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

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

CMS RVU26DEffective Oct 1, 2026One payment locality38 Medicare services in 2024

In North Dakota, Medicare pays $503.70 for 33367 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$503.70Hospital or facility

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.

We’ll open 33367 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 33367 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How North Dakota 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. North Dakota pays $503.70. The RVUs are the same everywhere; the geographic indexes change the dollars.

33367 in North Dakota vs other payment areas
  1. North Dakota · this page$503.70
  2. Los Angeles, CA · California$557.89+$54.19
  3. Washington, DC area · District of Columbia$603.92+$100.22
  4. Miami, FL · Florida$702.68+$198.98
  5. Chicago, IL · Illinois$680.95+$177.25
  6. Manhattan, NY · New York$650.12+$146.42
  7. Alaska · Alaska$715.63+$211.93

Other areas in North Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

33367 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$508.52
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

33367 rates by state

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

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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.

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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

See 33367 in every payment locality

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.

The exact North Dakota 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

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 33367 in North Dakota
ComponentRVULocality factorAdjusted
Physician work11.58× 1.00011.5800
Practice expense2.38× 1.0002.3800
Malpractice2.76× 0.4061.1206
Total RVUs15.0806
Conversion factor× 33.4009

Facility rate, North Dakota$503.70

Facility: (11.58 × 1 + 2.38 × 1 + 2.76 × 0.406) × $33.4009 = $503.70

Open 33367 in the RVU calculator

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.

How 33367 has changed in North Dakota

33367 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$503.70RVU26D
2026-07-01Not available in this setting$503.70RVU26C
2026-04-01Not available in this setting$503.70RVU26B
2026-01-01Not available in this setting$503.70RVU26A
2025-10-01Not available in this setting$535.38RVU25D
2025-07-01Not available in this setting$535.38RVU25C
2025-04-01Not available in this setting$535.38RVU25B
2025-01-01Not available in this setting$535.38RVU25A
2024-10-01Not available in this setting$548.13RVU24D
2024-07-01Not available in this setting$548.13RVU24C
2024-04-01Not available in this setting$548.13RVU24B
2024-03-09Not available in this setting$548.13RVU24AR
2024-01-01Not available in this setting$539.18RVU24A
2023-10-01Not available in this setting$556.10RVU23D
2023-07-01Not available in this setting$556.10RVU23C
2023-04-01Not available in this setting$556.10RVU23B
2023-01-01Not available in this setting$556.10RVU23A
2022-10-01Not available in this setting$565.90RVU22D
2022-07-01Not available in this setting$565.90RVU22C
2022-04-01Not available in this setting$565.90RVU22B
2022-01-01Not available in this setting$565.90RVU22A
2021-10-01Not available in this setting$586.29RVU21D
2021-07-01Not available in this setting$586.29RVU21C
2021-04-01Not available in this setting$586.29RVU21B
2021-01-01Not available in this setting$586.29RVU21A
2020-10-01Not available in this setting$609.52RVU20D
2020-07-01Not available in this setting$609.52RVU20C
2020-04-01Not available in this setting$609.52RVU20B
2020-01-01Not available in this setting$609.52RVU20A
2019-10-01Not available in this setting$612.74RVU19D
2019-07-01Not available in this setting$612.74RVU19C
2019-04-01Not available in this setting$612.74RVU19B
2019-01-01Not available in this setting$612.74RVU19A
2018-10-01Not available in this setting$611.48RVU18D
2018-07-01Not available in this setting$611.48RVU18C
2018-04-01Not available in this setting$611.48RVU18B
2018-01-01Not available in this setting$611.48RVU18AR1
2017-10-01Not available in this setting$608.79RVU17D
2017-07-01Not available in this setting$608.79RVU17C
2017-04-01Not available in this setting$608.79RVU17B
2017-01-01Not available in this setting$608.79RVU17A
2016-10-01Not available in this setting$609.36RVU16D
2016-07-01Not available in this setting$609.36RVU16C
2016-04-01Not available in this setting$609.36RVU16B
2016-01-01Not available in this setting$609.36RVU16A
2015-10-01Not available in this setting$608.20RVU15D
2015-07-01Not available in this setting$608.20RVU15C
2015-04-01Not available in this setting$605.17RVU15B
2015-01-01Not available in this setting$605.17RVU15A
2014-10-01Not available in this setting$598.52RVU14D
2014-07-01Not available in this setting$598.52RVU14C
2014-04-01Not available in this setting$598.52RVU14B
2014-01-01Not available in this setting$598.52RVU14A
2013-10-01Not available in this setting$581.05RVU13D
2013-07-01Not available in this setting$581.05RVU13C
2013-04-01Not available in this setting$581.05RVU13B
2013-01-01Not available in this setting$581.05RVU13AR

Price 33367 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

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)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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