No office rate
Use 33542 for excision of a ventricular aneurysm. Use 33545 for repair of a ventricular septal defect caused by myocardial infarction.
On this page
CMS RVU26D · Effective 2026-10-01
33545 Heart repair Medicare reimbursement rates in Delaware
Reports surgical repair of a ventricular septal defect caused by myocardial infarction, with or without removal of damaged heart muscle. Compare 33545 office and facility rates across CMS payment localities in Delaware.
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.
What does Medicare pay for 33545 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2825.59
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiac surgery
About 33545: Postinfarction ventricular septal defect repair
Reports surgical repair of a ventricular septal defect caused by myocardial infarction, with or without removal of damaged heart muscle.
A cardiothoracic surgeon uses this code to repair a ventricular septal defect that developed as a complication of myocardial infarction. The operation may include removing infarcted myocardium as part of the repair. It is a major open-heart service generally performed in a hospital operating room, often when the defect causes significant shunting or hemodynamic instability. The operative report should identify the defect as postinfarction and describe the repair and any myocardial resection.
Report the code for the postinfarction defect repair, not for repair of a congenital septal defect or treatment of a ventricular aneurysm. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33545
- 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 RVU55.63 · 65%
- Practice expense (office) RVU16.88 · 20%
- Malpractice RVU13.36 · 16%
45
Medicare services in 2024 · #5417 by national volume
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.
33545 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Use 33548 for a surgical ventricular restoration or remodeling procedure. It does not describe repair of a postinfarction ventricular septal defect.
No office rate
33510 reports a single venous coronary bypass graft, not repair of a postinfarction septal defect. Both may be reported when both services are performed in the same operation.
Compare 33545 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
Unavailable
Facility
$2825.59
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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 33545 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,004
- Code
- 33545
- Physician work
- 55.63
- Practice expense
- 16.88
- Malpractice
- 13.36
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 55.63 | × 1.005 | 55.9081 |
| Practice expense | 16.88 | × 0.988 | 16.6774 |
| Malpractice | 13.36 | × 0.899 | 12.0106 |
| Total RVUs | 84.5962 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$2825.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 55.63 | 1.005 |
| Practice expense | 16.88 | 0.988 |
| Malpractice | 13.36 | 0.899 |
(55.63 × 1.005 + 16.88 × 0.988 + 13.36 × 0.899) × $33.4009 = $2825.59
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.
33545 billing questions
How is this different from ventricular aneurysm surgery?
This code is for repair of a ventricular septal defect caused by myocardial infarction. Ventricular aneurysm excision or ventricular restoration addresses a different postinfarction heart problem.
Can CABG be reported during the same operation?
Yes, when coronary bypass grafting is separately performed, report the applicable CABG code based on the graft type and count. Same-session procedures are subject to the multiple-procedure payment rule.
What documentation supports this code?
The operative report should establish that the septal defect followed a myocardial infarction and describe its surgical repair. Document any myocardial resection performed as part of the operation.
Can modifier 50 be used?
No. The descriptor and anatomy make bilateral reporting with modifier 50 inappropriate.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What care is included in the global period?
The major-surgery 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.
4,00133536,,Cabg arterial four or more,A,,47.22,14.80,NA,14.80,,11.65,73.67,73.67,0,090,0.09,0.82,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0023353F,,Mild-mod dep symp by deptool,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
4,00333542,,Removal of heart lesion,A,,47.00,14.90,NA,14.90,,11.62,73.52,73.52,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00433545,,Repair of heart damage,A,,55.63,16.88,NA,16.88,,13.36,85.87,85.87,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00533548,,Restore/remodel ventricle,A,,52.79,17.63,NA,17.63,,12.68,83.10,83.10,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0063354F,,Clin sig dep sym by dep tool,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
4,00733572,,Open coronary endarterectomy,A,,4.33,0.87,NA,0.87,,1.07,6.27,6.27,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503