No office rate
Use 33475 when the pulmonary valve is replaced; use 33474 when the documented operation is revision rather than replacement.
On this page
CMS RVU26D · Effective 2026-10-01
33475 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$2063.57
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 33475: Open pulmonary valve replacement
Reports open surgical replacement of the pulmonary valve when the operation replaces the valve rather than revising it or implanting one transcatheterly.
A cardiac surgeon reports this service for an operation that replaces the pulmonary valve, often for significant valve dysfunction in a patient with congenital heart disease or after prior cardiac surgery. It is performed in an operating room, generally in a hospital setting. The operative report should establish that the pulmonary valve was replaced, rather than revised or treated with a catheter-based implant.
Choose this code based on the procedure actually performed, not just the diagnosis or the presence of a prior valve operation. Document the operative approach, the valve treated, and any additional valve procedures. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. 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% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33475
- 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 RVU41.34 · 64%
- Practice expense (office) RVU13.19 · 21%
- Malpractice RVU9.80 · 15%
107
Medicare services in 2024 · #4827 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.
33475 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
33477 represents catheter-based pulmonary valve implantation. This code is for open surgical replacement.
No office rate
Both are surgical valve replacement procedures, but 33465 concerns the tricuspid valve, not the pulmonary valve.
The same code, a different location
How does Wyoming** compare?
33475 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 33475
Office
Unavailable
Facility
$1951.55
No comparable office rate is available.
Arkansas
Arkansas · 33475
Office
Unavailable
Facility
$1927.81
No comparable office rate is available.
Arizona
Arizona · 33475
Office
Unavailable
Facility
$2087.89
No comparable office rate is available.
Bakersfield
California · 33475
Office
Unavailable
Facility
$2089.22
No comparable office rate is available.
Chico
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
El Centro
California · 33475
Office
Unavailable
Facility
$2064.20
No comparable office rate is available.
Fresno
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Hanford-Corcoran
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Madera
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Merced
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Modesto
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Napa
California · 33475
Office
Unavailable
Facility
$2214.72
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33475
Office
Unavailable
Facility
$2144.12
No comparable office rate is available.
Redding
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Rest Of California
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33475
Office
Unavailable
Facility
$2167.71
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33475
Office
Unavailable
Facility
$2118.32
No comparable office rate is available.
Salinas
California · 33475
Office
Unavailable
Facility
$2109.65
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33475
Office
Unavailable
Facility
$2126.54
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33475
Office
Unavailable
Facility
$2283.40
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33475
Office
Unavailable
Facility
$2272.27
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33475
Office
Unavailable
Facility
$2343.41
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33475
Office
Unavailable
Facility
$2297.91
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33475
Office
Unavailable
Facility
$2081.51
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33475
Office
Unavailable
Facility
$2120.52
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33475
Office
Unavailable
Facility
$2108.59
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33475
Office
Unavailable
Facility
$2138.67
No comparable office rate is available.
Stockton
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Vallejo
California · 33475
Office
Unavailable
Facility
$2198.68
No comparable office rate is available.
Visalia
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Yuba City
California · 33475
Office
Unavailable
Facility
$2062.57
No comparable office rate is available.
Colorado
Colorado · 33475
Office
Unavailable
Facility
$2121.76
No comparable office rate is available.
Connecticut
Connecticut · 33475
Office
Unavailable
Facility
$2278.96
No comparable office rate is available.
Delaware
Delaware · 33475
Office
Unavailable
Facility
$2117.24
No comparable office rate is available.
Fort Lauderdale
Florida · 33475
Office
Unavailable
Facility
$2418.89
No comparable office rate is available.
Rest Of Florida
Florida · 33475
Office
Unavailable
Facility
$2293.94
No comparable office rate is available.
Atlanta
Georgia · 33475
Office
Unavailable
Facility
$2225.66
No comparable office rate is available.
Rest Of Georgia
Georgia · 33475
Office
Unavailable
Facility
$2163.95
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33475
Office
Unavailable
Facility
$2071.23
No comparable office rate is available.
Iowa
Iowa · 33475
Office
Unavailable
Facility
$1913.85
No comparable office rate is available.
Idaho
Idaho · 33475
Office
Unavailable
Facility
$1940.93
No comparable office rate is available.
East St. Louis
Illinois · 33475
Office
Unavailable
Facility
$2445.35
No comparable office rate is available.
Rest Of Illinois
Illinois · 33475
Office
Unavailable
Facility
$2294.64
No comparable office rate is available.
Suburban Chicago
Illinois · 33475
Office
Unavailable
Facility
$2422.94
No comparable office rate is available.
Indiana
Indiana · 33475
Office
Unavailable
Facility
$1948.27
No comparable office rate is available.
Kansas
Kansas · 33475
Office
Unavailable
Facility
$1944.03
No comparable office rate is available.
Kentucky
Kentucky · 33475
Office
Unavailable
Facility
$2071.96
No comparable office rate is available.
New Orleans
Louisiana · 33475
Office
Unavailable
Facility
$2167.20
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33475
Office
Unavailable
Facility
$2084.27
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33475
Office
Unavailable
Facility
$2254.75
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33475
Office
Unavailable
Facility
$2127.67
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33475
Office
Unavailable
Facility
$2280.51
No comparable office rate is available.
Rest Of Maryland
Maryland · 33475
Office
Unavailable
Facility
$2140.93
No comparable office rate is available.
Rest Of Maine
Maine · 33475
Office
Unavailable
Facility
$1989.70
No comparable office rate is available.
Southern Maine
Maine · 33475
Office
Unavailable
Facility
$2023.93
No comparable office rate is available.
Detroit
Michigan · 33475
Office
Unavailable
Facility
$2357.81
No comparable office rate is available.
Rest Of Michigan
Michigan · 33475
Office
Unavailable
Facility
$2152.58
No comparable office rate is available.
Minnesota
Minnesota · 33475
Office
Unavailable
Facility
$1931.02
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33475
Office
Unavailable
Facility
$2114.28
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33475
Office
Unavailable
Facility
$2128.19
No comparable office rate is available.
Rest Of Missouri
Missouri · 33475
Office
Unavailable
Facility
$2079.37
No comparable office rate is available.
Mississippi
Mississippi · 33475
Office
Unavailable
Facility
$2002.01
No comparable office rate is available.
Montana**
Montana · 33475
Office
Unavailable
Facility
$2148.03
No comparable office rate is available.
North Carolina
North Carolina · 33475
Office
Unavailable
Facility
$2001.00
No comparable office rate is available.
North Dakota**
North Dakota · 33475
Office
Unavailable
Facility
$1954.25
No comparable office rate is available.
Nebraska
Nebraska · 33475
Office
Unavailable
Facility
$1911.16
No comparable office rate is available.
New Hampshire
New Hampshire · 33475
Office
Unavailable
Facility
$2125.83
No comparable office rate is available.
Northern Nj
New Jersey · 33475
Office
Unavailable
Facility
$2328.42
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33475
Office
Unavailable
Facility
$2276.19
No comparable office rate is available.
New Mexico
New Mexico · 33475
Office
Unavailable
Facility
$2177.91
No comparable office rate is available.
Nevada**
Nevada · 33475
Office
Unavailable
Facility
$2094.46
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33475
Office
Unavailable
Facility
$2600.84
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33475
Office
Unavailable
Facility
$2321.41
No comparable office rate is available.
Queens
New York · 33475
Office
Unavailable
Facility
$2461.91
No comparable office rate is available.
Rest Of New York
New York · 33475
Office
Unavailable
Facility
$2029.44
No comparable office rate is available.
Ohio
Ohio · 33475
Office
Unavailable
Facility
$2112.97
No comparable office rate is available.
Oklahoma
Oklahoma · 33475
Office
Unavailable
Facility
$2028.55
No comparable office rate is available.
Portland
Oregon · 33475
Office
Unavailable
Facility
$2135.88
No comparable office rate is available.
Rest Of Oregon
Oregon · 33475
Office
Unavailable
Facility
$2049.70
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33475
Office
Unavailable
Facility
$2254.77
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33475
Office
Unavailable
Facility
$2094.55
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33475
Office
Unavailable
Facility
$2148.62
No comparable office rate is available.
Rhode Island
Rhode Island · 33475
Office
Unavailable
Facility
$2154.10
No comparable office rate is available.
South Carolina
South Carolina · 33475
Office
Unavailable
Facility
$2066.10
No comparable office rate is available.
South Dakota**
South Dakota · 33475
Office
Unavailable
Facility
$1931.33
No comparable office rate is available.
Tennessee
Tennessee · 33475
Office
Unavailable
Facility
$1957.04
No comparable office rate is available.
