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CPT code 33367: TAVR bypass support, with cardiopulmonary bypass2026 Medicare rate & RVUs

Reports cardiopulmonary bypass support used during transcatheter aortic valve replacement, alongside the primary TAVR code for the valve procedure.

CMS RVU26DEffective Oct 1, 2026109 payment localities38 Medicare services in 2024

Medicare pays $558.46 for 33367 nationally in a facility.

Medicare rate · 33367

TAVR bypass support, with cardiopulmonary bypass

Office or facility?

Work RVUs
11.58
Total RVUs
16.72
Global days
ZZZ

National rate · 2026

$558.46

Facility setting, before claim adjustments.

See every locality for 33367 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 33367 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33367 covers

This code captures cardiopulmonary bypass used during transcatheter aortic valve replacement (TAVR), rather than the valve implantation by itself. It may accompany TAVR performed through a femoral, axillary or subclavian, iliac, ascending aortic, or transapical approach. Cardiothoracic surgeons and the operative team document the bypass support as part of the procedure, typically in a hospital operating room or hybrid suite.

Report 33367 only with the primary TAVR code that identifies the valve procedure and its access route. The operative report should establish that cardiopulmonary bypass was used during the TAVR; the access approach alone does not support this add-on. CMS treats this as an add-on code, paid within the primary procedure’s global period. It is not a standalone report for bypass performed without a qualifying primary TAVR 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.

Where 33367 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33367 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$508.52
AlaskaUnavailable$715.63
ArizonaUnavailable$542.72
ArkansasUnavailable$502.54
Atlanta, GAUnavailable$579.42
Austin, TXUnavailable$553.34
Bakersfield, CAUnavailable$537.40
Baltimore area, MDUnavailable$592.30
Beaumont, TXUnavailable$544.76
Brazoria, TXUnavailable$540.56

33367 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
33367 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

How the 33367 rate is calculated

Each of 33367’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 · 33367

RVUs × geographic indexes × conversion factor

Office or facility?

Work11.58

11.58 RVUs× 1.000 GPCI

Practice expense2.38

2.38 RVUs× 1.000 GPCI

Malpractice2.76

2.76 RVUs× 1.000 GPCI

Adjusted RVUs

16.7200

Conversion factor

$33.4009

Medicare rate

$558.46

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

Payment rules and modifiers for 33367

The CMS indicators that decide how 33367 is paid alongside other services.

CMS payment indicators · 33367

TAVR bypass support, with cardiopulmonary bypass

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
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)0Not permitted.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

33367 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 33367

    TAVR bypass support, with cardiopulmonary bypass11.58 wRVU

    Not priced

  • 33361

    TAVR, percutaneous femoral approach21.91 wRVU

    Not priced

  • 33362

    Aortic valve replacement, transcatheter, open femoral access23.93 wRVU

    Not priced

  • 33363

    TAVR, open axillary access24.83 wRVU

    Not priced

How to choose

33361TAVRPercutaneous femoral approach
33361 reports the primary TAVR performed through percutaneous femoral access. Add 33367 only when cardiopulmonary bypass was also used.
33362Aortic valve replacementTranscatheter, open femoral access
33362 reports the primary TAVR performed through open femoral access. It identifies the approach, while 33367 captures bypass support during the procedure.
33363TAVROpen axillary access
33363 identifies TAVR through an open axillary or subclavian approach. It is a primary approach code, not a substitute for the bypass add-on.

Codes related to 33367

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

Codes related to 33367
CodeHow it relatesNational office range
Primary code
33361TAVR, percutaneous femoral approachPrimary TAVR code for a percutaneous femoral artery approach.No office rate
33362Aortic valve replacement, transcatheter, open femoral accessPrimary TAVR code for an open femoral artery approach.No office rate
33363TAVR, open axillary accessPrimary TAVR code for an open axillary or subclavian approach.No office rate
33364TAVR, open iliac artery accessPrimary TAVR code for an open iliac artery approach.No office rate
33365Aortic valve replacement, transapical approachPrimary TAVR code for an ascending aorta approach.No office rate
33366TAVR, transapical approachPrimary TAVR code for a transapical approach.No office rate

33367 billing questions

Can 33367 be reported by itself?

No. It is an add-on for a primary TAVR procedure; report the code for the valve procedure and access approach as well.

What documentation supports 33367?

The operative report should identify cardiopulmonary bypass use during the TAVR and document the primary valve procedure and access route.

Which code identifies the TAVR approach?

The primary code identifies the approach, such as percutaneous femoral access with 33361 or open femoral access with 33362. Code 33367 represents the bypass add-on.

How does CMS pay this add-on?

CMS pays 33367 within the global period of the primary TAVR procedure. It must be billed with that primary procedure.

Does 33367 describe the valve implantation?

No. The primary TAVR code describes the valve procedure and access approach; 33367 captures cardiopulmonary bypass used during that procedure.

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 33367PPRRVU2026_Oct_nonQPP.csv, line 3,929 (RVU26D)

Open CMS sourceHow we calculate rates

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