33478 Revision of heart chamber
Also known as: complex ventricular remodeling
Revision of cardiac chamber with complex reconstruction or multiple structural repairs.
In Plain Language
surgically reshaping heart chamber with complex technique
Clinical Context
Used for complex chamber pathology requiring extensive reconstruction.
RVU Breakdown
| Work RVU | 26.85 |
| Total RVU | 26.85 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 26.85, this code ranks in the 90th percentile among Surgery codes — 3.4x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33478?
CPT 33478 (Revision of heart chamber) is a Surgery code. Revision of cardiac chamber with complex reconstruction or multiple structural repairs.
What is the wRVU value for CPT 33478?
The work RVU for CPT 33478 is 26.85. This code is primarily used by Cardiac Surgery, Cardiothoracic Surgery. It has a 90-day global period.
When is CPT 33478 used?
Used for complex chamber pathology requiring extensive reconstruction.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.