33840 excision coa with direct anastomosis
Also known as: COA repair direct, coarctation excision, direct anastomosis repair
Excision of coarctation of the aorta with direct anastomosis; surgical removal of the aortic narrowing segment with primary end-to-end reconnection of the aorta.
In Plain Language
Surgery to remove narrowed section of main artery; Aorta narrowing repair by direct connection
Clinical Context
First-line surgical approach for coarctation of the aorta, used when the stenotic segment is adequately short to permit primary anastomosis without tension, providing excellent long-term patency.
RVU Breakdown
| Work RVU | 20.81 |
| Total RVU | 20.81 |
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 20.81, this code ranks in the 83rd percentile among Surgery codes — 2.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33840?
CPT 33840 (excision coa with direct anastomosis) is a Surgery code. Excision of coarctation of the aorta with direct anastomosis; surgical removal of the aortic narrowing segment with primary end-to-end reconnection of the aorta.
What is the wRVU value for CPT 33840?
The work RVU for CPT 33840 is 20.81. This code is primarily used by Cardiac Surgery, Congenital Heart Surgery, Cardiothoracic Surgery. It has a 90-day global period.
When is CPT 33840 used?
First-line surgical approach for coarctation of the aorta, used when the stenotic segment is adequately short to permit primary anastomosis without tension, providing excellent long-term patency.
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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.