No office rate
Choose 33608 when the congenital reconstruction uses a conduit. Choose 33610 when the repair is accomplished by enlargement.
On this page
CMS RVU26D · Effective 2026-10-01
33608 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1634.66
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Congenital cardiac surgery
About 33608: Congenital heart repair using conduit
Reports open repair of a congenital cardiac defect that uses a conduit, such as a pathway connecting a ventricle to the pulmonary artery.
This service involves open reconstruction of a congenital heart defect in which a conduit forms part of the repair, often routing blood from a ventricle to the pulmonary artery when the native outflow pathway is inadequate. A classic example is a Rastelli-type operation for transposition of the great arteries with a ventricular septal defect and pulmonary outflow obstruction. Congenital cardiac surgeons typically perform these operations in a hospital operating room, often with cardiopulmonary bypass.
Select the code from the operation performed and the conduit’s role in the reconstruction, not merely from the presence of conduit material. The operative report should identify the congenital anatomy, the repair, and how the conduit establishes or restores blood flow. CMS classifies this as major surgery with a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33608
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU31.08 · 61%
- Practice expense (office) RVU11.98 · 24%
- Malpractice RVU7.84 · 15%
16
Medicare services in 2024 · #6036 by national volume
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.
33608 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
33611 describes a specific double-outlet right ventricle repair. Select 33608 only when the performed congenital repair is the conduit-based procedure.
No office rate
33622 is for redo complex cardiac anomaly repair. The conduit-based repair represented by 33608 is distinguished by the operative reconstruction, not simply by prior surgery.
The same code, a different location
How does Redding compare?
33608 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 33608
Office
Unavailable
Facility
$1634.66
No comparable office rate is available.
Merced
California · 33608
Office
Unavailable
Facility
$1634.66
No comparable office rate is available.
Modesto
California · 33608
Office
Unavailable
Facility
$1634.66
No comparable office rate is available.
Napa
California · 33608
Office
Unavailable
Facility
$1763.91
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33608
Office
Unavailable
Facility
$1703.28
No comparable office rate is available.
Rest Of California
California · 33608
Office
Unavailable
Facility
$1634.66
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33608
Office
Unavailable
Facility
$1718.71
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33608
Office
Unavailable
Facility
$1681.20
No comparable office rate is available.
Salinas
California · 33608
Office
Unavailable
Facility
$1674.41
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33608
Office
Unavailable
Facility
$1689.74
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33608
Office
Unavailable
Facility
$1821.12
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33608
Office
Unavailable
Facility
$1812.21
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33608
Office
Unavailable
Facility
$1869.66
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33608
Office
Unavailable
Facility
$1833.26
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33608
Office
Unavailable
Facility
$1651.87
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33608
Office
Unavailable
Facility
$1686.43
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33608
Office
Unavailable
Facility
$1674.09
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33608
Office
Unavailable
Facility
$1700.98
No comparable office rate is available.
Stockton
California · 33608
Office
Unavailable
Facility
$1634.66
No comparable office rate is available.
Vallejo
California · 33608
Office
Unavailable
Facility
$1751.08
No comparable office rate is available.
Visalia
California · 33608
Office
Unavailable
Facility
$1634.66
No comparable office rate is available.
Yuba City
California · 33608
Office
Unavailable
Facility
$1634.66
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33608
Office
Unavailable
Facility
$1856.98
No comparable office rate is available.
Miami
Florida · 33608
Office
Unavailable
Facility
$2116.90
No comparable office rate is available.
Chicago
Illinois · 33608
Office
Unavailable
Facility
$2048.49
No comparable office rate is available.
Manhattan
New York · 33608
Office
Unavailable
Facility
$1984.82
No comparable office rate is available.
Alaska*
Alaska · 33608
Office
Unavailable
Facility
$2127.59
No comparable office rate is available.
Alabama
Alabama · 33608
Office
Unavailable
Facility
$1536.44
No comparable office rate is available.
Arkansas
Arkansas · 33608
Office
Unavailable
Facility
$1516.68
No comparable office rate is available.
Arizona
Arizona · 33608
Office
Unavailable
Facility
$1649.99
No comparable office rate is available.
Colorado
Colorado · 33608
Office
Unavailable
Facility
$1680.82
No comparable office rate is available.
Connecticut
Connecticut · 33608
Office
Unavailable
Facility
$1806.67
No comparable office rate is available.
Delaware
Delaware · 33608
Office
Unavailable
Facility
$1674.05
No comparable office rate is available.
Fort Lauderdale
Florida · 33608
Office
Unavailable
Facility
$1916.89
No comparable office rate is available.
Rest Of Florida
Florida · 33608
Office
Unavailable
Facility
$1814.22
No comparable office rate is available.
Atlanta
Georgia · 33608
Office
Unavailable
Facility
$1762.26
No comparable office rate is available.
