Billing code 33476: VentriculoplastyMedicare rate & RVUs in Georgia
Reports surgical reconstruction of the right ventricular chamber, with or without a patch, when operative treatment requires reshaping or rebuilding that chamber.
CMS doesn’t publish an office rate for 33476 in Georgia.
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 33476 covers
This code describes surgical reconstruction of the right ventricular chamber, with or without patch material. A cardiothoracic surgeon performs the operation in a hospital operating room to address a structural problem requiring chamber reconstruction. The operative report should identify the right ventricle and describe the reconstruction performed; a procedure limited to a valve, septum, or other cardiac structure is not this service.
Report the code for the right-sided chamber reconstruction rather than a left ventricular procedure or a code describing work confined to another structure. Documentation should support the indication, anatomy treated, and operative technique. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted, and modifier 50 is inappropriate.
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.
Where 33476 pays more and less in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta | Unavailable | $1,500.87 |
| Rest Of Georgia | Unavailable | $1,451.05 |
How the 33476 rate is calculated
Each of 33476’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 · 33476
RVUs × geographic indexes × conversion factor
Work25.91
25.91 RVUs× 1.000 GPCI
Practice expense10.93
10.93 RVUs× 1.000 GPCI
Malpractice6.53
6.53 RVUs× 1.000 GPCI
Adjusted RVUs
43.3700
Conversion factor
$33.4009
Medicare rate
$1,448.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33476
33476 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33476
Ventriculoplasty
| 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 · 33476
Ventriculoplasty
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
33476 without 51 · national facility
$1,448.60
Ventriculoplasty
33476-51 · Second procedure: 50%
$724.30
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%).
33476 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 33478RVOT revision
- Choose 33478 for reconstruction of the left ventricular chamber; this code is for the right ventricle.
- 33542Heart lesion removal
- Code 33542 describes removal of a ventricular aneurysm. Use this code when the documented work is reconstruction of the right ventricular chamber rather than aneurysmectomy.
- 33545Heart repair
- Code 33545 describes a surgical ventricular restoration procedure for aneurysm-related reconstruction. This code identifies reconstruction of the right ventricular chamber.
33476 billing questions
How is this code distinguished from 33478?
This code is for reconstruction of the right ventricular chamber. Code 33478 describes the corresponding left ventricular chamber procedure.
Can this be reported with a cardiac valve procedure?
It may be reported with another procedure when the surgeon performs distinct, separately documented work on the ventricular chamber and the valve in the same session. The multiple-procedure reduction applies when procedures are performed together.
What documentation supports reporting this service?
The operative report should identify the right ventricle, explain the structural problem, and describe the chamber reconstruction, including any patch work.
Can modifier 50 be used?
No. The anatomy and service are not bilateral for Medicare payment purposes, so modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and 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
Fee sheets
Put 33476 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →