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Billing code 33414: Aortic valve repairMedicare rate & RVUs

Reports surgical reconstruction of a native aortic valve when the surgeon repairs the valve rather than replacing it during cardiac surgery.

CMS RVU26DEffective Oct 1, 2026109 payment localities58 Medicare services in 2024

Medicare pays $1,996.71 for 33414 nationally in a facility.

Medicare rate · 33414

Aortic valve repair

Swap in your local Medicare rate.

Work RVUs
38.39
Total RVUs
59.78
Global days
090

National rate · 2026

$1,996.71

Facility setting, before claim adjustments.

See every locality for 33414 → · Billed by an NP, PA or therapist? →

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 10 sections
  1. Medicare rate
  2. What 33414 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33414 covers

Code 33414 represents surgical repair of the native aortic valve, preserving the patient’s valve rather than implanting a replacement. Cardiothoracic surgeons perform this operation in a hospital operating room; the operative report should identify the valve repair performed and distinguish it from aortic valve replacement. Medicare claims for this service are associated with facility care, consistent with its operative setting.

The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Modifier 50 is inappropriate for this valve procedure. An assistant at surgery 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.

Where 33414 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33414 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,807.29
Alaska*Unavailable$2,517.74
ArizonaUnavailable$1,937.95
ArkansasUnavailable$1,784.52
AtlantaUnavailable$2,071.92
AustinUnavailable$1,984.98
BakersfieldUnavailable$1,931.87
Baltimore/Surr. CntysUnavailable$2,122.51
BeaumontUnavailable$1,938.56
BrazoriaUnavailable$1,932.17

33414 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
33414 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

How the 33414 rate is calculated

Each of 33414’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 · 33414

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 38.39Practice expense 11.69Malpractice 9.70

59.7800 adjusted RVUs×$33.4009 conversion factor=$1,996.71

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 33414

33414 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33414

Aortic valve repair

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 · 33414

Aortic valve repair

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

33414 without 51 · national facility

$1,996.71

Aortic valve repair

33414-51 · Second procedure: 50%

$998.36

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

33414 compared with similar codes

Compare codes

33414 vs 33405 vs 33417: national Medicare rates

Swap in your local Medicare rate.

  • 33414
    Aortic valve repair · 38.39 wRVU
    —
  • 33405
    Aortic valve replacement · 40.29 wRVU
    —
  • 33417
    Aortic valve repair · 28.6 wRVU
    —

How to choose

33405Aortic valve replacement
33414 describes repair that preserves the native aortic valve. Code 33405 is for aortic valve replacement with a prosthetic valve.
33417Aortic valve repair
Both are aortic valve repair codes. Use the code that matches the specific repair service and approach documented, rather than choosing by the shared short descriptor.

Codes related to 33414

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 33414
CodeHow it relatesNational office range
Used instead
33405Aortic valve replacementAortic valve replacement rather than preservation and repair of the native valve.No office rate
33411Aortic valve replacementAortic valve replacement; consider when the operation replaces rather than repairs the valve.No office rate
33412Aortic valve replacementAortic valve replacement with a different operative approach or extent.No office rate
33417Aortic valve repairAnother aortic valve repair code; distinguish by the documented procedure and approach.No office rate

33414 billing questions

When should 33414 be selected instead of an aortic valve replacement code?

Use 33414 when the surgeon repairs and preserves the patient’s native aortic valve. When the operative report documents removal of the native valve and implantation of a prosthetic valve or graft, select the applicable replacement code instead.

Does the 90-day global period include postoperative visits?

Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.

How does Medicare handle 33414 with another procedure in the same session?

The highest-valued procedure is paid in full, and the other procedure or procedures are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported for 33414?

Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

Should modifier 50 be used for repair of the aortic valve?

No. Modifier 50 is inappropriate for this procedure because bilateral adjustment does not apply to the anatomy or service.

What operative documentation supports 33414?

Document the aortic valve repair performed and whether the native valve was preserved. The record should make clear that the service was repair rather than valve replacement.

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 33414PPRRVU2026_Oct_nonQPP.csv, line 3,943 (RVU26D)

Open CMS sourceHow we calculate rates

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