CPT code 33426: Mitral valve repair, with prosthetic ring2026 Medicare rate & RVUs in Utah
Open mitral valve repair with a prosthetic annuloplasty ring on cardiopulmonary bypass, reported when the native valve is repaired rather than replaced.
In Utah, Medicare pays $2,167.88 for 33426 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33426 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 33426 covers
A cardiac surgeon uses this service for open repair of the native mitral valve on cardiopulmonary bypass, placing a prosthetic ring to reshape or support the valve annulus. It is used for conditions such as mitral regurgitation when the surgeon repairs the valve rather than replacing it. The operation is generally performed in a hospital operating room; the ring placement is part of the repair service.
Select this code when the operative report documents mitral valve repair with a prosthetic ring. Repair without a ring is coded differently, and extensive reconstruction has a separate code. The service has a 90-day global period that includes the day-before preoperative visit and related postoperative care for 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction. Modifier 50 is inappropriate for this single-valve service. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation. CMS does not permit team-surgery payment for this code.
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 Utah compares for 33426
Across 109 of 109 payment localities, the facility rate for 33426 runs from $1,970.87 in Wisconsin to $2,811.00 in Alaska. Utah pays $2,167.88. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$2,167.88
- Los Angeles, CA · California$2,259.32+$91.44
- Washington, DC area · District of Columbia$2,431.69+$263.81
- Miami, FL · Florida$2,783.94+$616.06
- Chicago, IL · Illinois$2,695.23+$527.35
- Manhattan, NY · New York$2,602.98+$435.10
- Alaska · Alaska$2,811.00+$643.12
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,021.41 |
| ArkansasArkansas | — | $1,996.06 |
| ArizonaArizona | — | $2,166.99 |
| Bakersfield, CACalifornia | — | $2,167.92 |
| Chico, CACalifornia | — | $2,139.67 |
| El Centro, CACalifornia | — | $2,141.41 |
| Fresno, CACalifornia | — | $2,139.67 |
| Hanford, CACalifornia | — | $2,139.67 |
| Madera, CACalifornia | — | $2,139.67 |
| Merced, CACalifornia | — | $2,139.67 |
| Modesto, CACalifornia | — | $2,139.67 |
| Napa, CACalifornia | — | $2,299.97 |
| Oxnard, CACalifornia | — | $2,226.24 |
| Redding, CACalifornia | — | $2,139.67 |
| Rest of CaliforniaCalifornia | — | $2,139.67 |
| Riverside, CACalifornia | — | $2,251.51 |
| Sacramento, CACalifornia | — | $2,198.20 |
| Salinas, CACalifornia | — | $2,189.26 |
| San Diego, CACalifornia | — | $2,207.48 |
| Marin County, CACalifornia | — | $2,371.61 |
| San Francisco, CACalifornia | — | $2,359.76 |
| San Benito County, CACalifornia | — | $2,434.74 |
| Santa Clara County, CACalifornia | — | $2,386.32 |
| San Luis Obispo, CACalifornia | — | $2,160.05 |
| Santa Cruz, CACalifornia | — | $2,201.70 |
| Santa Maria, CACalifornia | — | $2,188.35 |
| Santa Rosa, CACalifornia | — | $2,220.55 |
| Stockton, CACalifornia | — | $2,139.67 |
| Vallejo, CACalifornia | — | $2,282.90 |
| Visalia, CACalifornia | — | $2,139.67 |
| Yuba City, CACalifornia | — | $2,139.67 |
| ColoradoColorado | — | $2,202.80 |
| ConnecticutConnecticut | — | $2,369.69 |
| DelawareDelaware | — | $2,198.02 |
| Fort Lauderdale, FLFlorida | — | $2,519.49 |
| Rest of FloridaFlorida | — | $2,386.22 |
| Atlanta, GAGeorgia | — | $2,313.68 |
| Rest of GeorgiaGeorgia | — | $2,247.55 |
| Hawaii, Guam, HIHawaii | — | $2,150.12 |
| IowaIowa | — | $1,981.49 |
| IdahoIdaho | — | $2,010.34 |
| East St. Louis, ILIllinois | — | $2,547.18 |
| Rest of IllinoisIllinois | — | $2,386.75 |
| Suburban Chicago, ILIllinois | — | $2,523.45 |
| IndianaIndiana | — | $2,018.19 |
| KansasKansas | — | $2,013.56 |
| KentuckyKentucky | — | $2,149.63 |
| New Orleans, LALouisiana | — | $2,251.26 |
| Rest of LouisianaLouisiana | — | $2,162.71 |
| Metropolitan Boston, MAMassachusetts | — | $2,343.27 |
| Rest of MassachusettsMassachusetts | — | $2,208.80 |
| Baltimore area, MDMaryland | — | $2,371.56 |
| Rest of MarylandMaryland | — | $2,223.06 |
| Rest of MaineMaine | — | $2,062.25 |
| Southern Maine, MEMaine | — | $2,099.03 |
| Detroit, MIMichigan | — | $2,454.24 |
| Rest of MichiganMichigan | — | $2,235.55 |
| MinnesotaMinnesota | — | $2,000.34 |
| Metropolitan Kansas City, MOMissouri | — | $2,194.92 |
| Metropolitan St. Louis, MOMissouri | — | $2,209.79 |
| Rest of MissouriMissouri | — | $2,157.38 |
| MississippiMississippi | — | $2,075.04 |
| MontanaMontana | — | $2,231.15 |
| North CarolinaNorth Carolina | — | $2,074.33 |
| North DakotaNorth Dakota | — | $2,024.92 |
| NebraskaNebraska | — | $1,978.67 |
| New HampshireNew Hampshire | — | $2,207.73 |
| Northern New JerseyNew Jersey | — | $2,420.17 |
| Rest of New JerseyNew Jersey | — | $2,365.63 |
| New MexicoNew Mexico | — | $2,262.53 |
| NevadaNevada | — | $2,174.14 |
| NYC suburbs and Long Island, NYNew York | — | $2,710.19 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,413.46 |
| Queens, NYNew York | — | $2,562.30 |
| Rest of New YorkNew York | — | $2,104.68 |
| OhioOhio | — | $2,193.40 |
| OklahomaOklahoma | — | $2,103.45 |
| Portland, OROregon | — | $2,217.83 |
| Rest of OregonOregon | — | $2,126.49 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,343.89 |
| Rest of PennsylvaniaPennsylvania | — | $2,173.82 |
| Puerto RicoPuerto Rico | — | $2,231.84 |
| Rhode IslandRhode Island | — | $2,236.65 |
| South CarolinaSouth Carolina | — | $2,143.57 |
| South DakotaSouth Dakota | — | $2,000.53 |
| TennesseeTennessee | — | $2,027.42 |
| Austin, TXTexas | — | $2,222.44 |
| Beaumont, TXTexas | — | $2,164.46 |
| Brazoria, TXTexas | — | $2,162.22 |
| Dallas, TXTexas | — | $2,193.17 |
| Fort Worth, TXTexas | — | $2,192.96 |
| Galveston, TXTexas | — | $2,179.89 |
| Houston, TXTexas | — | $2,370.79 |
| Rest of TexasTexas | — | $2,173.88 |
| VirginiaVirginia | — | $2,121.37 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,231.84 |
| VermontVermont | — | $2,055.01 |
| Rest of WashingtonWashington | — | $2,192.03 |
