33418
Active90-day globalRepair tcat mitral valve
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.
| Line | Qty | Non-facility (office) | Facility (hospital/ASC) |
|---|---|---|---|
| 33418 | 1 | $1,580.86 | $1,580.86 |
| add-on33141 | 0 | $119.58/ unit | $119.58/ unit |
| add-on33367 | 0 | $558.46/ unit | $558.46/ unit |
| add-on33368 | 0 | $676.70/ unit | $676.70/ unit |
| add-on33369 | 0 | $894.14/ unit | $894.14/ unit |
| add-on33419 | 0 | $368.08/ unit | $368.08/ unit |
| add-on33530 | 0 | $477.30/ unit | $477.30/ unit |
| add-on93568 | 0 | $45.76/ unit | $40.42/ unit |
| add-on93569 | 0 | $37.07/ unit | $32.40/ unit |
| add-on93573 | 0 | $61.12/ unit | $53.11/ unit |
| add-on93574 | 0 | $67.14/ unit | $58.79/ unit |
| add-on93575 | 0 | $90.18/ unit | $78.49/ unit |
| add-on93662 | 0 | $0.00/ unit | $0.00/ unit |
RVU breakdown (national)
Relative value units before geographic adjustment. Payment = (work×GPCIw + PE×GPCIpe + MP×GPCImp) × CF
| Row | Work RVU | PE RVU (office) | PE RVU (facility) | MP RVU | Total (office) |
|---|---|---|---|---|---|
| 33418 | 31.44 | 8.46 | 8.46 | 7.43 | 47.33 |
Payment policy for 33418
CMS's indicator fields, translated. These control which modifiers are payable and how.
Professional/technical (PC/TC)
pctc=0Physician service
Cannot be split into professional/technical components — modifiers 26 and TC don't apply.
Multiple procedures
mult_surg=2Standard MPPR
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%.
Bilateral (modifier 50)
bilt_surg=0150% 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=2Payable
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons (modifier 62)
co_surg=1Payable with documentation
Co-surgeons paid (62.5% each) if medical necessity is documented.
Team surgery (modifier 66)
team_surg=0Not permitted
Team surgery (mod 66) may not be paid for this procedure.
Global surgery package
Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 9% is attributed to pre-operative care, 84% to the procedure itself, and 7% to post-operative visits.
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.