CPT code 33417: Aortic valve repair, open surgical repair2026 Medicare rate & RVUs in Texas
Reports open surgical reconstruction of the native aortic valve, typically during cardiac surgery when the surgeon repairs rather than replaces the valve.
CMS doesn’t publish an office rate for 33417 in Texas.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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What 33417 covers
A cardiac surgeon reports this service when surgically reconstructing the patient’s native aortic valve, such as to address a valve defect or dysfunction while preserving the valve. The work is performed in the operating room as part of cardiac surgery; the operative report should identify the valve pathology and the repair performed. The key distinction from a replacement procedure is that the native valve is repaired rather than removed and replaced with a prosthesis.
Select the code that matches the documented aortic-valve operation; the operative report should support the repair and distinguish it from valve replacement or a different repair technique. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. 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. Report the aortic-valve service without modifier 50. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment 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.
Where 33417 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | Unavailable | $1,576.87 |
| Beaumont, TX | Unavailable | $1,528.53 |
| Brazoria, TX | Unavailable | $1,531.33 |
| Dallas, TX | Unavailable | $1,553.01 |
| Fort Worth, TX | Unavailable | $1,552.31 |
| Galveston, TX | Unavailable | $1,543.67 |
| Houston, TX | Unavailable | $1,675.83 |
| Rest of Texas | Unavailable | $1,537.23 |
How the 33417 rate is calculated
Each of 33417’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 · 33417
RVUs × geographic indexes × conversion factor
Work28.60
28.60 RVUs× 1.000 GPCI
Practice expense11.49
11.49 RVUs× 1.000 GPCI
Malpractice7.22
7.22 RVUs× 1.000 GPCI
Adjusted RVUs
47.3100
Conversion factor
$33.4009
Medicare rate
$1,580.20
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33417
33417 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33417
Aortic valve repair, open surgical repair
| 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 · 33417
Aortic valve repair, open surgical repair
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
33417 without 51 · national facility
$1,580.20
Aortic valve repair, open surgical repair
33417-51 · Second procedure: 50%
$790.10
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%).
33417 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 33414Aortic valve repairNative valve reconstruction
- Both describe surgical aortic-valve repair, but the code selection depends on the specific repair procedure documented. Compare the operative report with the full code descriptors before choosing.
- 33405Aortic valve replacementStandard prosthetic valve
- This code represents aortic-valve replacement with a prosthesis. Choose it when the surgeon replaces the valve rather than repairing the native valve.
- 33412Aortic valve replacementCoronary ostia translocation
- This is an aortic-valve replacement code, not a native-valve repair code. The documented operation determines whether repair or replacement is reported.
33417 billing questions
How do I distinguish this from an aortic valve replacement code?
Use this repair code when the surgeon reconstructs the native valve. If the operative report documents removal and replacement with a prosthesis, select the applicable replacement code instead.
What documentation supports reporting the repair?
The operative report should identify the aortic-valve condition and describe the surgical repair performed, making clear that the native valve was preserved rather than replaced.
Can modifier 50 be used for the aortic valve?
No. Report the service for the aortic valve without modifier 50; bilateral reporting is not appropriate for this anatomy and descriptor.
How are other procedures in the same session paid?
Under CMS’s standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures performed in that session are reduced.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team-surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
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
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