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

Reports transcatheter replacement of the aortic valve when the prosthesis is delivered through percutaneous femoral arterial access.

CMS RVU26DEffective Oct 1, 2026One payment locality104.1K Medicare services in 2024

In Montana, Medicare pays $1,078.83 for 33361 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,078.83Hospital or facility

Check a contract rate as a % of Medicare · 33361 nationwide

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

We’ll open 33361 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 33361 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

How Montana compares for 33361

Across 109 of 109 payment localities, the facility rate for 33361 runs from $950.40 in Wisconsin to $1,377.36 in Alaska. Montana pays $1,078.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

33361 in Montana vs other payment areas
  1. Montana · this page$1,078.83
  2. Los Angeles, CA · California$1,081.57+$2.74
  3. Washington, DC area · District of Columbia$1,169.11+$90.28
  4. Miami, FL · Florida$1,354.85+$276.02
  5. Chicago, IL · Illinois$1,312.68+$233.85
  6. Manhattan, NY · New York$1,256.79+$177.96
  7. Alaska · Alaska$1,377.36+$298.53

Other areas in Montana first, then benchmark localities. Bars start at $0.

Every other payment area

33361 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$981.47
ArkansasArkansas—$969.77
ArizonaArizona—$1,048.56
Bakersfield, CACalifornia—$1,040.87
Chico, CACalifornia—$1,026.59
El Centro, CACalifornia—$1,027.46
Fresno, CACalifornia—$1,026.59
Hanford, CACalifornia—$1,026.59

33361 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
33361 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33361 in every payment locality

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.

How the rate is built · 33361

RVUs × geographic indexes × conversion factor

Office or facility?

Work21.91

21.91 RVUs× 1.000 GPCI

Practice expense5.14

5.14 RVUs× 1.000 GPCI

Malpractice5.26

5.26 RVUs× 1.000 GPCI

Adjusted RVUs

32.3100

Conversion factor

$33.4009

Medicare rate

$1,079.18

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,923

Code
33361
Physician work
21.91
Practice expense
5.14
Malpractice
5.26

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 33361 in Montana
ComponentRVULocality factorAdjusted
Physician work21.91× 1.00021.9100
Practice expense5.14× 1.0005.1400
Malpractice5.26× 0.9985.2495
Total RVUs32.2995
Conversion factor× 33.4009

Facility rate, Montana$1078.83

Facility: (21.91 × 1 + 5.14 × 1 + 5.26 × 0.998) × $33.4009 = $1078.83

Open 33361 in the RVU calculator

Payment rules and modifiers for 33361

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

CMS payment indicators · 33361

TAVR, percutaneous femoral approach

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)2Permitted.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33361 without 51 · national facility

$1,079.18

TAVR, percutaneous femoral approach

33361-51 · Second procedure: 50%

$539.59

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 33361 has changed in Montana

33361 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,078.83RVU26D
2026-07-01Not available in this setting$1,078.83RVU26C
2026-04-01Not available in this setting$1,078.83RVU26B
2026-01-01Not available in this setting$1,078.83RVU26A
2025-10-01Not available in this setting$1,144.93RVU25D
2025-07-01Not available in this setting$1,144.93RVU25C
2025-04-01Not available in this setting$1,144.93RVU25B
2025-01-01Not available in this setting$1,144.93RVU25A
2024-10-01Not available in this setting$1,175.21RVU24D
2024-07-01Not available in this setting$1,175.21RVU24C
2024-04-01Not available in this setting$1,175.21RVU24B
2024-03-09Not available in this setting$1,175.21RVU24AR
2024-01-01Not available in this setting$1,156.02RVU24A
2023-10-01Not available in this setting$1,192.75RVU23D
2023-07-01Not available in this setting$1,192.75RVU23C
2023-04-01Not available in this setting$1,192.75RVU23B
2023-01-01Not available in this setting$1,192.75RVU23A
2022-10-01Not available in this setting$1,224.36RVU22D
2022-07-01Not available in this setting$1,224.36RVU22C
2022-04-01Not available in this setting$1,224.36RVU22B
2022-01-01Not available in this setting$1,224.36RVU22A
2021-10-01Not available in this setting$1,229.06RVU21D
2021-07-01Not available in this setting$1,229.06RVU21C
2021-04-01Not available in this setting$1,229.06RVU21B
2021-01-01Not available in this setting$1,229.06RVU21A
2020-10-01Not available in this setting$1,323.88RVU20D
2020-07-01Not available in this setting$1,323.88RVU20C
2020-04-01Not available in this setting$1,323.88RVU20B
2020-01-01Not available in this setting$1,323.88RVU20A
2019-10-01Not available in this setting$1,555.63RVU19D
2019-07-01Not available in this setting$1,555.63RVU19C
2019-04-01Not available in this setting$1,555.63RVU19B
2019-01-01Not available in this setting$1,555.63RVU19A
2018-10-01Not available in this setting$1,551.84RVU18D
2018-07-01Not available in this setting$1,551.84RVU18C
2018-04-01Not available in this setting$1,551.84RVU18B
2018-01-01Not available in this setting$1,551.84RVU18AR1
2017-10-01Not available in this setting$1,510.13RVU17D
2017-07-01Not available in this setting$1,510.13RVU17C
2017-04-01Not available in this setting$1,510.13RVU17B
2017-01-01Not available in this setting$1,510.13RVU17A
2016-10-01Not available in this setting$1,463.43RVU16D
2016-07-01Not available in this setting$1,463.43RVU16C
2016-04-01Not available in this setting$1,463.43RVU16B
2016-01-01Not available in this setting$1,463.43RVU16A
2015-10-01Not available in this setting$1,467.51RVU15D
2015-07-01Not available in this setting$1,467.51RVU15C
2015-04-01Not available in this setting$1,460.20RVU15B
2015-01-01Not available in this setting$1,460.20RVU15A
2014-10-01Not available in this setting$1,435.22RVU14D
2014-07-01Not available in this setting$1,435.22RVU14C
2014-04-01Not available in this setting$1,435.22RVU14B
2014-01-01Not available in this setting$1,435.22RVU14A
2013-10-01Not available in this setting$1,372.07RVU13D
2013-07-01Not available in this setting$1,372.07RVU13C
2013-04-01Not available in this setting$1,372.07RVU13B
2013-01-01Not available in this setting$1,372.07RVU13AR

Price 33361 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

33361 billing questions

How does 33361 differ from 33362?

33361 is for percutaneous femoral access. Use 33362 when the femoral artery is surgically exposed for the TAVR.

Can 33361 be reported with another TAVR access code for the same valve?

Choose the code that matches the access route used for the valve replacement. Do not report a second TAVR access code for the same implantation.

Is modifier 50 appropriate for 33361?

No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted, while team-surgery payment requires supporting documentation.

What does the 0-day global period include?

Same-day preoperative and postoperative care is included in the procedure's global period.

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

Show the CMS file lines behind this rate
RVUs for 33361PPRRVU2026_Oct_nonQPP.csv, line 3,923 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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