33778 repair tga aortic pulmonary artery rcns
Also known as: TGA arterial switch with artery reconstruction, complex arterial switch, extended ASO
Surgical repair of transposition of great arteries via arterial switch with aortic-pulmonary artery reconstruction (extensive approach).
In Plain Language
complex switch surgery with artery reconstruction
Clinical Context
Arterial switch with additional aortic-pulmonary reconstruction for complex TGA anatomy with abnormal coronary origins or aortic pathology.
RVU Breakdown
| Work RVU | 41.68 |
| Total RVU | 41.68 |
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 41.68, this code ranks in the 97th percentile among Surgery codes — 5.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33778?
CPT 33778 (repair tga aortic pulmonary artery rcns) is a Surgery code. Surgical repair of transposition of great arteries via arterial switch with aortic-pulmonary artery reconstruction (extensive approach).
What is the wRVU value for CPT 33778?
The work RVU for CPT 33778 is 41.68. This code is primarily used by Cardiac Surgery, Congenital Cardiology. It has a 90-day global period.
When is CPT 33778 used?
Arterial switch with additional aortic-pulmonary reconstruction for complex TGA anatomy with abnormal coronary origins or aortic pathology.
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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.