No office rate
33415 treats discrete obstructing tissue below the aortic valve. 33416 targets ventricular septal muscle in hypertrophic subaortic obstruction.
On this page
CMS RVU26D · Effective 2026-10-01
33415 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1822.76
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 33415: Subaortic tissue resection with bypass
Open-heart resection of obstructing tissue beneath the aortic valve treats discrete subaortic stenosis and is performed with cardiopulmonary bypass.
This operation removes tissue beneath the aortic valve that creates a discrete obstruction to blood leaving the left ventricle. A cardiac surgeon performs it through an open-heart approach with cardiopulmonary bypass. The service can include septal muscle removal when needed as part of treating the subaortic obstruction. It is distinct from an operation directed at repairing or replacing the aortic valve itself.
Report 33415 when the operative target is subvalvular tissue causing discrete subaortic stenosis. The operative report should identify the obstructing tissue and describe its resection and use of bypass. CMS 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. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation. Team surgery payment is not permitted.
CMS billing rules for 33415
- 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 RVU36.34 · 64%
- Practice expense (office) RVU11.67 · 20%
- Malpractice RVU9.00 · 16%
109
Medicare services in 2024 · #4814 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.
33415 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
33414 is directed at repairing the aortic valve itself; 33415 removes obstructing tissue below the valve.
No office rate
33405 replaces the aortic valve. 33415 treats subvalvular obstruction without describing valve replacement.
The same code, a different location
How does Redding compare?
33415 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 · 33415
Office
Unavailable
Facility
$1822.76
No comparable office rate is available.
Merced
California · 33415
Office
Unavailable
Facility
$1822.76
No comparable office rate is available.
Modesto
California · 33415
Office
Unavailable
Facility
$1822.76
No comparable office rate is available.
Napa
California · 33415
Office
Unavailable
Facility
$1956.71
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33415
Office
Unavailable
Facility
$1895.78
No comparable office rate is available.
Rest Of California
California · 33415
Office
Unavailable
Facility
$1822.76
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33415
Office
Unavailable
Facility
$1919.26
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33415
Office
Unavailable
Facility
$1871.94
No comparable office rate is available.
Salinas
California · 33415
Office
Unavailable
Facility
$1864.31
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33415
Office
Unavailable
Facility
$1879.32
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33415
Office
Unavailable
Facility
$2016.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33415
Office
Unavailable
Facility
$2006.46
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33415
Office
Unavailable
Facility
$2070.51
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33415
Office
Unavailable
Facility
$2028.72
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33415
Office
Unavailable
Facility
$1839.52
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33415
Office
Unavailable
Facility
$1874.00
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33415
Office
Unavailable
Facility
$1863.39
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33415
Office
Unavailable
Facility
$1889.99
No comparable office rate is available.
Stockton
California · 33415
Office
Unavailable
Facility
$1822.76
No comparable office rate is available.
Vallejo
California · 33415
Office
Unavailable
Facility
$1941.98
No comparable office rate is available.
Visalia
California · 33415
Office
Unavailable
Facility
$1822.76
No comparable office rate is available.
Yuba City
California · 33415
Office
Unavailable
Facility
$1822.76
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33415
Office
Unavailable
Facility
$2073.08
No comparable office rate is available.
Miami
Florida · 33415
Office
Unavailable
Facility
$2379.80
No comparable office rate is available.
Chicago
Illinois · 33415
Office
Unavailable
Facility
$2303.92
No comparable office rate is available.
Manhattan
New York · 33415
Office
Unavailable
Facility
$2221.17
No comparable office rate is available.
Alaska*
Alaska · 33415
Office
Unavailable
Facility
$2401.44
No comparable office rate is available.
Alabama
Alabama · 33415
Office
Unavailable
Facility
$1725.00
No comparable office rate is available.
Arkansas
Arkansas · 33415
Office
Unavailable
Facility
$1703.43
No comparable office rate is available.
Arizona
Arizona · 33415
Office
Unavailable
Facility
$1848.81
No comparable office rate is available.
Colorado
Colorado · 33415
Office
Unavailable
Facility
$1877.86
No comparable office rate is available.
Connecticut
Connecticut · 33415
Office
Unavailable
Facility
$2021.60
No comparable office rate is available.
Delaware
Delaware · 33415
Office
Unavailable
Facility
$1875.22
No comparable office rate is available.
Fort Lauderdale
Florida · 33415
Office
Unavailable
Facility
$2152.14
No comparable office rate is available.
Rest Of Florida
Florida · 33415
Office
Unavailable
Facility
$2038.24
No comparable office rate is available.
Atlanta
Georgia · 33415
Office
Unavailable
Facility
$1974.49
No comparable office rate is available.
Rest Of Georgia
Georgia · 33415
Office
Unavailable
Facility
$1919.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33415
Office
Unavailable
Facility
$1831.03
No comparable office rate is available.
