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Billing code 33419: Mitral repairMedicare rate & RVUs

Reports each additional prosthesis placed during percutaneous transcatheter repair of mitral regurgitation, beyond the initial device reported with the primary procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities3.2K Medicare services in 2024

Medicare pays $368.08 for 33419 nationally in a facility.

Medicare rate · 33419

Mitral repair

Swap in your local Medicare rate.

Work RVUs
7.73
Total RVUs
11.02
Global days
ZZZ

National rate · 2026

$368.08

Facility setting, before claim adjustments.

See every locality for 33419 → · 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 33419 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 33419 covers

This add-on represents an additional repair implant, commonly a clip, placed during a percutaneous transcatheter mitral valve repair for mitral regurgitation. The procedure is typically performed by an interventional cardiologist or cardiac surgeon in a catheterization laboratory or hybrid suite, with imaging guidance. The initial prosthesis is reported with the primary transcatheter repair service; this code captures an additional prosthesis placed during that repair.

Report one unit for each additional prosthesis supported by the operative record. Documentation should identify the transcatheter approach, the repair performed, and the number of prostheses placed. Do not count device repositioning or leaflet-grasp attempts as additional prostheses. This is an add-on code: report it only with its primary procedure, 33418, and CMS pays it within that procedure’s global period.

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 33419 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

33419 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$335.56
Alaska*Unavailable$473.07
ArizonaUnavailable$357.80
ArkansasUnavailable$331.67
AtlantaUnavailable$381.86
AustinUnavailable$364.51
BakersfieldUnavailable$353.93
Baltimore/Surr. CntysUnavailable$390.20
BeaumontUnavailable$359.34
BrazoriaUnavailable$356.33

33419 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
33419 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 33419 rate is calculated

Each of 33419’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 · 33419

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.73Practice expense 1.47Malpractice 1.82

11.0200 adjusted RVUs×$33.4009 conversion factor=$368.08

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

Payment rules and modifiers for 33419

The CMS indicators that decide how 33419 is paid alongside other services.

CMS payment indicators · 33419

Mitral repair

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

33419 without 80 · national facility

$368.08

Mitral repair

33419-80 · Assistant: 16%

$58.89

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

33419 compared with similar codes

Compare codes

33419 vs 33418 vs 33425 vs 33430: national Medicare rates

Swap in your local Medicare rate.

  • 33419
    Mitral repair · 7.73 wRVU
    —
  • 33418
    Mitral valve repair · 31.44 wRVU
    —
  • 33425
    Mitral valve repair · 48.71 wRVU
    —
  • 33430
    Mitral valve replacement · 49.66 wRVU
    —

How to choose

33418Mitral valve repair
33418 reports the primary transcatheter mitral repair and initial prosthesis. Use 33419 only for each prosthesis placed beyond that initial device.
33425Mitral valve repair
33425 describes open mitral valve repair with cardiopulmonary bypass. Code 33419 is limited to additional prostheses during percutaneous transcatheter repair.
33430Mitral valve replacement
33430 is for mitral valve replacement, whereas 33419 reports an additional prosthesis used to repair the native mitral valve transcatheterly.

Codes related to 33419

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

Codes related to 33419
CodeHow it relatesNational office range
Add-on codes
33418Mitral valve repairPrimary transcatheter mitral repair code reported for the initial prosthesis.No office rate
Used instead
33425Mitral valve repairOpen mitral valve repair option rather than percutaneous transcatheter repair.No office rate
33427Mitral valve repairOpen complex mitral valve repair option, not an additional transcatheter prosthesis.No office rate
33430Mitral valve replacementMitral valve replacement, chosen instead of repair when replacement is performed.No office rate

33419 billing questions

When should 33419 be reported instead of 33418?

33418 reports the initial prosthesis used in the transcatheter mitral repair. Report 33419 for each additional prosthesis placed during that repair.

Can 33419 be submitted without 33418?

No. It is an add-on code and must be reported with the primary transcatheter mitral repair procedure, 33418.

How many units should be reported?

Report one unit for each prosthesis beyond the initial one. Device repositioning or repeated grasping attempts do not represent additional prostheses.

What documentation supports the additional unit?

The procedural record should establish the transcatheter mitral repair and document the number of prostheses placed, including the additional device or devices.

How does this differ from open mitral repair?

33419 applies to an additional prosthesis during percutaneous transcatheter repair. Codes such as 33425 and 33427 describe open surgical mitral repair procedures.

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 33419PPRRVU2026_Oct_nonQPP.csv, line 3,948 (RVU26D)

Open CMS sourceHow we calculate rates

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