CPT code 33779: Arterial switch repair, pulmonary band removal2026 Medicare rate & RVUs in Virginia
Reports definitive transposition of the great arteries repair using aortic-pulmonary reconstruction when a previously placed pulmonary artery band is removed.
In Virginia, Medicare pays $2,032.06 for 33779 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33779 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 33779 covers
This code describes congenital heart surgery to correct transposition of the great arteries through reconstruction of the aortic and pulmonary artery pathways, with removal of a pulmonary artery band placed during an earlier stage of treatment. The reconstruction is generally an arterial switch-type repair that restores the great arteries to the appropriate ventricular connections. A cardiothoracic surgeon performs the operation in a hospital operating room, often as definitive repair after staged management of the congenital defect.
Select this code when the operative report supports both the aortic-pulmonary reconstruction and removal of the pulmonary artery band. Documentation should identify the transposition repair, the reconstruction performed, and the band removal; band removal is included in this service. The procedure has a 90-day global period, including the day-before preoperative visit and 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.
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 Virginia compares for 33779
Across 109 of 109 payment localities, the facility rate for 33779 runs from $1,881.12 in Wisconsin to $2,712.04 in Alaska. Virginia pays $2,032.06. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$2,032.06
- Los Angeles, CA · California$2,150.81+$118.75
- Washington, DC area · District of Columbia$2,326.78+$294.72
- Miami, FL · Florida$2,701.96+$669.90
- Chicago, IL · Illinois$2,614.98+$582.92
- Manhattan, NY · New York$2,502.88+$470.82
- Alaska · Alaska$2,712.04+$679.98
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,941.29 |
| ArkansasArkansas | — | $1,917.09 |
| ArizonaArizona | — | $2,080.05 |
| Bakersfield, CACalifornia | — | $2,067.25 |
| Chico, CACalifornia | — | $2,038.49 |
| El Centro, CACalifornia | — | $2,040.27 |
| Fresno, CACalifornia | — | $2,038.49 |
| Hanford, CACalifornia | — | $2,038.49 |
| Madera, CACalifornia | — | $2,038.49 |
| Merced, CACalifornia | — | $2,038.49 |
| Modesto, CACalifornia | — | $2,038.49 |
| Napa, CACalifornia | — | $2,177.61 |
| Oxnard, CACalifornia | — | $2,117.56 |
| Redding, CACalifornia | — | $2,038.49 |
| Rest of CaliforniaCalifornia | — | $2,038.49 |
| Riverside, CACalifornia | — | $2,152.56 |
| Sacramento, CACalifornia | — | $2,090.69 |
| Salinas, CACalifornia | — | $2,082.13 |
| San Diego, CACalifornia | — | $2,096.91 |
| Marin County, CACalifornia | — | $2,240.19 |
| San Francisco, CACalifornia | — | $2,228.11 |
| San Benito County, CACalifornia | — | $2,300.82 |
| Santa Clara County, CACalifornia | — | $2,251.43 |
| San Luis Obispo, CACalifornia | — | $2,054.82 |
| Santa Cruz, CACalifornia | — | $2,089.32 |
| Santa Maria, CACalifornia | — | $2,080.56 |
| Santa Rosa, CACalifornia | — | $2,106.93 |
| Stockton, CACalifornia | — | $2,038.49 |
| Vallejo, CACalifornia | — | $2,160.20 |
| Visalia, CACalifornia | — | $2,038.49 |
| Yuba City, CACalifornia | — | $2,038.49 |
| ColoradoColorado | — | $2,106.37 |
| ConnecticutConnecticut | — | $2,275.03 |
| DelawareDelaware | — | $2,109.59 |
| Fort Lauderdale, FLFlorida | — | $2,435.09 |
| Rest of FloridaFlorida | — | $2,305.05 |
| Atlanta, GAGeorgia | — | $2,224.73 |
| Rest of GeorgiaGeorgia | — | $2,170.22 |
| Hawaii, Guam, HIHawaii | — | $2,045.41 |
| IowaIowa | — | $1,896.42 |
| IdahoIdaho | — | $1,925.33 |
| East St. Louis, ILIllinois | — | $2,472.98 |
| Rest of IllinoisIllinois | — | $2,310.04 |
| Suburban Chicago, ILIllinois | — | $2,437.47 |
| IndianaIndiana | — | $1,932.61 |
| KansasKansas | — | $1,930.27 |
| KentuckyKentucky | — | $2,070.64 |
| New Orleans, LALouisiana | — | $2,168.93 |
| Rest of LouisianaLouisiana | — | $2,084.40 |
| Metropolitan Boston, MAMassachusetts | — | $2,235.31 |
| Rest of MassachusettsMassachusetts | — | $2,113.51 |
| Baltimore area, MDMaryland | — | $2,277.48 |
| Rest of MarylandMaryland | — | $2,132.50 |
| Rest of MaineMaine | — | $1,978.28 |
| Southern Maine, MEMaine | — | $2,008.45 |
| Detroit, MIMichigan | — | $2,373.50 |
| Rest of MichiganMichigan | — | $2,155.81 |
| MinnesotaMinnesota | — | $1,903.82 |
| Metropolitan Kansas City, MOMissouri | — | $2,111.66 |
| Metropolitan St. Louis, MOMissouri | — | $2,125.48 |
| Rest of MissouriMissouri | — | $2,081.35 |
| MississippiMississippi | — | $1,997.46 |
| MontanaMontana | — | $2,142.29 |
| North CarolinaNorth Carolina | — | $1,989.26 |
| North DakotaNorth Dakota | — | $1,931.90 |
| NebraskaNebraska | — | $1,892.71 |
| New HampshireNew Hampshire | — | $2,114.15 |
| Northern New JerseyNew Jersey | — | $2,316.63 |
| Rest of New JerseyNew Jersey | — | $2,268.73 |
| New MexicoNew Mexico | — | $2,182.91 |
| NevadaNevada | — | $2,084.03 |
| NYC suburbs and Long Island, NYNew York | — | $2,609.45 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,317.06 |
| Queens, NYNew York | — | $2,459.30 |
| Rest of New YorkNew York | — | $2,018.46 |
| OhioOhio | — | $2,112.80 |
| OklahomaOklahoma | — | $2,023.12 |
| Portland, OROregon | — | $2,116.70 |
| Rest of OregonOregon | — | $2,035.93 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,252.50 |
| Rest of PennsylvaniaPennsylvania | — | $2,092.31 |
| Puerto RicoPuerto Rico | — | $2,141.85 |
| Rhode IslandRhode Island | — | $2,143.90 |
| South CarolinaSouth Carolina | — | $2,060.83 |
| South DakotaSouth Dakota | — | $1,907.03 |
| TennesseeTennessee | — | $1,943.90 |
| Austin, TXTexas | — | $2,127.33 |
| Beaumont, TXTexas | — | $2,083.59 |
| Brazoria, TXTexas | — | $2,072.66 |
| Dallas, TXTexas | — | $2,103.69 |
| Fort Worth, TXTexas | — | $2,104.51 |
| Galveston, TXTexas | — | $2,090.48 |
| Houston, TXTexas | — | $2,285.23 |
| Rest of TexasTexas | — | $2,089.16 |
| UtahUtah | — | $2,083.97 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,141.85 |
| VermontVermont | — | $1,963.64 |
| Rest of WashingtonWashington | — | $2,096.49 |
| King County, WAWashington | — | $2,234.57 |
| WisconsinWisconsin | — | $1,881.12 |
