No office rate
Choose 33406 for a homograft or stentless valve. Choose 33405 for a prosthetic valve that is neither of those types.
On this page
CMS RVU26D · Effective 2026-10-01
33406 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2558.52
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiac surgery
About 33406: Open aortic valve homograft or stentless replacement
Open replacement of a diseased aortic valve using a homograft or stentless valve, reported when the operative record supports that implant type.
Code 33406 represents open aortic valve replacement performed with cardiopulmonary bypass using a homograft or stentless valve. A cardiac surgeon removes the diseased native valve and implants the selected replacement during major heart surgery, typically in a hospital operating room. The implanted valve type—not simply the diagnosis or the fact that the valve is biologic—distinguishes this service from other aortic valve replacement coding.
Report the code when the operative record supports open replacement, cardiopulmonary bypass, and use of a homograft or stentless valve. The procedure has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS may pay an assistant at surgery; co-surgeon payment requires supporting documentation, and team surgery payment is not permitted. Modifier 50 is inappropriate for this code.
CMS billing rules for 33406
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU51.36 · 64%
- Practice expense (office) RVU15.89 · 20%
- Malpractice RVU12.97 · 16%
29
Medicare services in 2024 · #5685 by national volume
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.
33406 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
33440 describes the Ross procedure, which uses the patient's pulmonary valve in the aortic position and replaces the pulmonary valve. It is not a single-valve homograft or stentless replacement.
No office rate
33414 is an aortic valve repair code. Use 33406 when the operation replaces the valve with a homograft or stentless valve.
The same code, a different location
How does Redding compare?
33406 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 33406
Office
Unavailable
Facility
$2558.52
No comparable office rate is available.
Merced
California · 33406
Office
Unavailable
Facility
$2558.52
No comparable office rate is available.
Modesto
California · 33406
Office
Unavailable
Facility
$2558.52
No comparable office rate is available.
Napa
California · 33406
Office
Unavailable
Facility
$2743.13
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33406
Office
Unavailable
Facility
$2660.73
No comparable office rate is available.
Rest Of California
California · 33406
Office
Unavailable
Facility
$2558.52
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33406
Office
Unavailable
Facility
$2697.57
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33406
Office
Unavailable
Facility
$2626.68
No comparable office rate is available.
Salinas
California · 33406
Office
Unavailable
Facility
$2615.98
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33406
Office
Unavailable
Facility
$2636.50
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33406
Office
Unavailable
Facility
$2825.63
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33406
Office
Unavailable
Facility
$2810.90
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33406
Office
Unavailable
Facility
$2901.70
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33406
Office
Unavailable
Facility
$2841.48
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33406
Office
Unavailable
Facility
$2581.35
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33406
Office
Unavailable
Facility
$2628.54
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33406
Office
Unavailable
Facility
$2614.55
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33406
Office
Unavailable
Facility
$2650.88
No comparable office rate is available.
Stockton
California · 33406
Office
Unavailable
Facility
$2558.52
No comparable office rate is available.
Vallejo
California · 33406
Office
Unavailable
Facility
$2721.90
No comparable office rate is available.
Visalia
California · 33406
Office
Unavailable
Facility
$2558.52
No comparable office rate is available.
Yuba City
California · 33406
Office
Unavailable
Facility
$2558.52
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33406
Office
Unavailable
Facility
$2915.48
No comparable office rate is available.
Miami
Florida · 33406
Office
Unavailable
Facility
$3363.56
No comparable office rate is available.
Chicago
Illinois · 33406
Office
Unavailable
Facility
$3255.09
No comparable office rate is available.
Manhattan
New York · 33406
Office
Unavailable
Facility
$3129.05
No comparable office rate is available.
Alaska*
Alaska · 33406
Office
Unavailable
Facility
$3377.14
No comparable office rate is available.
Alabama
Alabama · 33406
Office
Unavailable
Facility
$2425.06
No comparable office rate is available.
Arkansas
Arkansas · 33406
Office
Unavailable
Facility
$2394.48
No comparable office rate is available.
Arizona
Arizona · 33406
Office
Unavailable
Facility
$2600.59
No comparable office rate is available.
Colorado
Colorado · 33406
Office
Unavailable
Facility
$2639.10
No comparable office rate is available.
Connecticut
Connecticut · 33406
Office
Unavailable
Facility
$2845.57
No comparable office rate is available.
Delaware
Delaware · 33406
Office
Unavailable
Facility
$2637.87
No comparable office rate is available.
Fort Lauderdale
Florida · 33406
Office
Unavailable
Facility
$3036.35
No comparable office rate is available.
Rest Of Florida
Florida · 33406
Office
Unavailable
Facility
$2873.97
No comparable office rate is available.
Atlanta
Georgia · 33406
Office
Unavailable
Facility
$2780.13
No comparable office rate is available.
