No office rate
Both describe transposition repair using an atrial baffle. This code also requires repair of subpulmonary obstruction.
On this page
CMS RVU26D · Effective 2026-10-01
33777 TGA repair Medicare reimbursement rates in Nebraska
Reports transposition of the great arteries repair using an atrial baffle together with operative relief of subpulmonary obstruction. Compare 33777 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 33777 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
$1564.44
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.
Congenital cardiac surgery
About 33777: Transposition repair with atrial baffle and obstruction relief
Reports transposition of the great arteries repair using an atrial baffle together with operative relief of subpulmonary obstruction.
This code describes repair of transposition of the great arteries using an atrial baffle to redirect venous blood, combined with surgical relief of obstruction below the pulmonary valve. The baffle approach is associated with Mustard- or Senning-type repairs. A congenital cardiac surgeon typically performs this open-heart operation in an operating room, often as part of complex congenital heart surgery.
Report the code when the operative record supports both the atrial baffle repair and treatment of subpulmonary obstruction; an atrial baffle alone does not capture the added obstruction repair. Documentation should identify the transposition repair method, the baffle work, and the obstructing anatomy and corrective work. 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 reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted.
CMS billing rules for 33777
- 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 RVU33.32 · 63%
- Practice expense (office) RVU11.21 · 21%
- Malpractice RVU8.39 · 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.
33777 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
33776 identifies an atrial-baffle repair with ventricular septal defect closure; this code identifies repair of subpulmonary obstruction.
No office rate
Both include repair of subpulmonary obstruction, but 33781 uses a reconstruction approach rather than an atrial-baffle approach.
No office rate
33778 describes transposition repair with aortic and pulmonary artery reconstruction. This code describes an atrial-baffle repair with subpulmonary obstruction relief.
Compare 33777 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
Nebraska →
Office / nonfacility
Unavailable
Facility
$1564.44
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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 33777 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
4,065
- Code
- 33777
- Physician work
- 33.32
- Practice expense
- 11.21
- Malpractice
- 8.39
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 33.32 | × 1.000 | 33.3200 |
| Practice expense | 11.21 | × 0.923 | 10.3468 |
| Malpractice | 8.39 | × 0.378 | 3.1714 |
| Total RVUs | 46.8383 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nebraska$1564.44
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 33.32 | 1 |
| Practice expense | 11.21 | 0.923 |
| Malpractice | 8.39 | 0.378 |
(33.32 × 1 + 11.21 × 0.923 + 8.39 × 0.378) × $33.4009 = $1564.44
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.
33777 billing questions
How does this differ from 33774?
33774 describes a transposition repair using an atrial baffle. Use 33777 when the operation also includes surgical relief of subpulmonary obstruction.
Is the atrial baffle separately reported?
The baffle work is part of this combined repair. The operative documentation should support both the baffle procedure and the subpulmonary obstruction repair.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
Can an assistant surgeon be paid?
CMS indicates that assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted for this code.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
What happens 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.
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.
4,06233774,,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
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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068