33419

Repair tcat mitral valve

Code typeAdd-on
Paid with — select a primary to see the real payable total

33418

Repair tcat mitral valve

Add to my model
Code typePrimary
Payment statusActive (A)
Global period90-day

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary33418Repair tcat mitral valve
1
$1,580.86
$1,580.86
Add-on33141Heart tmr w/other procedure
0
$119.58/ unit
$119.58/ unit
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-on33419Repair tcat mitral valve
0
$368.08/ unit
$368.08/ unit
Add-on33530Coronary artery bypass/reop
0
$477.30/ unit
$477.30/ 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
Whole procedure · 31.44 wRVU credited
$1,580.86
$1,580.86
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
31.44
31.44
Practice expense
8.46
8.46
Malpractice
7.43
7.43
Total RVU
47.33
47.33

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Not applicable to this code
Bilateral -50Team surgeon -66Prof / tech split

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.