CMS RVU26D · Effective 2026-10-01
Surgical repair of a sinus venosus atrial septal defect with anomalous pulmonary venous drainage, correcting both the septal defect and abnormal venous flow. Compare 33702 office and facility rates across CMS payment localities in Guam.
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.
Guam 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.
No supported rate
$1418.11
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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.
Congenital cardiac surgery
Surgical repair of a sinus venosus atrial septal defect with anomalous pulmonary venous drainage, correcting both the septal defect and abnormal venous flow.
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.
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Medicare services in 2024 · #5972 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.
Office rates for Guam, from the same CMS release.
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.
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.
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.
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
Office / nonfacility
Unavailable
Facility
$1418.11
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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 33702 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,037
GPCI2026.csv
46
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.56 | × 1.000 | 26.5600 |
| Practice expense | 10.58 | × 1.137 | 12.0295 |
| Malpractice | 6.68 | × 0.579 | 3.8677 |
| Total RVUs | 42.4572 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1418.11
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.56 | 1 |
| Practice expense | 10.58 | 1.137 |
| Malpractice | 6.68 | 0.579 |
(26.56 × 1 + 10.58 × 1.137 + 6.68 × 0.579) × $33.4009 = $1418.11
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.
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.
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.
No. The CMS bilateral adjustment does not apply to this repair, and modifier 50 is inappropriate for the anatomy and service.
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
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.
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.
