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.
In Tennessee, Medicare pays $2,669.49 for 33412 in a facility. There’s no office rate.
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.
On this page 11 sections
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.
- Tennessee · this page$2,669.49
- Los Angeles, CA · California$2,957.62+$288.13
- Washington, DC area · District of Columbia$3,187.11+$517.62
- Miami, FL · Florida$3,661.61+$992.12
- Chicago, IL · Illinois$3,547.24+$877.75
- Manhattan, NY · New York$3,415.86+$746.37
- Alaska · Alaska$3,722.54+$1,053.05
Other areas in Tennessee first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $2,804.56 |
| Merced, CACalifornia | — | $2,804.56 |
| Modesto, CACalifornia | — | $2,804.56 |
| Napa, CACalifornia | — | $3,002.15 |
| Oxnard, CACalifornia | — | $2,913.17 |
| Redding, CACalifornia | — | $2,804.56 |
| Rest of CaliforniaCalifornia | — | $2,804.56 |
| Riverside, CACalifornia | — | $2,952.81 |
| Sacramento, CACalifornia | — | $2,877.93 |
| Salinas, CACalifornia | — | $2,866.12 |
| San Diego, CACalifornia | — | $2,887.32 |
| Marin County, CACalifornia | — | $3,091.64 |
| San Francisco, CACalifornia | — | $3,075.94 |
| San Benito County, CACalifornia | — | $3,173.61 |
| Santa Clara County, CACalifornia | — | $3,109.44 |
| San Luis Obispo, CACalifornia | — | $2,828.22 |
| Santa Cruz, CACalifornia | — | $2,877.71 |
| Santa Maria, CACalifornia | — | $2,864.21 |
| Santa Rosa, CACalifornia | — | $2,902.16 |
| Stockton, CACalifornia | — | $2,804.56 |
| Vallejo, CACalifornia | — | $2,979.53 |
| Visalia, CACalifornia | — | $2,804.56 |
| Yuba City, CACalifornia | — | $2,804.56 |
| ColoradoColorado | — | $2,890.44 |
| ConnecticutConnecticut | — | $3,110.99 |
| DelawareDelaware | — | $2,889.65 |
| Fort Lauderdale, FLFlorida | — | $3,313.39 |
| Rest of FloridaFlorida | — | $3,141.25 |
| Atlanta, GAGeorgia | — | $3,040.62 |
| Rest of GeorgiaGeorgia | — | $2,962.48 |
| Hawaii, Guam, HIHawaii | — | $2,814.30 |
| IowaIowa | — | $2,608.16 |
| IdahoIdaho | — | $2,645.99 |
| East St. Louis, ILIllinois | — | $3,357.32 |
| Rest of IllinoisIllinois | — | $3,145.29 |
| Suburban Chicago, ILIllinois | — | $3,317.93 |
| IndianaIndiana | — | $2,655.85 |
| KansasKansas | — | $2,651.50 |
| KentuckyKentucky | — | $2,832.97 |
| New Orleans, LALouisiana | — | $2,963.59 |
| Rest of LouisianaLouisiana | — | $2,850.62 |
| Metropolitan Boston, MAMassachusetts | — | $3,068.00 |
| Rest of MassachusettsMassachusetts | — | $2,899.46 |
| Baltimore area, MDMaryland | — | $3,113.57 |
| Rest of MarylandMaryland | — | $2,921.23 |
| Rest of MaineMaine | — | $2,714.77 |
| Southern Maine, MEMaine | — | $2,757.99 |
| Detroit, MIMichigan | — | $3,230.67 |
| Rest of MichiganMichigan | — | $2,944.95 |
| MinnesotaMinnesota | — | $2,624.25 |
| Metropolitan Kansas City, MOMissouri | — | $2,889.09 |
| Metropolitan St. Louis, MOMissouri | — | $2,907.78 |
| Rest of MissouriMissouri | — | $2,845.35 |
| MississippiMississippi | — | $2,736.32 |
| MontanaMontana | — | $2,932.34 |
| North CarolinaNorth Carolina | — | $2,729.77 |
| North DakotaNorth Dakota | — | $2,659.08 |
| NebraskaNebraska | — | $2,603.79 |
| New HampshireNew Hampshire | — | $2,898.12 |
| Northern New JerseyNew Jersey | — | $3,173.73 |
| Rest of New JerseyNew Jersey | — | $3,105.51 |
| New MexicoNew Mexico | — | $2,980.39 |
| NevadaNevada | — | $2,856.73 |
| NYC suburbs and Long Island, NYNew York | — | $3,555.81 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $3,168.93 |
| Queens, NYNew York | — | $3,360.39 |
| Rest of New YorkNew York | — | $2,768.67 |
| OhioOhio | — | $2,889.10 |
| OklahomaOklahoma | — | $2,771.47 |
| Portland, OROregon | — | $2,906.90 |
| Rest of OregonOregon | — | $2,793.97 |
| Metropolitan Philadelphia, PAPennsylvania | — | $3,079.50 |
| Rest of PennsylvaniaPennsylvania | — | $2,862.77 |
| Puerto RicoPuerto Rico | — | $2,932.39 |
| Rhode IslandRhode Island | — | $2,938.08 |
| South CarolinaSouth Carolina | — | $2,822.22 |
| South DakotaSouth Dakota | — | $2,626.76 |
| Austin, TXTexas | — | $2,916.39 |
| Beaumont, TXTexas | — | $2,850.98 |
| Brazoria, TXTexas | — | $2,842.14 |
| Dallas, TXTexas | — | $2,882.81 |
| Fort Worth, TXTexas | — | $2,883.31 |
| Galveston, TXTexas | — | $2,865.39 |
| Houston, TXTexas | — | $3,118.35 |
| Rest of TexasTexas | — | $2,860.44 |
| UtahUtah | — | $2,853.18 |
| VirginiaVirginia | — | $2,788.20 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,932.39 |
| VermontVermont | — | $2,699.74 |
| Rest of WashingtonWashington | — | $2,877.08 |
| King County, WAWashington | — | $3,069.75 |
| WisconsinWisconsin | — | $2,590.73 |
| West VirginiaWest Virginia | — | $3,060.15 |
| WyomingWyoming | — | $2,813.25 |
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
| 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 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
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 57.53 | × 1.000 | 57.5300 |
| Practice expense | 16.47 | × 0.909 | 14.9712 |
| Malpractice | 13.82 | × 0.537 | 7.4213 |
| Total RVUs | 79.9226 | ||
| 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
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
| 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 · 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.
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%).
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.
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 | $2,669.49 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,669.49 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,669.49 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,669.49 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,719.85 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,719.85 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,719.85 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,719.85 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,786.24 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,786.24 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,786.24 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,786.24 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,740.77 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,826.42 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,826.42 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,826.42 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,826.42 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,878.67 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,878.67 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,878.67 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,878.67 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,897.64 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,897.64 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,897.64 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,897.64 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,993.20 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,993.20 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,993.20 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,993.20 | RVU20A |
| 2019-10-01 | Not available in this setting | $3,014.55 | RVU19D |
| 2019-07-01 | Not available in this setting | $3,014.55 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,993.51 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,993.51 | RVU19A |
| 2018-10-01 | Not available in this setting | $3,008.13 | RVU18D |
| 2018-07-01 | Not available in this setting | $3,008.13 | RVU18C |
| 2018-04-01 | Not available in this setting | $3,008.13 | RVU18B |
| 2018-01-01 | Not available in this setting | Rate data unavailable | RVU18AR1 |
| 2017-10-01 | Not available in this setting | Rate data unavailable | RVU17D |
| 2017-07-01 | Not available in this setting | Rate data unavailable | RVU17C |
| 2017-04-01 | Not available in this setting | Rate data unavailable | RVU17B |
| 2017-01-01 | Not available in this setting | Rate data unavailable | RVU17A |
| 2016-10-01 | Not available in this setting | Rate data unavailable | RVU16D |
| 2016-07-01 | Not available in this setting | Rate data unavailable | RVU16C |
| 2016-04-01 | Not available in this setting | Rate data unavailable | RVU16B |
| 2016-01-01 | Not available in this setting | Rate data unavailable | RVU16A |
| 2015-10-01 | Not available in this setting | Rate data unavailable | RVU15D |
| 2015-07-01 | Not available in this setting | Rate data unavailable | RVU15C |
| 2015-04-01 | Not available in this setting | Rate data unavailable | RVU15B |
| 2015-01-01 | Not available in this setting | Rate data unavailable | RVU15A |
| 2014-10-01 | Not available in this setting | Rate data unavailable | RVU14D |
| 2014-07-01 | Not available in this setting | Rate data unavailable | RVU14C |
| 2014-04-01 | Not available in this setting | Rate data unavailable | RVU14B |
| 2014-01-01 | Not available in this setting | Rate data unavailable | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
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
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
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