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Billing code 33463: Tricuspid repairMedicare rate & RVUs

Reports open tricuspid valve repair using a ring to support the valve, typically during cardiac surgery with cardiopulmonary bypass.

CMS RVU26DEffective Oct 1, 2026109 payment localities376 Medicare services in 2024

Medicare pays $2,865.46 for 33463 nationally in a facility.

Medicare rate · 33463

Tricuspid repair

Swap in your local Medicare rate.

Work RVUs
55.65
Total RVUs
85.79
Global days
090

National rate · 2026

$2,865.46

Facility setting, before claim adjustments.

See every locality for 33463 → · 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 33463 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 33463 covers

This code describes surgical repair of the tricuspid valve with insertion of a ring, generally to support or reshape the valve annulus and address tricuspid regurgitation. A cardiac surgeon performs the repair in an operating room, typically with cardiopulmonary bypass. It may be part of surgery addressing more than one heart valve when each repair is performed and documented.

Select this code when the tricuspid repair includes ring insertion; the corresponding repair without a ring is reported with 33464. The operative report should identify the tricuspid valve, the repair performed, and the ring insertion. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is not appropriate. Assistant-at-surgery payment may be allowed; 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 33463 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

33463 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$2,599.67
Alaska*Unavailable$3,627.48
ArizonaUnavailable$2,783.08
ArkansasUnavailable$2,567.71
AtlantaUnavailable$2,970.94
AustinUnavailable$2,849.67
BakersfieldUnavailable$2,776.85
Baltimore/Surr. CntysUnavailable$3,042.97
BeaumontUnavailable$2,783.47
BrazoriaUnavailable$2,775.71

33463 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
33463 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 33463 rate is calculated

Each of 33463’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 · 33463

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 55.65Practice expense 16.58Malpractice 13.56

85.7900 adjusted RVUs×$33.4009 conversion factor=$2,865.46

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

Payment rules and modifiers for 33463

33463 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33463

Tricuspid 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 · 33463

Tricuspid 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

33463 without 51 · national facility

$2,865.46

Tricuspid repair

33463-51 · Second procedure: 50%

$1,432.73

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

33463 compared with similar codes

Compare codes

33463 vs 33464 vs 33465 vs 33427: national Medicare rates

Swap in your local Medicare rate.

  • 33463
    Tricuspid repair · 55.65 wRVU
    —
  • 33464
    Tricuspid repair · 43.5 wRVU
    —
  • 33465
    Valve replacement · 49.45 wRVU
    —
  • 33427
    Mitral valve repair · 43.71 wRVU
    —

How to choose

33464Tricuspid repair
Both codes describe tricuspid valve repair with cardiopulmonary bypass. Choose 33463 when a ring is inserted; 33464 is for repair without ring insertion.
33465Valve replacement
33463 repairs the native tricuspid valve with ring insertion. 33465 is for replacement of the tricuspid valve.
33427Mitral valve repair
33427 describes repair of the mitral valve, not the tricuspid valve. Identify the valve treated in the operative report.

Codes related to 33463

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

Codes related to 33463
CodeHow it relatesNational office range
Same family
33464Tricuspid repairTricuspid valve repair in the same family, but without ring insertion.No office rate
Used instead
33465Valve replacementReports tricuspid valve replacement rather than repair.No office rate
Often billed with
33427Mitral valve repairMay be reported for mitral valve repair when both valve repairs are performed in the same session.No office rate

33463 billing questions

When should 33463 be chosen instead of 33464?

Use 33463 when the tricuspid valve repair includes insertion of a ring. Use 33464 for the corresponding repair without ring insertion.

Does this code describe tricuspid valve replacement?

No. It describes repair with ring insertion. Tricuspid valve replacement is reported with 33465.

What documentation supports reporting 33463?

The operative report should identify the tricuspid valve repair and document insertion of the ring. It should also describe the performed procedures when multiple procedures are reported for the same session.

How does the multiple-procedure rule affect payment?

When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard 50% reduction to the others.

Can an assistant or co-surgeon be reported?

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

Is modifier 50 appropriate for this tricuspid repair?

No. The bilateral adjustment does not apply, and modifier 50 is inappropriate for this code.

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 33463PPRRVU2026_Oct_nonQPP.csv, line 3,962 (RVU26D)

Open CMS sourceHow we calculate rates

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