| King County, WAWashington | — | $2,346.16 |
| WisconsinWisconsin | — | $1,970.87 |
| West VirginiaWest Virginia | — | $2,319.91 |
| WyomingWyoming | — | $2,141.27 |
33426 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 33426 rate is calculated
Each of 33426’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 · 33426
RVUs × geographic indexes × conversion factor
Work42.20
42.20 RVUs× 1.000 GPCI
Practice expense14.19
14.19 RVUs× 1.000 GPCI
Malpractice10.43
10.43 RVUs× 1.000 GPCI
Adjusted RVUs
66.8200
Conversion factor
$33.4009
Medicare rate
$2,231.85
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,953
- Code
- 33426
- Physician work
- 42.20
- Practice expense
- 14.19
- Malpractice
- 10.43
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 42.20 | × 1.000 | 42.2000 |
| Practice expense | 14.19 | × 0.940 | 13.3386 |
| Malpractice | 10.43 | × 0.898 | 9.3661 |
| Total RVUs | 64.9047 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$2167.88
Facility: (42.2 × 1 + 14.19 × 0.94 + 10.43 × 0.898) × $33.4009 = $2167.88
Payment rules and modifiers for 33426
33426 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33426
Mitral valve repair, with prosthetic ring
| 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 · 33426
Mitral valve repair, with prosthetic ring
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
33426 without 51 · national facility
$2,231.85
Mitral valve repair, with prosthetic ring
33426-51 · Second procedure: 50%
$1,115.93
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 33426 has changed in Utah
33426 · 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 | $2,167.88 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,167.88 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,167.88 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,167.88 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,215.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,215.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,215.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,215.61 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,271.98 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,271.98 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,271.98 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,271.98 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,234.90 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,277.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,277.69 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,277.69 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,277.69 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,300.61 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,300.61 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,300.61 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,300.61 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,310.53 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,310.53 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,310.53 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,310.53 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,439.53 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,439.53 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,439.53 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,439.53 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,501.92 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,501.92 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,501.92 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,501.92 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,495.72 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,495.72 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,495.72 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,495.72 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,495.83 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,495.83 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,495.83 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,495.83 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,496.08 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,496.08 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,496.08 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,496.08 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,502.08 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,502.08 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,489.63 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,489.63 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,493.66 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,493.66 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,493.66 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,493.66 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,426.91 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,426.91 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,426.91 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,426.91 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
33426 billing questions
How is this code distinguished from 33425?
Use this code when the mitral repair includes a prosthetic annuloplasty ring. Code 33425 describes the related repair without a ring.
Is cardiopulmonary bypass separately reported?
The repair service is performed on cardiopulmonary bypass; bypass is part of this operative service, not a separate unit of mitral repair.
Can an assistant surgeon or co-surgeon be reported?
CMS permits assistant-at-surgery payment for this code. Co-surgeon payment requires supporting documentation, and team-surgery payment is unavailable.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care. The global period is tied to the repair operation.
Should modifier 50 or separate right- and left-sided units be used?
No. This is a single mitral-valve operation, not a bilateral procedure; modifier 50 and separate side-based units are inappropriate.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple-procedure reduction.
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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