No office rate
Use 33405 for the specified prosthetic aortic valve replacement without coronary ostia translocation. Use 33412 when the surgeon detaches and reimplants the coronary openings.
On this page
CMS RVU26D · Effective 2026-10-01
33412 Aortic valve replacement Medicare reimbursement rates in Arkansas
Open aortic valve replacement involving translocation of the coronary ostia is reported when the surgeon detaches and reimplants the coronary openings. Compare 33412 office and facility rates across CMS payment localities in Arkansas.
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.
What does Medicare pay for 33412 in Arkansas?
Arkansas has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2631.82
1 of 1 localities have a supported rate.
Payment area: Arkansas
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiac surgery
About 33412: Aortic valve replacement with coronary translocation
Open aortic valve replacement involving translocation of the coronary ostia is reported when the surgeon detaches and reimplants the coronary openings.
This code describes open replacement of the aortic valve with translocation of the coronary ostia. During the operation, the surgeon mobilizes the coronary openings from the aortic root and reimplants them in the reconstructed root. Cardiothoracic surgeons typically perform this complex procedure in a hospital operating room with cardiopulmonary bypass. The operative report should identify the valve replacement and document the coronary ostia translocation, rather than only describing routine valve replacement or annular enlargement.
Report the code when the operative work includes this coronary reimplantation as part of aortic valve replacement; distinguish it from standard replacement and from replacement with annular enlargement alone. The 90-day global period includes 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 multiple-procedure reduction. An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation, while team surgery is not permitted. Modifier 50 is inappropriate for this aortic procedure.
CMS billing rules for 33412
- 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 RVU57.53 · 66%
- Practice expense (office) RVU16.47 · 19%
- Malpractice RVU13.82 · 16%
22
Medicare services in 2024 · #5867 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.
33412 compared with similar codes
Office rates for Arkansas, from the same CMS release.
No office rate
33411 identifies aortic valve replacement with annular enlargement. The defining additional work for 33412 is translocation of the coronary ostia.
No office rate
33440 describes aortic valve replacement using a pulmonary autograft. It is a distinct technique from replacement involving coronary ostia translocation.
Compare 33412 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Arkansas →
Office / nonfacility
Unavailable
Facility
$2631.82
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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 33412 in Arkansas.
PPRRVU2026_Oct_nonQPP.csv
3,941
- Code
- 33412
- Physician work
- 57.53
- Practice expense
- 16.47
- Malpractice
- 13.82
GPCI2026.csv
7
- Locality
- Arkansas
- Physician work
- 1.000
- Practice expense
- 0.859
- Malpractice
- 0.515
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 57.53 | × 1.000 | 57.5300 |
| Practice expense | 16.47 | × 0.859 | 14.1477 |
| Malpractice | 13.82 | × 0.515 | 7.1173 |
| Total RVUs | 78.7950 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arkansas$2631.82
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 57.53 | 1 |
| Practice expense | 16.47 | 0.859 |
| Malpractice | 13.82 | 0.515 |
(57.53 × 1 + 16.47 × 0.859 + 13.82 × 0.515) × $33.4009 = $2631.82
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.
33412 billing questions
How is this code different from standard aortic valve replacement?
Use this code when the surgeon translocates and reimplants the coronary ostia as part of valve replacement. A routine replacement without that work is represented by a different code.
Is coronary ostia translocation separately reported?
It is included in this code’s described operative service. The operative report should document the translocation as part of the aortic valve replacement.
How does this differ from replacement with annular enlargement?
This code identifies coronary ostia translocation. Aortic valve replacement with annular enlargement alone is a different service; select based on the work documented in the operative report.
What does the 90-day global period include?
It includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures performed in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this aortic operation.
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.
3,9383340F,,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
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
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541