractice1.96
1.96 RVUs× 1.000 GPCI
Adjusted RVUs
11.3000
Conversion factor
$33.4009
Medicare rate
$377.43
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,058
- Code
- 33768
- Physician work
- 7.80
- Practice expense
- 1.54
- Malpractice
- 1.96
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.80 | × 1.000 | 7.8000 |
| Practice expense | 1.54 | × 0.969 | 1.4923 |
| Malpractice | 1.96 | × 0.856 | 1.6778 |
| Total RVUs | 10.9700 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$366.41
Facility: (7.8 × 1 + 1.54 × 0.969 + 1.96 × 0.856) × $33.4009 = $366.41
Payment rules and modifiers for 33768
The CMS indicators that decide how 33768 is paid alongside other services.
CMS payment indicators · 33768
Cavopulmonary anastomosis, second superior vena cava
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
33768 without 80 · national facility
$377.43
Cavopulmonary anastomosis, second superior vena cava
33768-80 · Assistant: 16%
$60.39
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 33768 has changed in Arizona
33768 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $366.41 | RVU26D |
| 2026-07-01 | Not available in this setting | $366.41 | RVU26C |
| 2026-04-01 | Not available in this setting | $366.41 | RVU26B |
| 2026-01-01 | Not available in this setting | $366.41 | RVU26A |
| 2025-10-01 | Not available in this setting | $383.24 | RVU25D |
| 2025-07-01 | Not available in this setting | $383.24 | RVU25C |
| 2025-04-01 | Not available in this setting | $383.24 | RVU25B |
| 2025-01-01 | Not available in this setting | $383.24 | RVU25A |
| 2024-10-01 | Not available in this setting | $393.99 | RVU24D |
| 2024-07-01 | Not available in this setting | $393.99 | RVU24C |
| 2024-04-01 | Not available in this setting | $393.99 | RVU24B |
| 2024-03-09 | Not available in this setting | $393.99 | RVU24AR |
| 2024-01-01 | Not available in this setting | $387.56 | RVU24A |
| 2023-10-01 | Not available in this setting | $399.79 | RVU23D |
| 2023-07-01 | Not available in this setting | $399.79 | RVU23C |
| 2023-04-01 | Not available in this setting | $399.79 | RVU23B |
| 2023-01-01 | Not available in this setting | $399.79 | RVU23A |
| 2022-10-01 | Not available in this setting | $408.23 | RVU22D |
| 2022-07-01 | Not available in this setting | $408.23 | RVU22C |
| 2022-04-01 | Not available in this setting | $408.23 | RVU22B |
| 2022-01-01 | Not available in this setting | $408.23 | RVU22A |
| 2021-10-01 | Not available in this setting | $410.82 | RVU21D |
| 2021-07-01 | Not available in this setting | $410.82 | RVU21C |
| 2021-04-01 | Not available in this setting | $410.82 | RVU21B |
| 2021-01-01 | Not available in this setting | $410.82 | RVU21A |
| 2020-10-01 | Not available in this setting | $422.67 | RVU20D |
| 2020-07-01 | Not available in this setting | $422.67 | RVU20C |
| 2020-04-01 | Not available in this setting | $422.67 | RVU20B |
| 2020-01-01 | Not available in this setting | $422.67 | RVU20A |
| 2019-10-01 | Not available in this setting | $422.51 | RVU19D |
| 2019-07-01 | Not available in this setting | $422.51 | RVU19C |
| 2019-04-01 | Not available in this setting | $422.51 | RVU19B |
| 2019-01-01 | Not available in this setting | $422.51 | RVU19A |
| 2018-10-01 | Not available in this setting | $422.09 | RVU18D |
| 2018-07-01 | Not available in this setting | $422.09 | RVU18C |
| 2018-04-01 | Not available in this setting | $422.09 | RVU18B |
| 2018-01-01 | Not available in this setting | $422.09 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $453.76 | RVU17D |
| 2017-07-01 | Not available in this setting | $453.76 | RVU17C |
| 2017-04-01 | Not available in this setting | $453.76 | RVU17B |
| 2017-01-01 | Not available in this setting | $453.76 | RVU17A |
| 2016-10-01 | Not available in this setting | $429.12 | RVU16D |
| 2016-07-01 | Not available in this setting | $429.12 | RVU16C |
| 2016-04-01 | Not available in this setting | $429.12 | RVU16B |
| 2016-01-01 | Not available in this setting | $429.12 | RVU16A |
| 2015-10-01 | Not available in this setting | $459.19 | RVU15D |
| 2015-07-01 | Not available in this setting | $414.76 | RVU15C |
| 2015-04-01 | Not available in this setting | $412.69 | RVU15B |
| 2015-01-01 | Not available in this setting | $412.69 | RVU15A |
| 2014-10-01 | Not available in this setting | $459.74 | RVU14D |
| 2014-07-01 | Not available in this setting | $459.74 | RVU14C |
| 2014-04-01 | Not available in this setting | $459.74 | RVU14B |
| 2014-01-01 | Not available in this setting | $459.74 | RVU14A |
| 2013-10-01 | Not available in this setting | $446.39 | RVU13D |
| 2013-07-01 | Not available in this setting | $446.39 | RVU13C |
| 2013-04-01 | Not available in this setting | $446.39 | RVU13B |
| 2013-01-01 | Not available in this setting | $446.39 | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
33768 billing questions
Can 33768 be reported by itself?
No. It is an add-on code and must be reported with the primary procedure for the cavopulmonary operation.
What documentation supports 33768?
Document bilateral superior vena cava anatomy and the separate cavopulmonary connection created for the second vena cava.
How is 33768 different from 33766?
33766 describes the primary SVC-to-pulmonary-artery shunt involving one lung. 33768 identifies the additional connection for a second superior vena cava.
How is 33768 different from 33767?
33767 describes an SVC-to-pulmonary-artery shunt involving both lungs. 33768 identifies work for a second superior vena cava, rather than the pulmonary distribution of the primary shunt.
How is payment handled for this add-on?
CMS payment for 33768 is within the primary procedure's global period. The code is reported only with a qualifying primary procedure.
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
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