No office rate
33362 is the primary TAVR service for open femoral access. Add 33368 when cardiopulmonary bypass is used during that procedure.
On this page
CMS RVU26D · Effective 2026-10-01
33368 in El Centro
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$642.54
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiac surgery
About 33368: TAVR with bypass, open femoral access
Reports cardiopulmonary bypass support during transcatheter aortic valve replacement performed through an open femoral artery approach.
Code 33368 represents cardiopulmonary bypass used during transcatheter aortic valve replacement when the valve is reached through an open femoral artery exposure. The procedure is generally performed by a cardiac surgery team in a hospital operating room for a patient undergoing TAVR who requires bypass support. It is distinct from the TAVR service itself: the open femoral access route and valve replacement are represented by the matching primary procedure code.
Report 33368 only with its qualifying primary TAVR procedure, not as a standalone service. For an open femoral approach, pair it with 33362. The operative report should support the open femoral route and the use of cardiopulmonary bypass during the valve procedure. CMS treats this as an add-on code paid within the primary procedure’s global period, so it does not establish a separate global period.
CMS billing rules for 33368
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU14.03 · 69%
- Practice expense (office) RVU2.88 · 14%
- Malpractice RVU3.35 · 17%
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.
33368 compared with similar codes
Office rates for El Centro, from the same CMS release.
No office rate
Both are TAVR bypass add-ons, but they correspond to different access approaches. Select the code matching the primary TAVR approach.
No office rate
33369 is the bypass add-on for a different TAVR access approach; 33368 corresponds to open femoral access.
No office rate
33361 is the primary TAVR code for percutaneous femoral access, not the open femoral approach represented by the 33362 and 33368 pairing.
The same code, a different location
How does El Centro compare?
33368 across payment areas
Same release and payment basis · bars start at $0
El Centro · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · 33368
Office
Unavailable
Facility
$641.99
No comparable office rate is available.
Modesto
California · 33368
Office
Unavailable
Facility
$641.99
No comparable office rate is available.
Napa
California · 33368
Office
Unavailable
Facility
$681.76
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33368
Office
Unavailable
Facility
$665.15
No comparable office rate is available.
Redding
California · 33368
Office
Unavailable
Facility
$641.99
No comparable office rate is available.
Rest Of California
California · 33368
Office
Unavailable
Facility
$641.99
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33368
Office
Unavailable
Facility
$677.92
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33368
Office
Unavailable
Facility
$657.33
No comparable office rate is available.
Salinas
California · 33368
Office
Unavailable
Facility
$654.61
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33368
Office
Unavailable
Facility
$658.37
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33368
Office
Unavailable
Facility
$700.13
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33368
Office
Unavailable
Facility
$696.32
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33368
Office
Unavailable
Facility
$718.85
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33368
Office
Unavailable
Facility
$703.30
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33368
Office
Unavailable
Facility
$646.12
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33368
Office
Unavailable
Facility
$655.31
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33368
Office
Unavailable
Facility
$653.87
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33368
Office
Unavailable
Facility
$660.77
No comparable office rate is available.
Stockton
California · 33368
Office
Unavailable
Facility
$641.99
No comparable office rate is available.
Vallejo
California · 33368
Office
Unavailable
Facility
$676.28
No comparable office rate is available.
Visalia
California · 33368
Office
Unavailable
Facility
$641.99
No comparable office rate is available.
Yuba City
California · 33368
Office
Unavailable
Facility
$641.99
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33368
Office
Unavailable
Facility
$731.77
No comparable office rate is available.
Miami
Florida · 33368
Office
Unavailable
Facility
$851.73
No comparable office rate is available.
Chicago
Illinois · 33368
Office
Unavailable
Facility
$825.36
No comparable office rate is available.
Manhattan
New York · 33368
Office
Unavailable
Facility
$787.85
No comparable office rate is available.
Alaska*
Alaska · 33368
Office
Unavailable
Facility
$867.02
No comparable office rate is available.
Alabama
Alabama · 33368
Office
Unavailable
Facility
$616.12
No comparable office rate is available.
Arkansas
Arkansas · 33368
Office
Unavailable
Facility
$608.87
No comparable office rate is available.
Arizona
Arizona · 33368
Office
Unavailable
Facility
$657.61
No comparable office rate is available.
Colorado
Colorado · 33368
Office
Unavailable
Facility
$663.98
No comparable office rate is available.
Connecticut
Connecticut · 33368
Office
Unavailable
Facility
$716.98
No comparable office rate is available.
Delaware
Delaware · 33368
Office
Unavailable
Facility
$666.59
No comparable office rate is available.
Fort Lauderdale
Florida · 33368
Office
Unavailable
Facility
$768.36
No comparable office rate is available.
Rest Of Florida
Florida · 33368
Office
Unavailable
Facility
$728.75
No comparable office rate is available.
Atlanta
Georgia · 33368
Office
Unavailable
Facility
$702.14
No comparable office rate is available.
Rest Of Georgia
Georgia · 33368
Office
Unavailable
Facility
$687.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33368
Office
Unavailable
Facility
$642.77
No comparable office rate is available.
Iowa
Iowa · 33368
Office
Unavailable
Facility
$601.05
No comparable office rate is available.
Idaho
Idaho · 33368
Office
Unavailable
Facility
$610.04
No comparable office rate is available.
East St. Louis
Illinois · 33368
Office
Unavailable
Facility
$782.47
No comparable office rate is available.
Rest Of Illinois
Illinois · 33368
Office
Unavailable
Facility
$731.33
No comparable office rate is available.
Suburban Chicago
Illinois · 33368
Office
Unavailable
Facility
$768.96
No comparable office rate is available.
Indiana
Indiana · 33368
Office
Unavailable
Facility
$612.17
No comparable office rate is available.
Kansas
Kansas · 33368
Office
Unavailable
Facility
$611.97
No comparable office rate is available.
Kentucky
Kentucky · 33368
Office
Unavailable
Facility
$656.51
No comparable office rate is available.
New Orleans
Louisiana · 33368
Office
Unavailable
Facility
$686.24
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33368
Office
Unavailable
Facility
$660.94
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33368
Office
Unavailable
Facility
$702.27
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33368
Office
Unavailable
Facility
$666.58
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33368
Office
Unavailable
Facility
$717.74
No comparable office rate is available.
Rest Of Maryland
Maryland · 33368
Office
Unavailable
Facility
$673.37
No comparable office rate is available.
Rest Of Maine
Maine · 33368
Office
Unavailable
Facility
$626.71
No comparable office rate is available.
Southern Maine
Maine · 33368
Office
Unavailable
Facility
$634.55
No comparable office rate is available.
Detroit
Michigan · 33368
Office
Unavailable
Facility
$750.09
No comparable office rate is available.
Rest Of Michigan
Michigan · 33368
Office
Unavailable
Facility
$682.77
No comparable office rate is available.
Minnesota
Minnesota · 33368
Office
Unavailable
Facility
$600.72
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33368
Office
Unavailable
Facility
$668.26
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33368
Office
Unavailable
Facility
$672.31
No comparable office rate is available.
Rest Of Missouri
Missouri · 33368
Office
Unavailable
Facility
$660.52
No comparable office rate is available.
Mississippi
Mississippi · 33368
Office
Unavailable
Facility
$634.13
No comparable office rate is available.
Montana**
Montana · 33368
Office
Unavailable
Facility
$676.48
No comparable office rate is available.
North Carolina
North Carolina · 33368
Office
Unavailable
Facility
$629.86
No comparable office rate is available.
North Dakota**
North Dakota · 33368
Office
Unavailable
Facility
$610.24
No comparable office rate is available.
Nebraska
Nebraska · 33368
Office
Unavailable
Facility
$599.70
No comparable office rate is available.
New Hampshire
New Hampshire · 33368
Office
Unavailable
Facility
$666.66
No comparable office rate is available.
Northern Nj
New Jersey · 33368
Office
Unavailable
Facility
$729.22
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33368
Office
Unavailable
Facility
$715.15
No comparable office rate is available.
New Mexico
New Mexico · 33368
Office
Unavailable
Facility
$691.21
No comparable office rate is available.
Nevada**
Nevada · 33368
Office
Unavailable
Facility
$658.11
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33368
Office
Unavailable
Facility
$820.77
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33368
Office
Unavailable
Facility
$730.43
No comparable office rate is available.
Queens
New York · 33368
Office
Unavailable
Facility
$773.66
No comparable office rate is available.
Rest Of New York
New York · 33368
Office
Unavailable
Facility
$638.66
No comparable office rate is available.
Ohio
Ohio · 33368
Office
Unavailable
Facility
$669.23
No comparable office rate is available.
Oklahoma
Oklahoma · 33368
Office
Unavailable
Facility
$641.46
No comparable office rate is available.
Portland
Oregon · 33368
Office
Unavailable
Facility
$666.23
No comparable office rate is available.
Rest Of Oregon
Oregon · 33368
Office
Unavailable
Facility
$643.09
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33368
Office
Unavailable
Facility
$710.68
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33368
Office
Unavailable
Facility
$662.66
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33368
Office
Unavailable
Facility
$676.08
No comparable office rate is available.
Rhode Island
Rhode Island · 33368
Office
Unavailable
Facility
$676.70
No comparable office rate is available.
South Carolina
South Carolina · 33368
Office
Unavailable
Facility
$652.61
No comparable office rate is available.
South Dakota**
South Dakota · 33368
Office
Unavailable
Facility
$602.41
No comparable office rate is available.
Tennessee
Tennessee · 33368
Office
Unavailable
Facility
$616.14
No comparable office rate is available.
Austin
Texas · 33368
Office
Unavailable
Facility
$670.46
No comparable office rate is available.
