CPT code 33366: TAVR, transapical approach2026 Medicare rate & RVUs in Virginia

In Virginia, Medicare pays $1,329.47 for 33366 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33366 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 33366 covers

This code represents transcatheter aortic valve replacement performed through a surgical opening at the heart’s apex. A cardiothoracic surgeon, often working with an interventional cardiologist as part of a heart team, introduces the prosthetic valve through the left ventricular apex and advances it across the native aortic valve. The procedure is typically performed in a hospital operating room or hybrid suite for a patient who needs aortic valve replacement and whose planned access route is transapical.

Select the code from the documented access route: transapical access distinguishes this service from peripheral arterial and transaortic approaches. The operative report should support valve implantation and identify the route; report a bypass-specific family code when cardiopulmonary bypass is used. This procedure has 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 the others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; 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 Virginia compares for 33366

Across 109 of 109 payment localities, the facility rate for 33366 runs from $1,232.89 in Wisconsin to $1,789.59 in Alaska. Virginia pays $1,329.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33366 rates by state

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

See 33366 in every payment locality

How the 33366 rate is calculated

Each of 33366’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 33366

The CMS indicators that decide how 33366 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 33366

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

How 33366 has changed in Virginia

Price 33366 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