Billing code 33468: Tricuspid valve surgeryMedicare rate & RVUs in Minnesota
Surgical revision of the tricuspid valve is reported when the surgeon reworks prior valve surgery rather than performing a primary repair or replacement.
CMS doesn’t publish an office rate for 33468 in Minnesota.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 33468 covers
This service involves an operation to revise the tricuspid valve, typically when prior valve surgery requires further surgical correction. A cardiothoracic surgeon performs the procedure in a surgical setting. The operative report should identify the prior valve intervention and describe the tricuspid valve work performed. Report this code for revision of the valve, not simply because the patient has tricuspid valve disease or a history of cardiac surgery.
Select the code based on the operation documented, distinguishing revision from a new valve repair or replacement. Medicare assigns a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
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.
33468 in Minnesota
| Payment locality | Office | Facility |
|---|---|---|
| Minnesota | Unavailable | $2,022.60 |
How the 33468 rate is calculated
Each of 33468’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33468
RVUs × geographic indexes × conversion factor
Work44.00
44.00 RVUs× 1.000 GPCI
Practice expense12.89
12.89 RVUs× 1.000 GPCI
Malpractice11.12
11.12 RVUs× 1.000 GPCI
Adjusted RVUs
68.0100
Conversion factor
$33.4009
Medicare rate
$2,271.60
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 33468
33468 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33468
Tricuspid valve surgery
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33468
Tricuspid valve surgery
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33468 without 51 · national facility
$2,271.60
Tricuspid valve surgery
33468-51 · Second procedure: 50%
$1,135.80
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
33468 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 33463Tricuspid repair
- This code is for revision of prior tricuspid valve surgery; 33463 describes a tricuspid valve repair. Follow the operative report.
- 33464Tricuspid repair
- Use this code for valve revision, not for the tricuspid repair service represented by 33464.
- 33465Valve replacement
- 33465 is used when the tricuspid valve is replaced. This code is for revision rather than replacement.
- 33420Mitral valvotomy
- Both describe valve revision, but 33420 concerns the mitral valve; this code concerns the tricuspid valve.
33468 billing questions
How is revision distinguished from tricuspid valve repair?
Use this code when the documented operation revises prior tricuspid valve surgery. Select a repair code when the surgeon performs a repair rather than a revision.
When should a tricuspid valve replacement code be used instead?
Use the replacement code when the operation replaces the valve. This code describes revision, not replacement.
Are the preoperative and postoperative visits separately reported?
The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period.
Can modifier 50 be reported?
No. Modifier 50 is inappropriate for this tricuspid valve procedure.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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