33364

Active0-day global

Replace aortic valve open

2026 Medicare payment

Estimated allowed amounts. Pick a locality or enter a ZIP; toggle modifiers to see how the payment rules change the number; add the add-on codes to price the whole procedure.

Locality

or ZIP

Show values as

Modifiers

Line	Qty	Non-facility (office)	Facility (hospital/ASC)
33364Replace aortic valve open	1	$1,264.89	$1,264.89
add-on33367Replace aortic valve w/byp	0	$558.46/ unit	$558.46/ unit
add-on33368Replace aortic valve w/byp	0	$676.70/ unit	$676.70/ unit
add-on33369Replace aortic valve w/byp	0	$894.14/ unit	$894.14/ unit
add-on33370Tcat plmt&rmvl cepd perq	0	$115.90/ unit	$115.90/ unit
add-on37252Intrvasc us noncoronary 1st	0	$895.48/ unit	$79.16/ unit
add-on37253Intrvasc us noncoronary addl	0	$169.68/ unit	$62.46/ unit
add-on93568Njx car cth nslc p-art angrp	0	$45.76/ unit	$40.42/ unit
add-on93569Njx cth slct p-art angrp uni	0	$37.07/ unit	$32.40/ unit
add-on93573Njx cath slct p-art angrp bi	0	$61.12/ unit	$53.11/ unit
add-on93574Njx cath slct pulm vn angrph	0	$67.14/ unit	$58.79/ unit
add-on93575Njx cath slct p angrph mapca	0	$90.18/ unit	$78.49/ unit
add-on93662Intracardiac ecg (ice)	0	$0.00/ unit	$0.00/ unit

Conversion factor: Locality: national average GPCIs

RVU breakdown (national)

Relative value units before geographic adjustment. Payment = (work×GPCI_w + PE×GPCI_pe + MP×GPCI_mp) × CF

Row	Work RVU	PE RVU (office)	PE RVU (facility)	MP RVU	Total (office)
33364	25.32	6.48	6.48	6.07	37.87

Payment policy for 33364

CMS's indicator fields, translated. These control which modifiers are payable and how.

Professional/technical (PC/TC)

pctc=0

Physician service

Cannot be split into professional/technical components — modifiers 26 and TC don't apply.

Multiple procedures

mult_surg=2

Standard MPPR

When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.

Bilateral (modifier 50)

bilt_surg=0

150% rule doesn't apply

Bilateral adjustment does not apply (e.g., the code is unilateral by definition or physiology).

Assistant surgeon (80/81/82)

asst_surg=0

Payable with documentation

Assistant at surgery (mod 80/81/82) paid at 16% if medical necessity is documented.

Co-surgeons (modifier 62)

co_surg=2

Payable

Co-surgeons (mod 62) are paid 62.5% of the fee each (125% total, split).

Team surgery (modifier 66)

team_surg=1

By report (documented)

Team surgery may be paid case by case with supporting documentation.

Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimated amounts — not billing or coding advice.