CPT code 33782: Nikaidoh repair, without coronary ostia reimplantation2026 Medicare rate & RVUs

Medicare pays $2,974.68 for 33782 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 33782 covers

Code 33782 represents a Nikaidoh-type anatomic repair for complex congenital disease, commonly transposition of the great arteries or double-outlet right ventricle with a ventricular septal defect and subpulmonary obstruction. The congenital cardiac surgeon translocates the aortic root to improve left-ventricle-to-aorta alignment and reconstructs the outflow pathways; the operation may include VSD closure. It is performed in an operating room, generally as open cardiac surgery.

Select 33782 when the operative report documents a Nikaidoh repair without coronary ostia reimplantation; use 33783 when ostia are reimplanted. The 90-day global 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 others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is not appropriate for this anatomy.

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.

Where 33782 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33782 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the 33782 rate is calculated

Each of 33782’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.

Payment rules and modifiers for 33782

33782 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

33782 compared with similar codes

How to choose

33783Nikaidoh repairCoronary ostia implantation

Both describe Nikaidoh repairs. Choose 33783 when coronary ostia are reimplanted; choose 33782 when they are not.

33781Transposition repairSubpulmonary obstruction repair

33781 describes a TGA repair with reconstruction addressing subpulmonary obstruction, not the Nikaidoh root-translocation approach.

33780Transposition repairOutflow reconstruction and VSD closure

33780 describes TGA repair with aortic-pulmonary reconstruction and VSD closure; 33782 identifies a Nikaidoh repair without coronary ostia reimplantation.

Codes related to 33782

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates