No office rate
Both describe an atrial-baffle repair for transposition. Choose 33775 when removal of a pulmonary artery band is included in the operation.
On this page
CMS RVU26D · Effective 2026-10-01
33775 Atrial switch repair Medicare reimbursement rates in Hawaii
Reports surgical repair of transposition of the great arteries using an atrial baffle, when a previously placed pulmonary artery band is also removed. Compare 33775 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 33775 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
$1687.83
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 33775: Transposition repair with atrial baffle and band removal
Reports surgical repair of transposition of the great arteries using an atrial baffle, when a previously placed pulmonary artery band is also removed.
A congenital heart surgeon reports this code for an atrial-switch repair of transposition of the great arteries that includes taking off a pulmonary artery band placed during earlier treatment. The operation redirects blood flow at the atrial level and removes the band during the same surgical session. It is performed in an operating room, generally as major open-heart surgery for congenital heart disease.
Choose this code when the operative report supports both the atrial baffle repair and pulmonary artery band removal; the band removal is part of this service, not a separate reason to select the code. Document the underlying anatomy, the baffle work, and removal of the prior band. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 33775
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU32.17 · 62%
- Practice expense (office) RVU12.02 · 23%
- Malpractice RVU8.11 · 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.
33775 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
This code identifies an atrial-baffle repair that includes ventricular septal defect closure; 33775 is distinguished by pulmonary artery band removal.
No office rate
This code includes repair of subpulmonic obstruction with the atrial-baffle repair. Code 33775 identifies the repair with pulmonary band removal.
No office rate
This is a transposition repair involving reconstruction and pulmonary band removal, rather than the atrial-baffle approach represented by 33775.
Compare 33775 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
$1687.83
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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 33775 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
4,063
- Code
- 33775
- Physician work
- 32.17
- Practice expense
- 12.02
- Malpractice
- 8.11
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.17 | × 1.000 | 32.1700 |
| Practice expense | 12.02 | × 1.137 | 13.6667 |
| Malpractice | 8.11 | × 0.579 | 4.6957 |
| Total RVUs | 50.5324 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$1687.83
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 32.17 | 1 |
| Practice expense | 12.02 | 1.137 |
| Malpractice | 8.11 | 0.579 |
(32.17 × 1 + 12.02 × 1.137 + 8.11 × 0.579) × $33.4009 = $1687.83
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.
33775 billing questions
How does this differ from 33774?
Use 33775 when the atrial-baffle repair also includes removal of a pulmonary artery band. Code 33774 describes the atrial-baffle repair without that band-removal distinction.
Is pulmonary artery band removal separately reported?
The band removal is included in this repair when performed as part of the same operation. Document it in the operative report as part of the service.
What documentation supports choosing this code?
The operative report should identify the transposition repair, atrial baffle work, and removal of a previously placed pulmonary artery band.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor and anatomy.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. The code has a 90-day global period.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeons and team surgery are not permitted for this code.
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.
4,06033770,,Rpr tga w/o surg enlgmnt vsd,A,,38.09,10.96,NA,10.96,,9.61,58.66,58.66,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06133771,,Rpr tga w/surg enlgmnt vsd,A,,39.61,10.39,NA,10.39,,10.02,60.02,60.02,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06233774,,Rpr tga atrial baffle px,A,,30.94,12.25,NA,12.25,,7.81,51.00,51.00,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06333775,,Rpr tga atr bfl rmvl plm bnd,A,,32.17,12.02,NA,12.02,,8.11,52.30,52.30,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06433776,,Rpr tga atr bfl clsr vsd,A,,33.88,12.95,NA,12.95,,8.55,55.38,55.38,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,06533777,,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
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