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CMS RVU26D · Effective 2026-10-01

33460 Tricuspid valve surgery Medicare reimbursement rates in Kentucky

Reports surgical removal of native tricuspid valve tissue, with or without repair, such as excision for destructive valve disease including infective endocarditis. Compare 33460 office and facility rates across CMS payment localities in Kentucky.

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 33460 in Kentucky?

Kentucky 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

$2165.76

1 of 1 localities have a supported rate.

Payment area: Kentucky

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.

Find 33460 in your payment locality →

Cardiac surgery

About 33460: Tricuspid valve excision with or without repair

Reports surgical removal of native tricuspid valve tissue, with or without repair, such as excision for destructive valve disease including infective endocarditis.

A cardiothoracic surgeon removes native tricuspid valve tissue and may repair the remaining valve. This operation is used when the valve is severely damaged, including in some cases of right-sided infective endocarditis. The operative report should make clear that valve tissue was excised; repair without excision or replacement with a prosthetic valve represents a different service. These procedures are performed in a hospital operating room as part of cardiac surgery.

Report this code when the documented operation includes tricuspid valve excision, whether or not repair is also performed. The record should identify the valve and describe the excision and any repair. Medicare assigns 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. Modifier 50 is not appropriate for this single-valve operation. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 33460

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 RVU43.58 · 65%
  • Practice expense (office) RVU13.15 · 20%
  • Malpractice RVU10.46 · 16%

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.

33460 compared with similar codes

Office rates for Kentucky, from the same CMS release.

33463

Tricuspid repair

With ring insertion

No office rate

Use 33463 for tricuspid valvuloplasty without valve excision. Use 33460 when native valve tissue is excised, even if repair follows.

33464

Tricuspid repair

With cardiopulmonary bypass

No office rate

Use 33464 for tricuspid valvuloplasty with ring insertion when the service is repair rather than excision. Excision of native valve tissue points to 33460.

33465

Valve replacement

Tricuspid valve

No office rate

Use 33465 when the tricuspid valve is replaced with a prosthesis. Use 33460 for excision with or without repair when replacement is not performed.

Compare 33460 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

Office and facility base rates · shared scale starting at $0

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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 33460 in Kentucky.

PPRRVU2026_Oct_nonQPP.csv

3,961

Code
33460
Physician work
43.58
Practice expense
13.15
Malpractice
10.46

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Facility calculation for 33460 in Kentucky
ComponentRVULocality factorAdjusted
Physician work43.58× 1.00043.5800
Practice expense13.15× 0.88911.6904
Malpractice10.46× 0.9159.5709
Total RVUs64.8413
Conversion factor× 33.4009

Facility rate, Kentucky$2165.76

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work43.581
Practice expense13.150.889
Malpractice10.460.915

(43.58 × 1 + 13.15 × 0.889 + 10.46 × 0.915) × $33.4009 = $2165.76

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.

33460 billing questions

How is this different from tricuspid valve repair?

This code is for excision of native tricuspid valve tissue, with or without repair. A repair that does not include excision is reported with the applicable tricuspid valvuloplasty code.

When should the replacement code be used instead?

Use the tricuspid replacement code when the operation replaces the valve with a prosthesis. This code describes excision with or without repair, not prosthetic replacement.

What operative documentation supports this code?

The report should identify the tricuspid valve and document the excision of native valve tissue, along with any repair performed. A diagnosis alone, such as endocarditis, does not establish that excision occurred.

Can modifier 50 be reported?

No. Modifier 50 is not appropriate for this single tricuspid valve operation.

How does Medicare handle other procedures performed in the same session?

The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction. The related postoperative care is included in this code’s 90-day global period.

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.

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.

RVUs for 33460PPRRVU2026_Oct_nonQPP.csv, line 3,961 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet