No office rate
Both codes describe valve-orifice closure during congenital cardiac surgery. Choose 33602 for the pulmonary valve and 33600 for the aortic valve.
On this page
CMS RVU26D · Effective 2026-10-01
33602 Valve closure Medicare reimbursement rates in Kentucky
Reports surgical closure of the pulmonary valve orifice during open congenital heart surgery, when the operative plan calls for sealing that opening. Compare 33602 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 33602 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
$1517.43
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.
Congenital cardiac surgery
About 33602: Pulmonary valve orifice closure
Reports surgical closure of the pulmonary valve orifice during open congenital heart surgery, when the operative plan calls for sealing that opening.
A congenital cardiac surgeon uses this procedure to surgically seal the pulmonary valve opening during open heart surgery, typically with cardiopulmonary bypass. It is selected when the operative plan calls for closure of the pulmonary valve orifice, rather than repair or replacement of the valve. The setting is generally a hospital operating room for congenital heart reconstruction; the code identifies the valve opening being closed, not a particular age group or single diagnosis.
Report the code when the operative note documents pulmonary valve orifice closure and distinguishes it from other repairs performed during the same operation. Medicare 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 one 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, and team-surgery payment is not permitted. Modifier 50 is inappropriate for this single valve-orifice procedure.
CMS billing rules for 33602
- 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 RVU28.61 · 60%
- Practice expense (office) RVU11.49 · 24%
- Malpractice RVU7.22 · 15%
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.
33602 compared with similar codes
Office rates for Kentucky, from the same CMS release.
No office rate
33602 seals the pulmonary valve opening; 33475 replaces the pulmonary valve. The operative objective, not simply the valve involved, determines the code.
No office rate
33620 places bands on the right and left pulmonary arteries; it does not close the pulmonary valve orifice.
Compare 33602 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
Kentucky →
Office / nonfacility
Unavailable
Facility
$1517.43
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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 33602 in Kentucky.
PPRRVU2026_Oct_nonQPP.csv
4,009
- Code
- 33602
- Physician work
- 28.61
- Practice expense
- 11.49
- Malpractice
- 7.22
GPCI2026.csv
55
- Locality
- Kentucky
- Physician work
- 1.000
- Practice expense
- 0.889
- Malpractice
- 0.915
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 28.61 | × 1.000 | 28.6100 |
| Practice expense | 11.49 | × 0.889 | 10.2146 |
| Malpractice | 7.22 | × 0.915 | 6.6063 |
| Total RVUs | 45.4309 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Kentucky$1517.43
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 28.61 | 1 |
| Practice expense | 11.49 | 0.889 |
| Malpractice | 7.22 | 0.915 |
(28.61 × 1 + 11.49 × 0.889 + 7.22 × 0.915) × $33.4009 = $1517.43
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.
33602 billing questions
How is 33602 different from 33600?
33602 is for closure of the pulmonary valve orifice; 33600 is for closure of the aortic valve orifice. The operative report should identify which valve opening was sealed.
Is this code for pulmonary valve repair or replacement?
No. It represents surgical closure of the pulmonary valve opening. Valve reconstruction or replacement describes a different operative service.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this single pulmonary valve-orifice procedure.
What documentation supports reporting 33602?
Document the pulmonary valve orifice closure, the operative approach, and the other congenital repairs performed in the session. The record should distinguish closure from valve repair or replacement.
How does the 90-day global period affect postoperative care?
The day-before preoperative visit and related postoperative care during the 90 days after surgery are included in the 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 payment is not permitted for this code.
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.
4,0063354F,,Clin sig dep sym by dep tool,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
4,00733572,,Open coronary endarterectomy,A,,4.33,0.87,NA,0.87,,1.07,6.27,6.27,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00833600,,Closure of valve,A,,29.55,11.68,NA,11.68,,7.44,48.67,48.67,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00933602,,Closure of valve,A,,28.61,11.49,NA,11.49,,7.22,47.32,47.32,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01033606,,Anastomosis/artery-aorta,A,,30.74,11.74,NA,11.74,,7.74,50.22,50.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01133608,,Repair anomaly w/conduit,A,,31.08,11.98,NA,11.98,,7.84,50.90,50.90,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,01233610,,Repair by enlargement,A,,30.62,11.88,NA,11.88,,7.72,50.22,50.22,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5707202,LA,99,REST OF LOUISIANA,1.000,0.885,0.958
5814112,ME,03,SOUTHERN MAINE,1.000,0.991,0.631