No office rate
This code is for revision of prior tricuspid valve surgery; 33463 describes a tricuspid valve repair. Follow the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
33468 Tricuspid valve surgery Medicare reimbursement rates in Wyoming
Surgical revision of the tricuspid valve is reported when the surgeon reworks prior valve surgery rather than performing a primary repair or replacement. Compare 33468 office and facility rates across CMS payment localities in Wyoming.
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 33468 in Wyoming?
Wyoming 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
$2175.03
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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 33468: Surgical tricuspid valve revision
Surgical revision of the tricuspid valve is reported when the surgeon reworks prior valve surgery rather than performing a primary repair or replacement.
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.
CMS billing rules for 33468
- 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 RVU44.00 · 65%
- Practice expense (office) RVU12.89 · 19%
- Malpractice RVU11.12 · 16%
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 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
Use this code for valve revision, not for the tricuspid repair service represented by 33464.
No office rate
33465 is used when the tricuspid valve is replaced. This code is for revision rather than replacement.
No office rate
Both describe valve revision, but 33420 concerns the mitral valve; this code concerns the tricuspid valve.
Compare 33468 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$2175.03
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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 33468 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
3,965
- Code
- 33468
- Physician work
- 44.00
- Practice expense
- 12.89
- Malpractice
- 11.12
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 44.00 | × 1.000 | 44.0000 |
| Practice expense | 12.89 | × 1.000 | 12.8900 |
| Malpractice | 11.12 | × 0.740 | 8.2288 |
| Total RVUs | 65.1188 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$2175.03
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 44 | 1 |
| Practice expense | 12.89 | 1 |
| Malpractice | 11.12 | 0.74 |
(44 × 1 + 12.89 × 1 + 11.12 × 0.74) × $33.4009 = $2175.03
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.
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 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.
3,96233463,,Valvuloplasty tricuspid,A,,55.65,16.58,NA,16.58,,13.56,85.79,85.79,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96333464,,Valvuloplasty tricuspid,A,,43.50,14.11,NA,14.11,,10.43,68.04,68.04,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,96433465,,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
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,