CPT code 33440: Aortic valve replacement, ross procedure2026 Medicare rate & RVUs in Utah

Report this code for open aortic valve replacement using the patient’s pulmonary valve as an autograft, with reconstruction of the pulmonary valve position.

CMS RVU26DEffective Oct 1, 2026One payment locality30 Medicare services in 2024

In Utah, Medicare pays $3,082.03 for 33440 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$3,082.03Hospital or facility

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.

We’ll open 33440 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Utah
  2. What 33440 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 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 Utah 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. Utah pays $3,082.03. The RVUs are the same everywhere; the geographic indexes change the dollars.

33440 in Utah vs other payment areas
  1. Utah · this page$3,082.03
  2. Los Angeles, CA · California$3,192.20+$110.17
  3. Washington, DC area · District of Columbia$3,441.03+$359.00
  4. Miami, FL · Florida$3,957.03+$875.00
  5. Chicago, IL · Illinois$3,833.53+$751.50
  6. Manhattan, NY · New York$3,689.20+$607.17
  7. Alaska · Alaska$4,023.46+$941.43

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

Every other payment area

33440 in every other Medicare payment locality
Payment localityOfficeFacility
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

33440 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
33440 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 33440 in every payment locality

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

Office or facility?

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 Utah 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

104

Locality
Utah
Physician work
1.000
Practice expense
0.940
Malpractice
0.898
Facility calculation for 33440 in Utah
ComponentRVULocality factorAdjusted
Physician work62.40× 1.00062.4000
Practice expense17.47× 0.94016.4218
Malpractice14.98× 0.89813.4520
Total RVUs92.2738
Conversion factor× 33.4009

Facility rate, Utah$3082.03

Facility: (62.4 × 1 + 17.47 × 0.94 + 14.98 × 0.898) × $33.4009 = $3082.03

Open 33440 in the RVU calculator

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

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 · 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.

  • 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

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%).

When to use modifier 51

How 33440 has changed in Utah

33440 · 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
  1. 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.

  2. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$3,082.03RVU26D
2026-07-01Not available in this setting$3,082.03RVU26C
2026-04-01Not available in this setting$3,082.03RVU26B
2026-01-01Not available in this setting$3,082.03RVU26A
2025-10-01Not available in this setting$3,149.78RVU25D
2025-07-01Not available in this setting$3,149.78RVU25C
2025-04-01Not available in this setting$3,149.78RVU25B
2025-01-01Not available in this setting$3,149.78RVU25A
2024-10-01Not available in this setting$3,228.66RVU24D
2024-07-01Not available in this setting$3,228.66RVU24C
2024-04-01Not available in this setting$3,228.66RVU24B
2024-03-09Not available in this setting$3,228.66RVU24AR
2024-01-01Not available in this setting$3,175.96RVU24A
2023-10-01Not available in this setting$3,249.20RVU23D
2023-07-01Not available in this setting$3,249.20RVU23C
2023-04-01Not available in this setting$3,249.20RVU23B
2023-01-01Not available in this setting$3,249.20RVU23A
2022-10-01Not available in this setting$3,293.32RVU22D
2022-07-01Not available in this setting$3,293.32RVU22C
2022-04-01Not available in this setting$3,293.32RVU22B
2022-01-01Not available in this setting$3,293.32RVU22A
2021-10-01Not available in this setting$3,227.26RVU21D
2021-07-01Not available in this setting$3,227.26RVU21C
2021-04-01Not available in this setting$3,227.26RVU21B
2021-01-01Not available in this setting$3,227.26RVU21A
2020-10-01Not available in this setting$3,521.50RVU20D
2020-07-01Not available in this setting$3,521.50RVU20C
2020-04-01Not available in this setting$3,521.50RVU20B
2020-01-01Not available in this setting$3,521.50RVU20A
2019-10-01Not available in this setting$3,618.55RVU19D
2019-07-01Not available in this setting$3,618.55RVU19C
2019-04-01Not available in this setting$3,566.49RVU19B
2019-01-01Not available in this setting$3,566.49RVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 33440 for an earlier date of service

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

Browse all communities in Utah

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
RVUs for 33440PPRRVU2026_Oct_nonQPP.csv, line 3,958 (RVU26D)
Geographic factors for UtahGPCI2026.csv, line 104 (RVU26D)

Open CMS sourceHow we calculate rates

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