No office rate
33414 describes repair that preserves the native aortic valve. Code 33405 is for aortic valve replacement with a prosthetic valve.
On this page
CMS RVU26D · Effective 2026-10-01
33414 Aortic valve repair Medicare reimbursement rates in Massachusetts
Reports surgical reconstruction of a native aortic valve when the surgeon repairs the valve rather than replacing it during cardiac surgery. Compare 33414 office and facility rates across CMS payment localities in Massachusetts.
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 33414 in Massachusetts?
Massachusetts has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1972.15–$2089.39
2 of 2 localities have a supported rate.
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 33414: Surgical repair of the aortic valve
Reports surgical reconstruction of a native aortic valve when the surgeon repairs the valve rather than replacing it during cardiac surgery.
Code 33414 represents surgical repair of the native aortic valve, preserving the patient’s valve rather than implanting a replacement. Cardiothoracic surgeons perform this operation in a hospital operating room; the operative report should identify the valve repair performed and distinguish it from aortic valve replacement. Medicare claims for this service are associated with facility care, consistent with its operative setting.
The code has a 90-day global period, which includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others. Modifier 50 is inappropriate for this valve procedure. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33414
- 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 RVU38.39 · 64%
- Practice expense (office) RVU11.69 · 20%
- Malpractice RVU9.70 · 16%
58
Medicare services in 2024 · #5266 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.
33414 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Both are aortic valve repair codes. Use the code that matches the specific repair service and approach documented, rather than choosing by the shared short descriptor.
Compare 33414 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.
2 of 2 payment localities
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$2089.39
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$1972.15
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33414 billing questions
When should 33414 be selected instead of an aortic valve replacement code?
Use 33414 when the surgeon repairs and preserves the patient’s native aortic valve. When the operative report documents removal of the native valve and implantation of a prosthetic valve or graft, select the applicable replacement code instead.
Does the 90-day global period include postoperative visits?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
How does Medicare handle 33414 with another procedure in the same session?
The highest-valued procedure is paid in full, and the other procedure or procedures are subject to the standard multiple-procedure reduction.
Can an assistant or co-surgeon be reported for 33414?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be used for repair of the aortic valve?
No. Modifier 50 is inappropriate for this procedure because bilateral adjustment does not apply to the anatomy or service.
What operative documentation supports 33414?
Document the aortic valve repair performed and whether the native valve was preserved. The record should make clear that the service was repair rather than valve replacement.
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.
3,94033411,,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
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