Billing code 33622: Congenital heart surgeryMedicare rate & RVUs in Alaska
Reports repeat open surgery for a complex congenital heart defect, such as tetralogy of Fallot or transposition of the great arteries, using cardiopulmonary bypass.
CMS doesn’t publish an office rate for 33622 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 33622 covers
This code represents a repeat open operation for complex congenital heart disease requiring cardiopulmonary bypass. Examples include reoperation for tetralogy of Fallot, transposition of the great arteries, or double-outlet right ventricle. A congenital cardiac surgeon typically performs the operation in a hospital operating room; patients may be children or adults with congenital heart disease who need further surgical correction after an earlier procedure.
Select the code when the operative record supports both a prior cardiac operation and a complex redo procedure, rather than a first-time repair or a separately defined operation. Documentation should identify the congenital anatomy, prior repair, current surgical work, and use of bypass. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
33622 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $4,000.80 |
How the 33622 rate is calculated
Each of 33622’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33622
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 62.40Practice expense 16.44Malpractice 15.74
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33622
33622 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33622
Congenital heart surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33622
Congenital heart surgery
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33622 without 51 · national facility
$3,159.06
Congenital heart surgery
33622-51 · Second procedure: 50%
$1,579.53
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
33622 compared with similar codes
Compare codes
33622 vs 33608 vs 33611 vs 33615: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33608Conduit repair
- 33608 identifies a congenital repair using a conduit. This code is for a complex repeat operation after prior cardiac surgery, not simply for conduit use.
- 33611Congenital heart repair
- 33611 describes a defined double-outlet right ventricle repair. Choose this code when the service is a complex redo operation that meets its criteria.
- 33615Fontan repair
- 33615 is specific to a Fontan procedure. This code describes a complex reoperation and is not selected merely because the patient has single-ventricle physiology.
33622 billing questions
When should this code be selected instead of a code for a specific congenital repair?
Use it for a complex redo operation after prior cardiac surgery when the procedure fits this service. A code for a defined repair, such as a double-outlet right ventricle repair, may be more appropriate when that specific operation is performed.
What documentation supports reporting a redo procedure?
The operative report should establish the prior cardiac operation, the complex congenital anatomy, the current surgical work, and use of cardiopulmonary bypass.
How is this code affected when other procedures are performed in the same session?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
Can modifier 50 be used?
No. The anatomy and service are not coded as bilateral, so modifier 50 is inappropriate.
How are assistant and co-surgeon services handled?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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