Rest Of Georgia
Georgia · 33608
Office
Unavailable
Facility
$1707.17
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33608
Office
Unavailable
Facility
$1644.68
No comparable office rate is available.
Iowa
Iowa · 33608
Office
Unavailable
Facility
$1508.19
No comparable office rate is available.
Idaho
Idaho · 33608
Office
Unavailable
Facility
$1530.09
No comparable office rate is available.
East St. Louis
Illinois · 33608
Office
Unavailable
Facility
$1933.62
No comparable office rate is available.
Rest Of Illinois
Illinois · 33608
Office
Unavailable
Facility
$1812.72
No comparable office rate is available.
Suburban Chicago
Illinois · 33608
Office
Unavailable
Facility
$1920.33
No comparable office rate is available.
Indiana
Indiana · 33608
Office
Unavailable
Facility
$1536.30
No comparable office rate is available.
Kansas
Kansas · 33608
Office
Unavailable
Facility
$1531.81
No comparable office rate is available.
Kentucky
Kentucky · 33608
Office
Unavailable
Facility
$1633.43
No comparable office rate is available.
New Orleans
Louisiana · 33608
Office
Unavailable
Facility
$1712.11
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33608
Office
Unavailable
Facility
$1643.09
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33608
Office
Unavailable
Facility
$1791.49
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33608
Office
Unavailable
Facility
$1684.76
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33608
Office
Unavailable
Facility
$1807.99
No comparable office rate is available.
Rest Of Maryland
Maryland · 33608
Office
Unavailable
Facility
$1693.82
No comparable office rate is available.
Rest Of Maine
Maine · 33608
Office
Unavailable
Facility
$1569.11
No comparable office rate is available.
Southern Maine
Maine · 33608
Office
Unavailable
Facility
$1599.88
No comparable office rate is available.
Detroit
Michigan · 33608
Office
Unavailable
Facility
$1865.74
No comparable office rate is available.
Rest Of Michigan
Michigan · 33608
Office
Unavailable
Facility
$1699.07
No comparable office rate is available.
Minnesota
Minnesota · 33608
Office
Unavailable
Facility
$1527.36
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33608
Office
Unavailable
Facility
$1669.67
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33608
Office
Unavailable
Facility
$1681.42
No comparable office rate is available.
Rest Of Missouri
Missouri · 33608
Office
Unavailable
Facility
$1638.08
No comparable office rate is available.
Mississippi
Mississippi · 33608
Office
Unavailable
Facility
$1576.14
No comparable office rate is available.
Montana**
Montana · 33608
Office
Unavailable
Facility
$1699.58
No comparable office rate is available.
North Carolina
North Carolina · 33608
Office
Unavailable
Facility
$1578.76
No comparable office rate is available.
North Dakota**
North Dakota · 33608
Office
Unavailable
Facility
$1544.56
No comparable office rate is available.
Nebraska
Nebraska · 33608
Office
Unavailable
Facility
$1506.42
No comparable office rate is available.
New Hampshire
New Hampshire · 33608
Office
Unavailable
Facility
$1683.78
No comparable office rate is available.
Northern Nj
New Jersey · 33608
Office
Unavailable
Facility
$1847.34
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33608
Office
Unavailable
Facility
$1803.84
No comparable office rate is available.
New Mexico
New Mexico · 33608
Office
Unavailable
Facility
$1719.53
No comparable office rate is available.
Nevada**
Nevada · 33608
Office
Unavailable
Facility
$1656.77
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33608
Office
Unavailable
Facility
$2066.59
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33608
Office
Unavailable
Facility
$1839.83
No comparable office rate is available.
Queens
New York · 33608
Office
Unavailable
Facility
$1955.11
No comparable office rate is available.
Rest Of New York
New York · 33608
Office
Unavailable
Facility
$1602.33
No comparable office rate is available.
Ohio
Ohio · 33608
Office
Unavailable
Facility
$1667.39
No comparable office rate is available.
Oklahoma
Oklahoma · 33608
Office
Unavailable
Facility
$1598.90
No comparable office rate is available.
Portland
Oregon · 33608
Office
Unavailable
Facility
$1694.09
No comparable office rate is available.
Rest Of Oregon
Oregon · 33608
Office
Unavailable
Facility
$1620.73
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33608
Office
Unavailable
Facility
$1785.74
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33608
Office
Unavailable
Facility
$1652.89
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33608
Office
Unavailable
Facility
$1700.58
No comparable office rate is available.
Rhode Island
Rhode Island · 33608
Office
Unavailable
Facility
$1704.75
No comparable office rate is available.
South Carolina
South Carolina · 33608
Office
Unavailable
Facility
$1630.42
No comparable office rate is available.
