Billing code 33702: Heart defect repairMedicare rate & RVUs in Alaska
Surgical repair of a sinus venosus atrial septal defect with anomalous pulmonary venous drainage, correcting both the septal defect and abnormal venous flow.
CMS doesn’t publish an office rate for 33702 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 33702 covers
This code describes open cardiac surgery to correct a sinus venosus atrial septal defect associated with pulmonary veins draining abnormally. The surgeon repairs the defect and redirects the affected venous flow into the left atrium. Congenital cardiac surgeons typically perform the operation in a hospital operating room, commonly using cardiopulmonary bypass. The anatomy distinguishes this repair from surgery for an isolated atrial septal defect or anomalous pulmonary venous connection without the sinus venosus defect.
Select the code from the documented anatomy and the operation performed; the operative report should identify the defect, anomalous veins, and repair. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this repair. Assistant-at-surgery payment may be available; 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.
33702 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $1,829.98 |
How the 33702 rate is calculated
Each of 33702’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 · 33702
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 26.56Practice expense 10.58Malpractice 6.68
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33702
33702 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33702
Heart defect repair
| 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 · 33702
Heart defect repair
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
33702 without 51 · national facility
$1,463.63
Heart defect repair
33702-51 · Second procedure: 50%
$731.82
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%).
33702 compared with similar codes
Compare codes
33702 vs 33710 vs 33720 vs 33641: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33710Heart defect repair
- This code includes repair of a sinus venosus atrial septal defect with associated anomalous pulmonary venous drainage. Code 33710 describes partial anomalous pulmonary venous connection repair without that combined sinus venosus defect.
- 33720Heart defect repair
- Code 33720 is for total anomalous pulmonary venous connection repair. Choose based on the documented venous anatomy and operation, not simply the presence of an atrial septal defect.
- 33641ASD repair
- Code 33641 is for a secundum atrial septal defect repair. This code is for the distinct sinus venosus defect associated with anomalous pulmonary venous drainage.
33702 billing questions
When is this code a better fit than a code for partial anomalous pulmonary venous connection repair?
Use this code when the operation repairs a sinus venosus atrial septal defect together with the associated anomalous pulmonary venous drainage. A partial anomalous connection without that defect points to a different repair code.
How does this differ from repair of total anomalous pulmonary venous connection?
This code addresses the combination of a sinus venosus defect and anomalous pulmonary venous drainage. Total anomalous pulmonary venous connection is a different venous anatomy and is reported with its specific repair code.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply to this repair, and modifier 50 is inappropriate for the anatomy and service.
How is postoperative care handled?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure rule, the highest-valued procedure is paid in full and other procedures are subject to the reduction. Document each distinct procedure in the operative report.
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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