No office rate
Both address single-ventricle repair, but 33619 is distinguished by repair of a hypoplastic aortic arch as part of the operation.
On this page
CMS RVU26D · Effective 2026-10-01
33619 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2472.33
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 33619: Single-ventricle repair with arch reconstruction
Reports complex single-ventricle reconstruction that includes repair of a hypoplastic aortic arch, as in a Norwood-type operation for hypoplastic left heart syndrome.
This code describes major congenital heart surgery for a patient with single-ventricle anatomy when reconstruction also addresses a hypoplastic aortic arch. A Norwood-type operation for hypoplastic left heart syndrome is a typical clinical context. A congenital cardiac surgeon performs the reconstruction in an operating room; cardiopulmonary bypass may be used, but its use does not determine whether this code applies.
Select the code when the operative report documents both single-ventricle repair and aortic arch hypoplasia repair; a single-ventricle repair without the arch work points to 33617. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 33619
- 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 RVU47.54 · 62%
- Practice expense (office) RVU17.60 · 23%
- Malpractice RVU12.00 · 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.
33619 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
33615 describes a modified Fontan operation, a different single-ventricle surgical procedure; 33619 is selected for reconstruction that includes hypoplastic arch repair.
No office rate
33611 is for repair involving double-ventricle anatomy. 33619 applies to single-ventricle reconstruction with aortic arch hypoplasia repair.
The same code, a different location
How does Wyoming** compare?
33619 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 33619
Office
Unavailable
Facility
$2329.11
No comparable office rate is available.
Arkansas
Arkansas · 33619
Office
Unavailable
Facility
$2299.26
No comparable office rate is available.
Arizona
Arizona · 33619
Office
Unavailable
Facility
$2500.61
No comparable office rate is available.
Bakersfield
California · 33619
Office
Unavailable
Facility
$2506.43
No comparable office rate is available.
Chico
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
El Centro
California · 33619
Office
Unavailable
Facility
$2476.00
No comparable office rate is available.
Fresno
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Hanford-Corcoran
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Madera
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Merced
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Modesto
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Napa
California · 33619
Office
Unavailable
Facility
$2666.32
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33619
Office
Unavailable
Facility
$2576.89
No comparable office rate is available.
Redding
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Rest Of California
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33619
Office
Unavailable
Facility
$2602.64
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33619
Office
Unavailable
Facility
$2543.55
No comparable office rate is available.
Salinas
California · 33619
Office
Unavailable
Facility
$2533.26
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33619
Office
Unavailable
Facility
$2555.83
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33619
Office
Unavailable
Facility
$2751.58
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33619
Office
Unavailable
Facility
$2737.95
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33619
Office
Unavailable
Facility
$2825.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33619
Office
Unavailable
Facility
$2769.36
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33619
Office
Unavailable
Facility
$2499.28
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33619
Office
Unavailable
Facility
$2550.30
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33619
Office
Unavailable
Facility
$2532.61
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33619
Office
Unavailable
Facility
$2572.24
No comparable office rate is available.
Stockton
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Vallejo
California · 33619
Office
Unavailable
Facility
$2646.68
No comparable office rate is available.
Visalia
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Yuba City
California · 33619
Office
Unavailable
Facility
$2474.00
No comparable office rate is available.
Colorado
Colorado · 33619
Office
Unavailable
Facility
$2545.45
No comparable office rate is available.
Connecticut
Connecticut · 33619
Office
Unavailable
Facility
$2737.74
No comparable office rate is available.
Delaware
Delaware · 33619
Office
Unavailable
Facility
$2536.95
No comparable office rate is available.
Fort Lauderdale
Florida · 33619
Office
Unavailable
Facility
$2908.04
No comparable office rate is available.
Rest Of Florida
Florida · 33619
Office
Unavailable
Facility
$2752.29
No comparable office rate is available.
Atlanta
Georgia · 33619
Office
Unavailable
Facility
$2671.28
No comparable office rate is available.
Rest Of Georgia
Georgia · 33619
Office
Unavailable
Facility
$2590.01
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33619
Office
Unavailable
Facility
$2488.34
No comparable office rate is available.
Iowa
Iowa · 33619
Office
Unavailable
Facility
$2284.89
No comparable office rate is available.
Idaho
Idaho · 33619
Office
Unavailable
Facility
$2318.29
No comparable office rate is available.
