FeeBase
Log inGet started
Menu
On this page

CMS RVU26D · Effective 2026-10-01

33840 Coarctation repair Medicare reimbursement rates in Minnesota

Reports surgical removal of a narrowed aortic segment followed by direct reconnection of the aortic ends to repair coarctation. Compare 33840 office and facility rates across CMS payment localities in Minnesota.

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 33840 in Minnesota?

Minnesota 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

$1071.57

1 of 1 localities have a supported rate.

Payment area: Minnesota

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 33840 in your payment locality →

Cardiothoracic surgery

About 33840: Coarctation excision with direct anastomosis

Reports surgical removal of a narrowed aortic segment followed by direct reconnection of the aortic ends to repair coarctation.

The surgeon removes the narrowed segment of the aorta and reconnects the remaining ends directly, creating an end-to-end anastomosis. This operation treats aortic coarctation, usually a congenital narrowing, and is typically performed by a congenital cardiac or cardiothoracic surgeon in a hospital operating room. Patients are often infants or children, though coarctation may be repaired later in life.

Choose this code when the operative report supports excision of the coarctation and direct anastomosis, rather than reconstruction with an interposition graft or patch. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted, and modifier 50 is inappropriate for this anatomy.

CMS billing rules for 33840

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 RVU20.81 · 59%
  • Practice expense (office) RVU9.45 · 27%
  • Malpractice RVU5.23 · 15%

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.

33840 compared with similar codes

Office rates for Minnesota, from the same CMS release.

33845

Coarctation repair

Graft reconstruction

No office rate

Both address aortic coarctation excision, but 33845 is for reconstruction with a graft; 33840 requires direct reconnection of the aortic ends.

33851

Coarctation repair

Subclavian flap or prosthetic patch

No office rate

Choose 33851 for the specified left subclavian artery or prosthetic patch repair, rather than the direct end-to-end anastomosis reported with 33840.

33852

Aortic arch repair

Without bypass

No office rate

Code 33852 describes repair of a hypoplastic aortic arch without bypass. Code 33840 describes excision of a coarctation with direct anastomosis.

33853

Aortic arch repair

With bypass

No office rate

Code 33853 describes repair of a hypoplastic aortic arch with bypass; 33840 is for coarctation excision and direct anastomosis.

Compare 33840 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

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.

Explore fee-sheet early access →

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 33840 in Minnesota.

PPRRVU2026_Oct_nonQPP.csv

4,084

Code
33840
Physician work
20.81
Practice expense
9.45
Malpractice
5.23

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 33840 in Minnesota
ComponentRVULocality factorAdjusted
Physician work20.81× 1.00020.8100
Practice expense9.45× 1.0299.7240
Malpractice5.23× 0.2961.5481
Total RVUs32.0821
Conversion factor× 33.4009

Facility rate, Minnesota$1071.57

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work20.811
Practice expense9.451.029
Malpractice5.230.296

(20.81 × 1 + 9.45 × 1.029 + 5.23 × 0.296) × $33.4009 = $1071.57

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.

33840 billing questions

How is this code distinguished from 33845?

Use 33840 when the surgeon reconnects the aortic ends directly after removing the narrowed segment. Code 33845 describes excision with graft reconstruction.

What operative documentation supports 33840?

The operative report should identify the coarctation, its excision, and direct anastomosis of the remaining aortic ends. Documentation of an interposition graft or patch points to a different repair method.

Can modifier 50 be appended?

No. The anatomy and descriptor make a bilateral adjustment inappropriate for this repair.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

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 33840PPRRVU2026_Oct_nonQPP.csv, line 4,084 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet