No office rate
Use 33777 for the atrial-baffle approach with subpulmonary obstruction repair. This code represents reconstruction-based repair.
On this page
CMS RVU26D · Effective 2026-10-01
33781 Transposition repair Medicare reimbursement rates in Missouri
Reports complex surgical repair of transposition of the great arteries involving reconstruction and relief of subpulmonary obstruction. Compare 33781 office and facility rates across CMS payment localities in Missouri.
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 33781 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2066.54–$2109.22
3 of 3 localities have a supported rate.
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.
Where 33781 pays more and less in Missouri
Congenital cardiac surgery
About 33781: Transposition repair with obstruction relief
Reports complex surgical repair of transposition of the great arteries involving reconstruction and relief of subpulmonary obstruction.
This code describes surgical correction of transposition of the great arteries that includes reconstruction and repair of an obstruction below the pulmonary valve. The obstruction can restrict blood flow from the right ventricle toward the pulmonary arteries. A congenital cardiac surgeon typically performs the operation in a hospital operating room as part of complex open-heart care for a patient with congenital heart disease.
Select the code when the operative report supports both the transposition reconstruction and repair of the subpulmonary obstruction. Document the congenital anatomy, the reconstruction performed, and the specific obstruction addressed. CMS assigns a 90-day global period, including 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 other procedures are subject to the standard 50% multiple-procedure payment reduction. Assistant-at-surgery services may be paid. Report this as a single cardiac repair, not as a bilateral procedure; co-surgeons and team surgery are not permitted.
CMS billing rules for 33781
- 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 RVU42.13 · 66%
- Practice expense (office) RVU10.89 · 17%
- Malpractice RVU10.63 · 17%
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.
33781 compared with similar codes
Office rates for Missouri, from the same CMS release.
No office rate
Use 33780 when ventricular septal defect closure accompanies the reconstruction. This code identifies repair of subpulmonary obstruction.
No office rate
33782 identifies a Nikaidoh procedure, a distinct operative approach. Choose based on the operation documented, not the diagnosis alone.
Compare 33781 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.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$2095.61
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$2109.22
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$2066.54
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33781 billing questions
How is this different from 33777?
33777 describes a transposition repair using an atrial baffle with relief of subpulmonary obstruction. This code is for a reconstruction-based repair.
Can an assistant surgeon be reported?
CMS permits payment for assistant-at-surgery services for this procedure when the assistant's role is supported by the record.
Can two surgeons report co-surgeon services?
No. CMS does not permit co-surgeon billing for this code, and team-surgery billing is also not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does the multiple-procedure reduction work?
For procedures performed in the same session, CMS pays the highest-valued procedure in full and applies the standard 50% reduction to the others.
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.
4,06633778,,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
4,07233786,,Repair arterial trunk,A,,40.82,12.03,NA,12.03,,10.29,63.14,63.14,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00