33681 Closure 1 vsd with wo patch
Also known as: single VSD closure, isolated VSD repair, VSD patch or primary closure
Surgical closure of a single ventricular septal defect using patch closure or direct suturing technique.
In Plain Language
closing one hole between lower heart chambers
Clinical Context
Indicated for hemodynamically significant isolated ventricular septal defects; primary approach for anatomically favorable defects with moderate shunt.
RVU Breakdown
| Work RVU | 31.53 |
| Total RVU | 31.53 |
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 31.53, this code ranks in the 93rd percentile among Surgery codes — 3.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33681?
CPT 33681 (Closure 1 vsd with wo patch) is a Surgery code. Surgical closure of a single ventricular septal defect using patch closure or direct suturing technique.
What is the wRVU value for CPT 33681?
The work RVU for CPT 33681 is 31.53. This code is primarily used by Cardiac Surgery, Congenital Cardiology. It has a 90-day global period.
When is CPT 33681 used?
Indicated for hemodynamically significant isolated ventricular septal defects; primary approach for anatomically favorable defects with moderate shunt.
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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.