No office rate
Use 33475 when the pulmonary valve is replaced; use 33474 when the documented operation is revision rather than replacement.
On this page
CMS RVU26D · Effective 2026-10-01
33475 Pulmonary valve replacement Medicare reimbursement rates in Tennessee
Reports open surgical replacement of the pulmonary valve when the operation replaces the valve rather than revising it or implanting one transcatheterly. Compare 33475 office and facility rates across CMS payment localities in Tennessee.
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 33475 in Tennessee?
Tennessee 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
$1957.04
1 of 1 localities have a supported rate.
Payment area: Tennessee
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 33475: Open pulmonary valve replacement
Reports open surgical replacement of the pulmonary valve when the operation replaces the valve rather than revising it or implanting one transcatheterly.
A cardiac surgeon reports this service for an operation that replaces the pulmonary valve, often for significant valve dysfunction in a patient with congenital heart disease or after prior cardiac surgery. It is performed in an operating room, generally in a hospital setting. The operative report should establish that the pulmonary valve was replaced, rather than revised or treated with a catheter-based implant.
Choose this code based on the procedure actually performed, not just the diagnosis or the presence of a prior valve operation. Document the operative approach, the valve treated, and any additional valve procedures. Medicare includes the day-before preoperative visit and 90 days of related postoperative care in the 90-day global period. 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% reduction. Modifier 50 is inappropriate for this code. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33475
- 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 RVU41.34 · 64%
- Practice expense (office) RVU13.19 · 21%
- Malpractice RVU9.80 · 15%
107
Medicare services in 2024 · #4827 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.
33475 compared with similar codes
Office rates for Tennessee, from the same CMS release.
No office rate
33477 represents catheter-based pulmonary valve implantation. This code is for open surgical replacement.
No office rate
Both are surgical valve replacement procedures, but 33465 concerns the tricuspid valve, not the pulmonary valve.
Compare 33475 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
Tennessee →
Office / nonfacility
Unavailable
Facility
$1957.04
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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 33475 in Tennessee.
PPRRVU2026_Oct_nonQPP.csv
3,967
- Code
- 33475
- Physician work
- 41.34
- Practice expense
- 13.19
- Malpractice
- 9.80
GPCI2026.csv
95
- Locality
- Tennessee
- Physician work
- 1.000
- Practice expense
- 0.909
- Malpractice
- 0.537
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 41.34 | × 1.000 | 41.3400 |
| Practice expense | 13.19 | × 0.909 | 11.9897 |
| Malpractice | 9.80 | × 0.537 | 5.2626 |
| Total RVUs | 58.5923 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Tennessee$1957.04
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 41.34 | 1 |
| Practice expense | 13.19 | 0.909 |
| Malpractice | 9.8 | 0.537 |
(41.34 × 1 + 13.19 × 0.909 + 9.8 × 0.537) × $33.4009 = $1957.04
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.
33475 billing questions
How is this code distinguished from pulmonary valve revision?
Report this code when the operation replaces the pulmonary valve. Code 33474 is the nearby revision code; use it when the documented procedure is a revision rather than replacement.
How does this differ from a transcatheter pulmonary valve procedure?
This code describes open surgical replacement. Code 33477 is the transcatheter pulmonary valve option when the valve is implanted by catheter.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this code because of the descriptor or anatomy.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be paid?
Assistant-at-surgery payment may be available. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction, with payment at 50%.
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.
3,96433465,,Replace tricuspid valve,A,,49.45,15.21,NA,15.21,,12.10,76.76,76.76,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96533468,,Revision of tricuspid valve,A,,44.00,12.89,NA,12.89,,11.12,68.01,68.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96633474,,Revision of pulmonary valve,A,,38.42,12.88,NA,12.88,,9.71,61.01,61.01,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96733475,,Replacement pulmonary valve,A,,41.34,13.19,NA,13.19,,9.80,64.33,64.33,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96833476,,Revision of heart chamber,A,,25.91,10.93,NA,10.93,,6.53,43.37,43.37,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96933477,,Implant tcat pulm vlv perq,A,,24.38,5.11,NA,5.11,,4.23,33.72,33.72,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97033478,,Revision of heart chamber,A,,26.85,11.11,NA,11.11,,6.75,44.71,44.71,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780