No office rate
Choose 33478 for reconstruction of the left ventricular chamber; this code is for the right ventricle.
On this page
CMS RVU26D · Effective 2026-10-01
33476 Ventriculoplasty Medicare reimbursement rates in Tennessee
Reports surgical reconstruction of the right ventricular chamber, with or without a patch, when operative treatment requires reshaping or rebuilding that chamber. Compare 33476 office and facility rates across CMS payment localities in Tennessee.
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 33476 in Tennessee?
Tennessee 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
$1314.39
1 of 1 localities have a supported rate.
Payment area: Tennessee
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.
Cardiac surgery
About 33476: Right ventricular chamber reconstruction
Reports surgical reconstruction of the right ventricular chamber, with or without a patch, when operative treatment requires reshaping or rebuilding that chamber.
This code describes surgical reconstruction of the right ventricular chamber, with or without patch material. A cardiothoracic surgeon performs the operation in a hospital operating room to address a structural problem requiring chamber reconstruction. The operative report should identify the right ventricle and describe the reconstruction performed; a procedure limited to a valve, septum, or other cardiac structure is not this service.
Report the code for the right-sided chamber reconstruction rather than a left ventricular procedure or a code describing work confined to another structure. Documentation should support the indication, anatomy treated, and operative technique. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation. Team surgery is not permitted, and modifier 50 is inappropriate.
CMS billing rules for 33476
- 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 RVU25.91 · 60%
- Practice expense (office) RVU10.93 · 25%
- Malpractice RVU6.53 · 15%
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.
33476 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
Code 33542 describes removal of a ventricular aneurysm. Use this code when the documented work is reconstruction of the right ventricular chamber rather than aneurysmectomy.
No office rate
Code 33545 describes a surgical ventricular restoration procedure for aneurysm-related reconstruction. This code identifies reconstruction of the right ventricular chamber.
Compare 33476 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$1314.39
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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 33476 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
3,968
- Code
- 33476
- Physician work
- 25.91
- Practice expense
- 10.93
- Malpractice
- 6.53
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.91 | × 1.000 | 25.9100 |
| Practice expense | 10.93 | × 0.909 | 9.9354 |
| Malpractice | 6.53 | × 0.537 | 3.5066 |
| Total RVUs | 39.3520 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1314.39
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 25.91 | 1 |
| Practice expense | 10.93 | 0.909 |
| Malpractice | 6.53 | 0.537 |
(25.91 × 1 + 10.93 × 0.909 + 6.53 × 0.537) × $33.4009 = $1314.39
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.
33476 billing questions
How is this code distinguished from 33478?
This code is for reconstruction of the right ventricular chamber. Code 33478 describes the corresponding left ventricular chamber procedure.
Can this be reported with a cardiac valve procedure?
It may be reported with another procedure when the surgeon performs distinct, separately documented work on the ventricular chamber and the valve in the same session. The multiple-procedure reduction applies when procedures are performed together.
What documentation supports reporting this service?
The operative report should identify the right ventricle, explain the structural problem, and describe the chamber reconstruction, including any patch work.
Can modifier 50 be used?
No. The anatomy and service are not bilateral for Medicare payment purposes, so modifier 50 is inappropriate.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery 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.
3,96533468,,Revision of tricuspid valve,A,,44.00,12.89,NA,12.89,,11.12,68.01,68.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96633474,,Revision of pulmonary valve,A,,38.42,12.88,NA,12.88,,9.71,61.01,61.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96733475,,Replacement pulmonary valve,A,,41.34,13.19,NA,13.19,,9.80,64.33,64.33,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96833476,,Revision of heart chamber,A,,25.91,10.93,NA,10.93,,6.53,43.37,43.37,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96933477,,Implant tcat pulm vlv perq,A,,24.38,5.11,NA,5.11,,4.23,33.72,33.72,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97033478,,Revision of heart chamber,A,,26.85,11.11,NA,11.11,,6.75,44.71,44.71,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97133496,,Repair prosth valve clot,A,,29.09,11.43,NA,11.43,,6.98,47.50,47.50,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780