No office rate
Use 33660 for a partial atrioventricular septal defect. Use 33665 when the documented defect is intermediate or transitional.
On this page
CMS RVU26D · Effective 2026-10-01
33665 in Salinas
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1742.61
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 33665: Intermediate atrioventricular septal defect repair
Reports surgical repair of an intermediate or transitional atrioventricular septal defect, with or without repair of the left atrioventricular valve cleft.
This code describes open surgical correction of an intermediate or transitional atrioventricular septal defect, often called an AV canal defect. The anatomy includes an atrial septal component and a limited ventricular septal component at the atrioventricular junction. A congenital cardiac surgeon repairs the defect; the operation may also include repair of the left atrioventricular valve cleft. These procedures are performed in a cardiac operating room, typically as major congenital heart surgery.
Select this code from the documented defect type and operative anatomy, not simply from the fact that septal tissue was closed. The operative report should support the intermediate or transitional form and describe the repair performed, including any valve work. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. For other procedures in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33665
- 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 RVU33.98 · 64%
- Practice expense (office) RVU10.82 · 20%
- Malpractice RVU8.58 · 16%
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.
33665 compared with similar codes
Office rates for Salinas, from the same CMS release.
No office rate
33670 describes repair of a complete atrioventricular septal defect, rather than the intermediate or transitional form reported with 33665.
No office rate
33641 is for atrial septal defect repair. It does not describe repair of the combined atrioventricular septal anatomy represented by 33665.
No office rate
33681 describes closure of one ventricular septal defect. 33665 is selected for repair of an intermediate or transitional atrioventricular septal defect.
The same code, a different location
How does Salinas compare?
33665 across payment areas
Same release and payment basis · bars start at $0
Salinas · 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 · 33665
Office
Unavailable
Facility
$1703.96
No comparable office rate is available.
Merced
California · 33665
Office
Unavailable
Facility
$1703.96
No comparable office rate is available.
Modesto
California · 33665
Office
Unavailable
Facility
$1703.96
No comparable office rate is available.
Napa
California · 33665
Office
Unavailable
Facility
$1828.37
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33665
Office
Unavailable
Facility
$1772.45
No comparable office rate is available.
Redding
California · 33665
Office
Unavailable
Facility
$1703.96
No comparable office rate is available.
Rest Of California
California · 33665
Office
Unavailable
Facility
$1703.96
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33665
Office
Unavailable
Facility
$1795.94
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33665
Office
Unavailable
Facility
$1749.73
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33665
Office
Unavailable
Facility
$1756.57
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33665
Office
Unavailable
Facility
$1883.89
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33665
Office
Unavailable
Facility
$1874.15
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33665
Office
Unavailable
Facility
$1934.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33665
Office
Unavailable
Facility
$1894.72
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33665
Office
Unavailable
Facility
$1719.50
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33665
Office
Unavailable
Facility
$1751.50
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33665
Office
Unavailable
Facility
$1741.74
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33665
Office
Unavailable
Facility
$1766.41
No comparable office rate is available.
Stockton
California · 33665
Office
Unavailable
Facility
$1703.96
No comparable office rate is available.
Vallejo
California · 33665
Office
Unavailable
Facility
$1814.33
No comparable office rate is available.
Visalia
California · 33665
Office
Unavailable
Facility
$1703.96
No comparable office rate is available.
Yuba City
California · 33665
Office
Unavailable
Facility
$1703.96
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33665
Office
Unavailable
Facility
$1940.94
No comparable office rate is available.
Miami
Florida · 33665
Office
Unavailable
Facility
$2235.94
No comparable office rate is available.
Chicago
Illinois · 33665
Office
Unavailable
Facility
$2163.81
No comparable office rate is available.
Manhattan
New York · 33665
Office
Unavailable
Facility
$2082.06
No comparable office rate is available.
Alaska*
Alaska · 33665
Office
Unavailable
Facility
$2245.24
No comparable office rate is available.
Alabama
Alabama · 33665
Office
Unavailable
Facility
$1613.39
No comparable office rate is available.
Arkansas
Arkansas · 33665
Office
Unavailable
Facility
$1592.99
No comparable office rate is available.
Arizona
Arizona · 33665
Office
Unavailable
Facility
$1730.47
No comparable office rate is available.
Colorado
Colorado · 33665
Office
Unavailable
Facility
$1756.93
No comparable office rate is available.
Connecticut
Connecticut · 33665
Office
Unavailable
Facility
$1893.65
No comparable office rate is available.
Delaware
Delaware · 33665
Office
Unavailable
Facility
$1755.33
No comparable office rate is available.
Fort Lauderdale
Florida · 33665
Office
Unavailable
Facility
$2019.19
No comparable office rate is available.
Rest Of Florida
Florida · 33665
Office
Unavailable
Facility
$1911.19
No comparable office rate is available.
