No office rate
33418 reports the primary transcatheter mitral repair and initial prosthesis. Use 33419 only for each prosthesis placed beyond that initial device.
On this page
CMS RVU26D · Effective 2026-10-01
33419 Mitral repair Medicare reimbursement rates in Vermont
Reports each additional prosthesis placed during percutaneous transcatheter repair of mitral regurgitation, beyond the initial device reported with the primary procedure. Compare 33419 office and facility rates across CMS payment localities in Vermont.
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 33419 in Vermont?
Vermont 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
$337.56
1 of 1 localities have a supported rate.
Payment area: Vermont
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 intervention
About 33419: Additional transcatheter mitral repair device
Reports each additional prosthesis placed during percutaneous transcatheter repair of mitral regurgitation, beyond the initial device reported with the primary procedure.
This add-on represents an additional repair implant, commonly a clip, placed during a percutaneous transcatheter mitral valve repair for mitral regurgitation. The procedure is typically performed by an interventional cardiologist or cardiac surgeon in a catheterization laboratory or hybrid suite, with imaging guidance. The initial prosthesis is reported with the primary transcatheter repair service; this code captures an additional prosthesis placed during that repair.
Report one unit for each additional prosthesis supported by the operative record. Documentation should identify the transcatheter approach, the repair performed, and the number of prostheses placed. Do not count device repositioning or leaflet-grasp attempts as additional prostheses. This is an add-on code: report it only with its primary procedure, 33418, and CMS pays it within that procedure’s global period.
CMS billing rules for 33419
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU7.73 · 70%
- Practice expense (office) RVU1.47 · 13%
- Malpractice RVU1.82 · 17%
3.2K
Medicare services in 2024 · #2127 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.
33419 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
33425 describes open mitral valve repair with cardiopulmonary bypass. Code 33419 is limited to additional prostheses during percutaneous transcatheter repair.
No office rate
33430 is for mitral valve replacement, whereas 33419 reports an additional prosthesis used to repair the native mitral valve transcatheterly.
Compare 33419 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
Vermont →
Office / nonfacility
Unavailable
Facility
$337.56
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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 33419 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
3,948
- Code
- 33419
- Physician work
- 7.73
- Practice expense
- 1.47
- Malpractice
- 1.82
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.73 | × 1.000 | 7.7300 |
| Practice expense | 1.47 | × 0.990 | 1.4553 |
| Malpractice | 1.82 | × 0.506 | 0.9209 |
| Total RVUs | 10.1062 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$337.56
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.73 | 1 |
| Practice expense | 1.47 | 0.99 |
| Malpractice | 1.82 | 0.506 |
(7.73 × 1 + 1.47 × 0.99 + 1.82 × 0.506) × $33.4009 = $337.56
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.
33419 billing questions
When should 33419 be reported instead of 33418?
33418 reports the initial prosthesis used in the transcatheter mitral repair. Report 33419 for each additional prosthesis placed during that repair.
Can 33419 be submitted without 33418?
No. It is an add-on code and must be reported with the primary transcatheter mitral repair procedure, 33418.
How many units should be reported?
Report one unit for each prosthesis beyond the initial one. Device repositioning or repeated grasping attempts do not represent additional prostheses.
What documentation supports the additional unit?
The procedural record should establish the transcatheter mitral repair and document the number of prostheses placed, including the additional device or devices.
How does this differ from open mitral repair?
33419 applies to an additional prosthesis during percutaneous transcatheter repair. Codes such as 33425 and 33427 describe open surgical mitral repair procedures.
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.
3,94533416,,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
3,94733418,,Repair tcat mitral valve,A,,31.44,8.46,NA,8.46,,7.43,47.33,47.33,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,94833419,,Repair tcat mitral valve,A,,7.73,1.47,NA,1.47,,1.82,11.02,11.02,0,ZZZ,0.00,0.00,0.00,0,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9493341F,,Mammo assess negative 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
3,95033420,,Revision of mitral valve,A,,25.15,10.36,NA,10.36,,6.02,41.53,41.53,0,090,0.09,0.84,0.07,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,95133422,,Revision of mitral valve,A,,28.99,11.60,NA,11.60,,6.96,47.55,47.55,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817