33365 Replace aortic valve open
Also known as: mechanical aortic valve replacement, mechanical AVR, TAVR transaortic
Replacement of aortic valve with mechanical prosthesis via open surgical approach.
In Plain Language
surgically replacing aortic valve with artificial valve
Clinical Context
Used for aortic stenosis/regurgitation with mechanical valve preferred for durability.
RVU Breakdown
| Work RVU | 25.93 |
| Total RVU | 25.93 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 25.93, this code ranks in the 90th percentile among Surgery codes — 3.2x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 33365?
CPT 33365 (Replace aortic valve open) is a Surgery code. Replacement of aortic valve with mechanical prosthesis via open surgical approach.
What is the wRVU value for CPT 33365?
The work RVU for CPT 33365 is 25.93. This code is primarily used by Cardiac Surgery, Cardiothoracic Surgery.
When is CPT 33365 used?
Used for aortic stenosis/regurgitation with mechanical valve preferred for durability.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.