Billing code 33814: Aortopulmonary repairMedicare rate & RVUs in Utah

Reports open surgical closure of a congenital aortopulmonary window when the repair is performed with cardiopulmonary bypass.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 33814 in Utah.

—Office (non-facility)
$1,405.39Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33814 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Utah
  2. What 33814 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 33814 covers

This code applies to surgical correction of an aortopulmonary window, an abnormal opening between the aorta and pulmonary artery. A cardiothoracic or congenital heart surgeon closes the communication during an open cardiac operation using cardiopulmonary bypass. The operative record should identify the defect and describe the repair and use of bypass.

Choose this code when bypass is used; code 33813 represents repair without bypass. Do not report both versions for the same repair. The 90-day global period includes 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment may be available; co-surgeons require supporting documentation, and team surgery is not permitted.

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.

33814 in Utah

33814 office and facility rates by payment locality
Payment localityOfficeFacility
UtahUnavailable$1,405.39

How the 33814 rate is calculated

Each of 33814’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 33814

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 25.91Practice expense 10.96Malpractice 6.53

43.4000 adjusted RVUs×$33.4009 conversion factor=$1,449.60

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 33814

33814 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33814

Aortopulmonary repair

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33814

Aortopulmonary repair

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33814 without 51 · national facility

$1,449.60

Aortopulmonary repair

33814-51 · Second procedure: 50%

$724.80

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

33814 compared with similar codes

Compare codes

33814 vs 33820 vs 33822 vs 33824: national Medicare rates

Swap in your local Medicare rate.

  • 33814
    Aortopulmonary repair · 25.91 wRVU
    —
  • 33820
    PDA repair · 16.27 wRVU
    —
  • 33822
    PDA repair · 17.27 wRVU
    —
  • 33824
    PDA repair · 19.72 wRVU
    —

How to choose

33820PDA repair
This code is for ligation of a patent ductus arteriosus. Use 33814 for an aortopulmonary window repaired with bypass.
33822PDA repair
This code describes division of a patent ductus arteriosus in a patient younger than 18; 33814 addresses a different defect and requires bypass.
33824PDA repair
This code describes division of a patent ductus arteriosus in an adult. It is not the bypass repair code for an aortopulmonary window.

33814 billing questions

How does this code differ from 33813?

Use 33814 when the aortopulmonary window repair is performed with cardiopulmonary bypass. Code 33813 is the corresponding repair without bypass.

Can both 33814 and 33813 be reported for one repair?

No. They are alternative versions of the same repair, selected according to whether cardiopulmonary bypass is used.

Should modifier 50 be used?

No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this repair.

What documentation supports reporting 33814?

The operative report should establish an aortopulmonary window, describe its surgical closure, and document use of cardiopulmonary bypass.

How are assistant and co-surgeon claims handled?

Assistant-at-surgery payment may be available. Co-surgeons are paid only with supporting documentation; team surgery is not permitted.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 33814PPRRVU2026_Oct_nonQPP.csv, line 4,079 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 33814 pays in Utah?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 33814 and the rest of your codes on one sheet

Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.

Build my fee sheetOr price your code list free →