| West VirginiaWest Virginia | — | $2,246.42 |
| WyomingWyoming | — | $2,050.60 |
33779 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 33779 rate is calculated
Each of 33779’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 · 33779
RVUs × geographic indexes × conversion factor
Work42.15
42.15 RVUs× 1.000 GPCI
Practice expense11.37
11.37 RVUs× 1.000 GPCI
Malpractice10.64
10.64 RVUs× 1.000 GPCI
Adjusted RVUs
64.1600
Conversion factor
$33.4009
Medicare rate
$2,143.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,067
- Code
- 33779
- Physician work
- 42.15
- Practice expense
- 11.37
- Malpractice
- 10.64
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 42.15 | × 1.000 | 42.1500 |
| Practice expense | 11.37 | × 0.983 | 11.1767 |
| Malpractice | 10.64 | × 0.706 | 7.5118 |
| Total RVUs | 60.8385 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$2032.06
Facility: (42.15 × 1 + 11.37 × 0.983 + 10.64 × 0.706) × $33.4009 = $2032.06
Payment rules and modifiers for 33779
33779 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33779
Arterial switch repair, pulmonary band removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33779
Arterial switch repair, pulmonary band removal
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33779 without 51 · national facility
$2,143.00
Arterial switch repair, pulmonary band removal
33779-51 · Second procedure: 50%
$1,071.50
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 33779 has changed in Virginia
33779 · 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 | $2,032.06 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,032.06 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,032.06 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,032.06 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,122.70 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,122.70 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,122.70 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,122.70 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,179.53 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,179.53 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,179.53 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,179.53 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,143.96 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,239.48 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,239.48 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,239.48 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,239.48 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,316.96 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,316.96 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,316.96 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,316.96 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,331.68 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,331.68 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,331.68 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,331.68 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,393.60 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,393.60 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,393.60 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,393.60 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,397.81 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,397.81 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,397.81 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,397.81 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,391.45 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,391.45 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,391.45 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,391.45 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,519.55 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,519.55 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,519.55 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,519.55 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,498.48 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,498.48 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,498.48 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,498.48 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,514.61 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,288.99 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,277.60 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,277.60 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,211.91 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,211.91 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,211.91 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,211.91 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,393.33 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,393.33 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,393.33 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,393.33 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
33779 billing questions
How is 33779 different from 33778?
Both describe transposition repair with aortic-pulmonary reconstruction. Use 33779 when the operation also removes a pulmonary artery band; 33778 is the related reconstruction code without that band-removal distinction.
Is pulmonary artery band removal separately reported?
Band removal is part of the service described by 33779. Do not separately report the removal as an additional procedure merely because the surgeon documents that operative step.
Does 33779 describe an atrial baffle repair?
No. It describes transposition repair with aortic-pulmonary reconstruction and band removal. The atrial baffle approach is represented by a different code family, including 33775 when band removal is part of that repair.
Can modifier 50 be used?
No. The bilateral adjustment is inappropriate for this repair; report the operation as performed rather than treating it as a bilateral service.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What documentation supports co-surgeon billing?
Co-surgeons are paid only with supporting documentation. The operative record should substantiate the co-surgeon roles and the need for their participation.
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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