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CMS RVU26D · Effective 2026-10-01

33300 Heart wound repair Medicare reimbursement rates in Hawaii

Surgical repair of a cardiac wound without cardiopulmonary bypass, typically during urgent treatment of a penetrating or procedural heart injury. Compare 33300 office and facility rates across CMS payment localities in Hawaii.

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 33300 in Hawaii?

Hawaii 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

$2176.89

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.

Find 33300 in your payment locality →

Cardiac surgery

About 33300: Cardiac wound repair without bypass

Surgical repair of a cardiac wound without cardiopulmonary bypass, typically during urgent treatment of a penetrating or procedural heart injury.

This code describes operative repair of a wound in the heart when cardiopulmonary bypass is not used. A cardiothoracic surgeon may perform it in a hospital operating room for a penetrating cardiac injury, such as a laceration, or for an unintended wound created during another procedure. The service addresses the heart wound itself, rather than exploration alone or repair of a neighboring major blood vessel.

Select this code when the operative report documents the cardiac wound and its repair, and confirms that cardiopulmonary bypass was not used; use the bypass-specific sibling when it was. The day-before preoperative visit and 90 days of related postoperative care are included in the major-surgery global period. If multiple procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team surgery is not permitted. Bilateral adjustment does not apply.

CMS billing rules for 33300

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 RVU43.85 · 65%
  • Practice expense (office) RVU13.23 · 19%
  • Malpractice RVU10.85 · 16%

250

Medicare services in 2024 · #4140 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.

33300 compared with similar codes

Office rates for Hawaii, from the same CMS release.

33305

Heart wound repair

With cardiopulmonary bypass

No office rate

Both codes describe cardiac wound repair; choose 33300 when cardiopulmonary bypass is not used and 33305 when it is.

33310

Heart exploration

Without cardiopulmonary bypass

No office rate

33310 describes heart exploration without bypass, not repair of a cardiac wound.

33315

Heart exploration

With cardiopulmonary bypass

No office rate

33315 describes heart exploration with bypass, not repair of a cardiac wound.

33320

Major vessel repair

With cardiopulmonary bypass

No office rate

33320 is for repair of a major blood vessel, whereas 33300 is for repair of a wound in the heart.

Compare 33300 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

Office and facility base rates · shared scale starting at $0

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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 33300 in Hawaii, Guam.

PPRRVU2026_Oct_nonQPP.csv

3,911

Code
33300
Physician work
43.85
Practice expense
13.23
Malpractice
10.85

GPCI2026.csv

46

Locality
Hawaii, Guam
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Facility calculation for 33300 in Hawaii, Guam
ComponentRVULocality factorAdjusted
Physician work43.85× 1.00043.8500
Practice expense13.23× 1.13715.0425
Malpractice10.85× 0.5796.2821
Total RVUs65.1747
Conversion factor× 33.4009

Facility rate, Hawaii, Guam$2176.89

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work43.851
Practice expense13.231.137
Malpractice10.850.579

(43.85 × 1 + 13.23 × 1.137 + 10.85 × 0.579) × $33.4009 = $2176.89

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.

33300 billing questions

How does this differ from 33305?

Code 33300 is for cardiac wound repair without cardiopulmonary bypass. Code 33305 is the related repair code when bypass is used.

Can this be reported for cardiac exploration without a repair?

No. This code describes repair of a cardiac wound; 33310 or 33315 may be relevant when the service is exploration without wound repair, depending on bypass use.

Can modifier 50 be used for wounds on both sides of the heart?

No. CMS identifies bilateral adjustment as inapplicable for this code, so modifier 50 is inappropriate.

What documentation supports reporting 33300?

The operative report should identify the cardiac wound, describe the repair performed, and establish that cardiopulmonary bypass was not used.

Can an assistant surgeon be paid for this procedure?

Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How does the 90-day global period affect postoperative reporting?

The day-before preoperative visit and 90 days of related postoperative care are included in this major-surgery global period.

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.

RVUs for 33300PPRRVU2026_Oct_nonQPP.csv, line 3,911 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet