33783 Nikaidoh procedure with ostia implant
Also known as: Nikaidoh, ostial implantation, coronary translocation
Nikaidoh procedure with ostial implantation; a complex congenital heart surgery performed to correct abnormal coronary artery origins by relocating the coronary ostia.
In Plain Language
Heart surgery to move coronary arteries; Coronary artery repositioning surgery
Clinical Context
Used for patients with anomalous origin of coronary artery from the opposite sinus. This anatomical variant presents a risk of sudden cardiac death, especially with exercise. The Nikaidoh procedure is performed to relocate the coronary arteries to their normal anatomical positions.
RVU Breakdown
| Work RVU | 63.45 |
| Total RVU | 63.45 |
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 63.45, this code ranks in the 100th percentile among Surgery codes — 7.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33783?
CPT 33783 (Nikaidoh procedure with ostia implant) is a Surgery code. Nikaidoh procedure with ostial implantation; a complex congenital heart surgery performed to correct abnormal coronary artery origins by relocating the coronary ostia.
What is the wRVU value for CPT 33783?
The work RVU for CPT 33783 is 63.45. This code is primarily used by Cardiac Surgery, Congenital Heart Surgery, Pediatric Cardiology. It has a 90-day global period.
When is CPT 33783 used?
Used for patients with anomalous origin of coronary artery from the opposite sinus. This anatomical variant presents a risk of sudden cardiac death, especially with exercise. The Nikaidoh procedure is performed to relocate the coronary arteries to their normal anatomical positions.
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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.