Rest Of Georgia
Georgia · 33406
Office
Unavailable
Facility
$2705.28
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33406
Office
Unavailable
Facility
$2569.75
No comparable office rate is available.
Iowa
Iowa · 33406
Office
Unavailable
Facility
$2373.08
No comparable office rate is available.
Idaho
Idaho · 33406
Office
Unavailable
Facility
$2408.66
No comparable office rate is available.
East St. Louis
Illinois · 33406
Office
Unavailable
Facility
$3076.24
No comparable office rate is available.
Rest Of Illinois
Illinois · 33406
Office
Unavailable
Facility
$2877.14
No comparable office rate is available.
Suburban Chicago
Illinois · 33406
Office
Unavailable
Facility
$3040.20
No comparable office rate is available.
Indiana
Indiana · 33406
Office
Unavailable
Facility
$2418.01
No comparable office rate is available.
Kansas
Kansas · 33406
Office
Unavailable
Facility
$2413.60
No comparable office rate is available.
Kentucky
Kentucky · 33406
Office
Unavailable
Facility
$2583.69
No comparable office rate is available.
New Orleans
Louisiana · 33406
Office
Unavailable
Facility
$2707.02
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33406
Office
Unavailable
Facility
$2600.19
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33406
Office
Unavailable
Facility
$2805.07
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33406
Office
Unavailable
Facility
$2647.06
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33406
Office
Unavailable
Facility
$2848.28
No comparable office rate is available.
Rest Of Maryland
Maryland · 33406
Office
Unavailable
Facility
$2667.42
No comparable office rate is available.
Rest Of Maine
Maine · 33406
Office
Unavailable
Facility
$2473.21
No comparable office rate is available.
Southern Maine
Maine · 33406
Office
Unavailable
Facility
$2514.79
No comparable office rate is available.
Detroit
Michigan · 33406
Office
Unavailable
Facility
$2958.03
No comparable office rate is available.
Rest Of Michigan
Michigan · 33406
Office
Unavailable
Facility
$2689.13
No comparable office rate is available.
Minnesota
Minnesota · 33406
Office
Unavailable
Facility
$2389.83
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33406
Office
Unavailable
Facility
$2637.08
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33406
Office
Unavailable
Facility
$2654.81
No comparable office rate is available.
Rest Of Missouri
Missouri · 33406
Office
Unavailable
Facility
$2594.91
No comparable office rate is available.
Mississippi
Mississippi · 33406
Office
Unavailable
Facility
$2492.58
No comparable office rate is available.
Montana**
Montana · 33406
Office
Unavailable
Facility
$2678.55
No comparable office rate is available.
North Carolina
North Carolina · 33406
Office
Unavailable
Facility
$2487.47
No comparable office rate is available.
North Dakota**
North Dakota · 33406
Office
Unavailable
Facility
$2422.09
No comparable office rate is available.
Nebraska
Nebraska · 33406
Office
Unavailable
Facility
$2369.10
No comparable office rate is available.
New Hampshire
New Hampshire · 33406
Office
Unavailable
Facility
$2647.03
No comparable office rate is available.
Northern Nj
New Jersey · 33406
Office
Unavailable
Facility
$2901.87
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33406
Office
Unavailable
Facility
$2838.89
No comparable office rate is available.
New Mexico
New Mexico · 33406
Office
Unavailable
Facility
$2722.44
No comparable office rate is available.
Nevada**
Nevada · 33406
Office
Unavailable
Facility
$2607.60
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33406
Office
Unavailable
Facility
$3260.78
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33406
Office
Unavailable
Facility
$2898.01
No comparable office rate is available.
Queens
New York · 33406
Office
Unavailable
Facility
$3077.28
No comparable office rate is available.
Rest Of New York
New York · 33406
Office
Unavailable
Facility
$2524.22
No comparable office rate is available.
Ohio
Ohio · 33406
Office
Unavailable
Facility
$2636.71
No comparable office rate is available.
Oklahoma
Oklahoma · 33406
Office
Unavailable
Facility
$2526.03
No comparable office rate is available.
Portland
Oregon · 33406
Office
Unavailable
Facility
$2654.88
No comparable office rate is available.
Rest Of Oregon
Oregon · 33406
Office
Unavailable
Facility
$2548.63
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33406
Office
Unavailable
Facility
$2815.67
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33406
Office
Unavailable
Facility
$2612.07
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33406
Office
Unavailable
Facility
$2678.76
No comparable office rate is available.
Rhode Island
Rhode Island · 33406
Office
Unavailable
Facility
$2682.74
No comparable office rate is available.
South Carolina
South Carolina · 33406
Office
Unavailable
Facility
$2574.10
No comparable office rate is available.
South Dakota**
South Dakota · 33406
Office
Unavailable
Facility
$2391.77
No comparable office rate is available.
Tennessee
Tennessee · 33406
Office
Unavailable
Facility
$2430.55
No comparable office rate is available.
Austin
Texas · 33406
Office
Unavailable
Facility
$2664.25
No comparable office rate is available.
Beaumont
Texas · 33406
Office
Unavailable
Facility
$2600.90
No comparable office rate is available.
Brazoria
Texas · 33406
Office
Unavailable
Facility
$2593.06
No comparable office rate is available.
Dallas
Texas · 33406
Office
Unavailable
Facility
$2631.22
No comparable office rate is available.
Fort Worth
Texas · 33406
Office
Unavailable
Facility
$2631.55
No comparable office rate is available.
Galveston
Texas · 33406
Office
Unavailable
Facility
$2614.92
No comparable office rate is available.
Houston
Texas · 33406
Office
Unavailable
Facility
$2852.32
No comparable office rate is available.
Rest Of Texas
Texas · 33406
Office
Unavailable
Facility
$2610.33
No comparable office rate is available.
Utah
Utah · 33406
Office
Unavailable
Facility
$2603.39
No comparable office rate is available.
Virginia
Virginia · 33406
Office
Unavailable
Facility
$2543.03
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33406
Office
Unavailable
Facility
$2678.76
No comparable office rate is available.
Vermont
Vermont · 33406
Office
Unavailable
Facility
$2460.11
No comparable office rate is available.
Rest Of Washington
Washington · 33406
Office
Unavailable
Facility
$2626.31
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33406
Office
Unavailable
Facility
$2806.39
No comparable office rate is available.
Wisconsin
Wisconsin · 33406
Office
Unavailable
Facility
$2357.35
No comparable office rate is available.
West Virginia
West Virginia · 33406
Office
Unavailable
Facility
$2796.61
No comparable office rate is available.
Wyoming**
Wyoming · 33406
Office
Unavailable
Facility
$2566.79
No comparable office rate is available.
See how rates vary across the country
33406 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33406 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2814.37
$2558.52 × 110% = $2814.37
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33406 in Redding.
PPRRVU2026_Oct_nonQPP.csv
3,937
- Code
- 33406
- Physician work
- 51.36
- Practice expense
- 15.89
- Malpractice
- 12.97
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 51.36 | × 1.017 | 52.2331 |
| Practice expense | 15.89 | × 1.096 | 17.4154 |
| Malpractice | 12.97 | × 0.536 | 6.9519 |
| Total RVUs | 76.6005 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$2558.52
Open 33406 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 51.36 | 1.017 |
| Practice expense | 15.89 | 1.096 |
| Malpractice | 12.97 | 0.536 |
(51.36 × 1.017 + 15.89 × 1.096 + 12.97 × 0.536) × $33.4009 = $2558.52
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
33406 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $2558.52 | RVU26D |
| 2026-07-01 | Not available in this setting | $2558.52 | RVU26C |
| 2026-04-01 | Not available in this setting | $2558.52 | RVU26B |
| 2026-01-01 | Not available in this setting | $2558.52 | RVU26A |
| 2025-10-01 | Not available in this setting | $2649.19 | RVU25D |
| 2025-07-01 | Not available in this setting | $2649.19 | RVU25C |
| 2025-04-01 | Not available in this setting | $2649.19 | RVU25B |
| 2025-01-01 | Not available in this setting | $2649.19 | RVU25A |
33406 billing questions
How is 33406 different from 33405?
33406 applies when the operative record identifies a homograft or stentless valve. Code 33405 is for a prosthetic valve other than those types.
Is cardiopulmonary bypass included?
Yes. The code describes open aortic valve replacement performed with cardiopulmonary bypass.
Can another procedure be reported during the same operation?
A separately reportable procedure may be subject to the standard multiple procedure reduction when performed in the same session. The operative documentation must support each reported service.
Which modifiers or surgical assistance rules should the biller consider?
Modifier 50 is inappropriate. CMS may pay an assistant at surgery, while co-surgeon payment requires supporting documentation; team surgery payment is not permitted.
What care is included in the global period?
The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,93433391,,Valvuloplasty aortic valve,A,,40.46,13.28,NA,13.28,,9.71,63.45,63.45,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,93533404,,Prepare heart-aorta conduit,A,,30.59,11.92,NA,11.92,,7.33,49.84,49.84,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,93633405,,Replacement aortic valve opn,A,,40.29,13.38,NA,13.38,,9.98,63.65,63.65,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,93733406,,Replacement aortic valve opn,A,,51.36,15.89,NA,15.89,,12.97,80.22,80.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9383340F,,Mammo assess inc xray docd,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,93933410,,Replacement aortic valve opn,A,,45.25,14.84,NA,14.84,,11.28,71.37,71.37,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,94033411,,Replacement of aortic valve,A,,60.52,17.88,NA,17.88,,14.94,93.34,93.34,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536