CPT code 33364: TAVR, open iliac artery access2026 Medicare rate & RVUs in Washington, DC area
Reports transcatheter aortic valve replacement when the prosthetic valve is delivered through surgically exposed iliac artery access.
In Washington, DC area, Medicare pays $1,372.00 for 33364 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33364 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 33364 covers
This service replaces the aortic valve with a prosthetic valve delivered by catheter through an iliac artery that has been surgically exposed. A cardiac surgeon and interventional cardiologist may perform the procedure in a hospital hybrid operating room or catheterization laboratory, commonly for a patient with aortic stenosis when the iliac route is selected for valve delivery.
Select the code from the documented access route: 33364 identifies open iliac artery access. The operative report should establish the vessel exposed, the route used to deliver the valve, and valve deployment. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For qualifying procedures performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons are permitted, and team surgery 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 Washington, DC area compares for 33364
Across 109 of 109 payment localities, the facility rate for 33364 runs from $1,115.50 in Wisconsin to $1,610.78 in Alaska. Washington, DC area pays $1,372.00. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$1,372.00
- Los Angeles, CA · California$1,271.05−$100.95
- Miami, FL · Florida$1,583.76+$211.76
- Chicago, IL · Illinois$1,534.45+$162.45
- Manhattan, NY · New York$1,472.89+$100.89
- Alaska · Alaska$1,610.78+$238.78
- Alabama · Alabama$1,149.85−$222.15
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $1,136.04 |
| ArizonaArizona | — | $1,228.99 |
| Bakersfield, CACalifornia | — | $1,222.47 |
| Chico, CACalifornia | — | $1,205.97 |
| El Centro, CACalifornia | — | $1,206.99 |
| Fresno, CACalifornia | — | $1,205.97 |
| Hanford, CACalifornia | — | $1,205.97 |
| Madera, CACalifornia | — | $1,205.97 |
| Merced, CACalifornia | — | $1,205.97 |
| Modesto, CACalifornia | — | $1,205.97 |
| Napa, CACalifornia | — | $1,287.25 |
| Oxnard, CACalifornia | — | $1,251.53 |
| Redding, CACalifornia | — | $1,205.97 |
| Rest of CaliforniaCalifornia | — | $1,205.97 |
| Riverside, CACalifornia | — | $1,271.09 |
| Sacramento, CACalifornia | — | $1,236.54 |
| Salinas, CACalifornia | — | $1,231.45 |
| San Diego, CACalifornia | — | $1,239.83 |
| Marin County, CACalifornia | — | $1,324.29 |
| San Francisco, CACalifornia | — | $1,317.40 |
| San Benito County, CACalifornia | — | $1,359.51 |
| Santa Clara County, CACalifornia | — | $1,331.33 |
| San Luis Obispo, CACalifornia | — | $1,215.28 |
| Santa Cruz, CACalifornia | — | $1,235.11 |
| Santa Maria, CACalifornia | — | $1,230.43 |
| Santa Rosa, CACalifornia | — | $1,245.54 |
| Stockton, CACalifornia | — | $1,205.97 |
| Vallejo, CACalifornia | — | $1,277.31 |
| Visalia, CACalifornia | — | $1,205.97 |
| Yuba City, CACalifornia | — | $1,205.97 |
| ColoradoColorado | — | $1,244.49 |
| ConnecticutConnecticut | — | $1,341.05 |
| DelawareDelaware | — | $1,246.05 |
| Fort Lauderdale, FLFlorida | — | $1,431.52 |
| Rest of FloridaFlorida | — | $1,357.35 |
| Atlanta, GAGeorgia | — | $1,311.64 |
| Rest of GeorgiaGeorgia | — | $1,280.44 |
| Hawaii, Guam, HIHawaii | — | $1,209.19 |
| IowaIowa | — | $1,124.24 |
| IdahoIdaho | — | $1,140.73 |
| East St. Louis, ILIllinois | — | $1,453.16 |
| Rest of IllinoisIllinois | — | $1,360.21 |
| Suburban Chicago, ILIllinois | — | $1,433.17 |
| IndianaIndiana | — | $1,144.88 |
| KansasKansas | — | $1,143.55 |
| KentuckyKentucky | — | $1,223.63 |
| New Orleans, LALouisiana | — | $1,279.70 |
| Rest of LouisianaLouisiana | — | $1,231.49 |
| Metropolitan Boston, MAMassachusetts | — | $1,319.25 |
| Rest of MassachusettsMassachusetts | — | $1,248.74 |
| Baltimore area, MDMaryland | — | $1,342.27 |
| Rest of MarylandMaryland | — | $1,259.32 |
| Rest of MaineMaine | — | $1,170.94 |
| Southern Maine, MEMaine | — | $1,188.13 |
| Detroit, MIMichigan | — | $1,396.40 |
| Rest of MichiganMichigan | — | $1,272.22 |
| MinnesotaMinnesota | — | $1,128.44 |
| Metropolitan Kansas City, MOMissouri | — | $1,247.03 |
| Metropolitan St. Louis, MOMissouri | — | $1,254.91 |
| Rest of MissouriMissouri | — | $1,229.75 |
| MississippiMississippi | — | $1,181.89 |
| MontanaMontana | — | $1,264.49 |
| North CarolinaNorth Carolina | — | $1,177.20 |
| North DakotaNorth Dakota | — | $1,144.46 |
| NebraskaNebraska | — | $1,122.12 |
| New HampshireNew Hampshire | — | $1,248.42 |
| Northern New JerseyNew Jersey | — | $1,366.59 |
| Rest of New JerseyNew Jersey | — | $1,338.30 |
| New MexicoNew Mexico | — | $1,287.68 |
| NevadaNevada | — | $1,231.25 |
| NYC suburbs and Long Island, NYNew York | — | $1,533.68 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,366.09 |
| Queens, NYNew York | — | $1,448.02 |
| Rest of New YorkNew York | — | $1,193.86 |
| OhioOhio | — | $1,247.68 |
| OklahomaOklahoma | — | $1,196.52 |
| Portland, OROregon | — | $1,250.55 |
| Rest of OregonOregon | — | $1,203.81 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,328.12 |
| Rest of PennsylvaniaPennsylvania | — | $1,235.99 |
| Puerto RicoPuerto Rico | — | $1,264.23 |
| Rhode IslandRhode Island | — | $1,266.21 |
| South CarolinaSouth Carolina | — | $1,218.03 |
| South DakotaSouth Dakota | — | $1,130.27 |
| TennesseeTennessee | — | $1,151.33 |
| Austin, TXTexas | — | $1,256.02 |
| Beaumont, TXTexas | — | $1,231.02 |
| Brazoria, TXTexas | — | $1,225.11 |
| Dallas, TXTexas | — | $1,242.85 |
| Fort Worth, TXTexas | — | $1,243.32 |
| Galveston, TXTexas | — | $1,235.27 |
| Houston, TXTexas | — | $1,346.37 |
| Rest of TexasTexas | — | $1,234.19 |
| UtahUtah | — | $1,231.23 |
| VirginiaVirginia | — | $1,201.61 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,264.23 |
| VermontVermont | — | $1,162.57 |
| Rest of WashingtonWashington | — | $1,238.90 |
