33845 Excision coa with graft
Also known as: COA repair graft, coarctation excision with graft, interposition graft repair
Excision of coarctation of the aorta with graft; surgical removal of the aortic narrowing segment with interposition of a synthetic or biological graft to bridge the defect.
In Plain Language
Surgery to remove and replace narrowed aorta; Coarctation repair with graft placement
Clinical Context
Used when the coarctation segment is too long for primary anastomosis or when tension-free repair is needed. Grafts may be synthetic (Dacron, Gore-Tex) or biological (saphenous vein, homograft).
RVU Breakdown
| Work RVU | 22.36 |
| Total RVU | 22.36 |
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 22.36, this code ranks in the 86th percentile among Surgery codes — 2.8x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33845?
CPT 33845 (Excision coa with graft) is a Surgery code. Excision of coarctation of the aorta with graft; surgical removal of the aortic narrowing segment with interposition of a synthetic or biological graft to bridge the defect.
What is the wRVU value for CPT 33845?
The work RVU for CPT 33845 is 22.36. This code is primarily used by Cardiac Surgery, Vascular Surgery, Congenital Heart Surgery. It has a 90-day global period.
When is CPT 33845 used?
Used when the coarctation segment is too long for primary anastomosis or when tension-free repair is needed. Grafts may be synthetic (Dacron, Gore-Tex) or biological (saphenous vein, homograft).
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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.