East St. Louis
Illinois · 33619
Office
Unavailable
Facility
$2935.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 33619
Office
Unavailable
Facility
$2751.06
No comparable office rate is available.
Suburban Chicago
Illinois · 33619
Office
Unavailable
Facility
$2912.96
No comparable office rate is available.
Indiana
Indiana · 33619
Office
Unavailable
Facility
$2327.62
No comparable office rate is available.
Kansas
Kansas · 33619
Office
Unavailable
Facility
$2321.31
No comparable office rate is available.
Kentucky
Kentucky · 33619
Office
Unavailable
Facility
$2477.22
No comparable office rate is available.
New Orleans
Louisiana · 33619
Office
Unavailable
Facility
$2596.37
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33619
Office
Unavailable
Facility
$2492.11
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33619
Office
Unavailable
Facility
$2711.60
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33619
Office
Unavailable
Facility
$2551.74
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33619
Office
Unavailable
Facility
$2739.86
No comparable office rate is available.
Rest Of Maryland
Maryland · 33619
Office
Unavailable
Facility
$2566.61
No comparable office rate is available.
Rest Of Maine
Maine · 33619
Office
Unavailable
Facility
$2378.01
No comparable office rate is available.
Southern Maine
Maine · 33619
Office
Unavailable
Facility
$2423.36
No comparable office rate is available.
Detroit
Michigan · 33619
Office
Unavailable
Facility
$2830.93
No comparable office rate is available.
Rest Of Michigan
Michigan · 33619
Office
Unavailable
Facility
$2577.11
No comparable office rate is available.
Minnesota
Minnesota · 33619
Office
Unavailable
Facility
$2311.42
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33619
Office
Unavailable
Facility
$2531.47
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33619
Office
Unavailable
Facility
$2549.13
No comparable office rate is available.
Rest Of Missouri
Missouri · 33619
Office
Unavailable
Facility
$2485.00
No comparable office rate is available.
Mississippi
Mississippi · 33619
Office
Unavailable
Facility
$2390.22
No comparable office rate is available.
Montana**
Montana · 33619
Office
Unavailable
Facility
$2575.74
No comparable office rate is available.
North Carolina
North Carolina · 33619
Office
Unavailable
Facility
$2392.47
No comparable office rate is available.
North Dakota**
North Dakota · 33619
Office
Unavailable
Facility
$2338.46
No comparable office rate is available.
Nebraska
Nebraska · 33619
Office
Unavailable
Facility
$2281.98
No comparable office rate is available.
New Hampshire
New Hampshire · 33619
Office
Unavailable
Facility
$2550.55
No comparable office rate is available.
Northern Nj
New Jersey · 33619
Office
Unavailable
Facility
$2797.89
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33619
Office
Unavailable
Facility
$2733.02
No comparable office rate is available.
New Mexico
New Mexico · 33619
Office
Unavailable
Facility
$2608.32
No comparable office rate is available.
Nevada**
Nevada · 33619
Office
Unavailable
Facility
$2510.20
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33619
Office
Unavailable
Facility
$3132.77
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33619
Office
Unavailable
Facility
$2788.02
No comparable office rate is available.
Queens
New York · 33619
Office
Unavailable
Facility
$2962.32
No comparable office rate is available.
Rest Of New York
New York · 33619
Office
Unavailable
Facility
$2428.11
No comparable office rate is available.
Ohio
Ohio · 33619
Office
Unavailable
Facility
$2528.61
No comparable office rate is available.
Oklahoma
Oklahoma · 33619
Office
Unavailable
Facility
$2424.26
No comparable office rate is available.
Portland
Oregon · 33619
Office
Unavailable
Facility
$2564.60
No comparable office rate is available.
Rest Of Oregon
Oregon · 33619
Office
Unavailable
Facility
$2455.15
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33619
Office
Unavailable
Facility
$2706.59
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33619
Office
Unavailable
Facility
$2506.30
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33619
Office
Unavailable
Facility
$2577.00
No comparable office rate is available.
Rhode Island
Rhode Island · 33619
Office
Unavailable
Facility
$2582.83
No comparable office rate is available.
South Carolina
South Carolina · 33619
Office
Unavailable
Facility
$2471.75
No comparable office rate is available.
South Dakota**
South Dakota · 33619
Office
Unavailable
Facility
$2310.41
No comparable office rate is available.
Tennessee
Tennessee · 33619
Office
Unavailable
Facility
$2337.48
No comparable office rate is available.
Austin
Texas · 33619
Office
Unavailable
Facility
$2568.12
No comparable office rate is available.
Beaumont
Texas · 33619
Office
Unavailable
Facility
$2495.18
No comparable office rate is available.
Brazoria
Texas · 33619
Office
Unavailable
Facility
$2495.78
No comparable office rate is available.
Dallas
Texas · 33619
Office
Unavailable
Facility
$2531.57
No comparable office rate is available.
Fort Worth
Texas · 33619
Office
Unavailable
Facility
$2530.90
No comparable office rate is available.
Galveston
Texas · 33619
Office
Unavailable
Facility
$2516.19
No comparable office rate is available.
Houston
Texas · 33619
Office
Unavailable
Facility
$2735.84
No comparable office rate is available.
Rest Of Texas
Texas · 33619
Office
Unavailable
Facility
$2507.69
No comparable office rate is available.
Utah
Utah · 33619
Office
Unavailable
Facility
$2500.39
No comparable office rate is available.
Virginia
Virginia · 33619
Office
Unavailable
Facility
$2448.71
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33619
Office
Unavailable
Facility
$2577.00
No comparable office rate is available.
Vermont
Vermont · 33619
Office
Unavailable
Facility
$2372.67
No comparable office rate is available.
Rest Of Washington
Washington · 33619
Office
Unavailable
Facility
$2532.55
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33619
Office
Unavailable
Facility
$2716.03
No comparable office rate is available.
Wisconsin
Wisconsin · 33619
Office
Unavailable
Facility
$2274.49
No comparable office rate is available.
West Virginia
West Virginia · 33619
Office
Unavailable
Facility
$2672.29
No comparable office rate is available.
See how rates vary across the country
33619 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 33619 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2719.56
$2472.33 × 110% = $2719.56
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 33619 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,017
- Code
- 33619
- Physician work
- 47.54
- Practice expense
- 17.60
- Malpractice
- 12.00
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 47.54 | × 1.000 | 47.5400 |
| Practice expense | 17.60 | × 1.000 | 17.6000 |
| Malpractice | 12.00 | × 0.740 | 8.8800 |
| Total RVUs | 74.0200 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$2472.33
Open 33619 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 47.54 | 1 |
| Practice expense | 17.6 | 1 |
| Malpractice | 12 | 0.74 |
(47.54 × 1 + 17.6 × 1 + 12 × 0.74) × $33.4009 = $2472.33
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
33619 · 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 | $2472.33 | RVU26D |
| 2026-07-01 | Not available in this setting | $2472.33 | RVU26C |
| 2026-04-01 | Not available in this setting | $2472.33 | RVU26B |
| 2026-01-01 | Not available in this setting | $2472.33 | RVU26A |
| 2025-10-01 | Not available in this setting | $2525.90 | RVU25D |
| 2025-07-01 | Not available in this setting | $2525.90 | RVU25C |
| 2025-04-01 | Not available in this setting | $2525.90 | RVU25B |
| 2025-01-01 | Not available in this setting | $2525.90 | RVU25A |
33619 billing questions
When should 33619 be chosen over 33617?
Use 33619 when the single-ventricle reconstruction also includes repair of a hypoplastic aortic arch. Use 33617 when the documented single-ventricle repair does not include that arch repair.
Does use of cardiopulmonary bypass change code selection?
No. The code covers the operation whether or not cardiopulmonary bypass is used.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because the procedure and anatomy are not bilateral.
How does the 90-day global period affect postoperative reporting?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
What happens when another procedure is performed in the same session?
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.
4,01433612,,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
4,01533615,,Repair modified fontan,A,,34.99,12.25,NA,12.25,,8.82,56.06,56.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01633617,,Repair single ventricle,A,,38.11,12.86,NA,12.86,,9.62,60.59,60.59,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01733619,,Repair single ventricle,A,,47.54,17.60,NA,17.60,,12.00,77.14,77.14,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01833620,,Apply r&l pulm art bands,A,,29.25,9.40,NA,9.40,,7.38,46.03,46.03,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01933621,,Transthor cath for stent,A,,15.78,6.75,NA,6.75,,3.97,26.50,26.50,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02033622,,Redo compl cardiac anomaly,A,,62.40,16.44,NA,16.44,,15.74,94.58,94.58,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,