CPT code 33419: Mitral repair, each added prosthesis2026 Medicare rate & RVUs in Washington, DC area
Reports each additional prosthesis placed during percutaneous transcatheter repair of mitral regurgitation, beyond the initial device reported with the primary procedure.
In Washington, DC area, Medicare pays $397.63 for 33419 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33419 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 33419 covers
This add-on represents an additional repair implant, commonly a clip, placed during a percutaneous transcatheter mitral valve repair for mitral regurgitation. The procedure is typically performed by an interventional cardiologist or cardiac surgeon in a catheterization laboratory or hybrid suite, with imaging guidance. The initial prosthesis is reported with the primary transcatheter repair service; this code captures an additional prosthesis placed during that repair.
Report one unit for each additional prosthesis supported by the operative record. Documentation should identify the transcatheter approach, the repair performed, and the number of prostheses placed. Do not count device repositioning or leaflet-grasp attempts as additional prostheses. This is an add-on code: report it only with its primary procedure, 33418, and CMS pays it within that procedure’s global period.
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 Washington, DC area compares for 33419
Across 109 of 109 payment localities, the facility rate for 33419 runs from $323.95 in Wisconsin to $473.07 in Alaska. Washington, DC area pays $397.63. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$397.63
- Los Angeles, CA · California$367.22−$30.41
- Miami, FL · Florida$463.04+$65.41
- Chicago, IL · Illinois$448.85+$51.22
- Manhattan, NY · New York$428.18+$30.55
- Alaska · Alaska$473.07+$75.44
- Alabama · Alabama$335.56−$62.07
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $331.67 |
| ArizonaArizona | — | $357.80 |
| Bakersfield, CACalifornia | — | $353.93 |
| Chico, CACalifornia | — | $348.97 |
| El Centro, CACalifornia | — | $349.28 |
| Fresno, CACalifornia | — | $348.97 |
| Hanford, CACalifornia | — | $348.97 |
| Madera, CACalifornia | — | $348.97 |
| Merced, CACalifornia | — | $348.97 |
| Modesto, CACalifornia | — | $348.97 |
| Napa, CACalifornia | — | $370.05 |
| Oxnard, CACalifornia | — | $361.33 |
| Redding, CACalifornia | — | $348.97 |
| Rest of CaliforniaCalifornia | — | $348.97 |
| Riverside, CACalifornia | — | $368.50 |
| Sacramento, CACalifornia | — | $357.17 |
| Salinas, CACalifornia | — | $355.68 |
| San Diego, CACalifornia | — | $357.61 |
| Marin County, CACalifornia | — | $379.85 |
| San Francisco, CACalifornia | — | $377.78 |
| San Benito County, CACalifornia | — | $389.97 |
| Santa Clara County, CACalifornia | — | $381.52 |
| San Luis Obispo, CACalifornia | — | $351.09 |
| Santa Cruz, CACalifornia | — | $355.85 |
| Santa Maria, CACalifornia | — | $355.25 |
| Santa Rosa, CACalifornia | — | $358.81 |
| Stockton, CACalifornia | — | $348.97 |
| Vallejo, CACalifornia | — | $367.07 |
| Visalia, CACalifornia | — | $348.97 |
| Yuba City, CACalifornia | — | $348.97 |
| ColoradoColorado | — | $361.01 |
| ConnecticutConnecticut | — | $389.79 |
| DelawareDelaware | — | $362.64 |
| Fort Lauderdale, FLFlorida | — | $417.83 |
| Rest of FloridaFlorida | — | $396.49 |
| Atlanta, GAGeorgia | — | $381.86 |
| Rest of GeorgiaGeorgia | — | $374.45 |
| Hawaii, Guam, HIHawaii | — | $349.21 |
| IowaIowa | — | $327.25 |
| IdahoIdaho | — | $332.11 |
| East St. Louis, ILIllinois | — | $425.79 |
| Rest of IllinoisIllinois | — | $398.03 |
| Suburban Chicago, ILIllinois | — | $418.14 |
| IndianaIndiana | — | $333.25 |
| KansasKansas | — | $333.21 |
| KentuckyKentucky | — | $357.46 |
| New Orleans, LALouisiana | — | $373.45 |
| Rest of LouisianaLouisiana | — | $359.88 |
| Metropolitan Boston, MAMassachusetts | — | $381.50 |
| Rest of MassachusettsMassachusetts | — | $362.47 |
| Baltimore area, MDMaryland | — | $390.20 |
| Rest of MarylandMaryland | — | $366.26 |
| Rest of MaineMaine | — | $341.17 |
| Southern Maine, MEMaine | — | $345.20 |
| Detroit, MIMichigan | — | $408.06 |
| Rest of MichiganMichigan | — | $371.65 |
| MinnesotaMinnesota | — | $326.71 |
| Metropolitan Kansas City, MOMissouri | — | $363.68 |
| Metropolitan St. Louis, MOMissouri | — | $365.84 |
| Rest of MissouriMissouri | — | $359.72 |
| MississippiMississippi | — | $345.39 |
| MontanaMontana | — | $367.96 |
| North CarolinaNorth Carolina | — | $342.84 |
| North DakotaNorth Dakota | — | $331.97 |
| NebraskaNebraska | — | $326.49 |
| New HampshireNew Hampshire | — | $362.49 |
| Northern New JerseyNew Jersey | — | $396.33 |
| Rest of New JerseyNew Jersey | — | $388.82 |
| New MexicoNew Mexico | — | $376.22 |
| NevadaNevada | — | $357.98 |
| NYC suburbs and Long Island, NYNew York | — | $445.98 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $397.13 |
| Queens, NYNew York | — | $420.41 |
| Rest of New YorkNew York | — | $347.57 |
| OhioOhio | — | $364.29 |
| OklahomaOklahoma | — | $349.27 |
| Portland, OROregon | — | $362.10 |
| Rest of OregonOregon | — | $349.83 |
| Metropolitan Philadelphia, PAPennsylvania | — | $386.47 |
| Rest of PennsylvaniaPennsylvania | — | $360.71 |
| Puerto RicoPuerto Rico | — | $367.71 |
| Rhode IslandRhode Island | — | $368.04 |
| South CarolinaSouth Carolina | — | $355.23 |
| South DakotaSouth Dakota | — | $327.71 |
| TennesseeTennessee | — | $335.46 |
| Austin, TXTexas | — | $364.51 |
| Beaumont, TXTexas | — | $359.34 |
| Brazoria, TXTexas | — | $356.33 |
| Dallas, TXTexas | — | $361.57 |
| Fort Worth, TXTexas | — | $361.87 |
| Galveston, TXTexas | — | $359.34 |
| Houston, TXTexas | — | $392.66 |
| Rest of TexasTexas | — | $359.68 |
| UtahUtah | — | $358.93 |
| VirginiaVirginia | — | $349.37 |
| Virgin Islands, VIUnited States Virgin Islands | — | $367.71 |
| VermontVermont | — | $337.56 |
| Rest of WashingtonWashington | — | $359.51 |
| King County, WAWashington | — | $381.01 |
| WisconsinWisconsin | — | $323.95 |
| West VirginiaWest Virginia | — | $387.85 |
| WyomingWyoming | — | $352.27 |
33419 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 33419 rate is calculated
Each of 33419’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 · 33419
RVUs × geographic indexes × conversion factor
Work7.73
7.73 RVUs× 1.000 GPCI
Practice expense1.47
1.47 RVUs× 1.000 GPCI
Malpractice1.82
1.82 RVUs× 1.000 GPCI
Adjusted RVUs
11.0200
Conversion factor
$33.4009
Medicare rate
$368.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,948
- Code
- 33419
- Physician work
- 7.73
- Practice expense
- 1.47
- Malpractice
- 1.82
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.73 | × 1.054 | 8.1474 |
| Practice expense | 1.47 | × 1.178 | 1.7317 |
| Malpractice | 1.82 | × 1.113 | 2.0257 |
| Total RVUs | 11.9047 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$397.63
Facility: (7.73 × 1.054 + 1.47 × 1.178 + 1.82 × 1.113) × $33.4009 = $397.63
Payment rules and modifiers for 33419
The CMS indicators that decide how 33419 is paid alongside other services.
