CPT code 33440: Aortic valve replacement, ross procedure2026 Medicare rate & RVUs in New Mexico
Report this code for open aortic valve replacement using the patient’s pulmonary valve as an autograft, with reconstruction of the pulmonary valve position.
In New Mexico, Medicare pays $3,220.21 for 33440 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33440 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 33440 covers
The Ross procedure replaces a diseased aortic valve by moving the patient’s own pulmonary valve into the aortic position. The surgeon then reconstructs the pulmonary valve position, commonly with a donor pulmonary valve or conduit. Cardiothoracic surgeons perform this open operation in a hospital operating room, typically for patients who need aortic valve replacement and are candidates for use of their own pulmonary valve tissue.
Select this code when the operative report documents the pulmonary autograft’s translocation to the aortic position, rather than replacement with a prosthetic valve or an allograft. Documentation should identify the valve procedure and describe the pulmonary valve reconstruction. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For other procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Report the single valve operation without modifier 50. An assistant 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 New Mexico compares for 33440
Across 109 of 109 payment localities, the facility rate for 33440 runs from $2,797.33 in Wisconsin to $4,023.46 in Alaska. New Mexico pays $3,220.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$3,220.21
- Los Angeles, CA · California$3,192.20−$28.01
- Washington, DC area · District of Columbia$3,441.03+$220.82
- Miami, FL · Florida$3,957.03+$736.82
- Chicago, IL · Illinois$3,833.53+$613.32
- Manhattan, NY · New York$3,689.20+$468.99
- Alaska · Alaska$4,023.46+$803.25
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,877.99 |
| ArkansasArkansas | — | $2,843.13 |
| ArizonaArizona | — | $3,077.94 |
| Bakersfield, CACalifornia | — | $3,068.06 |
| Chico, CACalifornia | — | $3,027.36 |
| El Centro, CACalifornia | — | $3,029.87 |
| Fresno, CACalifornia | — | $3,027.36 |
| Hanford, CACalifornia | — | $3,027.36 |
| Madera, CACalifornia | — | $3,027.36 |
| Merced, CACalifornia | — | $3,027.36 |
| Modesto, CACalifornia | — | $3,027.36 |
| Napa, CACalifornia | — | $3,238.77 |
| Oxnard, CACalifornia | — | $3,144.00 |
| Redding, CACalifornia | — | $3,027.36 |
| Rest of CaliforniaCalifornia | — | $3,027.36 |
| Riverside, CACalifornia | — | $3,188.06 |
| Sacramento, CACalifornia | — | $3,106.06 |
| Salinas, CACalifornia | — | $3,093.30 |
| San Diego, CACalifornia | — | $3,115.81 |
| Marin County, CACalifornia | — | $3,334.63 |
| San Francisco, CACalifornia | — | $3,317.62 |
| San Benito County, CACalifornia | — | $3,423.09 |
| Santa Clara County, CACalifornia | — | $3,353.54 |
| San Luis Obispo, CACalifornia | — | $3,052.46 |
| Santa Cruz, CACalifornia | — | $3,105.14 |
| Santa Maria, CACalifornia | — | $3,091.14 |
| Santa Rosa, CACalifornia | — | $3,131.48 |
| Stockton, CACalifornia | — | $3,027.36 |
| Vallejo, CACalifornia | — | $3,214.25 |
| Visalia, CACalifornia | — | $3,027.36 |
| Yuba City, CACalifornia | — | $3,027.36 |
| ColoradoColorado | — | $3,120.86 |
| ConnecticutConnecticut | — | $3,359.76 |
| DelawareDelaware | — | $3,120.96 |
| Fort Lauderdale, FLFlorida | — | $3,579.94 |
| Rest of FloridaFlorida | — | $3,394.07 |
| Atlanta, GAGeorgia | — | $3,284.23 |
| Rest of GeorgiaGeorgia | — | $3,201.12 |
| Hawaii, Guam, HIHawaii | — | $3,037.37 |
| IowaIowa | — | $2,816.77 |
| IdahoIdaho | — | $2,857.71 |
| East St. Louis, ILIllinois | — | $3,628.74 |
| Rest of IllinoisIllinois | — | $3,399.00 |
| Suburban Chicago, ILIllinois | — | $3,584.69 |
| IndianaIndiana | — | $2,868.30 |
| KansasKansas | — | $2,863.89 |
| KentuckyKentucky | — | $3,060.78 |
| New Orleans, LALouisiana | — | $3,201.70 |
| Rest of LouisianaLouisiana | — | $3,079.96 |
| Metropolitan Boston, MAMassachusetts | — | $3,311.69 |
| Rest of MassachusettsMassachusetts | — | $3,130.78 |
| Baltimore area, MDMaryland | — | $3,362.60 |
| Rest of MarylandMaryland | — | $3,154.89 |
| Rest of MaineMaine | — | $2,932.26 |
| Southern Maine, MEMaine | — | $2,978.20 |
| Detroit, MIMichigan | — | $3,490.89 |
| Rest of MichiganMichigan | — | $3,181.85 |
| MinnesotaMinnesota | — | $2,832.75 |
| Metropolitan Kansas City, MOMissouri | — | $3,120.97 |
| Metropolitan St. Louis, MOMissouri | — | $3,141.07 |
| Rest of MissouriMissouri | — | $3,074.54 |
| MississippiMississippi | — | $2,956.38 |
| MontanaMontana | — | $3,167.07 |
| North CarolinaNorth Carolina | — | $2,948.36 |
| North DakotaNorth Dakota | — | $2,870.87 |
| NebraskaNebraska | — | $2,811.93 |
| New HampshireNew Hampshire | — | $3,129.46 |
| Northern New JerseyNew Jersey | — | $3,426.77 |
| Rest of New JerseyNew Jersey | — | $3,353.66 |
| NevadaNevada | — | $3,085.10 |
| NYC suburbs and Long Island, NYNew York | — | $3,840.55 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $3,422.37 |
| Queens, NYNew York | — | $3,628.82 |
| Rest of New YorkNew York | — | $2,990.30 |
| OhioOhio | — | $3,121.31 |
| OklahomaOklahoma | — | $2,994.06 |
| Portland, OROregon | — | $3,138.10 |
| Rest of OregonOregon | — | $3,017.14 |
| Metropolitan Philadelphia, PAPennsylvania | — | $3,326.08 |
| Rest of PennsylvaniaPennsylvania | — | $3,092.71 |
| Puerto RicoPuerto Rico | — | $3,166.99 |
| Rhode IslandRhode Island | — | $3,172.89 |
| South CarolinaSouth Carolina | — | $3,048.68 |
| South DakotaSouth Dakota | — | $2,835.85 |
| TennesseeTennessee | — | $2,883.32 |
| Austin, TXTexas | — | $3,149.05 |
| Beaumont, TXTexas | — | $3,080.03 |
| Brazoria, TXTexas | — | $3,069.42 |
| Dallas, TXTexas | — | $3,113.45 |
| Fort Worth, TXTexas | — | $3,114.12 |
| Galveston, TXTexas | — | $3,094.61 |
| Houston, TXTexas | — | $3,368.79 |
| Rest of TexasTexas | — | $3,089.78 |
| UtahUtah | — | $3,082.03 |
| VirginiaVirginia | — | $3,011.05 |
| Virgin Islands, VIUnited States Virgin Islands | — | $3,166.99 |
| VermontVermont | — | $2,915.07 |
| Rest of WashingtonWashington | — | $3,106.51 |
| King County, WAWashington | — | $3,313.18 |
| WisconsinWisconsin | — | $2,797.33 |
| West VirginiaWest Virginia | — | $3,307.28 |
| WyomingWyoming | — | $3,037.99 |
33440 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 33440 rate is calculated
Each of 33440’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 · 33440
RVUs × geographic indexes × conversion factor
Work62.40
62.40 RVUs× 1.000 GPCI
Practice expense17.47
17.47 RVUs× 1.000 GPCI
Malpractice14.98
14.98 RVUs× 1.000 GPCI
Adjusted RVUs
94.8500
Conversion factor
$33.4009
Medicare rate
$3,168.08
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,958
- Code
- 33440
- Physician work
- 62.40
- Practice expense
- 17.47
- Malpractice
- 14.98
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 62.40 | × 1.000 | 62.4000 |
| Practice expense | 17.47 | × 0.917 | 16.0200 |
| Malpractice | 14.98 | × 1.201 | 17.9910 |
| Total RVUs | 96.4110 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$3220.21
Facility: (62.4 × 1 + 17.47 × 0.917 + 14.98 × 1.201) × $33.4009 = $3220.21
Payment rules and modifiers for 33440
33440 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33440
Aortic valve replacement, ross procedure
| 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 · 33440
Aortic valve replacement, ross procedure
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
33440 without 51 · national facility
$3,168.08
Aortic valve replacement, ross procedure
33440-51 · Second procedure: 50%
$1,584.04
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 33440 has changed in New Mexico
33440 · 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, 2019
RVU19A
No ratechanged toNo rate
Held through 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, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $3,220.21 | RVU26D |
| 2026-07-01 | Not available in this setting | $3,220.21 | RVU26C |
| 2026-04-01 | Not available in this setting | $3,220.21 | RVU26B |
| 2026-01-01 | Not available in this setting | $3,220.21 | RVU26A |
| 2025-10-01 | Not available in this setting | $3,247.25 | RVU25D |
| 2025-07-01 | Not available in this setting | $3,247.25 | RVU25C |
| 2025-04-01 | Not available in this setting | $3,247.25 | RVU25B |
| 2025-01-01 | Not available in this setting | $3,247.25 | RVU25A |
| 2024-10-01 | Not available in this setting | $3,330.82 | RVU24D |
| 2024-07-01 | Not available in this setting | $3,330.82 | RVU24C |
| 2024-04-01 | Not available in this setting | $3,330.82 | RVU24B |
| 2024-03-09 | Not available in this setting | $3,330.82 | RVU24AR |
| 2024-01-01 | Not available in this setting | $3,276.45 | RVU24A |
| 2023-10-01 | Not available in this setting | $3,380.59 | RVU23D |
| 2023-07-01 | Not available in this setting | $3,380.59 | RVU23C |
| 2023-04-01 | Not available in this setting | $3,380.59 | RVU23B |
| 2023-01-01 | Not available in this setting | $3,380.59 | RVU23A |
| 2022-10-01 | Not available in this setting | $3,467.09 | RVU22D |
| 2022-07-01 | Not available in this setting | $3,467.09 | RVU22C |
| 2022-04-01 | Not available in this setting | $3,467.09 | RVU22B |
| 2022-01-01 | Not available in this setting | $3,467.09 | RVU22A |
| 2021-10-01 | Not available in this setting | $3,344.98 | RVU21D |
| 2021-07-01 | Not available in this setting | $3,344.98 | RVU21C |
| 2021-04-01 | Not available in this setting | $3,344.98 | RVU21B |
| 2021-01-01 | Not available in this setting | $3,344.98 | RVU21A |
| 2020-10-01 | Not available in this setting | $3,629.38 | RVU20D |
| 2020-07-01 | Not available in this setting | $3,629.38 | RVU20C |
| 2020-04-01 | Not available in this setting | $3,629.38 | RVU20B |
| 2020-01-01 | Not available in this setting | $3,629.38 | RVU20A |
| 2019-10-01 | Not available in this setting | $3,659.50 | RVU19D |
| 2019-07-01 | Not available in this setting | $3,659.50 | RVU19C |
| 2019-04-01 | Not available in this setting | $3,603.77 | RVU19B |
| 2019-01-01 | Not available in this setting | $3,603.77 | RVU19A |
| 2018-10-01 | Not in this release | Not in this release | RVU18D |
| 2018-07-01 | Not in this release | Not in this release | RVU18C |
| 2018-04-01 | Not in this release | Not in this release | RVU18B |
| 2018-01-01 | Not in this release | Not in this release | RVU18AR1 |
| 2017-10-01 | Not in this release | Not in this release | RVU17D |
| 2017-07-01 | Not in this release | Not in this release | RVU17C |
| 2017-04-01 | Not in this release | Not in this release | RVU17B |
| 2017-01-01 | Not in this release | Not in this release | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | 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 New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
33440 billing questions
How is this different from a standard prosthetic aortic valve replacement?
This code is for a Ross procedure: the patient’s pulmonary valve is moved to the aortic position. A prosthetic valve replacement uses a valve prosthesis instead.
Is the pulmonary valve reconstruction part of this operation?
Yes. Reconstruction of the pulmonary valve position is part of the Ross procedure; the operative report should describe how that position was reconstructed.
Should modifier 50 be reported?
No. Report the single aortic valve operation without modifier 50; the procedure is not a bilateral service.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, and team surgery is not permitted.
How does the 90-day global period affect postoperative billing?
The global period includes the day-before preoperative visit and 90 days of related postoperative care. For other procedures in the same session, the highest-valued procedure is paid in full and the others at 50%.
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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