No office rate
Both involve division of an aberrant vessel, but 33803 also requires reanastomosis. Check the operative report for the completed vascular connection.
On this page
CMS RVU26D · Effective 2026-10-01
33803 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1043.37
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.
Cardiovascular surgery
About 33803: Aberrant vessel division with reanastomosis
Reports surgical division of an aberrant vessel followed by reconnection when reconstruction is needed to relieve compression while maintaining blood flow.
This operation addresses an abnormally positioned vessel that compresses the airway or esophagus. A cardiovascular surgeon divides the vessel and reconnects it so blood can continue to reach the territory it supplies. It may be performed for a symptomatic vascular ring, including one involving an aberrant subclavian artery. The operative report should identify the vessel, the structures it compresses, and where the divided vessel was reconnected.
Report 33803 when division and reanastomosis are both performed; division without reconnection is distinguished by 33802. CMS assigns this major surgery a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. If other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to a 50% multiple-procedure reduction. Modifier 50 is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted.
CMS billing rules for 33803
- 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 RVU19.80 · 61%
- Practice expense (office) RVU7.76 · 24%
- Malpractice RVU4.97 · 15%
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.
33803 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
Aortic suspension repositions the aorta to relieve compression. Code 33803 requires division and reanastomosis of an aberrant vessel.
No office rate
Code 33820 is for ligation of a patent ductus arteriosus. Use 33803 when the documented operation divides and reconnects an aberrant vessel.
The same code, a different location
How does Wyoming** compare?
33803 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 · 33803
Office
Unavailable
Facility
$982.09
No comparable office rate is available.
Arkansas
Arkansas · 33803
Office
Unavailable
Facility
$969.47
No comparable office rate is available.
Arizona
Arizona · 33803
Office
Unavailable
Facility
$1054.59
No comparable office rate is available.
Bakersfield
California · 33803
Office
Unavailable
Facility
$1059.07
No comparable office rate is available.
Chico
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
El Centro
California · 33803
Office
Unavailable
Facility
$1046.46
No comparable office rate is available.
Fresno
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Hanford-Corcoran
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Madera
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Merced
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Modesto
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Napa
California · 33803
Office
Unavailable
Facility
$1128.95
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33803
Office
Unavailable
Facility
$1089.64
No comparable office rate is available.
Redding
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Rest Of California
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33803
Office
Unavailable
Facility
$1098.92
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33803
Office
Unavailable
Facility
$1075.56
No comparable office rate is available.
Salinas
California · 33803
Office
Unavailable
Facility
$1071.22
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33803
Office
Unavailable
Facility
$1081.14
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33803
Office
Unavailable
Facility
$1165.82
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33803
Office
Unavailable
Facility
$1160.18
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33803
Office
Unavailable
Facility
$1196.82
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33803
Office
Unavailable
Facility
$1173.74
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33803
Office
Unavailable
Facility
$1056.78
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33803
Office
Unavailable
Facility
$1079.12
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33803
Office
Unavailable
Facility
$1071.05
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33803
Office
Unavailable
Facility
$1088.44
No comparable office rate is available.
Stockton
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Vallejo
California · 33803
Office
Unavailable
Facility
$1120.81
No comparable office rate is available.
Visalia
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Yuba City
California · 33803
Office
Unavailable
Facility
$1045.63
No comparable office rate is available.
Colorado
Colorado · 33803
Office
Unavailable
Facility
$1074.70
No comparable office rate is available.
Connecticut
Connecticut · 33803
Office
Unavailable
Facility
$1154.58
No comparable office rate is available.
Delaware
Delaware · 33803
Office
Unavailable
Facility
$1069.96
No comparable office rate is available.
Fort Lauderdale
Florida · 33803
Office
Unavailable
Facility
$1224.03
No comparable office rate is available.
Rest Of Florida
Florida · 33803
Office
Unavailable
Facility
$1158.63
No comparable office rate is available.
Atlanta
Georgia · 33803
Office
Unavailable
Facility
$1126.03
No comparable office rate is available.
Rest Of Georgia
Georgia · 33803
Office
Unavailable
Facility
$1090.41
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33803
Office
Unavailable
Facility
$1052.15
No comparable office rate is available.
Iowa
Iowa · 33803
Office
Unavailable
Facility
$964.40
No comparable office rate is available.
Idaho
Idaho · 33803
Office
Unavailable
Facility
$978.31
No comparable office rate is available.
East St. Louis
Illinois · 33803
Office
Unavailable
Facility
$1234.12
No comparable office rate is available.
