33405
Aortic Valve Replacement
Code Description
CPT code 33405 is used to report replacement of the aortic valve with a prosthetic valve. During the procedure, the surgeon removes the diseased valve and implants a mechanical or biological replacement valve to restore normal blood flow through the heart.
The procedure is commonly performed for severe aortic stenosis, aortic insufficiency, and other significant valve disorders.
When to Use 33405
Common examples include:
severe aortic stenosis
aortic valve insufficiency
congenital valve abnormalities
symptomatic valve disease
progressive heart failure due to valve dysfunction
Documentation Requirements
Documentation should include:
diagnosis requiring replacement
type of valve implanted
surgical approach
operative findings
patient tolerance
Common Billing Mistakes
Common billing mistakes include:
incorrect valve procedure selection
insufficient operative documentation
failure to document prosthetic valve type
incomplete surgical reports
reporting unrelated cardiovascular procedures incorrectly
33400
Aortic Valvotomy
33410
Aortic Valve Replacement With Homograft
33430
Mitral Valve Replacement
FAQ
What is the purpose of aortic valve replacement?
The procedure replaces a diseased valve to improve blood flow from the heart to the body.
What types of replacement valves are available?
Mechanical valves and biologic tissue valves are commonly used depending on patient needs.
Is aortic valve replacement considered major surgery?
Yes. It is a major cardiovascular surgical procedure performed by a cardiac surgeon.
What conditions commonly require valve replacement?
Severe aortic stenosis and aortic valve insufficiency are among the most common indications.






Procedure Type
Valve Replacement
Body Area
Technique
Aortic Valve
Open Heart Surgery


