No office rate
Choose 33548 when the operation reconstructs the left ventricle to restore its shape. Code 33542 describes aneurysm excision rather than ventricular restoration.
On this page
CMS RVU26D · Effective 2026-10-01
33548 Ventricular restoration Medicare reimbursement rates in New York
Reports surgical reconstruction of a scarred or aneurysmal left ventricle to restore ventricular shape, commonly after myocardial infarction. Compare 33548 office and facility rates across CMS payment localities in New York.
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 33548 in New York?
New York has 5 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 5 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2620.39–$3362.72
5 of 5 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 33548 pays more and less in New York
Cardiac surgery
About 33548: Surgical ventricular restoration
Reports surgical reconstruction of a scarred or aneurysmal left ventricle to restore ventricular shape, commonly after myocardial infarction.
A cardiac surgeon performs this operation to reshape a damaged left ventricle, commonly when scar tissue or an aneurysmal area after a myocardial infarction has altered ventricular geometry. The surgeon may exclude or resect the affected area and reconstruct the ventricle, often with a patch. It is generally performed in a hospital operating room as open-heart surgery, sometimes alongside coronary artery bypass grafting when coronary disease also requires treatment.
Report the service when the operative report supports ventricular reconstruction, not simply removal of an aneurysm or repair of another postinfarction defect. Documentation should identify the ventricular pathology and describe the restoration technique. The code has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is not appropriate for this single-heart procedure. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 33548
- 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 RVU52.79 · 64%
- Practice expense (office) RVU17.63 · 21%
- Malpractice RVU12.68 · 15%
79
Medicare services in 2024 · #5064 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.
33548 compared with similar codes
Office rates for New York, from the same CMS release.
No office rate
Code 33545 is for repair of a postinfarction ventricular septal defect. Code 33548 addresses reconstruction of the damaged ventricular chamber, not septal-defect repair.
No office rate
Code 33533 reports arterial coronary bypass grafting, not ventricular reconstruction. It may be reported separately when both procedures are performed and documented.
Compare 33548 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.
5 of 5 payment localities
Manhattan →
Office / nonfacility
Unavailable
Facility
$3232.04
Nyc Suburbs/Long Island →
Office / nonfacility
Unavailable
Facility
$3362.72
Poughkpsie/N Nyc Suburbs →
Office / nonfacility
Unavailable
Facility
$2999.84
Queens →
Office / nonfacility
Unavailable
Facility
$3182.83
Rest Of New York →
Office / nonfacility
Unavailable
Facility
$2620.39
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33548 billing questions
How is this different from code 33542?
Code 33548 describes reconstruction to restore left ventricular shape after damage. Code 33542 describes excision of a ventricular aneurysm without the defining restoration procedure.
Can this be reported with a CABG code?
Yes, when the surgeon also performs coronary bypass grafting during the same session and the operative documentation supports both services. The standard multiple-procedure reduction applies to procedures performed in the same session.
How many units should be reported?
Report the ventricular restoration service once for the operation; do not use modifier 50 to represent treatment of both sides.
What documentation supports reporting this code?
The operative report should describe the left ventricular damage and the steps used to reconstruct or reshape the ventricle, such as exclusion or resection of scarred tissue and reconstruction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
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.
4,0023353F,,Mild-mod dep symp by deptool,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00333542,,Removal of heart lesion,A,,47.00,14.90,NA,14.90,,11.62,73.52,73.52,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00433545,,Repair of heart damage,A,,55.63,16.88,NA,16.88,,13.36,85.87,85.87,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00533548,,Restore/remodel ventricle,A,,52.79,17.63,NA,17.63,,12.68,83.10,83.10,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0063354F,,Clin sig dep sym by dep tool,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00733572,,Open coronary endarterectomy,A,,4.33,0.87,NA,0.87,,1.07,6.27,6.27,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00833600,,Closure of valve,A,,29.55,11.68,NA,11.68,,7.44,48.67,48.67,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00