CPT code 33897: Aortic angioplasty, native or recurrent coarctation2026 Medicare rate & RVUs in Nevada
Reports catheter-based balloon dilation of a native or recurrent aortic coarctation, typically performed by an interventional cardiologist in a cardiac catheterization lab.
In Nevada, Medicare pays $487.69 for 33897 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33897 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 33897 covers
This service treats a narrowed segment of the aorta caused by native or recurrent coarctation. An interventional cardiologist advances a balloon catheter through percutaneous vascular access to the narrowed area and inflates it to widen the vessel. The procedure is typically performed in a hospital cardiac catheterization lab, including for patients with congenital heart disease who need treatment of aortic narrowing.
Report the code when balloon angioplasty is performed for native or recurrent aortic coarctation; documentation should identify the coarctation and describe the catheter-based dilation. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and applies the multiple procedure reduction to the others. Modifier 50 is inappropriate for this aortic service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 Nevada compares for 33897
Across 109 of 109 payment localities, the facility rate for 33897 runs from $440.69 in Wisconsin to $644.17 in Alaska. Nevada pays $487.69. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Nevada · this page$487.69
- Los Angeles, CA · California$499.81+$12.12
- Washington, DC area · District of Columbia$541.86+$54.17
- Miami, FL · Florida$633.06+$145.37
- Chicago, IL · Illinois$613.47+$125.78
- Manhattan, NY · New York$584.14+$96.45
- Alaska · Alaska$644.17+$156.48
Other areas in Nevada first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $456.97 |
| ArkansasArkansas | — | $451.63 |
| ArizonaArizona | — | $487.53 |
| Bakersfield, CACalifornia | — | $481.74 |
| Chico, CACalifornia | — | $474.90 |
| El Centro, CACalifornia | — | $475.32 |
| Fresno, CACalifornia | — | $474.90 |
| Hanford, CACalifornia | — | $474.90 |
| Madera, CACalifornia | — | $474.90 |
| Merced, CACalifornia | — | $474.90 |
| Modesto, CACalifornia | — | $474.90 |
| Napa, CACalifornia | — | $503.27 |
| Oxnard, CACalifornia | — | $491.72 |
| Redding, CACalifornia | — | $474.90 |
| Rest of CaliforniaCalifornia | — | $474.90 |
| Riverside, CACalifornia | — | $501.93 |
| Sacramento, CACalifornia | — | $485.97 |
| Salinas, CACalifornia | — | $483.95 |
| San Diego, CACalifornia | — | $486.52 |
| Marin County, CACalifornia | — | $516.43 |
| San Francisco, CACalifornia | — | $513.57 |
| San Benito County, CACalifornia | — | $530.29 |
| Santa Clara County, CACalifornia | — | $518.59 |
| San Luis Obispo, CACalifornia | — | $477.71 |
| Santa Cruz, CACalifornia | — | $484.09 |
| Santa Maria, CACalifornia | — | $483.35 |
| Santa Rosa, CACalifornia | — | $488.11 |
| Stockton, CACalifornia | — | $474.90 |
| Vallejo, CACalifornia | — | $499.14 |
| Visalia, CACalifornia | — | $474.90 |
| Yuba City, CACalifornia | — | $474.90 |
| ColoradoColorado | — | $491.66 |
| ConnecticutConnecticut | — | $531.44 |
| DelawareDelaware | — | $494.15 |
| Fort Lauderdale, FLFlorida | — | $570.54 |
| Rest of FloridaFlorida | — | $541.14 |
| Atlanta, GAGeorgia | — | $520.70 |
| Rest of GeorgiaGeorgia | — | $510.77 |
| Hawaii, Guam, HIHawaii | — | $475.21 |
| IowaIowa | — | $445.36 |
| IdahoIdaho | — | $452.09 |
| East St. Louis, ILIllinois | — | $581.79 |
| Rest of IllinoisIllinois | — | $543.37 |
| Suburban Chicago, ILIllinois | — | $570.89 |
| IndianaIndiana | — | $453.64 |
| KansasKansas | — | $453.65 |
| KentuckyKentucky | — | $487.26 |
| New Orleans, LALouisiana | — | $509.27 |
| Rest of LouisianaLouisiana | — | $490.62 |
| Metropolitan Boston, MAMassachusetts | — | $519.56 |
| Rest of MassachusettsMassachusetts | — | $493.70 |
| Baltimore area, MDMaryland | — | $532.04 |
| Rest of MarylandMaryland | — | $499.09 |
| Rest of MaineMaine | — | $464.63 |
| Southern Maine, MEMaine | — | $470.03 |
| Detroit, MIMichigan | — | $557.13 |
| Rest of MichiganMichigan | — | $506.84 |
| MinnesotaMinnesota | — | $444.32 |
| Metropolitan Kansas City, MOMissouri | — | $495.75 |
| Metropolitan St. Louis, MOMissouri | — | $498.71 |
| Rest of MissouriMissouri | — | $490.46 |
| MississippiMississippi | — | $470.61 |
| MontanaMontana | — | $501.51 |
| North CarolinaNorth Carolina | — | $466.91 |
| North DakotaNorth Dakota | — | $451.68 |
| NebraskaNebraska | — | $444.29 |
| New HampshireNew Hampshire | — | $493.84 |
| Northern New JerseyNew Jersey | — | $540.06 |
| Rest of New JerseyNew Jersey | — | $529.95 |
| New MexicoNew Mexico | — | $513.17 |
| NYC suburbs and Long Island, NYNew York | — | $608.72 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $541.42 |
| Queens, NYNew York | — | $573.33 |
| Rest of New YorkNew York | — | $473.41 |
| OhioOhio | — | $496.66 |
| OklahomaOklahoma | — | $475.91 |
| Portland, OROregon | — | $493.03 |
| Rest of OregonOregon | — | $476.42 |
| Metropolitan Philadelphia, PAPennsylvania | — | $526.95 |
| Rest of PennsylvaniaPennsylvania | — | $491.68 |
| Puerto RicoPuerto Rico | — | $501.14 |
| Rhode IslandRhode Island | — | $501.44 |
| South CarolinaSouth Carolina | — | $484.08 |
| South DakotaSouth Dakota | — | $445.79 |
| TennesseeTennessee | — | $456.75 |
| Austin, TXTexas | — | $496.59 |
| Beaumont, TXTexas | — | $489.81 |
| Brazoria, TXTexas | — | $485.39 |
| Dallas, TXTexas | — | $492.64 |
| Fort Worth, TXTexas | — | $493.08 |
| Galveston, TXTexas | — | $489.56 |
| Houston, TXTexas | — | $535.69 |
| Rest of TexasTexas | — | $490.18 |
| UtahUtah | — | $489.17 |
| VirginiaVirginia | — | $475.82 |
| Virgin Islands, VIUnited States Virgin Islands | — | $501.14 |
| VermontVermont | — | $459.45 |
| Rest of WashingtonWashington | — | $489.61 |
| King County, WAWashington | — | $518.74 |
| WisconsinWisconsin | — | $440.69 |
| West VirginiaWest Virginia | — | $529.38 |
| WyomingWyoming | — | $479.80 |
33897 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 33897 rate is calculated
Each of 33897’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 · 33897
RVUs × geographic indexes × conversion factor
Work10.54
10.54 RVUs× 1.000 GPCI
Practice expense1.96
1.96 RVUs× 1.000 GPCI
Malpractice2.52
2.52 RVUs× 1.000 GPCI
Adjusted RVUs
15.0200
Conversion factor
$33.4009
Medicare rate
$501.68
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Nevada inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,107
- Code
- 33897
- Physician work
- 10.54
- Practice expense
- 1.96
- Malpractice
- 2.52
GPCI2026.csv
73
- Locality
- Nevada
- Physician work
- 1.000
- Practice expense
- 1.001
- Malpractice
- 0.833
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.54 | × 1.000 | 10.5400 |
| Practice expense | 1.96 | × 1.001 | 1.9620 |
| Malpractice | 2.52 | × 0.833 | 2.0992 |
| Total RVUs | 14.6011 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Nevada$487.69
Facility: (10.54 × 1 + 1.96 × 1.001 + 2.52 × 0.833) × $33.4009 = $487.69
Payment rules and modifiers for 33897
The CMS indicators that decide how 33897 is paid alongside other services.
CMS payment indicators · 33897
Aortic angioplasty, native or recurrent coarctation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33897 without 51 · national facility
$501.68
Aortic angioplasty, native or recurrent coarctation
33897-51 · Second procedure: 50%
$250.84
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 33897 has changed in Nevada
33897 · 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, 2022
RVU22A
No ratechanged toNo rate
Held through 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, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $487.69 | RVU26D |
| 2026-07-01 | Not available in this setting | $487.69 | RVU26C |
| 2026-04-01 | Not available in this setting | $487.69 | RVU26B |
| 2026-01-01 | Not available in this setting | $487.69 | RVU26A |
| 2025-10-01 | Not available in this setting | $537.48 | RVU25D |
| 2025-07-01 | Not available in this setting | $537.48 | RVU25C |
| 2025-04-01 | Not available in this setting | $537.48 | RVU25B |
| 2025-01-01 | Not available in this setting | $537.48 | RVU25A |
| 2024-10-01 | Not available in this setting | $552.29 | RVU24D |
| 2024-07-01 | Not available in this setting | $552.29 | RVU24C |
| 2024-04-01 | Not available in this setting | $552.29 | RVU24B |
| 2024-03-09 | Not available in this setting | $552.29 | RVU24AR |
| 2024-01-01 | Not available in this setting | $543.28 | RVU24A |
| 2023-10-01 | Not available in this setting | $582.15 | RVU23D |
| 2023-07-01 | Not available in this setting | $582.15 | RVU23C |
| 2023-04-01 | Not available in this setting | $582.15 | RVU23B |
| 2023-01-01 | Not available in this setting | $582.15 | RVU23A |
| 2022-10-01 | Not available in this setting | $612.04 | RVU22D |
| 2022-07-01 | Not available in this setting | $612.04 | RVU22C |
| 2022-04-01 | Not available in this setting | $612.04 | RVU22B |
| 2022-01-01 | Not available in this setting | $612.04 | RVU22A |
| 2021-10-01 | Not in this release | Not in this release | RVU21D |
| 2021-07-01 | Not in this release | Not in this release | RVU21C |
| 2021-04-01 | Not in this release | Not in this release | RVU21B |
| 2021-01-01 | Not in this release | Not in this release | RVU21A |
| 2020-10-01 | Not in this release | Not in this release | RVU20D |
| 2020-07-01 | Not in this release | Not in this release | RVU20C |
| 2020-04-01 | Not in this release | Not in this release | RVU20B |
| 2020-01-01 | Not in this release | Not in this release | RVU20A |
| 2019-10-01 | Not in this release | Not in this release | RVU19D |
| 2019-07-01 | Not in this release | Not in this release | RVU19C |
| 2019-04-01 | Not in this release | Not in this release | RVU19B |
| 2019-01-01 | Not in this release | Not in this release | 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 Nevada rate applies
Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.
- Alamo
- Amargosa Valley
- Austin
- Baker
- Battle Mountain
- Beatty
- Beaverdam
- Bennett Springs
33897 billing questions
When should this code be selected instead of an open coarctation repair code?
Use this code for percutaneous balloon dilation of native or recurrent aortic coarctation. Open excision and repair procedures describe a different surgical approach.
How does this differ from the coarctation stent codes?
This code describes balloon angioplasty. When the service is an endovascular stent repair, compare the applicable stent code, such as 33894 or 33895, rather than treating the procedures as interchangeable.
Should modifier 50 be reported for coarctation affecting both sides?
No. The aorta is a single vessel for this service, and the CMS bilateral adjustment does not apply.
Can an assistant-at-surgery be paid with this procedure?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What documentation supports reporting this code?
Document the native or recurrent aortic coarctation and the balloon catheter treatment performed at the narrowed segment. The record should distinguish balloon dilation from open repair or stent-based repair.
How does Medicare handle this code when other procedures occur in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
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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