# CPT 33391: Valvuloplasty Aortic Valve Open Card Byp Complex

Medicare CPT 33391 pays $2,119.29 in a non-facility setting and $2,119.29 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $1,876.23 in Wisconsin to $2,678.20 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/33391-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,119.29 |
| National facility | $2,119.29 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $2,678.20 | $2,678.20 |
| Florida | $2,427.79 | $2,427.79 |
| Illinois | $2,404.51 | $2,404.51 |
| New York | $2,351.25 | $2,351.25 |
| District of Columbia | $2,307.87 | $2,307.87 |
| New Jersey | $2,271.53 | $2,271.53 |
| Connecticut | $2,248.58 | $2,248.58 |
| Michigan | $2,224.39 | $2,224.39 |
| West Virginia | $2,200.96 | $2,200.96 |
| Maryland | $2,180.84 | $2,180.84 |
| Georgia | $2,164.64 | $2,164.64 |
| Massachusetts | $2,161.82 | $2,161.82 |
| Washington | $2,155.52 | $2,155.52 |
| New Mexico | $2,147.66 | $2,147.66 |
| Pennsylvania | $2,144.73 | $2,144.73 |
| Rhode Island | $2,124.57 | $2,124.57 |
| Puerto Rico | $2,119.30 | $2,119.30 |
| Virgin Islands | $2,119.30 | $2,119.30 |
| Montana | $2,118.64 | $2,118.64 |
| California | $2,100.57 | $2,100.57 |
| New Hampshire | $2,096.93 | $2,096.93 |
| Texas | $2,096.78 | $2,096.78 |
| Louisiana | $2,095.94 | $2,095.94 |
| Colorado | $2,092.87 | $2,092.87 |
| Delaware | $2,087.96 | $2,087.96 |
| Ohio | $2,083.29 | $2,083.29 |
| Missouri | $2,077.68 | $2,077.68 |
| Nevada | $2,065.57 | $2,065.57 |
| Oregon | $2,064.15 | $2,064.15 |
| Utah | $2,059.59 | $2,059.59 |
| Arizona | $2,058.83 | $2,058.83 |
| Hawaii | $2,043.52 | $2,043.52 |
| Kentucky | $2,042.48 | $2,042.48 |
| South Carolina | $2,036.93 | $2,036.93 |
| Wyoming | $2,034.96 | $2,034.96 |
| Virginia | $2,016.40 | $2,016.40 |
| Oklahoma | $1,999.50 | $1,999.50 |
| Maine | $1,978.42 | $1,978.42 |
| Mississippi | $1,972.98 | $1,972.98 |
| North Carolina | $1,972.49 | $1,972.49 |
| Vermont | $1,954.64 | $1,954.64 |
| Tennessee | $1,928.76 | $1,928.76 |
| North Dakota | $1,926.64 | $1,926.64 |
| Alabama | $1,923.09 | $1,923.09 |
| Indiana | $1,920.21 | $1,920.21 |
| Kansas | $1,915.84 | $1,915.84 |
| Idaho | $1,912.88 | $1,912.88 |
| South Dakota | $1,903.94 | $1,903.94 |
| Minnesota | $1,903.83 | $1,903.83 |
| Arkansas | $1,899.45 | $1,899.45 |
| Iowa | $1,886.02 | $1,886.02 |
| Nebraska | $1,883.40 | $1,883.40 |
| Wisconsin | $1,876.23 | $1,876.23 |

## Related codes

- 10140: I&d Hematoma Seroma/fluid Collection — https://www.med-reveal.com/rates/10140-cpt-fee-schedule
- 11055: Paring/cutting Benign Hyperkeratotic Lesion 1 — https://www.med-reveal.com/rates/11055-cpt-fee-schedule
- 11056: Paring/cutting Benign Hyperkeratotic Lesion 2-4 — https://www.med-reveal.com/rates/11056-cpt-fee-schedule
- 11057: Paring/cutting Benign Hyperkeratotic Lesion >4 — https://www.med-reveal.com/rates/11057-cpt-fee-schedule
- 11403: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 2.1-3.0 Cm — https://www.med-reveal.com/rates/11403-cpt-fee-schedule
- 11404: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l 3.1-4.0 Cm — https://www.med-reveal.com/rates/11404-cpt-fee-schedule
- 11406: Exc B9 Lesion Mrgn Xcp Sk Tg T/a/l >4.0 Cm — https://www.med-reveal.com/rates/11406-cpt-fee-schedule
- 11603: Excision Mal Lesion Trunk/arm/leg 2.1-3.0 Cm — https://www.med-reveal.com/rates/11603-cpt-fee-schedule

Commercial negotiated rates for 33391 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules