CPT code 33367: TAVR bypass support, with cardiopulmonary bypass2026 Medicare rate & RVUs in Washington, DC area
Reports cardiopulmonary bypass support used during transcatheter aortic valve replacement, alongside the primary TAVR code for the valve procedure.
In Washington, DC area, Medicare pays $603.92 for 33367 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33367 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 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.
How Washington, DC area compares for 33367
Across 109 of 109 payment localities, the facility rate for 33367 runs from $491.33 in Wisconsin to $715.63 in Alaska. Washington, DC area pays $603.92. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$603.92
- Los Angeles, CA · California$557.89−$46.03
- Miami, FL · Florida$702.68+$98.76
- Chicago, IL · Illinois$680.95+$77.03
- Manhattan, NY · New York$650.12+$46.20
- Alaska · Alaska$715.63+$111.71
- Alabama · Alabama$508.52−$95.40
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $502.54 |
| ArizonaArizona | — | $542.72 |
| Bakersfield, CACalifornia | — | $537.40 |
| Chico, CACalifornia | — | $529.90 |
| El Centro, CACalifornia | — | $530.36 |
| Fresno, CACalifornia | — | $529.90 |
| Hanford, CACalifornia | — | $529.90 |
| Madera, CACalifornia | — | $529.90 |
| Merced, CACalifornia | — | $529.90 |
| Modesto, CACalifornia | — | $529.90 |
| Napa, CACalifornia | — | $562.75 |
| Oxnard, CACalifornia | — | $549.01 |
| Redding, CACalifornia | — | $529.90 |
| Rest of CaliforniaCalifornia | — | $529.90 |
| Riverside, CACalifornia | — | $559.51 |
| Sacramento, CACalifornia | — | $542.57 |
| Salinas, CACalifornia | — | $540.32 |
| San Diego, CACalifornia | — | $543.43 |
| Marin County, CACalifornia | — | $577.93 |
| San Francisco, CACalifornia | — | $574.79 |
| San Benito County, CACalifornia | — | $593.37 |
| Santa Clara County, CACalifornia | — | $580.56 |
| San Luis Obispo, CACalifornia | — | $533.31 |
| Santa Cruz, CACalifornia | — | $540.90 |
| Santa Maria, CACalifornia | — | $539.71 |
| Santa Rosa, CACalifornia | — | $545.42 |
| Stockton, CACalifornia | — | $529.90 |
| Vallejo, CACalifornia | — | $558.24 |
| Visalia, CACalifornia | — | $529.90 |
| Yuba City, CACalifornia | — | $529.90 |
| ColoradoColorado | — | $548.00 |
| ConnecticutConnecticut | — | $591.68 |
| DelawareDelaware | — | $550.13 |
| Fort Lauderdale, FLFlorida | — | $633.98 |
| Rest of FloridaFlorida | — | $601.34 |
| Atlanta, GAGeorgia | — | $579.42 |
| Rest of GeorgiaGeorgia | — | $567.58 |
| Hawaii, Guam, HIHawaii | — | $530.54 |
| IowaIowa | — | $496.12 |
| IdahoIdaho | — | $503.52 |
| East St. Louis, ILIllinois | — | $645.58 |
| Rest of IllinoisIllinois | — | $603.45 |
| Suburban Chicago, ILIllinois | — | $634.48 |
| IndianaIndiana | — | $505.28 |
| KansasKansas | — | $505.11 |
| KentuckyKentucky | — | $541.80 |
| New Orleans, LALouisiana | — | $566.31 |
| Rest of LouisianaLouisiana | — | $545.45 |
| Metropolitan Boston, MAMassachusetts | — | $579.60 |
| Rest of MassachusettsMassachusetts | — | $550.15 |
| Baltimore area, MDMaryland | — | $592.30 |
| Rest of MarylandMaryland | — | $555.73 |
| Rest of MaineMaine | — | $517.26 |
| Southern Maine, MEMaine | — | $523.73 |
| Detroit, MIMichigan | — | $618.92 |
| Rest of MichiganMichigan | — | $563.44 |
| MinnesotaMinnesota | — | $495.87 |
| Metropolitan Kansas City, MOMissouri | — | $551.49 |
| Metropolitan St. Louis, MOMissouri | — | $554.83 |
| Rest of MissouriMissouri | — | $545.10 |
| MississippiMississippi | — | $523.35 |
| MontanaMontana | — | $558.28 |
| North CarolinaNorth Carolina | — | $519.86 |
| North DakotaNorth Dakota | — | $503.70 |
| NebraskaNebraska | — | $495.00 |
| New HampshireNew Hampshire | — | $550.20 |
| Northern New JerseyNew Jersey | — | $601.82 |
| Rest of New JerseyNew Jersey | — | $590.19 |
| New MexicoNew Mexico | — | $570.39 |
| NevadaNevada | — | $543.15 |
| NYC suburbs and Long Island, NYNew York | — | $677.25 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $602.78 |
| Queens, NYNew York | — | $638.43 |
| Rest of New YorkNew York | — | $527.11 |
| OhioOhio | — | $552.28 |
| OklahomaOklahoma | — | $529.40 |
| Portland, OROregon | — | $549.88 |
| Rest of OregonOregon | — | $530.77 |
| Metropolitan Philadelphia, PAPennsylvania | — | $586.48 |
| Rest of PennsylvaniaPennsylvania | — | $546.87 |
| Puerto RicoPuerto Rico | — | $557.95 |
| Rhode IslandRhode Island | — | $558.48 |
| South CarolinaSouth Carolina | — | $538.59 |
| South DakotaSouth Dakota | — | $497.25 |
| TennesseeTennessee | — | $508.55 |
| Austin, TXTexas | — | $553.34 |
| Beaumont, TXTexas | — | $544.76 |
| Brazoria, TXTexas | — | $540.56 |
| Dallas, TXTexas | — | $548.54 |
| Fort Worth, TXTexas | — | $548.94 |
| Galveston, TXTexas | — | $545.14 |
| Houston, TXTexas | — | $595.66 |
| Rest of TexasTexas | — | $545.47 |
| UtahUtah | — | $544.29 |
| VirginiaVirginia | — | $530.01 |
| Virgin Islands, VIUnited States Virgin Islands | — | $557.95 |
| VermontVermont | — | $512.13 |
| Rest of WashingtonWashington | — | $545.67 |
| King County, WAWashington | — | $578.98 |
| WisconsinWisconsin | — | $491.33 |
| West VirginiaWest Virginia | — | $587.78 |
| WyomingWyoming | — | $534.49 |
33367 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 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
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.
The exact Washington, DC area inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,929
- Code
- 33367
- Physician work
- 11.58
- Practice expense
- 2.38
- Malpractice
- 2.76
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 | 11.58 | × 1.054 | 12.2053 |
| Practice expense | 2.38 | × 1.178 | 2.8036 |
| Malpractice | 2.76 | × 1.113 | 3.0719 |
| Total RVUs | 18.0808 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$603.92
Facility: (11.58 × 1.054 + 2.38 × 1.178 + 2.76 × 1.113) × $33.4009 = $603.92
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
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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) | 0 | Not permitted. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 33367 has changed in Washington, DC area
33367 · 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 | $603.92 | RVU26D |
| 2026-07-01 | Not available in this setting | $603.92 | RVU26C |
| 2026-04-01 | Not available in this setting | $603.92 | RVU26B |
| 2026-01-01 | Not available in this setting | $603.92 | RVU26A |
| 2025-10-01 | Not available in this setting | $635.02 | RVU25D |
| 2025-07-01 | Not available in this setting | $635.02 | RVU25C |
| 2025-04-01 | Not available in this setting | $635.02 | RVU25B |
| 2025-01-01 | Not available in this setting | $635.02 | RVU25A |
| 2024-10-01 | Not available in this setting | $650.31 | RVU24D |
| 2024-07-01 | Not available in this setting | $650.31 | RVU24C |
| 2024-04-01 | Not available in this setting | $650.31 | RVU24B |
| 2024-03-09 | Not available in this setting | $650.31 | RVU24AR |
| 2024-01-01 | Not available in this setting | $639.69 | RVU24A |
| 2023-10-01 | Not available in this setting | $671.03 | RVU23D |
| 2023-07-01 | Not available in this setting | $671.03 | RVU23C |
| 2023-04-01 | Not available in this setting | $671.03 | RVU23B |
| 2023-01-01 | Not available in this setting | $671.03 | RVU23A |
| 2022-10-01 | Not available in this setting | $698.13 | RVU22D |
| 2022-07-01 | Not available in this setting | $698.13 | RVU22C |
| 2022-04-01 | Not available in this setting | $698.13 | RVU22B |
| 2022-01-01 | Not available in this setting | $698.13 | RVU22A |
| 2021-10-01 | Not available in this setting | $721.46 | RVU21D |
| 2021-07-01 | Not available in this setting | $721.46 | RVU21C |
| 2021-04-01 | Not available in this setting | $721.46 | RVU21B |
| 2021-01-01 | Not available in this setting | $721.46 | RVU21A |
| 2020-10-01 | Not available in this setting | $737.71 | RVU20D |
| 2020-07-01 | Not available in this setting | $737.71 | RVU20C |
| 2020-04-01 | Not available in this setting | $737.71 | RVU20B |
| 2020-01-01 | Not available in this setting | $737.71 | RVU20A |
| 2019-10-01 | Not available in this setting | $731.43 | RVU19D |
| 2019-07-01 | Not available in this setting | $731.43 | RVU19C |
| 2019-04-01 | Not available in this setting | $731.43 | RVU19B |
| 2019-01-01 | Not available in this setting | $731.43 | RVU19A |
| 2018-10-01 | Not available in this setting | $729.27 | RVU18D |
| 2018-07-01 | Not available in this setting | $729.27 | RVU18C |
| 2018-04-01 | Not available in this setting | $729.27 | RVU18B |
| 2018-01-01 | Not available in this setting | $729.27 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $726.60 | RVU17D |
| 2017-07-01 | Not available in this setting | $726.60 | RVU17C |
| 2017-04-01 | Not available in this setting | $726.60 | RVU17B |
| 2017-01-01 | Not available in this setting | $726.60 | RVU17A |
| 2016-10-01 | Not available in this setting | $727.32 | RVU16D |
| 2016-07-01 | Not available in this setting | $727.32 | RVU16C |
| 2016-04-01 | Not available in this setting | $727.32 | RVU16B |
| 2016-01-01 | Not available in this setting | $727.32 | RVU16A |
| 2015-10-01 | Not available in this setting | $728.54 | RVU15D |
| 2015-07-01 | Not available in this setting | $728.54 | RVU15C |
| 2015-04-01 | Not available in this setting | $724.91 | RVU15B |
| 2015-01-01 | Not available in this setting | $724.91 | RVU15A |
| 2014-10-01 | Not available in this setting | $709.38 | RVU14D |
| 2014-07-01 | Not available in this setting | $709.38 | RVU14C |
| 2014-04-01 | Not available in this setting | $709.38 | RVU14B |
| 2014-01-01 | Not available in this setting | $709.38 | RVU14A |
| 2013-10-01 | Not available in this setting | $685.22 | RVU13D |
| 2013-07-01 | Not available in this setting | $685.22 | RVU13C |
| 2013-04-01 | Not available in this setting | $685.22 | RVU13B |
| 2013-01-01 | Not available in this setting | $685.22 | 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
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
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