CPT code 33363: TAVR, open axillary access2026 Medicare rate & RVUs in New Mexico
Reports transcatheter aortic valve replacement performed through surgically exposed axillary artery access, typically when a femoral route is unsuitable.
In New Mexico, Medicare pays $1,245.72 for 33363 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33363 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 33363 covers
This code describes TAVR using an open axillary artery approach: the artery is surgically exposed to deliver and deploy a prosthetic aortic valve. The valve is placed by catheter rather than through conventional open valve replacement. The procedure is typically performed by a cardiac surgery and interventional cardiology team in a hospital operating room or hybrid suite for a patient with aortic valve disease, commonly severe aortic stenosis, when axillary access is selected.
Select this code based on the documented access route, not simply because the procedure is called “open.” The operative report should identify surgical exposure of the axillary artery and transcatheter valve delivery. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. 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 New Mexico compares for 33363
Across 109 of 109 payment localities, the facility rate for 33363 runs from $1,073.98 in Wisconsin to $1,557.92 in Alaska. New Mexico pays $1,245.72. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$1,245.72
- Los Angeles, CA · California$1,222.48−$23.24
- Washington, DC area · District of Columbia$1,322.59+$76.87
- Miami, FL · Florida$1,536.40+$290.68
- Chicago, IL · Illinois$1,488.29+$242.57
- Manhattan, NY · New York$1,422.94+$177.22
- Alaska · Alaska$1,557.92+$312.20
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,110.03 |
| ArkansasArkansas | — | $1,096.72 |
| ArizonaArizona | — | $1,186.27 |
| Bakersfield, CACalifornia | — | $1,176.58 |
| Chico, CACalifornia | — | $1,160.25 |
| El Centro, CACalifornia | — | $1,161.25 |
| Fresno, CACalifornia | — | $1,160.25 |
| Hanford, CACalifornia | — | $1,160.25 |
| Madera, CACalifornia | — | $1,160.25 |
| Merced, CACalifornia | — | $1,160.25 |
| Modesto, CACalifornia | — | $1,160.25 |
| Napa, CACalifornia | — | $1,235.11 |
| Oxnard, CACalifornia | — | $1,203.26 |
| Redding, CACalifornia | — | $1,160.25 |
| Rest of CaliforniaCalifornia | — | $1,160.25 |
| Riverside, CACalifornia | — | $1,224.82 |
| Sacramento, CACalifornia | — | $1,188.78 |
| Salinas, CACalifornia | — | $1,183.87 |
| San Diego, CACalifornia | — | $1,191.31 |
| Marin County, CACalifornia | — | $1,269.34 |
| San Francisco, CACalifornia | — | $1,262.50 |
| San Benito County, CACalifornia | — | $1,303.36 |
| Santa Clara County, CACalifornia | — | $1,275.42 |
| San Luis Obispo, CACalifornia | — | $1,168.45 |
| Santa Cruz, CACalifornia | — | $1,186.26 |
| Santa Maria, CACalifornia | — | $1,182.72 |
| Santa Rosa, CACalifornia | — | $1,196.20 |
| Stockton, CACalifornia | — | $1,160.25 |
| Vallejo, CACalifornia | — | $1,225.25 |
| Visalia, CACalifornia | — | $1,160.25 |
| Yuba City, CACalifornia | — | $1,160.25 |
| ColoradoColorado | — | $1,199.26 |
| ConnecticutConnecticut | — | $1,294.63 |
| DelawareDelaware | — | $1,202.69 |
| Fort Lauderdale, FLFlorida | — | $1,386.08 |
| Rest of FloridaFlorida | — | $1,313.89 |
| Atlanta, GAGeorgia | — | $1,267.09 |
| Rest of GeorgiaGeorgia | — | $1,239.15 |
| Hawaii, Guam, HIHawaii | — | $1,162.61 |
| IowaIowa | — | $1,083.68 |
| IdahoIdaho | — | $1,099.91 |
| East St. Louis, ILIllinois | — | $1,409.77 |
| Rest of IllinoisIllinois | — | $1,317.75 |
| Suburban Chicago, ILIllinois | — | $1,387.32 |
| IndianaIndiana | — | $1,103.86 |
| KansasKansas | — | $1,103.10 |
| KentuckyKentucky | — | $1,182.88 |
| New Orleans, LALouisiana | — | $1,237.23 |
| Rest of LouisianaLouisiana | — | $1,190.76 |
| Metropolitan Boston, MAMassachusetts | — | $1,270.02 |
| Rest of MassachusettsMassachusetts | — | $1,203.70 |
| Baltimore area, MDMaryland | — | $1,295.98 |
| Rest of MarylandMaryland | — | $1,215.23 |
| Rest of MaineMaine | — | $1,129.87 |
| Southern Maine, MEMaine | — | $1,145.22 |
| Detroit, MIMichigan | — | $1,352.40 |
| Rest of MichiganMichigan | — | $1,230.48 |
| MinnesotaMinnesota | — | $1,085.11 |
| Metropolitan Kansas City, MOMissouri | — | $1,204.88 |
| Metropolitan St. Louis, MOMissouri | — | $1,212.38 |
| Rest of MissouriMissouri | — | $1,189.59 |
| MississippiMississippi | — | $1,142.15 |
| MontanaMontana | — | $1,220.73 |
| North CarolinaNorth Carolina | — | $1,135.77 |
| North DakotaNorth Dakota | — | $1,101.70 |
| NebraskaNebraska | — | $1,081.38 |
| New HampshireNew Hampshire | — | $1,203.82 |
| Northern New JerseyNew Jersey | — | $1,317.57 |
| Rest of New JerseyNew Jersey | — | $1,291.36 |
| NevadaNevada | — | $1,187.75 |
| NYC suburbs and Long Island, NYNew York | — | $1,482.58 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,318.80 |
| Queens, NYNew York | — | $1,397.80 |
| Rest of New YorkNew York | — | $1,151.88 |
| OhioOhio | — | $1,206.15 |
| OklahomaOklahoma | — | $1,155.89 |
| Portland, OROregon | — | $1,204.10 |
| Rest of OregonOregon | — | $1,160.66 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,282.69 |
| Rest of PennsylvaniaPennsylvania | — | $1,194.44 |
| Puerto RicoPuerto Rico | — | $1,220.22 |
| Rhode IslandRhode Island | — | $1,221.47 |
| South CarolinaSouth Carolina | — | $1,176.48 |
| South DakotaSouth Dakota | — | $1,087.62 |
| TennesseeTennessee | — | $1,110.68 |
| Austin, TXTexas | — | $1,210.93 |
| Beaumont, TXTexas | — | $1,189.70 |
| Brazoria, TXTexas | — | $1,181.82 |
| Dallas, TXTexas | — | $1,199.29 |
| Fort Worth, TXTexas | — | $1,199.99 |
| Galveston, TXTexas | — | $1,191.85 |
| Houston, TXTexas | — | $1,302.04 |
| Rest of TexasTexas | — | $1,191.91 |
| UtahUtah | — | $1,189.18 |
| VirginiaVirginia | — | $1,158.78 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,220.22 |
| VermontVermont | — | $1,119.90 |
| Rest of WashingtonWashington | — | $1,193.97 |
| King County, WAWashington | — | $1,269.10 |
| WisconsinWisconsin | — | $1,073.98 |
| West VirginiaWest Virginia | — | $1,282.82 |
| WyomingWyoming | — | $1,168.86 |
33363 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33363 rate is calculated
Each of 33363’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 · 33363
RVUs × geographic indexes × conversion factor
Work24.83
24.83 RVUs× 1.000 GPCI
Practice expense5.71
5.71 RVUs× 1.000 GPCI
Malpractice6.02
6.02 RVUs× 1.000 GPCI
Adjusted RVUs
36.5600
Conversion factor
$33.4009
Medicare rate
$1,221.14
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,925
- Code
- 33363
- Physician work
- 24.83
- Practice expense
- 5.71
- Malpractice
- 6.02
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.83 | × 1.000 | 24.8300 |
| Practice expense | 5.71 | × 0.917 | 5.2361 |
| Malpractice | 6.02 | × 1.201 | 7.2300 |
| Total RVUs | 37.2961 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$1245.72
Facility: (24.83 × 1 + 5.71 × 0.917 + 6.02 × 1.201) × $33.4009 = $1245.72
Payment rules and modifiers for 33363
The CMS indicators that decide how 33363 is paid alongside other services.
CMS payment indicators · 33363
TAVR, open axillary access
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 2 | Permitted. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33363 without 51 · national facility
$1,221.14
TAVR, open axillary access
33363-51 · Second procedure: 50%
$610.57
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%).
How 33363 has changed in New Mexico
33363 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,245.72 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,245.72 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,245.72 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,245.72 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,304.99 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,304.99 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,304.99 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,304.99 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,341.46 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,341.46 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,341.46 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,341.46 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,319.56 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,356.04 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,356.04 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,356.04 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,356.04 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,391.36 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,391.36 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,391.36 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,391.36 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,395.07 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,395.07 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,395.07 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,395.07 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,447.67 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,447.67 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,447.67 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,447.67 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,641.32 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,641.32 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,641.32 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,641.32 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,640.37 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,640.37 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,640.37 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,640.37 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,650.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,650.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,650.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,650.43 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,617.72 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,617.72 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,617.72 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,617.72 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,639.93 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,639.93 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,631.77 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,631.77 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,577.25 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,577.25 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,577.25 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,577.25 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,502.34 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,502.34 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,502.34 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,502.34 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
33363 billing questions
How does 33363 differ from conventional open aortic valve replacement?
The valve is delivered and deployed by catheter through surgically exposed axillary artery access. It does not describe direct surgical replacement of the valve through an open-heart approach.
How do I choose between 33363 and 33362?
Use 33363 for open axillary artery access and 33362 for open femoral artery access. The documented access route distinguishes these TAVR codes.
Does the 0-day global period include same-day care?
Yes. CMS includes same-day preoperative and postoperative care in the 0-day global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; team-surgery payment requires supporting documentation.
Should modifier 50 be used for bilateral access?
No. CMS identifies bilateral adjustment as inappropriate for this code.
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
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