Austin
Texas · 33475
Office
Unavailable
Facility
$2139.68
No comparable office rate is available.
Beaumont
Texas · 33475
Office
Unavailable
Facility
$2085.79
No comparable office rate is available.
Brazoria
Texas · 33475
Office
Unavailable
Facility
$2083.75
No comparable office rate is available.
Dallas
Texas · 33475
Office
Unavailable
Facility
$2112.86
No comparable office rate is available.
Fort Worth
Texas · 33475
Office
Unavailable
Facility
$2112.71
No comparable office rate is available.
Galveston
Texas · 33475
Office
Unavailable
Facility
$2100.34
No comparable office rate is available.
Houston
Texas · 33475
Office
Unavailable
Facility
$2279.72
No comparable office rate is available.
Rest Of Texas
Texas · 33475
Office
Unavailable
Facility
$2094.46
No comparable office rate is available.
Utah
Utah · 33475
Office
Unavailable
Facility
$2088.86
No comparable office rate is available.
Virginia
Virginia · 33475
Office
Unavailable
Facility
$2044.96
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33475
Office
Unavailable
Facility
$2148.62
No comparable office rate is available.
Vermont
Vermont · 33475
Office
Unavailable
Facility
$1982.57
No comparable office rate is available.
Rest Of Washington
Washington · 33475
Office
Unavailable
Facility
$2111.75
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33475
Office
Unavailable
Facility
$2257.83
No comparable office rate is available.
Wisconsin
Wisconsin · 33475
Office
Unavailable
Facility
$1903.66
No comparable office rate is available.
West Virginia
West Virginia · 33475
Office
Unavailable
Facility
$2232.05
No comparable office rate is available.
See how rates vary across the country
33475 · 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?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 33475 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$2269.93
$2063.57 × 110% = $2269.93
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 33475 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,967
- Code
- 33475
- Physician work
- 41.34
- Practice expense
- 13.19
- Malpractice
- 9.80
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 41.34 | × 1.000 | 41.3400 |
| Practice expense | 13.19 | × 1.000 | 13.1900 |
| Malpractice | 9.80 | × 0.740 | 7.2520 |
| Total RVUs | 61.7820 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$2063.57
Open 33475 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 41.34 | 1 |
| Practice expense | 13.19 | 1 |
| Malpractice | 9.8 | 0.74 |
(41.34 × 1 + 13.19 × 1 + 9.8 × 0.74) × $33.4009 = $2063.57
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
33475 · 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 | $2063.57 | RVU26D |
| 2026-07-01 | Not available in this setting | $2063.57 | RVU26C |
| 2026-04-01 | Not available in this setting | $2063.57 | RVU26B |
| 2026-01-01 | Not available in this setting | $2063.57 | RVU26A |
| 2025-10-01 | Not available in this setting | $2128.95 | RVU25D |
| 2025-07-01 | Not available in this setting | $2128.95 | RVU25C |
| 2025-04-01 | Not available in this setting | $2128.95 | RVU25B |
| 2025-01-01 | Not available in this setting | $2128.95 | RVU25A |
33475 billing questions
How is this code distinguished from pulmonary valve revision?
Report this code when the operation replaces the pulmonary valve. Code 33474 is the nearby revision code; use it when the documented procedure is a revision rather than replacement.
How does this differ from a transcatheter pulmonary valve procedure?
This code describes open surgical replacement. Code 33477 is the transcatheter pulmonary valve option when the valve is implanted by catheter.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this code because of the descriptor or anatomy.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other 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, with payment at 50%.
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.
3,96433465,,Replace tricuspid valve,A,,49.45,15.21,NA,15.21,,12.10,76.76,76.76,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96533468,,Revision of tricuspid valve,A,,44.00,12.89,NA,12.89,,11.12,68.01,68.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96633474,,Revision of pulmonary valve,A,,38.42,12.88,NA,12.88,,9.71,61.01,61.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96733475,,Replacement pulmonary valve,A,,41.34,13.19,NA,13.19,,9.80,64.33,64.33,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96833476,,Revision of heart chamber,A,,25.91,10.93,NA,10.93,,6.53,43.37,43.37,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96933477,,Implant tcat pulm vlv perq,A,,24.38,5.11,NA,5.11,,4.23,33.72,33.72,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97033478,,Revision of heart chamber,A,,26.85,11.11,NA,11.11,,6.75,44.71,44.71,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,