No office rate
Both address single-ventricle repair, but 33619 is distinguished by repair of a hypoplastic aortic arch as part of the operation.
On this page
CMS RVU26D · Effective 2026-10-01
33619 Single-ventricle repair Medicare reimbursement rates in Pennsylvania
Reports complex single-ventricle reconstruction that includes repair of a hypoplastic aortic arch, as in a Norwood-type operation for hypoplastic left heart syndrome. Compare 33619 office and facility rates across CMS payment localities in Pennsylvania.
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 33619 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2506.30–$2706.59
2 of 2 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.
Congenital cardiac surgery
About 33619: Single-ventricle repair with arch reconstruction
Reports complex single-ventricle reconstruction that includes repair of a hypoplastic aortic arch, as in a Norwood-type operation for hypoplastic left heart syndrome.
This code describes major congenital heart surgery for a patient with single-ventricle anatomy when reconstruction also addresses a hypoplastic aortic arch. A Norwood-type operation for hypoplastic left heart syndrome is a typical clinical context. A congenital cardiac surgeon performs the reconstruction in an operating room; cardiopulmonary bypass may be used, but its use does not determine whether this code applies.
Select the code when the operative report documents both single-ventricle repair and aortic arch hypoplasia repair; a single-ventricle repair without the arch work points to 33617. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care through day 90. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 33619
- 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 RVU47.54 · 62%
- Practice expense (office) RVU17.60 · 23%
- Malpractice RVU12.00 · 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.
33619 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
33615 describes a modified Fontan operation, a different single-ventricle surgical procedure; 33619 is selected for reconstruction that includes hypoplastic arch repair.
No office rate
33611 is for repair involving double-ventricle anatomy. 33619 applies to single-ventricle reconstruction with aortic arch hypoplasia repair.
Compare 33619 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$2706.59
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$2506.30
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33619 billing questions
When should 33619 be chosen over 33617?
Use 33619 when the single-ventricle reconstruction also includes repair of a hypoplastic aortic arch. Use 33617 when the documented single-ventricle repair does not include that arch repair.
Does use of cardiopulmonary bypass change code selection?
No. The code covers the operation whether or not cardiopulmonary bypass is used.
Can modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because the procedure and anatomy are not bilateral.
How does the 90-day global period affect postoperative reporting?
The day-before preoperative visit and 90 days of related postoperative care are included in the global period.
How are assistant and co-surgeon services handled?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team-surgery payment is not permitted.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
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.
4,01433612,,Repair double ventricle,A,,35.66,11.15,NA,11.15,,9.00,55.81,55.81,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01533615,,Repair modified fontan,A,,34.99,12.25,NA,12.25,,8.82,56.06,56.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01633617,,Repair single ventricle,A,,38.11,12.86,NA,12.86,,9.62,60.59,60.59,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01733619,,Repair single ventricle,A,,47.54,17.60,NA,17.60,,12.00,77.14,77.14,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01833620,,Apply r&l pulm art bands,A,,29.25,9.40,NA,9.40,,7.38,46.03,46.03,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01933621,,Transthor cath for stent,A,,15.78,6.75,NA,6.75,,3.97,26.50,26.50,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,02033622,,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