Iowa
Iowa · 33415
Office
Unavailable
Facility
$1689.79
No comparable office rate is available.
Idaho
Idaho · 33415
Office
Unavailable
Facility
$1714.58
No comparable office rate is available.
East St. Louis
Illinois · 33415
Office
Unavailable
Facility
$2177.82
No comparable office rate is available.
Rest Of Illinois
Illinois · 33415
Office
Unavailable
Facility
$2039.52
No comparable office rate is available.
Suburban Chicago
Illinois · 33415
Office
Unavailable
Facility
$2155.28
No comparable office rate is available.
Indiana
Indiana · 33415
Office
Unavailable
Facility
$1721.22
No comparable office rate is available.
Kansas
Kansas · 33415
Office
Unavailable
Facility
$1717.66
No comparable office rate is available.
Kentucky
Kentucky · 33415
Office
Unavailable
Facility
$1835.37
No comparable office rate is available.
New Orleans
Louisiana · 33415
Office
Unavailable
Facility
$1922.07
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33415
Office
Unavailable
Facility
$1846.73
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33415
Office
Unavailable
Facility
$1996.50
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33415
Office
Unavailable
Facility
$1883.24
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33415
Office
Unavailable
Facility
$2023.30
No comparable office rate is available.
Rest Of Maryland
Maryland · 33415
Office
Unavailable
Facility
$1896.35
No comparable office rate is available.
Rest Of Maine
Maine · 33415
Office
Unavailable
Facility
$1759.37
No comparable office rate is available.
Southern Maine
Maine · 33415
Office
Unavailable
Facility
$1789.75
No comparable office rate is available.
Detroit
Michigan · 33415
Office
Unavailable
Facility
$2096.76
No comparable office rate is available.
Rest Of Michigan
Michigan · 33415
Office
Unavailable
Facility
$1909.05
No comparable office rate is available.
Minnesota
Minnesota · 33415
Office
Unavailable
Facility
$1703.86
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33415
Office
Unavailable
Facility
$1873.49
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33415
Office
Unavailable
Facility
$1886.08
No comparable office rate is available.
Rest Of Missouri
Missouri · 33415
Office
Unavailable
Facility
$1842.58
No comparable office rate is available.
Mississippi
Mississippi · 33415
Office
Unavailable
Facility
$1771.55
No comparable office rate is available.
Montana**
Montana · 33415
Office
Unavailable
Facility
$1903.58
No comparable office rate is available.
North Carolina
North Carolina · 33415
Office
Unavailable
Facility
$1769.55
No comparable office rate is available.
North Dakota**
North Dakota · 33415
Office
Unavailable
Facility
$1725.62
No comparable office rate is available.
Nebraska
Nebraska · 33415
Office
Unavailable
Facility
$1687.19
No comparable office rate is available.
New Hampshire
New Hampshire · 33415
Office
Unavailable
Facility
$1882.59
No comparable office rate is available.
Northern Nj
New Jersey · 33415
Office
Unavailable
Facility
$2063.46
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33415
Office
Unavailable
Facility
$2017.76
No comparable office rate is available.
New Mexico
New Mexico · 33415
Office
Unavailable
Facility
$1932.26
No comparable office rate is available.
Nevada**
Nevada · 33415
Office
Unavailable
Facility
$1854.37
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33415
Office
Unavailable
Facility
$2313.16
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33415
Office
Unavailable
Facility
$2058.96
No comparable office rate is available.
Queens
New York · 33415
Office
Unavailable
Facility
$2185.68
No comparable office rate is available.
Rest Of New York
New York · 33415
Office
Unavailable
Facility
$1795.42
No comparable office rate is available.
Ohio
Ohio · 33415
Office
Unavailable
Facility
$1872.68
No comparable office rate is available.
Oklahoma
Oklahoma · 33415
Office
Unavailable
Facility
$1795.44
No comparable office rate is available.
Portland
Oregon · 33415
Office
Unavailable
Facility
$1889.92
No comparable office rate is available.
Rest Of Oregon
Oregon · 33415
Office
Unavailable
Facility
$1813.35
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33415
Office
Unavailable
Facility
$2000.03
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33415
Office
Unavailable
Facility
$1855.69
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33415
Office
Unavailable
Facility
$1903.96
No comparable office rate is available.
Rhode Island
Rhode Island · 33415
Office
Unavailable
Facility
$1907.64
No comparable office rate is available.
South Carolina
South Carolina · 33415
Office
Unavailable
Facility
$1829.47
No comparable office rate is available.
South Dakota**
South Dakota · 33415
Office
Unavailable
Facility
$1704.58
No comparable office rate is available.
Tennessee
Tennessee · 33415
Office
Unavailable
Facility
$1729.53
No comparable office rate is available.
