No office rate
Use 33411 when the operative report supports the transventricular approach. Code 33405 describes a different open aortic valve replacement technique.
On this page
CMS RVU26D · Effective 2026-10-01
33411 Aortic valve replacement Medicare reimbursement rates in Iowa
Reports open aortic valve replacement performed through a transventricular approach, typically by a cardiac surgeon during hospital-based cardiac surgery. Compare 33411 office and facility rates across CMS payment localities in Iowa.
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 33411 in Iowa?
Iowa 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
$2765.97
1 of 1 localities have a supported rate.
Payment area: Iowa
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 33411: Transventricular aortic valve replacement
Reports open aortic valve replacement performed through a transventricular approach, typically by a cardiac surgeon during hospital-based cardiac surgery.
This code describes surgical replacement of the aortic valve through a transventricular approach, with cardiopulmonary bypass. A cardiac surgeon performs the operation in a hospital operating room, removing the diseased valve and implanting a replacement. The operative report should identify the approach and the valve replacement; the procedure is distinct from aortic valve repair and from other aortic valve replacement techniques.
Report the code when the documented operation matches this approach, rather than selecting it solely because an aortic valve was replaced. Record the operative details that support the approach and any additional anatomic work, and compare the applicable sibling code when enlargement is documented. The service 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. Assistant-at-surgery services may be paid; CMS does not permit co-surgeon or team-surgery payment for this code.
CMS billing rules for 33411
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU60.52 · 65%
- Practice expense (office) RVU17.88 · 19%
- Malpractice RVU14.94 · 16%
1.7K
Medicare services in 2024 · #2579 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.
33411 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
Both are aortic valve replacement codes, but the operative details distinguish the sibling codes. Check the report for the approach and any additional anatomic work before choosing.
No office rate
33411 is for replacing the aortic valve; 33414 is for repairing it while retaining the native valve.
Compare 33411 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
Iowa →
Office / nonfacility
Unavailable
Facility
$2765.97
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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 33411 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,940
- Code
- 33411
- Physician work
- 60.52
- Practice expense
- 17.88
- Malpractice
- 14.94
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 60.52 | × 1.000 | 60.5200 |
| Practice expense | 17.88 | × 0.915 | 16.3602 |
| Malpractice | 14.94 | × 0.397 | 5.9312 |
| Total RVUs | 82.8114 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$2765.97
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 60.52 | 1 |
| Practice expense | 17.88 | 0.915 |
| Malpractice | 14.94 | 0.397 |
(60.52 × 1 + 17.88 × 0.915 + 14.94 × 0.397) × $33.4009 = $2765.97
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.
33411 billing questions
How is this code distinguished from a routine open aortic valve replacement?
The operative report must support the transventricular approach. Do not select this code based only on the fact that the surgeon replaced the aortic valve.
How does this differ from aortic valve repair?
This code represents replacement of the valve. A procedure that repairs the native aortic valve rather than replacing it belongs to the repair code family.
What documentation supports reporting this code?
The operative report should identify the aortic valve replacement, the transventricular approach, and any associated enlargement or other anatomic work that may affect code selection.
Can an assistant surgeon be reported?
Assistant-at-surgery payment may be available for this code. CMS does not permit co-surgeon or team-surgery payment.
What 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.
What happens when another procedure is performed in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid 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.
3,93733406,,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
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136