| King County, WAWashington | — | $1,319.21 |
| WisconsinWisconsin | — | $1,115.50 |
| West VirginiaWest Virginia | — | $1,323.92 |
| WyomingWyoming | — | $1,212.18 |
33364 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 33364 rate is calculated
Each of 33364’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 · 33364
RVUs × geographic indexes × conversion factor
Work25.32
25.32 RVUs× 1.000 GPCI
Practice expense6.48
6.48 RVUs× 1.000 GPCI
Malpractice6.07
6.07 RVUs× 1.000 GPCI
Adjusted RVUs
37.8700
Conversion factor
$33.4009
Medicare rate
$1,264.89
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,926
- Code
- 33364
- Physician work
- 25.32
- Practice expense
- 6.48
- Malpractice
- 6.07
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 25.32 | × 1.054 | 26.6873 |
| Practice expense | 6.48 | × 1.178 | 7.6334 |
| Malpractice | 6.07 | × 1.113 | 6.7559 |
| Total RVUs | 41.0766 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$1372.00
Facility: (25.32 × 1.054 + 6.48 × 1.178 + 6.07 × 1.113) × $33.4009 = $1372.00
Payment rules and modifiers for 33364
The CMS indicators that decide how 33364 is paid alongside other services.
CMS payment indicators · 33364
TAVR, open iliac artery 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
33364 without 51 · national facility
$1,264.89
TAVR, open iliac artery access
33364-51 · Second procedure: 50%
$632.45
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 33364 has changed in Washington, DC area
33364 · 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 | $1,372.00 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,372.00 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,372.00 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,372.00 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,425.42 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,425.42 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,425.42 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,425.42 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,460.88 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,460.88 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,460.88 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,460.88 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,437.04 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,504.95 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,504.95 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,504.95 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,504.95 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,562.97 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,562.97 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,562.97 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,562.97 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,569.93 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,569.93 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,569.93 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,569.93 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,601.31 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,601.31 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,601.31 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,601.31 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,845.03 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,845.03 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,845.03 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,845.03 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,882.73 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,882.73 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,882.73 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,882.73 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,886.85 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,886.85 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,886.85 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,886.85 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,885.01 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,885.01 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,885.01 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,885.01 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,890.71 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,890.71 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,881.30 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,881.30 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,846.47 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,846.47 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,846.47 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,846.47 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,785.21 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,785.21 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,785.21 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,785.21 | RVU13AR |
Where the Washington, DC area rate applies
Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.
- Washington
33364 billing questions
How is 33364 distinguished from other TAVR approach codes?
Choose 33364 when the valve is delivered through open iliac artery access. The operative report should identify the exposed vessel and delivery route.
Can modifier 50 be reported?
No. The aortic valve anatomy and procedure make a bilateral adjustment inappropriate.
What preoperative or postoperative care is included?
CMS assigns a 0-day global period, which includes same-day preoperative and postoperative care.
How does the multiple-procedure reduction work?
When qualifying procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%.
What documentation is needed for additional surgeons?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; team surgery requires supporting documentation.
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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