# CPT 33465: Replacement Tricuspid Valve W/card Bypass

Medicare CPT 33465 pays $2,563.85 in a non-facility setting and $2,563.85 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $2,262.84 in Wisconsin to $3,241.25 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/33465-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Thoracic Surgery (Cardiothoracic Vascular Surgery)

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $2,563.85 |
| National facility | $2,563.85 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $3,241.25 | $3,241.25 |
| Florida | $2,948.14 | $2,948.14 |
| Illinois | $2,920.67 | $2,920.67 |
| New York | $2,846.20 | $2,846.20 |
| District of Columbia | $2,789.14 | $2,789.14 |
| New Jersey | $2,746.27 | $2,746.27 |
| Connecticut | $2,720.88 | $2,720.88 |
| Michigan | $2,697.56 | $2,697.56 |
| West Virginia | $2,671.49 | $2,671.49 |
| Maryland | $2,638.24 | $2,638.24 |
| Georgia | $2,622.38 | $2,622.38 |
| Massachusetts | $2,610.42 | $2,610.42 |
| New Mexico | $2,602.92 | $2,602.92 |
| Washington | $2,601.73 | $2,601.73 |
| Pennsylvania | $2,596.19 | $2,596.19 |
| Rhode Island | $2,568.35 | $2,568.35 |
| Puerto Rico | $2,563.38 | $2,563.38 |
| Virgin Islands | $2,563.38 | $2,563.38 |
| Montana | $2,563.04 | $2,563.04 |
| Louisiana | $2,538.65 | $2,538.65 |
| Texas | $2,536.32 | $2,536.32 |
| New Hampshire | $2,534.16 | $2,534.16 |
| California | $2,531.18 | $2,531.18 |
| Colorado | $2,527.68 | $2,527.68 |
| Delaware | $2,525.20 | $2,525.20 |
| Ohio | $2,522.89 | $2,522.89 |
| Missouri | $2,515.70 | $2,515.70 |
| Nevada | $2,496.87 | $2,496.87 |
| Oregon | $2,492.50 | $2,492.50 |
| Utah | $2,492.15 | $2,492.15 |
| Arizona | $2,489.91 | $2,489.91 |
| Kentucky | $2,473.11 | $2,473.11 |
| South Carolina | $2,464.62 | $2,464.62 |
| Hawaii | $2,463.31 | $2,463.31 |
| Wyoming | $2,458.77 | $2,458.77 |
| Virginia | $2,436.40 | $2,436.40 |
| Oklahoma | $2,419.37 | $2,419.37 |
| Maine | $2,390.30 | $2,390.30 |
| Mississippi | $2,387.75 | $2,387.75 |
| North Carolina | $2,383.92 | $2,383.92 |
| Vermont | $2,359.12 | $2,359.12 |
| Tennessee | $2,330.50 | $2,330.50 |
| Alabama | $2,324.95 | $2,324.95 |
| North Dakota | $2,323.79 | $2,323.79 |
| Indiana | $2,319.03 | $2,319.03 |
| Kansas | $2,314.62 | $2,314.62 |
| Idaho | $2,310.22 | $2,310.22 |
| Arkansas | $2,296.21 | $2,296.21 |
| South Dakota | $2,295.50 | $2,295.50 |
| Minnesota | $2,294.06 | $2,294.06 |
| Iowa | $2,276.97 | $2,276.97 |
| Nebraska | $2,273.35 | $2,273.35 |
| Wisconsin | $2,262.84 | $2,262.84 |

## 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 33465 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