Rest Of Illinois
Illinois · 33803
Office
Unavailable
Facility
$1157.44
No comparable office rate is available.
Suburban Chicago
Illinois · 33803
Office
Unavailable
Facility
$1226.31
No comparable office rate is available.
Indiana
Indiana · 33803
Office
Unavailable
Facility
$982.29
No comparable office rate is available.
Kansas
Kansas · 33803
Office
Unavailable
Facility
$979.31
No comparable office rate is available.
Kentucky
Kentucky · 33803
Office
Unavailable
Facility
$1043.65
No comparable office rate is available.
New Orleans
Louisiana · 33803
Office
Unavailable
Facility
$1093.82
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33803
Office
Unavailable
Facility
$1049.75
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33803
Office
Unavailable
Facility
$1145.67
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33803
Office
Unavailable
Facility
$1077.15
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33803
Office
Unavailable
Facility
$1155.38
No comparable office rate is available.
Rest Of Maryland
Maryland · 33803
Office
Unavailable
Facility
$1082.64
No comparable office rate is available.
Rest Of Maine
Maine · 33803
Office
Unavailable
Facility
$1003.05
No comparable office rate is available.
Southern Maine
Maine · 33803
Office
Unavailable
Facility
$1022.94
No comparable office rate is available.
Detroit
Michigan · 33803
Office
Unavailable
Facility
$1191.34
No comparable office rate is available.
Rest Of Michigan
Michigan · 33803
Office
Unavailable
Facility
$1085.40
No comparable office rate is available.
Minnesota
Minnesota · 33803
Office
Unavailable
Facility
$977.18
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33803
Office
Unavailable
Facility
$1066.90
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33803
Office
Unavailable
Facility
$1074.42
No comparable office rate is available.
Rest Of Missouri
Missouri · 33803
Office
Unavailable
Facility
$1046.45
No comparable office rate is available.
Mississippi
Mississippi · 33803
Office
Unavailable
Facility
$1007.18
No comparable office rate is available.
Montana**
Montana · 33803
Office
Unavailable
Facility
$1086.20
No comparable office rate is available.
North Carolina
North Carolina · 33803
Office
Unavailable
Facility
$1009.24
No comparable office rate is available.
North Dakota**
North Dakota · 33803
Office
Unavailable
Facility
$987.93
No comparable office rate is available.
Nebraska
Nebraska · 33803
Office
Unavailable
Facility
$963.32
No comparable office rate is available.
New Hampshire
New Hampshire · 33803
Office
Unavailable
Facility
$1076.41
No comparable office rate is available.
Northern Nj
New Jersey · 33803
Office
Unavailable
Facility
$1180.95
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33803
Office
Unavailable
Facility
$1152.93
No comparable office rate is available.
New Mexico
New Mexico · 33803
Office
Unavailable
Facility
$1098.38
No comparable office rate is available.
Nevada**
Nevada · 33803
Office
Unavailable
Facility
$1059.07
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33803
Office
Unavailable
Facility
$1320.11
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33803
Office
Unavailable
Facility
$1175.78
No comparable office rate is available.
Queens
New York · 33803
Office
Unavailable
Facility
$1249.40
No comparable office rate is available.
Rest Of New York
New York · 33803
Office
Unavailable
Facility
$1024.27
No comparable office rate is available.
Ohio
Ohio · 33803
Office
Unavailable
Facility
$1065.31
No comparable office rate is available.
Oklahoma
Oklahoma · 33803
Office
Unavailable
Facility
$1021.78
No comparable office rate is available.
Portland
Oregon · 33803
Office
Unavailable
Facility
$1083.39
No comparable office rate is available.
Rest Of Oregon
Oregon · 33803
Office
Unavailable
Facility
$1036.19
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33803
Office
Unavailable
Facility
$1141.10
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33803
Office
Unavailable
Facility
$1056.15
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33803
Office
Unavailable
Facility
$1086.89
No comparable office rate is available.
Rhode Island
Rhode Island · 33803
Office
Unavailable
Facility
$1089.72
No comparable office rate is available.
South Carolina
South Carolina · 33803
Office
Unavailable
Facility
$1041.93
No comparable office rate is available.
South Dakota**
South Dakota · 33803
Office
Unavailable
Facility
$976.31
No comparable office rate is available.
Tennessee
Tennessee · 33803
Office
Unavailable
Facility
$986.09
No comparable office rate is available.
