No office rate
33840 is open excision of coarctation with direct anastomosis. This code is for percutaneous balloon dilation.
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CMS RVU26D · Effective 2026-10-01
33897 Aortic angioplasty Medicare reimbursement rates in Texas
Reports catheter-based balloon dilation of a native or recurrent aortic coarctation, typically performed by an interventional cardiologist in a cardiac catheterization lab. Compare 33897 office and facility rates across CMS payment localities in Texas.
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 33897 in Texas?
Texas has 8 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 8 payment areas shown below, using the same CMS release.
Office / nonfacility
No 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.
Where 33897 pays more and less in Texas
Cardiovascular intervention
About 33897: Aortic coarctation balloon angioplasty
Reports catheter-based balloon dilation of a native or recurrent aortic coarctation, typically performed by an interventional cardiologist in a cardiac catheterization lab.
This service treats a narrowed segment of the aorta caused by native or recurrent coarctation. An interventional cardiologist advances a balloon catheter through percutaneous vascular access to the narrowed area and inflates it to widen the vessel. The procedure is typically performed in a hospital cardiac catheterization lab, including for patients with congenital heart disease who need treatment of aortic narrowing.
Report the code when balloon angioplasty is performed for native or recurrent aortic coarctation; documentation should identify the coarctation and describe the catheter-based dilation. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in one session, Medicare pays the highest-valued procedure in full and applies the multiple procedure reduction to the others. Modifier 50 is inappropriate for this aortic service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 33897
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU10.54 · 70%
- Practice expense (office) RVU1.96 · 13%
- Malpractice RVU2.52 · 17%
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.
33897 compared with similar codes
Office rates for Texas, from the same CMS release.
No office rate
33845 describes open excision with graft reconstruction; this code describes catheter-based angioplasty of native or recurrent coarctation.
No office rate
33894 is an endovascular stent repair code for coarctation. Use this code for the balloon angioplasty service rather than a stent repair.
No office rate
33895 also describes endovascular stent repair of coarctation. Distinguish the stent procedure from balloon angioplasty reported with this code.
Compare 33897 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.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Office Unavailable | Facility $496.59 |
| Beaumont | Office Unavailable | Facility $489.81 |
| Brazoria | Office Unavailable | Facility $485.39 |
| Dallas | Office Unavailable | Facility $492.64 |
| Fort Worth | Office Unavailable | Facility $493.08 |
| Galveston | Office Unavailable | Facility $489.56 |
| Houston | Office Unavailable | Facility $535.69 |
| Rest Of Texas | Office Unavailable | Facility $490.18 |
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33897 billing questions
When should this code be selected instead of an open coarctation repair code?
Use this code for percutaneous balloon dilation of native or recurrent aortic coarctation. Open excision and repair procedures describe a different surgical approach.
How does this differ from the coarctation stent codes?
This code describes balloon angioplasty. When the service is an endovascular stent repair, compare the applicable stent code, such as 33894 or 33895, rather than treating the procedures as interchangeable.
Should modifier 50 be reported for coarctation affecting both sides?
No. The aorta is a single vessel for this service, and the CMS bilateral adjustment does not apply.
Can an assistant-at-surgery be paid with this procedure?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted.
What documentation supports reporting this code?
Document the native or recurrent aortic coarctation and the balloon catheter treatment performed at the narrowed segment. The record should distinguish balloon dilation from open repair or stent-based repair.
How does Medicare handle this code when other procedures occur in the same session?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50% when performed in the same session.
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.
4,1043388F,,Ajcc cln cncr stage 3 docd,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
4,10533894,,Evasc st rpr thrc/aa acrs br,A,,17.81,3.32,NA,3.32,,4.26,25.39,25.39,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10633895,,Evasc st rpr thrc/aa x crsg,A,,14.18,2.64,NA,2.64,,3.39,20.21,20.21,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10733897,,Perq trluml angp nt/recr coa,A,,10.54,1.96,NA,1.96,,2.52,15.02,15.02,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10833900,,Perq p-art revsc 1 nm nt uni,A,,10.75,2.00,NA,2.00,,2.57,15.32,15.32,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10933901,,Perq p-art revsc 1 nm nt bi,A,,14.14,2.63,NA,2.63,,3.38,20.15,20.15,0,000,0.00,0.00,0.00,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,11033902,,Perq p-art revsc 1 abnor uni,A,,13.65,2.54,NA,2.54,,3.26,19.45,19.45,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00