Atlanta
Georgia · 33665
Office
Unavailable
Facility
$1849.73
No comparable office rate is available.
Rest Of Georgia
Georgia · 33665
Office
Unavailable
Facility
$1798.93
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33665
Office
Unavailable
Facility
$1711.80
No comparable office rate is available.
Iowa
Iowa · 33665
Office
Unavailable
Facility
$1579.41
No comparable office rate is available.
Idaho
Idaho · 33665
Office
Unavailable
Facility
$1603.00
No comparable office rate is available.
East St. Louis
Illinois · 33665
Office
Unavailable
Facility
$2044.62
No comparable office rate is available.
Rest Of Illinois
Illinois · 33665
Office
Unavailable
Facility
$1912.84
No comparable office rate is available.
Suburban Chicago
Illinois · 33665
Office
Unavailable
Facility
$2021.88
No comparable office rate is available.
Indiana
Indiana · 33665
Office
Unavailable
Facility
$1609.26
No comparable office rate is available.
Kansas
Kansas · 33665
Office
Unavailable
Facility
$1606.10
No comparable office rate is available.
Kentucky
Kentucky · 33665
Office
Unavailable
Facility
$1718.47
No comparable office rate is available.
New Orleans
Louisiana · 33665
Office
Unavailable
Facility
$1800.59
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33665
Office
Unavailable
Facility
$1729.34
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33665
Office
Unavailable
Facility
$1868.06
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33665
Office
Unavailable
Facility
$1762.08
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33665
Office
Unavailable
Facility
$1895.40
No comparable office rate is available.
Rest Of Maryland
Maryland · 33665
Office
Unavailable
Facility
$1775.13
No comparable office rate is available.
Rest Of Maine
Maine · 33665
Office
Unavailable
Facility
$1645.70
No comparable office rate is available.
Southern Maine
Maine · 33665
Office
Unavailable
Facility
$1673.94
No comparable office rate is available.
Detroit
Michigan · 33665
Office
Unavailable
Facility
$1966.88
No comparable office rate is available.
Rest Of Michigan
Michigan · 33665
Office
Unavailable
Facility
$1788.47
No comparable office rate is available.
Minnesota
Minnesota · 33665
Office
Unavailable
Facility
$1591.67
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33665
Office
Unavailable
Facility
$1754.30
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33665
Office
Unavailable
Facility
$1766.17
No comparable office rate is available.
Rest Of Missouri
Missouri · 33665
Office
Unavailable
Facility
$1725.62
No comparable office rate is available.
Mississippi
Mississippi · 33665
Office
Unavailable
Facility
$1657.91
No comparable office rate is available.
Montana**
Montana · 33665
Office
Unavailable
Facility
$1782.37
No comparable office rate is available.
North Carolina
North Carolina · 33665
Office
Unavailable
Facility
$1655.27
No comparable office rate is available.
North Dakota**
North Dakota · 33665
Office
Unavailable
Facility
$1612.71
No comparable office rate is available.
Nebraska
Nebraska · 33665
Office
Unavailable
Facility
$1576.86
No comparable office rate is available.
New Hampshire
New Hampshire · 33665
Office
Unavailable
Facility
$1761.93
No comparable office rate is available.
Northern Nj
New Jersey · 33665
Office
Unavailable
Facility
$1931.75
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33665
Office
Unavailable
Facility
$1889.39
No comparable office rate is available.
New Mexico
New Mexico · 33665
Office
Unavailable
Facility
$1810.55
No comparable office rate is available.
Nevada**
Nevada · 33665
Office
Unavailable
Facility
$1735.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33665
Office
Unavailable
Facility
$2169.48
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33665
Office
Unavailable
Facility
$1928.53
No comparable office rate is available.
Queens
New York · 33665
Office
Unavailable
Facility
$2048.02
No comparable office rate is available.
Rest Of New York
New York · 33665
Office
Unavailable
Facility
$1679.76
No comparable office rate is available.
Ohio
Ohio · 33665
Office
Unavailable
Facility
$1753.79
No comparable office rate is available.
Oklahoma
Oklahoma · 33665
Office
Unavailable
Facility
$1680.36
No comparable office rate is available.
Portland
Oregon · 33665
Office
Unavailable
Facility
$1767.85
No comparable office rate is available.
Rest Of Oregon
Oregon · 33665
Office
Unavailable
Facility
$1696.38
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33665
Office
Unavailable
Facility
$1873.50
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33665
Office
Unavailable
Facility
$1737.54
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33665
Office
Unavailable
Facility
$1782.62
No comparable office rate is available.
Rhode Island
Rhode Island · 33665
Office
Unavailable
Facility
$1785.48
No comparable office rate is available.
South Carolina
South Carolina · 33665
Office
Unavailable
Facility
$1712.49
No comparable office rate is available.
South Dakota**
South Dakota · 33665
Office
Unavailable
Facility
$1592.65
No comparable office rate is available.
Tennessee
Tennessee · 33665
Office
Unavailable
Facility
$1617.37
No comparable office rate is available.
Austin
Texas · 33665
Office
Unavailable
Facility
$1773.50
No comparable office rate is available.
Beaumont
Texas · 33665
Office
Unavailable
Facility
$1730.07
No comparable office rate is available.
Brazoria
Texas · 33665
Office
Unavailable
Facility
$1725.72
No comparable office rate is available.
Dallas
Texas · 33665
Office
Unavailable
Facility
$1751.01
No comparable office rate is available.
Fort Worth
Texas · 33665
Office
Unavailable
Facility
$1751.13
No comparable office rate is available.
Galveston
Texas · 33665
Office
Unavailable
Facility
$1740.20
No comparable office rate is available.
Houston
Texas · 33665
Office
Unavailable
Facility
$1897.24
No comparable office rate is available.
Rest Of Texas
Texas · 33665
Office
Unavailable
Facility
$1736.71
No comparable office rate is available.
Utah
Utah · 33665
Office
Unavailable
Facility
$1732.03
No comparable office rate is available.
Virginia
Virginia · 33665
Office
Unavailable
Facility
$1692.54
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33665
Office
Unavailable
Facility
$1782.62
No comparable office rate is available.
Vermont
Vermont · 33665
Office
Unavailable
Facility
$1637.76
No comparable office rate is available.
Rest Of Washington
Washington · 33665
Office
Unavailable
Facility
$1748.36
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33665
Office
Unavailable
Facility
$1869.28
No comparable office rate is available.
Wisconsin
Wisconsin · 33665
Office
Unavailable
Facility
$1569.45
No comparable office rate is available.
West Virginia
West Virginia · 33665
Office
Unavailable
Facility
$1859.11
No comparable office rate is available.
Wyoming**
Wyoming · 33665
Office
Unavailable
Facility
$1708.43
No comparable office rate is available.
See how rates vary across the country
33665 · 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?
Salinas is a Medicare payment area. Our Census mapping connects it to 30 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 33665 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1916.87
$1742.61 × 110% = $1916.87
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 33665 in Salinas.
PPRRVU2026_Oct_nonQPP.csv
4,025
- Code
- 33665
- Physician work
- 33.98
- Practice expense
- 10.82
- Malpractice
- 8.58
GPCI2026.csv
22
- Locality
- Salinas
- Physician work
- 1.031
- Practice expense
- 1.159
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.98 | × 1.031 | 35.0334 |
| Practice expense | 10.82 | × 1.159 | 12.5404 |
| Malpractice | 8.58 | × 0.536 | 4.5989 |
| Total RVUs | 52.1726 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Salinas$1742.61
Open 33665 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33.98 | 1.031 |
| Practice expense | 10.82 | 1.159 |
| Malpractice | 8.58 | 0.536 |
(33.98 × 1.031 + 10.82 × 1.159 + 8.58 × 0.536) × $33.4009 = $1742.61
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
33665 · 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 | $1742.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $1742.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $1742.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $1742.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $1814.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $1814.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $1814.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $1814.15 | RVU25A |
33665 billing questions
How is this code distinguished from 33660?
33665 is for an intermediate or transitional atrioventricular septal defect. 33660 describes repair of a partial atrioventricular septal defect; use the documented anatomy to select the code.
When would 33670 be reported instead?
33670 is for repair of a complete atrioventricular septal defect. The operative diagnosis and described anatomy should establish whether the defect is complete or intermediate/transitional.
Is repair of the valve cleft included in the service?
The code accommodates repair of the left atrioventricular valve cleft as part of the AV septal defect operation. The operative report should describe any valve repair performed.
Can modifier 50 be used?
No. Bilateral adjustment is inappropriate for this code and anatomy.
How are assistant and co-surgeon services handled?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
4,02233645,,Revision of heart veins,A,,30.52,10.24,NA,10.24,,7.69,48.45,48.45,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02333647,,Repair heart septum defects,A,,32.18,10.46,NA,10.46,,8.11,50.75,50.75,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02433660,,Repair of heart defects,A,,31.03,10.25,NA,10.25,,7.83,49.11,49.11,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02533665,,Repair of heart defects,A,,33.98,10.82,NA,10.82,,8.58,53.38,53.38,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02633670,,Repair of heart chambers,A,,35.71,9.74,NA,9.74,,9.00,54.45,54.45,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02733675,,Close mult vsd,A,,35.05,11.06,NA,11.06,,8.84,54.95,54.95,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02833676,,Close mult vsd w/resection,A,,36.03,11.24,NA,11.24,,9.09,56.36,56.36,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
2301182,CA,72,SAN DIEGO-CHULA VISTA-CARLSBAD,1.030,1.196,0.542
2401112,CA,05,SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY),1.095,1.410,0.425
2501112,CA,52,SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY),1.095,1.410,0.459