CPT code 33412: Aortic valve replacement, coronary ostia translocation2026 Medicare rate & RVUs in Tennessee

Open aortic valve replacement involving translocation of the coronary ostia is reported when the surgeon detaches and reimplants the coronary openings.

CMS RVU26DEffective Oct 1, 2026One payment locality22 Medicare services in 2024

In Tennessee, Medicare pays $2,669.49 for 33412 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,669.49Hospital or facility

Check a contract rate as a % of Medicare · 33412 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 33412 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Tennessee
  2. What 33412 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 33412 covers

This code describes open replacement of the aortic valve with translocation of the coronary ostia. During the operation, the surgeon mobilizes the coronary openings from the aortic root and reimplants them in the reconstructed root. Cardiothoracic surgeons typically perform this complex procedure in a hospital operating room with cardiopulmonary bypass. The operative report should identify the valve replacement and document the coronary ostia translocation, rather than only describing routine valve replacement or annular enlargement.

Report the code when the operative work includes this coronary reimplantation as part of aortic valve replacement; distinguish it from standard replacement and from replacement with annular enlargement alone. The 90-day global period includes 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 multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted. Modifier 50 is inappropriate for this aortic procedure.

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 Tennessee compares for 33412

Across 109 of 109 payment localities, the facility rate for 33412 runs from $2,590.73 in Wisconsin to $3,722.54 in Alaska. Tennessee pays $2,669.49. The RVUs are the same everywhere; the geographic indexes change the dollars.

33412 in Tennessee vs other payment areas
  1. Tennessee · this page$2,669.49
  2. Los Angeles, CA · California$2,957.62+$288.13
  3. Washington, DC area · District of Columbia$3,187.11+$517.62
  4. Miami, FL · Florida$3,661.61+$992.12
  5. Chicago, IL · Illinois$3,547.24+$877.75
  6. Manhattan, NY · New York$3,415.86+$746.37
  7. Alaska · Alaska$3,722.54+$1,053.05

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

Every other payment area

33412 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,664.17
ArkansasArkansas—$2,631.82
ArizonaArizona—$2,849.74
Bakersfield, CACalifornia—$2,842.10
Chico, CACalifornia—$2,804.56
El Centro, CACalifornia—$2,806.87
Fresno, CACalifornia—$2,804.56
Hanford, CACalifornia—$2,804.56

33412 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
33412 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 33412 in every payment locality

How the 33412 rate is calculated

Each of 33412’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 · 33412

RVUs × geographic indexes × conversion factor

Office or facility?

Work57.53

57.53 RVUs× 1.000 GPCI

Practice expense16.47

16.47 RVUs× 1.000 GPCI

Malpractice13.82

13.82 RVUs× 1.000 GPCI

Adjusted RVUs

87.8200

Conversion factor

$33.4009

Medicare rate

$2,933.27

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

The exact Tennessee inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,941

Code
33412
Physician work
57.53
Practice expense
16.47
Malpractice
13.82

GPCI2026.csv

95

Locality
Tennessee
Physician work
1.000
Practice expense
0.909
Malpractice
0.537
Facility calculation for 33412 in Tennessee
ComponentRVULocality factorAdjusted
Physician work57.53× 1.00057.5300
Practice expense16.47× 0.90914.9712
Malpractice13.82× 0.5377.4213
Total RVUs79.9226
Conversion factor× 33.4009

Facility rate, Tennessee$2669.49

Facility: (57.53 × 1 + 16.47 × 0.909 + 13.82 × 0.537) × $33.4009 = $2669.49

Open 33412 in the RVU calculator

Payment rules and modifiers for 33412

33412 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33412

Aortic valve replacement, coronary ostia translocation

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)1Permitted with supporting documentation.
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 · 33412

Aortic valve replacement, coronary ostia translocation

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

33412 without 51 · national facility

$2,933.27

Aortic valve replacement, coronary ostia translocation

33412-51 · Second procedure: 50%

$1,466.64

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 33412 has changed in Tennessee