South Dakota**
South Dakota · 33608
Office
Unavailable
Facility
$1526.23
No comparable office rate is available.
Tennessee
Tennessee · 33608
Office
Unavailable
Facility
$1542.45
No comparable office rate is available.
Austin
Texas · 33608
Office
Unavailable
Facility
$1695.54
No comparable office rate is available.
Beaumont
Texas · 33608
Office
Unavailable
Facility
$1645.50
No comparable office rate is available.
Brazoria
Texas · 33608
Office
Unavailable
Facility
$1647.20
No comparable office rate is available.
Dallas
Texas · 33608
Office
Unavailable
Facility
$1670.66
No comparable office rate is available.
Fort Worth
Texas · 33608
Office
Unavailable
Facility
$1670.07
No comparable office rate is available.
Galveston
Texas · 33608
Office
Unavailable
Facility
$1660.57
No comparable office rate is available.
Houston
Texas · 33608
Office
Unavailable
Facility
$1804.07
No comparable office rate is available.
Rest Of Texas
Texas · 33608
Office
Unavailable
Facility
$1654.30
No comparable office rate is available.
Utah
Utah · 33608
Office
Unavailable
Facility
$1649.39
No comparable office rate is available.
Virginia
Virginia · 33608
Office
Unavailable
Facility
$1616.32
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33608
Office
Unavailable
Facility
$1700.58
No comparable office rate is available.
Vermont
Vermont · 33608
Office
Unavailable
Facility
$1566.74
No comparable office rate is available.
Rest Of Washington
Washington · 33608
Office
Unavailable
Facility
$1672.22
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33608
Office
Unavailable
Facility
$1794.92
No comparable office rate is available.
Wisconsin
Wisconsin · 33608
Office
Unavailable
Facility
$1502.09
No comparable office rate is available.
West Virginia
West Virginia · 33608
Office
Unavailable
Facility
$1760.55
No comparable office rate is available.
Wyoming**
Wyoming · 33608
Office
Unavailable
Facility
$1632.02
No comparable office rate is available.
See how rates vary across the country
33608 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33608 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1798.13
$1634.66 × 110% = $1798.13
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33608 in Redding.
PPRRVU2026_Oct_nonQPP.csv
4,011
- Code
- 33608
- Physician work
- 31.08
- Practice expense
- 11.98
- Malpractice
- 7.84
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 31.08 | × 1.017 | 31.6084 |
| Practice expense | 11.98 | × 1.096 | 13.1301 |
| Malpractice | 7.84 | × 0.536 | 4.2022 |
| Total RVUs | 48.9407 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1634.66
Open 33608 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 31.08 | 1.017 |
| Practice expense | 11.98 | 1.096 |
| Malpractice | 7.84 | 0.536 |
(31.08 × 1.017 + 11.98 × 1.096 + 7.84 × 0.536) × $33.4009 = $1634.66
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
33608 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1634.66 | RVU26D |
| 2026-07-01 | Not available in this setting | $1634.66 | RVU26C |
| 2026-04-01 | Not available in this setting | $1634.66 | RVU26B |
| 2026-01-01 | Not available in this setting | $1634.66 | RVU26A |
| 2025-10-01 | Not available in this setting | $1671.29 | RVU25D |
| 2025-07-01 | Not available in this setting | $1671.29 | RVU25C |
| 2025-04-01 | Not available in this setting | $1671.29 | RVU25B |
| 2025-01-01 | Not available in this setting | $1671.29 | RVU25A |
33608 billing questions
When is this code chosen over a repair by enlargement?
Use this code when a conduit is part of the congenital defect repair. A repair that enlarges an existing opening without the conduit-based reconstruction is represented by a different code.
Does the presence of a conduit alone support this code?
No. The operative report should show that the conduit is part of the congenital cardiac reconstruction, such as creating a ventricular outflow pathway.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code’s descriptor or anatomy.
How does the 90-day global period affect billing?
The day-before preoperative visit and related postoperative care for 90 days are included in the global period for this major surgery.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
4,00833600,,Closure of valve,A,,29.55,11.68,NA,11.68,,7.44,48.67,48.67,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00933602,,Closure of valve,A,,28.61,11.49,NA,11.49,,7.22,47.32,47.32,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01033606,,Anastomosis/artery-aorta,A,,30.74,11.74,NA,11.74,,7.74,50.22,50.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01133608,,Repair anomaly w/conduit,A,,31.08,11.98,NA,11.98,,7.84,50.90,50.90,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01233610,,Repair by enlargement,A,,30.62,11.88,NA,11.88,,7.72,50.22,50.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01333611,,Repair double ventricle,A,,34.68,10.96,NA,10.96,,8.74,54.38,54.38,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01433612,,Repair double ventricle,A,,35.66,11.15,NA,11.15,,9.00,55.81,55.81,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536