No office rate
Both describe surgical aortic-valve repair, but the code selection depends on the specific repair procedure documented. Compare the operative report with the full code descriptors before choosing.
On this page
CMS RVU26D · Effective 2026-10-01
33417 Aortic valve repair Medicare reimbursement rates in Iowa
Reports open surgical reconstruction of the native aortic valve, typically during cardiac surgery when the surgeon repairs rather than replaces the valve. Compare 33417 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 33417 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
$1402.16
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 33417: Surgical aortic valve repair
Reports open surgical reconstruction of the native aortic valve, typically during cardiac surgery when the surgeon repairs rather than replaces the valve.
A cardiac surgeon reports this service when surgically reconstructing the patient’s native aortic valve, such as to address a valve defect or dysfunction while preserving the valve. The work is performed in the operating room as part of cardiac surgery; the operative report should identify the valve pathology and the repair performed. The key distinction from a replacement procedure is that the native valve is repaired rather than removed and replaced with a prosthesis.
Select the code that matches the documented aortic-valve operation; the operative report should support the repair and distinguish it from valve replacement or a different repair technique. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the following 90 days. 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 multiple-procedure reduction. Report the aortic-valve service without modifier 50. Assistant-at-surgery payment may be made; co-surgeon payment requires supporting documentation, and team-surgery payment is not permitted.
CMS billing rules for 33417
- 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 RVU28.60 · 60%
- Practice expense (office) RVU11.49 · 24%
- Malpractice RVU7.22 · 15%
38
Medicare services in 2024 · #5525 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.
33417 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
This code represents aortic-valve replacement with a prosthesis. Choose it when the surgeon replaces the valve rather than repairing the native valve.
No office rate
This is an aortic-valve replacement code, not a native-valve repair code. The documented operation determines whether repair or replacement is reported.
Compare 33417 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
$1402.16
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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 33417 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,946
- Code
- 33417
- Physician work
- 28.60
- Practice expense
- 11.49
- Malpractice
- 7.22
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.60 | × 1.000 | 28.6000 |
| Practice expense | 11.49 | × 0.915 | 10.5134 |
| Malpractice | 7.22 | × 0.397 | 2.8663 |
| Total RVUs | 41.9797 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$1402.16
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.6 | 1 |
| Practice expense | 11.49 | 0.915 |
| Malpractice | 7.22 | 0.397 |
(28.6 × 1 + 11.49 × 0.915 + 7.22 × 0.397) × $33.4009 = $1402.16
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.
33417 billing questions
How do I distinguish this from an aortic valve replacement code?
Use this repair code when the surgeon reconstructs the native valve. If the operative report documents removal and replacement with a prosthesis, select the applicable replacement code instead.
What documentation supports reporting the repair?
The operative report should identify the aortic-valve condition and describe the surgical repair performed, making clear that the native valve was preserved rather than replaced.
Can modifier 50 be used for the aortic valve?
No. Report the service for the aortic valve without modifier 50; bilateral reporting is not appropriate for this anatomy and descriptor.
How are other procedures in the same session paid?
Under CMS’s standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures performed in that session are reduced.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation, while team-surgery payment is not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
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.
3,94333414,,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
3,94833419,,Repair tcat mitral valve,A,,7.73,1.47,NA,1.47,,1.82,11.02,11.02,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9493341F,,Mammo assess negative 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
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