33412 · 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$2,669.49RVU26D
2026-07-01Not available in this setting$2,669.49RVU26C
2026-04-01Not available in this setting$2,669.49RVU26B
2026-01-01Not available in this setting$2,669.49RVU26A
2025-10-01Not available in this setting$2,719.85RVU25D
2025-07-01Not available in this setting$2,719.85RVU25C
2025-04-01Not available in this setting$2,719.85RVU25B
2025-01-01Not available in this setting$2,719.85RVU25A
2024-10-01Not available in this setting$2,786.24RVU24D
2024-07-01Not available in this setting$2,786.24RVU24C
2024-04-01Not available in this setting$2,786.24RVU24B
2024-03-09Not available in this setting$2,786.24RVU24AR
2024-01-01Not available in this setting$2,740.77RVU24A
2023-10-01Not available in this setting$2,826.42RVU23D
2023-07-01Not available in this setting$2,826.42RVU23C
2023-04-01Not available in this setting$2,826.42RVU23B
2023-01-01Not available in this setting$2,826.42RVU23A
2022-10-01Not available in this setting$2,878.67RVU22D
2022-07-01Not available in this setting$2,878.67RVU22C
2022-04-01Not available in this setting$2,878.67RVU22B
2022-01-01Not available in this setting$2,878.67RVU22A
2021-10-01Not available in this setting$2,897.64RVU21D
2021-07-01Not available in this setting$2,897.64RVU21C
2021-04-01Not available in this setting$2,897.64RVU21B
2021-01-01Not available in this setting$2,897.64RVU21A
2020-10-01Not available in this setting$2,993.20RVU20D
2020-07-01Not available in this setting$2,993.20RVU20C
2020-04-01Not available in this setting$2,993.20RVU20B
2020-01-01Not available in this setting$2,993.20RVU20A
2019-10-01Not available in this setting$3,014.55RVU19D
2019-07-01Not available in this setting$3,014.55RVU19C
2019-04-01Not available in this setting$2,993.51RVU19B
2019-01-01Not available in this setting$2,993.51RVU19A
2018-10-01Not available in this setting$3,008.13RVU18D
2018-07-01Not available in this setting$3,008.13RVU18C
2018-04-01Not available in this setting$3,008.13RVU18B
2018-01-01Not available in this settingRate data unavailableRVU18AR1
2017-10-01Not available in this settingRate data unavailableRVU17D
2017-07-01Not available in this settingRate data unavailableRVU17C
2017-04-01Not available in this settingRate data unavailableRVU17B
2017-01-01Not available in this settingRate data unavailableRVU17A
2016-10-01Not available in this settingRate data unavailableRVU16D
2016-07-01Not available in this settingRate data unavailableRVU16C
2016-04-01Not available in this settingRate data unavailableRVU16B
2016-01-01Not available in this settingRate data unavailableRVU16A
2015-10-01Not available in this settingRate data unavailableRVU15D
2015-07-01Not available in this settingRate data unavailableRVU15C
2015-04-01Not available in this settingRate data unavailableRVU15B
2015-01-01Not available in this settingRate data unavailableRVU15A
2014-10-01Not available in this settingRate data unavailableRVU14D
2014-07-01Not available in this settingRate data unavailableRVU14C
2014-04-01Not available in this settingRate data unavailableRVU14B
2014-01-01Not available in this settingRate data unavailableRVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 33412 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

  • Adams
  • Adamsville
  • Alamo
  • Alcoa
  • Alexandria
  • Algood
  • Allardt
  • Altamont

Browse all communities in Tennessee

33412 billing questions

How is this code different from standard aortic valve replacement?

Use this code when the surgeon translocates and reimplants the coronary ostia as part of valve replacement. A routine replacement without that work is represented by a different code.

Is coronary ostia translocation separately reported?

It is included in this code’s described operative service. The operative report should document the translocation as part of the aortic valve replacement.

How does this differ from replacement with annular enlargement?

This code identifies coronary ostia translocation. Aortic valve replacement with annular enlargement alone is a different service; select based on the work documented in the operative report.

What does the 90-day global period include?

It includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures performed in the same session paid?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this aortic operation.

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 33412PPRRVU2026_Oct_nonQPP.csv, line 3,941 (RVU26D)
Geographic factors for TennesseeGPCI2026.csv, line 95 (RVU26D)

Open CMS sourceHow we calculate rates

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