CMS payment indicators · 33419
Mitral repair, each added prosthesis
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
33419 without 80 · national facility
$368.08
Mitral repair, each added prosthesis
33419-80 · Assistant: 16%
$58.89
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 33419 has changed in Washington, DC area
33419 · 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
January 1, 2015
RVU15A
No ratechanged toNo rate
Held through RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $397.63 | RVU26D |
| 2026-07-01 | Not available in this setting | $397.63 | RVU26C |
| 2026-04-01 | Not available in this setting | $397.63 | RVU26B |
| 2026-01-01 | Not available in this setting | $397.63 | RVU26A |
| 2025-10-01 | Not available in this setting | $442.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $442.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $442.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $442.47 | RVU25A |
| 2024-10-01 | Not available in this setting | $454.14 | RVU24D |
| 2024-07-01 | Not available in this setting | $454.14 | RVU24C |
| 2024-04-01 | Not available in this setting | $454.14 | RVU24B |
| 2024-03-09 | Not available in this setting | $454.14 | RVU24AR |
| 2024-01-01 | Not available in this setting | $446.73 | RVU24A |
| 2023-10-01 | Not available in this setting | $466.62 | RVU23D |
| 2023-07-01 | Not available in this setting | $466.62 | RVU23C |
| 2023-04-01 | Not available in this setting | $466.62 | RVU23B |
| 2023-01-01 | Not available in this setting | $466.62 | RVU23A |
| 2022-10-01 | Not available in this setting | $485.81 | RVU22D |
| 2022-07-01 | Not available in this setting | $485.81 | RVU22C |
| 2022-04-01 | Not available in this setting | $485.81 | RVU22B |
| 2022-01-01 | Not available in this setting | $485.81 | RVU22A |
| 2021-10-01 | Not available in this setting | $487.99 | RVU21D |
| 2021-07-01 | Not available in this setting | $487.99 | RVU21C |
| 2021-04-01 | Not available in this setting | $487.99 | RVU21B |
| 2021-01-01 | Not available in this setting | $487.99 | RVU21A |
| 2020-10-01 | Not available in this setting | $497.08 | RVU20D |
| 2020-07-01 | Not available in this setting | $497.08 | RVU20C |
| 2020-04-01 | Not available in this setting | $497.08 | RVU20B |
| 2020-01-01 | Not available in this setting | $497.08 | RVU20A |
| 2019-10-01 | Not available in this setting | $495.02 | RVU19D |
| 2019-07-01 | Not available in this setting | $495.02 | RVU19C |
| 2019-04-01 | Not available in this setting | $495.02 | RVU19B |
| 2019-01-01 | Not available in this setting | $495.02 | RVU19A |
| 2018-10-01 | Not available in this setting | $493.98 | RVU18D |
| 2018-07-01 | Not available in this setting | $493.98 | RVU18C |
| 2018-04-01 | Not available in this setting | $493.98 | RVU18B |
| 2018-01-01 | Not available in this setting | $493.98 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $495.28 | RVU17D |
| 2017-07-01 | Not available in this setting | $495.28 | RVU17C |
| 2017-04-01 | Not available in this setting | $495.28 | RVU17B |
| 2017-01-01 | Not available in this setting | $495.28 | RVU17A |
| 2016-10-01 | Not available in this setting | $491.27 | RVU16D |
| 2016-07-01 | Not available in this setting | $491.27 | RVU16C |
| 2016-04-01 | Not available in this setting | $491.27 | RVU16B |
| 2016-01-01 | Not available in this setting | $491.27 | RVU16A |
| 2015-10-01 | Not available in this setting | $510.25 | RVU15D |
| 2015-07-01 | Not available in this setting | $510.25 | RVU15C |
| 2015-04-01 | Not available in this setting | $507.72 | RVU15B |
| 2015-01-01 | Not available in this setting | $507.72 | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
33419 billing questions
When should 33419 be reported instead of 33418?
33418 reports the initial prosthesis used in the transcatheter mitral repair. Report 33419 for each additional prosthesis placed during that repair.
Can 33419 be submitted without 33418?
No. It is an add-on code and must be reported with the primary transcatheter mitral repair procedure, 33418.
How many units should be reported?
Report one unit for each prosthesis beyond the initial one. Device repositioning or repeated grasping attempts do not represent additional prostheses.
What documentation supports the additional unit?
The procedural record should establish the transcatheter mitral repair and document the number of prostheses placed, including the additional device or devices.
How does this differ from open mitral repair?
33419 applies to an additional prosthesis during percutaneous transcatheter repair. Codes such as 33425 and 33427 describe open surgical mitral repair procedures.
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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