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Billing code 33362: Aortic valve replacementMedicare rate & RVUs

Report 33362 when a prosthetic aortic valve is delivered by catheter through a femoral artery that has been surgically exposed.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.9K Medicare services in 2024

Medicare pays $1,175.38 for 33362 nationally in a facility.

Medicare rate · 33362

Aortic valve replacement

Swap in your local Medicare rate.

Work RVUs
23.93
Total RVUs
35.19
Global days
000

National rate · 2026

$1,175.38

Facility setting, before claim adjustments.

See every locality for 33362 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 33362 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 33362 covers

This procedure replaces the aortic valve using a catheter introduced through a surgically exposed femoral artery. It is an option for a patient undergoing transcatheter treatment of aortic stenosis when open femoral access is used rather than a needle puncture through the skin. An interventional cardiologist and cardiac surgeon may work together in a catheterization laboratory or hybrid operating room. The valve is delivered through the femoral access site and positioned within the diseased aortic valve; the surgical opening is the access route, not an open surgical replacement of the valve.

Select 33362 from the documented route of access, specifically a femoral artery exposed by incision. Document the access method and valve implantation. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this valve procedure. An assistant surgeon requires documentation of medical necessity; co-surgeons are permitted, while team surgery 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.

Where 33362 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

33362 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,068.71
Alaska*Unavailable$1,500.23
ArizonaUnavailable$1,141.90
ArkansasUnavailable$1,055.94
AtlantaUnavailable$1,219.51
AustinUnavailable$1,165.58
BakersfieldUnavailable$1,132.65
Baltimore/Surr. CntysUnavailable$1,247.28
BeaumontUnavailable$1,145.20
BrazoriaUnavailable$1,137.65

33362 rates by state

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

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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
33362 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 33362 rate is calculated

Each of 33362’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 · 33362

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 23.93Practice expense 5.48Malpractice 5.78

35.1900 adjusted RVUs×$33.4009 conversion factor=$1,175.38

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 33362

The CMS indicators that decide how 33362 is paid alongside other services.

CMS payment indicators · 33362

Aortic valve replacement

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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)2Permitted.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33362 without 51 · national facility

$1,175.38

Aortic valve replacement

33362-51 · Second procedure: 50%

$587.69

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

33362 compared with similar codes

Compare codes

33362 vs 33361 vs 33363 vs 33364: national Medicare rates

Swap in your local Medicare rate.

  • 33362
    Aortic valve replacement · 23.93 wRVU
    —
  • 33361
    TAVR · 21.91 wRVU
    —
  • 33363
    TAVR · 24.83 wRVU
    —
  • 33364
    TAVR · 25.32 wRVU
    —

How to choose

33361TAVR
Both use the femoral route for transcatheter valve delivery. Choose 33362 for surgical exposure of the femoral artery and 33361 for percutaneous access.
33363TAVR
Choose 33363 when the valve is delivered through an apical approach. Code 33362 requires surgically exposed femoral arterial access.
33364TAVR
Choose 33364 for an aortic access approach. Code 33362 describes catheter delivery through a surgically exposed femoral artery.

Codes related to 33362

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

Codes related to 33362
CodeHow it relatesNational office range
Used instead
33361TAVRTranscatheter aortic valve replacement using percutaneous rather than surgically exposed femoral access.No office rate
33363TAVRTranscatheter aortic valve replacement through an apical approach rather than open femoral access.No office rate
33364TAVRTranscatheter aortic valve replacement through an aortic approach rather than open femoral access.No office rate

33362 billing questions

When is 33362 used instead of 33361?

Use 33362 when the femoral artery is surgically exposed for valve delivery. Use 33361 when femoral access is percutaneous.

Does an open femoral incision make this an open surgical valve replacement?

No. In 33362, the incision provides arterial access; the prosthetic valve is delivered and implanted by catheter.

Is same-day postoperative care separately reported?

CMS assigns 33362 a 0-day global period that includes same-day preoperative and postoperative care.

Can modifier 50 be used for femoral access?

No. The bilateral adjustment is inappropriate for this aortic valve procedure, even though femoral arteries exist on both sides.

How does CMS treat multiple procedures and additional surgeons?

In the same session, the highest-valued procedure is paid in full and other procedures at 50%. An assistant surgeon requires documentation of medical necessity; co-surgeons are permitted, and team surgery requires supporting documentation.

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 33362PPRRVU2026_Oct_nonQPP.csv, line 3,924 (RVU26D)

Open CMS sourceHow we calculate rates

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