CPT code 33405: Aortic valve replacement, standard prosthetic valve2026 Medicare rate & RVUs in Mississippi
Reports open surgical replacement of a diseased aortic valve using a conventional prosthesis, such as a mechanical or stented tissue valve.
In Mississippi, Medicare pays $1,976.85 for 33405 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33405 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33405 covers
A cardiac surgeon removes the diseased aortic valve and implants a prosthesis during open surgery, typically using cardiopulmonary bypass. Common indications include severe aortic stenosis or regurgitation requiring surgical replacement. The implanted valve may be mechanical or a stented tissue prosthesis; this code distinguishes those options from a homograft or stentless tissue valve. These operations are performed in a hospital operating room, and CMS recorded 18,664 facility services for the code in 2024.
Report the code when the operative record supports open aortic valve replacement and identifies the implanted prosthesis sufficiently to distinguish it from the valve types represented by neighboring codes. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Mississippi compares for 33405
Across 109 of 109 payment localities, the facility rate for 33405 runs from $1,876.53 in Wisconsin to $2,678.21 in Alaska. Mississippi pays $1,976.85. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Mississippi · this page$1,976.85
- Los Angeles, CA · California$2,150.92+$174.07
- Washington, DC area · District of Columbia$2,315.85+$339.00
- Miami, FL · Florida$2,653.97+$677.12
- Chicago, IL · Illinois$2,569.30+$592.45
- Manhattan, NY · New York$2,479.83+$502.98
- Alaska · Alaska$2,678.21+$701.36
Other areas in Mississippi first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,925.43 |
| ArkansasArkansas | — | $1,901.28 |
| ArizonaArizona | — | $2,064.11 |
| Bakersfield, CACalifornia | — | $2,064.10 |
| Chico, CACalifornia | — | $2,037.08 |
| El Centro, CACalifornia | — | $2,038.74 |
| Fresno, CACalifornia | — | $2,037.08 |
| Hanford, CACalifornia | — | $2,037.08 |
| Madera, CACalifornia | — | $2,037.08 |
| Merced, CACalifornia | — | $2,037.08 |
| Modesto, CACalifornia | — | $2,037.08 |
| Napa, CACalifornia | — | $2,188.86 |
| Oxnard, CACalifornia | — | $2,119.31 |
| Redding, CACalifornia | — | $2,037.08 |
| Rest of CaliforniaCalifornia | — | $2,037.08 |
| Riverside, CACalifornia | — | $2,144.09 |
| Sacramento, CACalifornia | — | $2,092.59 |
| Salinas, CACalifornia | — | $2,084.07 |
| San Diego, CACalifornia | — | $2,101.26 |
| Marin County, CACalifornia | — | $2,256.70 |
| San Francisco, CACalifornia | — | $2,245.37 |
| San Benito County, CACalifornia | — | $2,316.86 |
| Santa Clara County, CACalifornia | — | $2,270.52 |
| San Luis Obispo, CACalifornia | — | $2,056.29 |
| Santa Cruz, CACalifornia | — | $2,095.64 |
| Santa Maria, CACalifornia | — | $2,083.16 |
| Santa Rosa, CACalifornia | — | $2,113.56 |
| Stockton, CACalifornia | — | $2,037.08 |
| Vallejo, CACalifornia | — | $2,172.53 |
| Visalia, CACalifornia | — | $2,037.08 |
| Yuba City, CACalifornia | — | $2,037.08 |
| ColoradoColorado | — | $2,097.72 |
| ConnecticutConnecticut | — | $2,257.29 |
| DelawareDelaware | — | $2,093.67 |
| Fort Lauderdale, FLFlorida | — | $2,401.12 |
| Rest of FloridaFlorida | — | $2,273.97 |
| Atlanta, GAGeorgia | — | $2,204.16 |
| Rest of GeorgiaGeorgia | — | $2,141.70 |
| Hawaii, Guam, HIHawaii | — | $2,046.86 |
| IowaIowa | — | $1,886.98 |
| IdahoIdaho | — | $1,914.54 |
| East St. Louis, ILIllinois | — | $2,428.22 |
| Rest of IllinoisIllinois | — | $2,274.76 |
| Suburban Chicago, ILIllinois | — | $2,404.79 |
| IndianaIndiana | — | $1,922.01 |
| KansasKansas | — | $1,917.73 |
| KentuckyKentucky | — | $2,048.03 |
| New Orleans, LALouisiana | — | $2,144.93 |
| Rest of LouisianaLouisiana | — | $2,060.57 |
| Metropolitan Boston, MAMassachusetts | — | $2,231.17 |
| Rest of MassachusettsMassachusetts | — | $2,103.52 |
| Baltimore area, MDMaryland | — | $2,259.12 |
| Rest of MarylandMaryland | — | $2,117.45 |
| Rest of MaineMaine | — | $1,964.21 |
| Southern Maine, MEMaine | — | $1,998.94 |
| Detroit, MIMichigan | — | $2,339.00 |
| Rest of MichiganMichigan | — | $2,130.09 |
| MinnesotaMinnesota | — | $1,904.26 |
| Metropolitan Kansas City, MOMissouri | — | $2,091.04 |
| Metropolitan St. Louis, MOMissouri | — | $2,105.18 |
| Rest of MissouriMissouri | — | $2,055.63 |
| MontanaMontana | — | $2,125.30 |
| North CarolinaNorth Carolina | — | $1,975.69 |
| North DakotaNorth Dakota | — | $1,927.96 |
| NebraskaNebraska | — | $1,884.22 |
| New HampshireNew Hampshire | — | $2,102.62 |
| Northern New JerseyNew Jersey | — | $2,304.92 |
| Rest of New JerseyNew Jersey | — | $2,253.25 |
| New MexicoNew Mexico | — | $2,155.88 |
| NevadaNevada | — | $2,070.75 |
| NYC suburbs and Long Island, NYNew York | — | $2,582.23 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,298.98 |
| Queens, NYNew York | — | $2,440.77 |
| Rest of New YorkNew York | — | $2,004.62 |
| OhioOhio | — | $2,089.75 |
| OklahomaOklahoma | — | $2,003.81 |
| Portland, OROregon | — | $2,111.77 |
| Rest of OregonOregon | — | $2,025.18 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,232.85 |
| Rest of PennsylvaniaPennsylvania | — | $2,070.99 |
| Puerto RicoPuerto Rico | — | $2,125.88 |
| Rhode IslandRhode Island | — | $2,130.28 |
| South CarolinaSouth Carolina | — | $2,042.00 |
| South DakotaSouth Dakota | — | $1,904.63 |
| TennesseeTennessee | — | $1,930.96 |
| Austin, TXTexas | — | $2,116.58 |
| Beaumont, TXTexas | — | $2,062.08 |
| Brazoria, TXTexas | — | $2,059.38 |
| Dallas, TXTexas | — | $2,088.96 |
| Fort Worth, TXTexas | — | $2,088.82 |
| Galveston, TXTexas | — | $2,076.27 |
| Houston, TXTexas | — | $2,258.94 |
| Rest of TexasTexas | — | $2,070.84 |
| UtahUtah | — | $2,065.15 |
| VirginiaVirginia | — | $2,020.37 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,125.88 |
| VermontVermont | — | $1,956.83 |
| Rest of WashingtonWashington | — | $2,087.48 |
| King County, WAWashington | — | $2,233.70 |
