No office rate
Use 33641 for a secundum atrial septal defect. Use 33647 for a sinus venosus-type defect, including cases with an associated anomalous pulmonary venous connection.
On this page
CMS RVU26D · Effective 2026-10-01
33647 Atrial septal repair Medicare reimbursement rates in New Mexico
Reports open surgical repair of a sinus venosus atrial septal defect, including cases with an associated anomalous pulmonary venous connection. Compare 33647 office and facility rates across CMS payment localities in New Mexico.
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 33647 in New Mexico?
New Mexico 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
$1720.54
1 of 1 localities have a supported rate.
Payment area: New Mexico
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 33647: Sinus venosus atrial septal defect repair
Reports open surgical repair of a sinus venosus atrial septal defect, including cases with an associated anomalous pulmonary venous connection.
This code describes open repair of a sinus venosus atrial septal defect, with or without an associated anomalous pulmonary venous connection. The operation typically closes the abnormal communication and, when needed, redirects pulmonary venous blood to the left atrium. A congenital cardiac surgeon performs the repair in a hospital operating room; the operative report should identify the defect and describe the repair and any anomalous venous connection addressed.
Select the code by the documented defect anatomy, not by whether the surgeon uses a patch. The code includes repair with or without a patch and covers the associated anomalous pulmonary venous connection when present; do not separately report 33645 for the same repair. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For other procedures 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. Assistant-at-surgery payment may be allowed; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33647
- 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 RVU32.18 · 63%
- Practice expense (office) RVU10.46 · 21%
- Malpractice RVU8.11 · 16%
17
Medicare services in 2024 · #6004 by national volume
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.
33647 compared with similar codes
Office rates for New Mexico, from the same CMS release.
No office rate
33645 describes repair of partial anomalous pulmonary venous return. When that connection is repaired as part of a sinus venosus defect repair, 33647 describes the combined repair.
No office rate
33660 is for partial atrioventricular septal defect repair. It does not describe repair of a sinus venosus-type atrial septal defect.
Compare 33647 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
New Mexico →
Office / nonfacility
Unavailable
Facility
$1720.54
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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 33647 in New Mexico.
PPRRVU2026_Oct_nonQPP.csv
4,023
- Code
- 33647
- Physician work
- 32.18
- Practice expense
- 10.46
- Malpractice
- 8.11
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 32.18 | × 1.000 | 32.1800 |
| Practice expense | 10.46 | × 0.917 | 9.5918 |
| Malpractice | 8.11 | × 1.201 | 9.7401 |
| Total RVUs | 51.5119 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1720.54
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 32.18 | 1 |
| Practice expense | 10.46 | 0.917 |
| Malpractice | 8.11 | 1.201 |
(32.18 × 1 + 10.46 × 0.917 + 8.11 × 1.201) × $33.4009 = $1720.54
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.
33647 billing questions
How does 33647 differ from 33641?
33647 is for a sinus venosus-type defect, with or without anomalous pulmonary venous connection. 33641 is for a secundum atrial septal defect.
Can 33645 be reported separately when anomalous pulmonary veins are redirected?
When the anomalous pulmonary venous connection is addressed as part of the sinus venosus defect repair, it is included in 33647. Do not separately report 33645 for that same repair.
Does use of a patch change code selection?
No. Code 33647 covers the sinus venosus defect repair with or without a patch; choose it based on the documented defect anatomy.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 is not appropriate.
What documentation supports reporting 33647?
The operative report should identify the sinus venosus-type defect and describe the closure or reconstruction performed, including any associated anomalous pulmonary venous connection addressed.
How are other procedures in the same operative 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.
4,02033622,,Redo compl cardiac anomaly,A,,62.40,16.44,NA,16.44,,15.74,94.58,94.58,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02133641,,Repair heart septum defect,A,,28.84,9.81,NA,9.81,,7.28,45.93,45.93,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02233645,,Revision of heart veins,A,,30.52,10.24,NA,10.24,,7.69,48.45,48.45,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02333647,,Repair heart septum defects,A,,32.18,10.46,NA,10.46,,8.11,50.75,50.75,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02433660,,Repair of heart defects,A,,31.03,10.25,NA,10.25,,7.83,49.11,49.11,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02533665,,Repair of heart defects,A,,33.98,10.82,NA,10.82,,8.58,53.38,53.38,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02633670,,Repair of heart chambers,A,,35.71,9.74,NA,9.74,,9.00,54.45,54.45,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068
7612402,NJ,99,REST OF NEW JERSEY,1.040,1.092,1.097
7704212,NM,05,NEW MEXICO,1.000,0.917,1.201
7813202,NY,01,MANHATTAN,1.064,1.162,1.586
7913202,NY,02,NYC SUBURBS/LONG ISLAND,1.064,1.189,1.857
8013202,NY,03,POUGHKPSIE/N NYC SUBURBS,1.045,1.095,1.210