CPT code 33414: Aortic valve repair, native valve reconstruction2026 Medicare rate & RVUs in North Dakota

Reports surgical reconstruction of a native aortic valve when the surgeon repairs the valve rather than replacing it during cardiac surgery.

CMS RVU26DEffective Oct 1, 2026One payment locality58 Medicare services in 2024

In North Dakota, Medicare pays $1,804.26 for 33414 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,804.26Hospital or facility

Check a contract rate as a % of Medicare · 33414 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 33414 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 33414 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 33414 covers

Code 33414 represents surgical repair of the native aortic valve, preserving the patient’s valve rather than implanting a replacement. Cardiothoracic surgeons perform this operation in a hospital operating room; the operative report should identify the valve repair performed and distinguish it from aortic valve replacement. Medicare claims for this service are associated with facility care, consistent with its operative setting.

The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Modifier 50 is inappropriate for this valve procedure. 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 North Dakota compares for 33414

Across 109 of 109 payment localities, the facility rate for 33414 runs from $1,756.11 in Wisconsin to $2,517.74 in Alaska. North Dakota pays $1,804.26. The RVUs are the same everywhere; the geographic indexes change the dollars.

33414 in North Dakota vs other payment areas
  1. North Dakota · this page$1,804.26
  2. Los Angeles, CA · California$2,011.87+$207.61
  3. Washington, DC area · District of Columbia$2,172.06+$367.80
  4. Miami, FL · Florida$2,508.09+$703.83
  5. Chicago, IL · Illinois$2,427.20+$622.94
  6. Manhattan, NY · New York$2,331.88+$527.62
  7. Alaska · Alaska$2,517.74+$713.48

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

Every other payment area

33414 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,807.29
ArkansasArkansas—$1,784.52
ArizonaArizona—$1,937.95
Bakersfield, CACalifornia—$1,931.87
Chico, CACalifornia—$1,905.66
El Centro, CACalifornia—$1,907.28
Fresno, CACalifornia—$1,905.66
Hanford, CACalifornia—$1,905.66

33414 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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
33414 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 33414 in every payment locality

How the 33414 rate is calculated

Each of 33414’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 · 33414

RVUs × geographic indexes × conversion factor

Office or facility?

Work38.39

38.39 RVUs× 1.000 GPCI

Practice expense11.69

11.69 RVUs× 1.000 GPCI

Malpractice9.70

9.70 RVUs× 1.000 GPCI

Adjusted RVUs

59.7800

Conversion factor

$33.4009

Medicare rate

$1,996.71

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

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,943

Code
33414
Physician work
38.39
Practice expense
11.69
Malpractice
9.70

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 33414 in North Dakota
ComponentRVULocality factorAdjusted
Physician work38.39× 1.00038.3900
Practice expense11.69× 1.00011.6900
Malpractice9.70× 0.4063.9382
Total RVUs54.0182
Conversion factor× 33.4009

Facility rate, North Dakota$1804.26

Facility: (38.39 × 1 + 11.69 × 1 + 9.7 × 0.406) × $33.4009 = $1804.26

Open 33414 in the RVU calculator

Payment rules and modifiers for 33414

33414 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33414

Aortic valve repair, native valve reconstruction

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 · 33414

Aortic valve repair, native valve reconstruction

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

33414 without 51 · national facility

$1,996.71

Aortic valve repair, native valve reconstruction

33414-51 · Second procedure: 50%

$998.36

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 33414 has changed in North Dakota

33414 · 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$1,804.26RVU26D
2026-07-01Not available in this setting$1,804.26RVU26C
2026-04-01Not available in this setting$1,804.26RVU26B
2026-01-01Not available in this setting$1,804.26RVU26A
2025-10-01Not available in this setting$1,898.70RVU25D
2025-07-01Not available in this setting$1,898.70RVU25C
2025-04-01Not available in this setting$1,898.70RVU25B
2025-01-01Not available in this setting$1,898.70RVU25A
2024-10-01Not available in this setting$1,947.18RVU24D
2024-07-01Not available in this setting$1,947.18RVU24C
2024-04-01Not available in this setting$1,947.18RVU24B
2024-03-09Not available in this setting$1,947.18RVU24AR
2024-01-01Not available in this setting$1,915.40RVU24A
2023-10-01Not available in this setting$1,964.58RVU23D
2023-07-01Not available in this setting$1,964.58RVU23C
2023-04-01Not available in this setting$1,964.58RVU23B
2023-01-01Not available in this setting$1,964.58RVU23A
2022-10-01Not available in this setting$1,994.55RVU22D
2022-07-01Not available in this setting$1,994.55RVU22C
2022-04-01Not available in this setting$1,994.55RVU22B
2022-01-01Not available in this setting$1,994.55RVU22A
2021-10-01Not available in this setting$2,010.26RVU21D
2021-07-01Not available in this setting$2,010.26RVU21C
2021-04-01Not available in this setting$2,010.26RVU21B
2021-01-01Not available in this setting$2,010.26RVU21A
2020-10-01Not available in this setting$2,079.31RVU20D
2020-07-01Not available in this setting$2,079.31RVU20C
2020-04-01Not available in this setting$2,079.31RVU20B
2020-01-01Not available in this setting$2,079.31RVU20A
2019-10-01Not available in this setting$2,087.44RVU19D
2019-07-01Not available in this setting$2,087.44RVU19C
2019-04-01Not available in this setting$2,087.44RVU19B
2019-01-01Not available in this setting$2,087.44RVU19A
2018-10-01Not available in this setting$2,094.61RVU18D
2018-07-01Not available in this setting$2,094.61RVU18C
2018-04-01Not available in this setting$2,094.61RVU18B
2018-01-01Not available in this setting$2,094.61RVU18AR1
2017-10-01Not available in this setting$2,099.22RVU17D
2017-07-01Not available in this setting$2,099.22RVU17C
2017-04-01Not available in this setting$2,099.22RVU17B
2017-01-01Not available in this setting$2,099.22RVU17A
2016-10-01Not available in this setting$2,105.21RVU16D
2016-07-01Not available in this setting$2,105.21RVU16C
2016-04-01Not available in this setting$2,105.21RVU16B
2016-01-01Not available in this setting$2,105.21RVU16A
2015-10-01Not available in this setting$2,096.56RVU15D
2015-07-01Not available in this setting$2,096.56RVU15C
2015-04-01Not available in this setting$2,086.12RVU15B
2015-01-01Not available in this setting$2,086.12RVU15A
2014-10-01Not available in this setting$2,092.19RVU14D
2014-07-01Not available in this setting$2,092.19RVU14C
2014-04-01Not available in this setting$2,092.19RVU14B
2014-01-01Not available in this setting$2,092.19RVU14A
2013-10-01Not available in this setting$2,042.99RVU13D
2013-07-01Not available in this setting$2,042.99RVU13C
2013-04-01Not available in this setting$2,042.99RVU13B
2013-01-01Not available in this setting$2,042.99RVU13AR

Price 33414 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

33414 billing questions

When should 33414 be selected instead of an aortic valve replacement code?

Use 33414 when the surgeon repairs and preserves the patient’s native aortic valve. When the operative report documents removal of the native valve and implantation of a prosthetic valve or graft, select the applicable replacement code instead.

Does the 90-day global period include postoperative visits?

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

How does Medicare handle 33414 with another procedure in the same session?

The highest-valued procedure is paid in full, and the other procedure or procedures are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported for 33414?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Should modifier 50 be used for repair of the aortic valve?

No. Modifier 50 is inappropriate for this procedure because bilateral adjustment does not apply to the anatomy or service.

What operative documentation supports 33414?

Document the aortic valve repair performed and whether the native valve was preserved. The record should make clear that the service was repair rather than valve replacement.

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 33414PPRRVU2026_Oct_nonQPP.csv, line 3,943 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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