| WisconsinWisconsin | — | $1,876.53 |
| West VirginiaWest Virginia | — | $2,211.09 |
| WyomingWyoming | — | $2,039.30 |
33405 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33405 rate is calculated
Each of 33405’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33405
RVUs × geographic indexes × conversion factor
Work40.29
40.29 RVUs× 1.000 GPCI
Practice expense13.38
13.38 RVUs× 1.000 GPCI
Malpractice9.98
9.98 RVUs× 1.000 GPCI
Adjusted RVUs
63.6500
Conversion factor
$33.4009
Medicare rate
$2,125.97
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Mississippi inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,936
- Code
- 33405
- Physician work
- 40.29
- Practice expense
- 13.38
- Malpractice
- 9.98
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 40.29 | × 1.000 | 40.2900 |
| Practice expense | 13.38 | × 0.861 | 11.5202 |
| Malpractice | 9.98 | × 0.739 | 7.3752 |
| Total RVUs | 59.1854 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Mississippi$1976.85
Facility: (40.29 × 1 + 13.38 × 0.861 + 9.98 × 0.739) × $33.4009 = $1976.85
Payment rules and modifiers for 33405
33405 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33405
Aortic valve replacement, standard prosthetic valve
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33405
Aortic valve replacement, standard prosthetic valve
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33405 without 51 · national facility
$2,125.97
Aortic valve replacement, standard prosthetic valve
33405-51 · Second procedure: 50%
$1,062.99
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 33405 has changed in Mississippi
33405 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,976.85 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,976.85 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,976.85 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,976.85 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,017.15 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,017.15 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,017.15 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,017.15 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,069.20 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,069.20 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,069.20 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,069.20 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,035.43 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,082.41 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,082.41 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,082.41 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,082.41 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,109.26 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,109.26 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,109.26 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,109.26 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,120.08 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,120.08 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,120.08 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,120.08 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,133.08 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,133.08 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,133.08 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,133.08 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,084.57 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,084.57 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,084.57 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,084.57 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,082.61 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,082.61 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,082.61 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,082.61 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,121.02 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,121.02 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,121.02 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,121.02 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,159.98 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,159.98 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,159.98 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,159.98 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,166.85 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,166.85 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,156.07 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,156.07 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,193.42 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,193.42 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,193.42 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,193.42 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,157.08 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,157.08 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,157.08 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,157.08 | RVU13AR |
Where the Mississippi rate applies
Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.
- Abbeville
- Aberdeen
- Ackerman
- Agricola
- Alcorn State University
- Algoma
- Alligator
- Amory
33405 billing questions
When is 33405 selected instead of 33406 or 33410?
Use 33405 for a conventional prosthesis, such as a mechanical or stented tissue valve. The neighboring codes distinguish homograft and stentless tissue valve procedures.
What operative documentation supports 33405?
The operative report should establish open replacement of the aortic valve and identify the implanted valve type. This supports selecting the code rather than one for a homograft or stentless tissue valve.
How does the global period affect postoperative reporting?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are other procedures from the same session paid?
The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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