CPT code 33411: Aortic valve replacement, transventricular approach2026 Medicare rate & RVUs in Connecticut

Reports open aortic valve replacement performed through a transventricular approach, typically by a cardiac surgeon during hospital-based cardiac surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality1.7K Medicare services in 2024

In Connecticut, Medicare pays $3,308.85 for 33411 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$3,308.85Hospital or facility

Check a contract rate as a % of Medicare · 33411 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33411 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 33411 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 33411 covers

This code describes surgical replacement of the aortic valve through a transventricular approach, with cardiopulmonary bypass. A cardiac surgeon performs the operation in a hospital operating room, removing the diseased valve and implanting a replacement. The operative report should identify the approach and the valve replacement; the procedure is distinct from aortic valve repair and from other aortic valve replacement techniques.

Report the code when the documented operation matches this approach, rather than selecting it solely because an aortic valve was replaced. Record the operative details that support the approach and any additional anatomic work, and compare the applicable sibling code when enlargement is documented. The service has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery services may be paid; CMS does not permit co-surgeon or team-surgery payment for this code.

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 Connecticut compares for 33411

Across 109 of 109 payment localities, the facility rate for 33411 runs from $2,747.24 in Wisconsin to $3,943.11 in Alaska. Connecticut pays $3,308.85. The RVUs are the same everywhere; the geographic indexes change the dollars.

33411 in Connecticut vs other payment areas
  1. Connecticut · this page$3,308.85
  2. Los Angeles, CA · California$3,142.14−$166.71
  3. Washington, DC area · District of Columbia$3,389.49+$80.64
  4. Miami, FL · Florida$3,905.11+$596.26
  5. Chicago, IL · Illinois$3,780.99+$472.14
  6. Manhattan, NY · New York$3,636.18+$327.33
  7. Alaska · Alaska$3,943.11+$634.26

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

33411 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,826.42
ArkansasArkansas—$2,791.41
ArizonaArizona—$3,027.27
Bakersfield, CACalifornia—$3,018.27
Chico, CACalifornia—$2,977.80
El Centro, CACalifornia—$2,980.29
Fresno, CACalifornia—$2,977.80
Hanford, CACalifornia—$2,977.80

33411 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
33411 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33411 in every payment locality

How the 33411 rate is calculated

Each of 33411’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 · 33411

RVUs × geographic indexes × conversion factor

Office or facility?

Work60.52

60.52 RVUs× 1.000 GPCI

Practice expense17.88

17.88 RVUs× 1.000 GPCI

Malpractice14.94

14.94 RVUs× 1.000 GPCI

Adjusted RVUs

93.3400

Conversion factor

$33.4009

Medicare rate

$3,117.64

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,940

Code
33411
Physician work
60.52
Practice expense
17.88
Malpractice
14.94

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 33411 in Connecticut
ComponentRVULocality factorAdjusted
Physician work60.52× 1.02061.7304
Practice expense17.88× 1.07719.2568
Malpractice14.94× 1.21018.0774
Total RVUs99.0646
Conversion factor× 33.4009

Facility rate, Connecticut$3308.85

Facility: (60.52 × 1.02 + 17.88 × 1.077 + 14.94 × 1.21) × $33.4009 = $3308.85

Open 33411 in the RVU calculator

Payment rules and modifiers for 33411

33411 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33411

Aortic valve replacement, transventricular approach

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33411

Aortic valve replacement, transventricular approach

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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33411 without 51 · national facility

$3,117.64

Aortic valve replacement, transventricular approach

33411-51 · Second procedure: 50%

$1,558.82

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%).

When to use modifier 51

How 33411 has changed in Connecticut

33411 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$3,308.85RVU26D
2026-07-01Not available in this setting$3,308.85RVU26C
2026-04-01Not available in this setting$3,308.85RVU26B
2026-01-01Not available in this setting$3,308.85RVU26A
2025-10-01Not available in this setting$3,400.38RVU25D
2025-07-01Not available in this setting$3,400.38RVU25C
2025-04-01Not available in this setting$3,400.38RVU25B
2025-01-01Not available in this setting$3,400.38RVU25A
2024-10-01Not available in this setting$3,488.26RVU24D
2024-07-01Not available in this setting$3,488.26RVU24C
2024-04-01Not available in this setting$3,488.26RVU24B
2024-03-09Not available in this setting$3,488.26RVU24AR
2024-01-01Not available in this setting$3,431.33RVU24A
2023-10-01Not available in this setting$3,496.81RVU23D
2023-07-01Not available in this setting$3,496.81RVU23C
2023-04-01Not available in this setting$3,496.81RVU23B
2023-01-01Not available in this setting$3,496.81RVU23A
2022-10-01Not available in this setting$3,535.18RVU22D
2022-07-01Not available in this setting$3,535.18RVU22C
2022-04-01Not available in this setting$3,535.18RVU22B
2022-01-01Not available in this setting$3,535.18RVU22A
2021-10-01Not available in this setting$3,551.77RVU21D
2021-07-01Not available in this setting$3,551.77RVU21C
2021-04-01Not available in this setting$3,551.77RVU21B
2021-01-01Not available in this setting$3,551.77RVU21A
2020-10-01Not available in this setting$3,714.44RVU20D
2020-07-01Not available in this setting$3,714.44RVU20C
2020-04-01Not available in this setting$3,714.44RVU20B
2020-01-01Not available in this setting$3,714.44RVU20A
2019-10-01Not available in this setting$3,770.67RVU19D
2019-07-01Not available in this setting$3,770.67RVU19C
2019-04-01Not available in this setting$3,770.67RVU19B
2019-01-01Not available in this setting$3,770.67RVU19A
2018-10-01Not available in this setting$3,747.80RVU18D
2018-07-01Not available in this setting$3,747.80RVU18C
2018-04-01Not available in this setting$3,747.80RVU18B
2018-01-01Not available in this setting$3,747.80RVU18AR1
2017-10-01Not available in this setting$3,759.84RVU17D
2017-07-01Not available in this setting$3,759.84RVU17C
2017-04-01Not available in this setting$3,759.84RVU17B
2017-01-01Not available in this setting$3,759.84RVU17A
2016-10-01Not available in this setting$3,761.78RVU16D
2016-07-01Not available in this setting$3,761.78RVU16C
2016-04-01Not available in this setting$3,761.78RVU16B
2016-01-01Not available in this setting$3,761.78RVU16A
2015-10-01Not available in this setting$3,772.33RVU15D
2015-07-01Not available in this setting$3,772.33RVU15C
2015-04-01Not available in this setting$3,753.56RVU15B
2015-01-01Not available in this setting$3,753.56RVU15A
2014-10-01Not available in this setting$3,775.67RVU14D
2014-07-01Not available in this setting$3,775.67RVU14C
2014-04-01Not available in this setting$3,775.67RVU14B
2014-01-01Not available in this setting$3,775.67RVU14A
2013-10-01Not available in this setting$3,695.07RVU13D
2013-07-01Not available in this setting$3,695.07RVU13C
2013-04-01Not available in this setting$3,695.07RVU13B
2013-01-01Not available in this setting$3,695.07RVU13AR

Price 33411 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

33411 billing questions

How is this code distinguished from a routine open aortic valve replacement?

The operative report must support the transventricular approach. Do not select this code based only on the fact that the surgeon replaced the aortic valve.

How does this differ from aortic valve repair?

This code represents replacement of the valve. A procedure that repairs the native aortic valve rather than replacing it belongs to the repair code family.

What documentation supports reporting this code?

The operative report should identify the aortic valve replacement, the transventricular approach, and any associated enlargement or other anatomic work that may affect code selection.

Can an assistant surgeon be reported?

Assistant-at-surgery payment may be available for this code. CMS does not permit co-surgeon or team-surgery payment.

What care is included in the global period?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

What happens when another procedure is performed in the same session?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.

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
RVUs for 33411PPRRVU2026_Oct_nonQPP.csv, line 3,940 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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