No office rate
This code includes VSD closure with pulmonary outflow reconstruction. Code 33779 identifies the related reconstruction that includes removal of a pulmonary artery band.
On this page
CMS RVU26D · Effective 2026-10-01
33780 Transposition repair Medicare reimbursement rates in Guam
Open congenital cardiac repair for transposition with a ventricular septal defect, combining pulmonary outflow reconstruction and septal closure during one operation. Compare 33780 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.
What does Medicare pay for 33780 in Guam?
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.
Office / nonfacility
No supported rate
Facility setting
$2089.59
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
About 33780: Transposition repair with VSD closure
Open congenital cardiac repair for transposition with a ventricular septal defect, combining pulmonary outflow reconstruction and septal closure during one operation.
This code describes open repair of transposition of the great arteries with a ventricular septal defect and pulmonary outflow reconstruction. In a typical Rastelli-type repair, a congenital cardiac surgeon directs left ventricular blood through an intraventricular pathway toward the aorta and reconstructs the route from the right ventricle to the pulmonary arteries, often using a conduit. The operation is performed in a hospital operating room for complex congenital heart disease; the operative report should identify the transposition anatomy, VSD, and reconstructive work performed.
Report the code for the complete operation, not separately for its septal closure and outflow reconstruction elements. Documentation should establish that both the VSD closure and pulmonary outflow reconstruction were performed. It has a 90-day global period, including the day-before preoperative visit and related postoperative care for 90 days. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is not appropriate for this single congenital cardiac repair. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33780
- 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 RVU42.80 · 65%
- Practice expense (office) RVU11.88 · 18%
- Malpractice RVU10.80 · 16%
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.
33780 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
Code 33781 is distinguished by repair of subpulmonary obstruction as part of the transposition reconstruction. Choose based on the documented operative work.
No office rate
Code 33776 describes a transposition repair using an atrial baffle with VSD closure. This code represents pulmonary outflow reconstruction with VSD closure.
No office rate
Code 33782 is for a Nikaidoh operation, a different anatomic approach to transposition repair; it is not a substitute based only on the presence of a VSD.
Compare 33780 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$2089.59
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 33780 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,068
- Code
- 33780
- Physician work
- 42.80
- Practice expense
- 11.88
- Malpractice
- 10.80
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 42.80 | × 1.000 | 42.8000 |
| Practice expense | 11.88 | × 1.137 | 13.5076 |
| Malpractice | 10.80 | × 0.579 | 6.2532 |
| Total RVUs | 62.5608 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$2089.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 42.8 | 1 |
| Practice expense | 11.88 | 1.137 |
| Malpractice | 10.8 | 0.579 |
(42.8 × 1 + 11.88 × 1.137 + 10.8 × 0.579) × $33.4009 = $2089.59
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.
33780 billing questions
How is this different from code 33779?
Code 33780 describes transposition repair with VSD closure and pulmonary outflow reconstruction. Code 33779 distinguishes a reconstruction that includes removal of a pulmonary artery band.
Can the VSD closure be billed separately?
No. The VSD closure is part of the operation represented by this code when performed with the pulmonary outflow reconstruction.
Should modifier 50 be appended?
No. This is a single intracardiac congenital repair, not a bilateral procedure.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery services may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
What documentation supports code selection?
The operative report should document transposition, the VSD, closure of the defect, and reconstruction of the pulmonary outflow tract.
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.
4,06533777,,Rpr tga bfl rpr sbpulm obstr,A,,33.32,11.21,NA,11.21,,8.39,52.92,52.92,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06633778,,Rpr tga aortic pulm art rcns,A,,41.68,13.39,NA,13.39,,10.52,65.59,65.59,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06733779,,Rpr tga rcnstj rmvl plm bnd,A,,42.15,11.37,NA,11.37,,10.64,64.16,64.16,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06833780,,Rpr tga rcnstj clsr vsd,A,,42.80,11.88,NA,11.88,,10.80,65.48,65.48,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06933781,,Rpr tga rcnstj rpr sbpl obst,A,,42.13,10.89,NA,10.89,,10.63,63.65,63.65,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07033782,,Nikaidoh proc,A,,58.58,15.69,NA,15.69,,14.79,89.06,89.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,07133783,,Nikaidoh proc w/ostia implt,A,,63.45,16.65,NA,16.65,,16.01,96.11,96.11,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014