Austin
Texas · 33415
Office
Unavailable
Facility
$1894.95
No comparable office rate is available.
Beaumont
Texas · 33415
Office
Unavailable
Facility
$1847.76
No comparable office rate is available.
Brazoria
Texas · 33415
Office
Unavailable
Facility
$1844.25
No comparable office rate is available.
Dallas
Texas · 33415
Office
Unavailable
Facility
$1870.86
No comparable office rate is available.
Fort Worth
Texas · 33415
Office
Unavailable
Facility
$1870.87
No comparable office rate is available.
Galveston
Texas · 33415
Office
Unavailable
Facility
$1859.46
No comparable office rate is available.
Houston
Texas · 33415
Office
Unavailable
Facility
$2024.20
No comparable office rate is available.
Rest Of Texas
Texas · 33415
Office
Unavailable
Facility
$1855.15
No comparable office rate is available.
Utah
Utah · 33415
Office
Unavailable
Facility
$1850.14
No comparable office rate is available.
Virginia
Virginia · 33415
Office
Unavailable
Facility
$1809.18
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33415
Office
Unavailable
Facility
$1903.96
No comparable office rate is available.
Vermont
Vermont · 33415
Office
Unavailable
Facility
$1751.79
No comparable office rate is available.
Rest Of Washington
Washington · 33415
Office
Unavailable
Facility
$1868.78
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33415
Office
Unavailable
Facility
$1998.35
No comparable office rate is available.
Wisconsin
Wisconsin · 33415
Office
Unavailable
Facility
$1679.79
No comparable office rate is available.
West Virginia
West Virginia · 33415
Office
Unavailable
Facility
$1982.69
No comparable office rate is available.
Wyoming**
Wyoming · 33415
Office
Unavailable
Facility
$1826.03
No comparable office rate is available.
See how rates vary across the country
33415 · 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 33415 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2005.04
$1822.76 × 110% = $2005.04
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 33415 in Redding.
PPRRVU2026_Oct_nonQPP.csv
3,944
- Code
- 33415
- Physician work
- 36.34
- Practice expense
- 11.67
- Malpractice
- 9.00
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 36.34 | × 1.017 | 36.9578 |
| Practice expense | 11.67 | × 1.096 | 12.7903 |
| Malpractice | 9.00 | × 0.536 | 4.8240 |
| Total RVUs | 54.5721 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$1822.76
Open 33415 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 36.34 | 1.017 |
| Practice expense | 11.67 | 1.096 |
| Malpractice | 9 | 0.536 |
(36.34 × 1.017 + 11.67 × 1.096 + 9 × 0.536) × $33.4009 = $1822.76
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
33415 · 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 | $1822.76 | RVU26D |
| 2026-07-01 | Not available in this setting | $1822.76 | RVU26C |
| 2026-04-01 | Not available in this setting | $1822.76 | RVU26B |
| 2026-01-01 | Not available in this setting | $1822.76 | RVU26A |
| 2025-10-01 | Not available in this setting | $1870.39 | RVU25D |
| 2025-07-01 | Not available in this setting | $1870.39 | RVU25C |
| 2025-04-01 | Not available in this setting | $1870.39 | RVU25B |
| 2025-01-01 | Not available in this setting | $1870.39 | RVU25A |
33415 billing questions
How do I distinguish 33415 from 33416?
Use 33415 for removal of discrete obstructing tissue beneath the aortic valve. Code 33416 describes ventricular septal muscle resection for hypertrophic subaortic obstruction.
Does 33415 include myectomy?
The service may include myectomy when it is part of resecting tissue for discrete subaortic stenosis. The operative report should show the subvalvular obstruction being treated.
Is aortic valve repair or replacement included?
33415 addresses tissue below the valve, not repair or replacement of the valve. A separate valve procedure may be reported when independently performed for coexisting valve disease.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
How are multiple procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery payment is not permitted.
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.
3,94133412,,Replacement of aortic valve,A,,57.53,16.47,NA,16.47,,13.82,87.82,87.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,94233413,,Replacement of aortic valve,A,,58.37,17.90,NA,17.90,,14.00,90.27,90.27,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,94333414,,Repair of aortic valve,A,,38.39,11.69,NA,11.69,,9.70,59.78,59.78,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,94433415,,Revision subvalvular tissue,A,,36.34,11.67,NA,11.67,,9.00,57.01,57.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,94533416,,Revise ventricle muscle,A,,35.65,12.53,NA,12.53,,8.77,56.95,56.95,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,94633417,,Repair of aortic valve,A,,28.60,11.49,NA,11.49,,7.22,47.31,47.31,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,94733418,,Repair tcat mitral valve,A,,31.44,8.46,NA,8.46,,7.43,47.33,47.33,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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