Austin
Texas · 33803
Office
Unavailable
Facility
$1083.96
No comparable office rate is available.
Beaumont
Texas · 33803
Office
Unavailable
Facility
$1051.42
No comparable office rate is available.
Brazoria
Texas · 33803
Office
Unavailable
Facility
$1052.97
No comparable office rate is available.
Dallas
Texas · 33803
Office
Unavailable
Facility
$1067.87
No comparable office rate is available.
Fort Worth
Texas · 33803
Office
Unavailable
Facility
$1067.44
No comparable office rate is available.
Galveston
Texas · 33803
Office
Unavailable
Facility
$1061.46
No comparable office rate is available.
Houston
Texas · 33803
Office
Unavailable
Facility
$1152.42
No comparable office rate is available.
Rest Of Texas
Texas · 33803
Office
Unavailable
Facility
$1057.21
No comparable office rate is available.
Utah
Utah · 33803
Office
Unavailable
Facility
$1054.05
No comparable office rate is available.
Virginia
Virginia · 33803
Office
Unavailable
Facility
$1033.32
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33803
Office
Unavailable
Facility
$1086.89
No comparable office rate is available.
Vermont
Vermont · 33803
Office
Unavailable
Facility
$1001.93
No comparable office rate is available.
Rest Of Washington
Washington · 33803
Office
Unavailable
Facility
$1069.19
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33803
Office
Unavailable
Facility
$1148.06
No comparable office rate is available.
Wisconsin
Wisconsin · 33803
Office
Unavailable
Facility
$960.77
No comparable office rate is available.
West Virginia
West Virginia · 33803
Office
Unavailable
Facility
$1124.12
No comparable office rate is available.
See how rates vary across the country
33803 · 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 33803 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1147.71
$1043.37 × 110% = $1147.71
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 33803 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
4,077
- Code
- 33803
- Physician work
- 19.80
- Practice expense
- 7.76
- Malpractice
- 4.97
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.80 | × 1.000 | 19.8000 |
| Practice expense | 7.76 | × 1.000 | 7.7600 |
| Malpractice | 4.97 | × 0.740 | 3.6778 |
| Total RVUs | 31.2378 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$1043.37
Open 33803 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 19.8 | 1 |
| Practice expense | 7.76 | 1 |
| Malpractice | 4.97 | 0.74 |
(19.8 × 1 + 7.76 × 1 + 4.97 × 0.74) × $33.4009 = $1043.37
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
33803 · 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 | $1043.37 | RVU26D |
| 2026-07-01 | Not available in this setting | $1043.37 | RVU26C |
| 2026-04-01 | Not available in this setting | $1043.37 | RVU26B |
| 2026-01-01 | Not available in this setting | $1043.37 | RVU26A |
| 2025-10-01 | Not available in this setting | $1061.46 | RVU25D |
| 2025-07-01 | Not available in this setting | $1061.46 | RVU25C |
| 2025-04-01 | Not available in this setting | $1061.46 | RVU25B |
| 2025-01-01 | Not available in this setting | $1061.46 | RVU25A |
33803 billing questions
When is 33803 reported instead of 33802?
Use 33803 when the aberrant vessel is divided and reanastomosed. Code 33802 describes division without that reconnection.
What operative details support 33803?
The report should identify the aberrant vessel and document both its division and the completed reanastomosis. Documentation of division alone supports consideration of 33802 instead.
Can modifier 50 be reported for this repair?
No. CMS specifies that the bilateral adjustment is inappropriate for this procedure’s anatomy or descriptor.
How are an assistant and co-surgeons treated?
CMS allows payment for an assistant at surgery. Co-surgeon payment requires supporting documentation, while team surgery is not permitted.
What care is included in the global period?
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.
4,0743378F,,Ajcc brstcncr stage 3 docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07533800,,Aortic suspension,A,,16.85,6.94,NA,6.94,,4.24,28.03,28.03,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07633802,,Division aberrant vessel,A,,17.91,8.88,NA,8.88,,4.51,31.30,31.30,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07733803,,Div aberrant vsl w/reanast,A,,19.80,7.76,NA,7.76,,4.97,32.53,32.53,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0783380F,,Ajcc brstcncr stage 4 docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07933814,,Obltrj a-pulm sep def w/byp,A,,25.91,10.96,NA,10.96,,6.53,43.40,43.40,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,08033820,,Repair pda by ligation,A,,16.27,7.34,NA,7.34,,4.09,27.70,27.70,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,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.,,,,,,