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CMS RVU26D · Effective 2026-10-01

33710 Heart defect repair Medicare reimbursement rates in Nebraska

Open surgical repair of a primum atrial septal defect, often with associated left atrioventricular valve cleft repair, in a patient with a partial atrioventricular septal defect. Compare 33710 office and facility rates across CMS payment localities in Nebraska.

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 33710 in Nebraska?

Nebraska 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

$1686.84

1 of 1 localities have a supported rate.

Payment area: Nebraska

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 33710 in your payment locality →

Congenital cardiac surgery

About 33710: Partial atrioventricular septal defect repair

Open surgical repair of a primum atrial septal defect, often with associated left atrioventricular valve cleft repair, in a patient with a partial atrioventricular septal defect.

This code describes open repair of a primum atrial septal defect, the atrial-level component of a partial atrioventricular septal defect. The operation may include repair of an associated cleft in the left atrioventricular valve. Congenital cardiac surgeons typically perform the procedure in an operating room, using the operative approach and materials documented for the patient’s anatomy and repair.

Report the code when the operative record supports repair of the primum defect; distinguish it from repair of secundum or sinus venosus defects. Documentation should identify the defect type and describe the septal and any associated valve repair. The procedure has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 multiple-procedure reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.

CMS billing rules for 33710

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 RVU36.56 · 64%
  • Practice expense (office) RVU11.33 · 20%
  • Malpractice RVU9.22 · 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.

33710 compared with similar codes

Office rates for Nebraska, from the same CMS release.

33702

Heart defect repair

Sinus venosus with anomalous veins

No office rate

Use 33702 for a secundum atrial septal defect. This code is for the primum defect associated with partial atrioventricular septal defect.

33720

Heart defect repair

Surgical repair

No office rate

Use 33720 for a sinus venosus defect. The defect location and associated anatomy distinguish it from a primum defect.

33724

Venous anomaly repair

Cardiac venous connection

No office rate

33724 addresses repair of an anomalous pulmonary venous connection. It is not the code for repair of a primum atrial septal defect.

Compare 33710 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 33710 in Nebraska.

PPRRVU2026_Oct_nonQPP.csv

4,039

Code
33710
Physician work
36.56
Practice expense
11.33
Malpractice
9.22

GPCI2026.csv

72

Locality
Nebraska
Physician work
1.000
Practice expense
0.923
Malpractice
0.378
Facility calculation for 33710 in Nebraska
ComponentRVULocality factorAdjusted
Physician work36.56× 1.00036.5600
Practice expense11.33× 0.92310.4576
Malpractice9.22× 0.3783.4852
Total RVUs50.5027
Conversion factor× 33.4009

Facility rate, Nebraska$1686.84

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work36.561
Practice expense11.330.923
Malpractice9.220.378

(36.56 × 1 + 11.33 × 0.923 + 9.22 × 0.378) × $33.4009 = $1686.84

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.

33710 billing questions

How is this code distinguished from repair of a secundum atrial septal defect?

This code is for a primum defect, associated with the partial atrioventricular septal defect spectrum. A secundum defect is a different anatomic subtype and is reported with 33702 when its criteria are met.

Does the code include repair of an associated valve cleft?

Repair of an associated left atrioventricular valve cleft may be part of the operation. The operative report should clarify the defect and the work performed; do not infer valve repair from the diagnosis alone.

Can modifier 50 be used for repair on both sides?

No. Modifier 50 is inappropriate for this code because the descriptor or anatomy does not support bilateral adjustment.

What postoperative care is included in the global period?

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

Can an assistant surgeon be reported?

Assistant-at-surgery services may be paid for this procedure. Co-surgeons and team surgery are not permitted under the CMS rules supplied for this code.

How are other procedures from the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.

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 33710PPRRVU2026_Oct_nonQPP.csv, line 4,039 (RVU26D)
Geographic factors for NebraskaGPCI2026.csv, line 72 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet