CPT code 33852: Aortic arch repair, without bypass2026 Medicare rate & RVUs in Washington, DC area

Open repair of an underdeveloped aortic arch performed without cardiopulmonary bypass, reported when the operative approach and bypass status match this service.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $1,455.96 for 33852 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,455.96Hospital or facility

Check a contract rate as a % of Medicare · 33852 nationwide

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

We’ll open 33852 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 33852 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 33852 covers

This service addresses an underdeveloped, narrowed aortic arch, often in a patient with congenital heart disease such as coarctation. A cardiothoracic surgeon performs the open repair without cardiopulmonary bypass. The operative report should establish that the arch hypoplasia was repaired and describe the operative approach and whether bypass was used; the diagnosis alone does not distinguish this code from its bypass counterpart.

Report this code for the repair without bypass, rather than the related arch-repair code for a procedure performed with bypass. CMS assigns a 90-day global period, including the day before surgery and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others are subject to a 50% reduction. Modifier 50 is inappropriate for this service. An assistant at surgery may be paid; co-surgeons and team surgery are 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 Washington, DC area compares for 33852

Across 109 of 109 payment localities, the facility rate for 33852 runs from $1,177.93 in Wisconsin to $1,659.98 in Alaska. Washington, DC area pays $1,455.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

33852 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,455.96
  2. Los Angeles, CA · California$1,357.32−$98.64
  3. Miami, FL · Florida$1,650.86+$194.90
  4. Chicago, IL · Illinois$1,597.46+$141.50
  5. Manhattan, NY · New York$1,553.33+$97.37
  6. Alaska · Alaska$1,659.98+$204.02
  7. Alabama · Alabama$1,201.80−$254.16

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

33852 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$1,186.21
ArizonaArizona—$1,291.44
Bakersfield, CACalifornia—$1,299.63
Chico, CACalifornia—$1,283.41
El Centro, CACalifornia—$1,284.41
Fresno, CACalifornia—$1,283.41
Hanford, CACalifornia—$1,283.41
Madera, CACalifornia—$1,283.41

33852 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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33852 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33852 in every payment locality

How the 33852 rate is calculated

Each of 33852’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 · 33852

RVUs × geographic indexes × conversion factor

Office or facility?

Work23.80

23.80 RVUs× 1.000 GPCI

Practice expense10.04

10.04 RVUs× 1.000 GPCI

Malpractice6.00

6.00 RVUs× 1.000 GPCI

Adjusted RVUs

39.8400

Conversion factor

$33.4009

Medicare rate

$1,330.69

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,088

Code
33852
Physician work
23.80
Practice expense
10.04
Malpractice
6.00

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 33852 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work23.80× 1.05425.0852
Practice expense10.04× 1.17811.8271
Malpractice6.00× 1.1136.6780
Total RVUs43.5903
Conversion factor× 33.4009

Facility rate, Washington, DC area$1455.96

Facility: (23.8 × 1.054 + 10.04 × 1.178 + 6 × 1.113) × $33.4009 = $1455.96

Open 33852 in the RVU calculator

Payment rules and modifiers for 33852

33852 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33852

Aortic arch repair, without bypass

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33852

Aortic arch repair, without bypass

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33852 without 51 · national facility

$1,330.69

Aortic arch repair, without bypass

33852-51 · Second procedure: 50%

$665.35

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%).

When to use modifier 51

How 33852 has changed in Washington, DC area

33852 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,455.96RVU26D
2026-07-01Not available in this setting$1,455.96RVU26C
2026-04-01Not available in this setting$1,455.96RVU26B
2026-01-01Not available in this setting$1,455.96RVU26A
2025-10-01Not available in this setting$1,491.97RVU25D
2025-07-01Not available in this setting$1,491.97RVU25C
2025-04-01Not available in this setting$1,491.97RVU25B
2025-01-01Not available in this setting$1,491.97RVU25A
2024-10-01Not available in this setting$1,529.37RVU24D
2024-07-01Not available in this setting$1,529.37RVU24C
2024-04-01Not available in this setting$1,529.37RVU24B
2024-03-09Not available in this setting$1,529.37RVU24AR
2024-01-01Not available in this setting$1,504.41RVU24A
2023-10-01Not available in this setting$1,568.03RVU23D
2023-07-01Not available in this setting$1,568.03RVU23C
2023-04-01Not available in this setting$1,568.03RVU23B
2023-01-01Not available in this setting$1,568.03RVU23A
2022-10-01Not available in this setting$1,618.04RVU22D
2022-07-01Not available in this setting$1,618.04RVU22C
2022-04-01Not available in this setting$1,618.04RVU22B
2022-01-01Not available in this setting$1,618.04RVU22A
2021-10-01Not available in this setting$1,622.42RVU21D
2021-07-01Not available in this setting$1,622.42RVU21C
2021-04-01Not available in this setting$1,622.42RVU21B
2021-01-01Not available in this setting$1,622.42RVU21A
2020-10-01Not available in this setting$1,643.06RVU20D
2020-07-01Not available in this setting$1,643.06RVU20C
2020-04-01Not available in this setting$1,643.06RVU20B
2020-01-01Not available in this setting$1,643.06RVU20A
2019-10-01Not available in this setting$1,633.18RVU19D
2019-07-01Not available in this setting$1,633.18RVU19C
2019-04-01Not available in this setting$1,542.29RVU19B
2019-01-01Not available in this setting$1,542.29RVU19A
2018-10-01Not available in this setting$1,631.73RVU18D
2018-07-01Not available in this setting$1,631.73RVU18C
2018-04-01Not available in this setting$1,631.73RVU18B
2018-01-01Not available in this setting$1,631.73RVU18AR1
2017-10-01Not available in this setting$1,638.42RVU17D
2017-07-01Not available in this setting$1,638.42RVU17C
2017-04-01Not available in this setting$1,638.42RVU17B
2017-01-01Not available in this setting$1,638.42RVU17A
2016-10-01Not available in this setting$1,646.93RVU16D
2016-07-01Not available in this setting$1,646.93RVU16C
2016-04-01Not available in this setting$1,646.93RVU16B
2016-01-01Not available in this setting$1,646.93RVU16A
2015-10-01Not available in this setting$1,638.50RVU15D
2015-07-01Not available in this setting$1,638.50RVU15C
2015-04-01Not available in this setting$1,630.35RVU15B
2015-01-01Not available in this setting$1,630.35RVU15A
2014-10-01Not available in this setting$1,632.27RVU14D
2014-07-01Not available in this setting$1,632.27RVU14C
2014-04-01Not available in this setting$1,632.27RVU14B
2014-01-01Not available in this setting$1,632.27RVU14A
2013-10-01Not available in this setting$1,585.46RVU13D
2013-07-01Not available in this setting$1,585.46RVU13C
2013-04-01Not available in this setting$1,585.46RVU13B
2013-01-01Not available in this setting$1,585.46RVU13AR

Price 33852 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

33852 billing questions

How does this code differ from 33853?

The distinction is whether cardiopulmonary bypass is used for the hypoplastic arch repair. This code is for repair without bypass; 33853 is the corresponding repair with bypass.

What operative documentation supports this code?

The operative report should identify the hypoplastic aortic arch repair and document that cardiopulmonary bypass was not used. Include the operative findings and repair performed.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inappropriate for this service.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted.

How does the 90-day global period affect postoperative billing?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period.

What happens when another procedure is performed in the same session?

CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full, and the other procedures are subject to a 50% reduction.

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
RVUs for 33852PPRRVU2026_Oct_nonQPP.csv, line 4,088 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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