CPT code 33361: TAVR, percutaneous femoral approach2026 Medicare rate & RVUs in Missouri

CMS doesn’t publish an office rate for 33361 in Missouri.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 33361 covers

Code 33361 reports transcatheter aortic valve replacement for a patient whose prosthetic valve is delivered through percutaneous femoral arterial access. The procedure treats aortic valve disease such as aortic stenosis. An interventional cardiologist and cardiac surgeon commonly perform the procedure together in a hospital catheterization laboratory or hybrid operating room. The operative record should identify the valve replacement and show that the femoral artery was accessed percutaneously rather than exposed surgically or approached through another route.

Select 33361 based on the access route, not simply because a TAVR occurred. Document the approach and any conversion to a different access method. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons are permitted, and team-surgery payment requires supporting documentation.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where 33361 pays more and less in Missouri

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

How the 33361 rate is calculated

Each of 33361’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 33361

The CMS indicators that decide how 33361 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

33361 compared with similar codes

How to choose

33362Aortic valve replacementTranscatheter, open femoral access

Both describe transfemoral TAVR, but 33361 uses percutaneous femoral access; 33362 applies when the femoral artery is surgically exposed.

33363TAVROpen axillary access

33363 describes TAVR through open axillary or subclavian access, rather than the percutaneous femoral route used for 33361.

33365Aortic valve replacementTransapical approach

33365 is for a transapical TAVR approach. Use 33361 when the prosthesis is delivered through percutaneous femoral arterial access.

33367TAVR bypass supportWith cardiopulmonary bypass

33367 describes TAVR with cardiopulmonary bypass using percutaneous femoral access; 33361 identifies the percutaneous femoral approach without that bypass distinction.

Codes related to 33361

Related codes aren’t interchangeable: bill the code that matches the service performed.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates