CPT code 33365: Aortic valve replacement, transapical approach2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $1,209.20 for 33365 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33365 nationwide

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

What 33365 covers

This service replaces the aortic valve with a catheter-delivered prosthesis introduced through the apex of the heart, typically using a surgical chest approach. A cardiac surgeon and interventional cardiology team may perform the procedure in a hospital hybrid operating room or catheterization suite. The transapical route is distinct from delivery through a peripheral artery and from conventional open valve replacement, in which the surgeon directly replaces the valve.

Report this code when the operative documentation supports transapical access and transcatheter valve deployment. Record the access route, valve procedure, and any additional procedures performed during the session. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons are permitted, and team-surgery payment requires supporting documentation. Modifier 50 is inappropriate for this procedure.

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 Virginia compares for 33365

Across 109 of 109 payment localities, the facility rate for 33365 runs from $1,120.76 in Wisconsin to $1,626.00 in Alaska. Virginia pays $1,209.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33365 rates by state

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

See 33365 in every payment locality

How the 33365 rate is calculated

Each of 33365’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 33365

The CMS indicators that decide how 33365 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33365

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

How 33365 has changed in Virginia

Price 33365 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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