Beaumont
Texas · 33368
Office
Unavailable
Facility
$660.10
No comparable office rate is available.
Brazoria
Texas · 33368
Office
Unavailable
Facility
$654.97
No comparable office rate is available.
Dallas
Texas · 33368
Office
Unavailable
Facility
$664.65
No comparable office rate is available.
Fort Worth
Texas · 33368
Office
Unavailable
Facility
$665.14
No comparable office rate is available.
Galveston
Texas · 33368
Office
Unavailable
Facility
$660.53
No comparable office rate is available.
Houston
Texas · 33368
Office
Unavailable
Facility
$721.85
No comparable office rate is available.
Rest Of Texas
Texas · 33368
Office
Unavailable
Facility
$660.94
No comparable office rate is available.
Utah
Utah · 33368
Office
Unavailable
Facility
$659.52
No comparable office rate is available.
Virginia
Virginia · 33368
Office
Unavailable
Facility
$642.17
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33368
Office
Unavailable
Facility
$676.08
No comparable office rate is available.
Vermont
Vermont · 33368
Office
Unavailable
Facility
$620.47
No comparable office rate is available.
Rest Of Washington
Washington · 33368
Office
Unavailable
Facility
$661.15
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33368
Office
Unavailable
Facility
$701.49
No comparable office rate is available.
Wisconsin
Wisconsin · 33368
Office
Unavailable
Facility
$595.23
No comparable office rate is available.
West Virginia
West Virginia · 33368
Office
Unavailable
Facility
$712.33
No comparable office rate is available.
Wyoming**
Wyoming · 33368
Office
Unavailable
Facility
$647.61
No comparable office rate is available.
See how rates vary across the country
33368 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33368 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$706.79
$642.54 × 110% = $706.79
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33368 in El Centro.
PPRRVU2026_Oct_nonQPP.csv
3,930
- Code
- 33368
- Physician work
- 14.03
- Practice expense
- 2.88
- Malpractice
- 3.35
GPCI2026.csv
10
- Locality
- El Centro
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.541
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 14.03 | × 1.017 | 14.2685 |
| Practice expense | 2.88 | × 1.096 | 3.1565 |
| Malpractice | 3.35 | × 0.541 | 1.8124 |
| Total RVUs | 19.2373 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, El Centro$642.54
Open 33368 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 14.03 | 1.017 |
| Practice expense | 2.88 | 1.096 |
| Malpractice | 3.35 | 0.541 |
(14.03 × 1.017 + 2.88 × 1.096 + 3.35 × 0.541) × $33.4009 = $642.54
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
33368 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $642.54 | RVU26D |
| 2026-07-01 | Not available in this setting | $642.54 | RVU26C |
| 2026-04-01 | Not available in this setting | $642.54 | RVU26B |
| 2026-01-01 | Not available in this setting | $642.54 | RVU26A |
| 2025-10-01 | Not available in this setting | $672.29 | RVU25D |
| 2025-07-01 | Not available in this setting | $672.29 | RVU25C |
| 2025-04-01 | Not available in this setting | $672.29 | RVU25B |
| 2025-01-01 | Not available in this setting | $672.29 | RVU25A |
33368 billing questions
Which primary code is paired with 33368?
For TAVR using an open femoral artery approach, report 33368 with primary code 33362. The primary code describes the TAVR access approach; 33368 accounts for the bypass service.
Can 33368 be reported by itself?
No. It is an add-on code and must be reported with the qualifying primary procedure.
How is 33368 different from 33362?
Code 33362 represents TAVR through open femoral access. Code 33368 is the add-on for cardiopulmonary bypass used during that procedure.
What documentation supports 33368?
The operative record should identify the open femoral access route and document cardiopulmonary bypass use during TAVR.
Does 33368 have its own global period?
No. CMS pays this add-on within the global period of the primary 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,92733365,,Replace aortic valve open,A,,25.93,5.94,NA,5.94,,6.28,38.15,38.15,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,92833366,,Trcath replace aortic valve,A,,28.62,6.45,NA,6.45,,6.86,41.93,41.93,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,92933367,,Replace aortic valve w/byp,A,,11.58,2.38,NA,2.38,,2.76,16.72,16.72,0,ZZZ,0.00,0.00,0.00,0,0,0,0,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,93033368,,Replace aortic valve w/byp,A,,14.03,2.88,NA,2.88,,3.35,20.26,20.26,0,ZZZ,0.00,0.00,0.00,0,0,0,0,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,93133369,,Replace aortic valve w/byp,A,,18.53,3.80,NA,3.80,,4.44,26.77,26.77,0,ZZZ,0.00,0.00,0.00,0,0,0,0,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,93233370,,Tcat plmt&rmvl cepd perq,A,,2.44,0.46,NA,0.46,,0.57,3.47,3.47,0,ZZZ,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,93333390,,Valvuloplasty aortic valve,A,,34.13,10.62,NA,10.62,,8.31,53.06,53.06,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664