No office rate
Both describe TAVR with open arterial access. Choose 33362 for the femoral artery and 33363 for the axillary artery.
On this page
CMS RVU26D · Effective 2026-10-01
33363 in Merced
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1160.25
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.
Cardiovascular surgery
About 33363: Transcatheter aortic valve replacement, open axillary approach
Reports transcatheter aortic valve replacement performed through surgically exposed axillary artery access, typically when a femoral route is unsuitable.
This code describes TAVR using an open axillary artery approach: the artery is surgically exposed to deliver and deploy a prosthetic aortic valve. The valve is placed by catheter rather than through conventional open valve replacement. The procedure is typically performed by a cardiac surgery and interventional cardiology team in a hospital operating room or hybrid suite for a patient with aortic valve disease, commonly severe aortic stenosis, when axillary access is selected.
Select this code based on the documented access route, not simply because the procedure is called “open.” The operative report should identify surgical exposure of the axillary artery and transcatheter valve delivery. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons are permitted, and team-surgery payment requires supporting documentation.
CMS billing rules for 33363
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery paid only with supporting documentation.
Where the value comes from
- Work RVU24.83 · 68%
- Practice expense (office) RVU5.71 · 16%
- Malpractice RVU6.02 · 16%
884
Medicare services in 2024 · #3060 by national volume
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.
33363 compared with similar codes
Office rates for Merced, from the same CMS release.
No office rate
This is the open iliac artery access option; 33363 identifies open axillary artery access.
No office rate
This describes TAVR using percutaneous femoral access. Code 33363 requires surgical exposure of the axillary artery.
No office rate
This identifies the transapical TAVR route, not open axillary artery access.
The same code, a different location
How does Merced compare?
33363 across payment areas
Same release and payment basis · bars start at $0
Merced · 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.
Unavailable
No comparable rate is available in this setting.
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
Madera
California · 33363
Office
Unavailable
Facility
$1160.25
No comparable office rate is available.
Modesto
California · 33363
Office
Unavailable
Facility
$1160.25
No comparable office rate is available.
Napa
California · 33363
Office
Unavailable
Facility
$1235.11
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33363
Office
Unavailable
Facility
$1203.26
No comparable office rate is available.
Redding
California · 33363
Office
Unavailable
Facility
$1160.25
No comparable office rate is available.
Rest Of California
California · 33363
Office
Unavailable
Facility
$1160.25
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33363
Office
Unavailable
Facility
$1224.82
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33363
Office
Unavailable
Facility
$1188.78
No comparable office rate is available.
Salinas
California · 33363
Office
Unavailable
Facility
$1183.87
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33363
Office
Unavailable
Facility
$1191.31
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33363
Office
Unavailable
Facility
$1269.34
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33363
Office
Unavailable
Facility
$1262.50
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33363
Office
Unavailable
Facility
$1303.36
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33363
Office
Unavailable
Facility
$1275.42
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33363
Office
Unavailable
Facility
$1168.45
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33363
Office
Unavailable
Facility
$1186.26
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33363
Office
Unavailable
Facility
$1182.72
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33363
Office
Unavailable
Facility
$1196.20
No comparable office rate is available.
Stockton
California · 33363
Office
Unavailable
Facility
$1160.25
No comparable office rate is available.
Vallejo
California · 33363
Office
Unavailable
Facility
$1225.25
No comparable office rate is available.
Visalia
California · 33363
Office
Unavailable
Facility
$1160.25
No comparable office rate is available.
Yuba City
California · 33363
Office
Unavailable
Facility
$1160.25
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33363
Office
Unavailable
Facility
$1322.59
No comparable office rate is available.
Miami
Florida · 33363
Office
Unavailable
Facility
$1536.40
No comparable office rate is available.
Chicago
Illinois · 33363
Office
Unavailable
Facility
$1488.29
No comparable office rate is available.
Manhattan
New York · 33363
Office
Unavailable
Facility
$1422.94
No comparable office rate is available.
Alaska*
Alaska · 33363
Office
Unavailable
Facility
$1557.92
No comparable office rate is available.
Alabama
Alabama · 33363
Office
Unavailable
Facility
$1110.03
No comparable office rate is available.
Arkansas
Arkansas · 33363
Office
Unavailable
Facility
$1096.72
No comparable office rate is available.
Arizona
Arizona · 33363
Office
Unavailable
Facility
$1186.27
No comparable office rate is available.
Colorado
Colorado · 33363
Office
Unavailable
Facility
$1199.26
No comparable office rate is available.
Connecticut
Connecticut · 33363
Office
Unavailable
Facility
$1294.63
No comparable office rate is available.
Delaware
Delaware · 33363
Office
Unavailable
Facility
$1202.69
No comparable office rate is available.
Fort Lauderdale
Florida · 33363
Office
Unavailable
Facility
$1386.08
No comparable office rate is available.
Rest Of Florida
Florida · 33363
Office
Unavailable
Facility
$1313.89
No comparable office rate is available.
Atlanta
Georgia · 33363
Office
Unavailable
Facility
$1267.09
No comparable office rate is available.
Rest Of Georgia
Georgia · 33363
Office
Unavailable
Facility
$1239.15
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33363
Office
Unavailable
Facility
$1162.61
No comparable office rate is available.
Iowa
Iowa · 33363
Office
Unavailable
Facility
$1083.68
No comparable office rate is available.
Idaho
Idaho · 33363
Office
Unavailable
Facility
$1099.91
No comparable office rate is available.
East St. Louis
Illinois · 33363
Office
Unavailable
Facility
$1409.77
No comparable office rate is available.
Rest Of Illinois
Illinois · 33363
Office
Unavailable
Facility
$1317.75
No comparable office rate is available.
Suburban Chicago
Illinois · 33363
Office
Unavailable
Facility
$1387.32
No comparable office rate is available.
Indiana
Indiana · 33363
Office
Unavailable
Facility
$1103.86
No comparable office rate is available.
Kansas
Kansas · 33363
Office
Unavailable
Facility
$1103.10
No comparable office rate is available.
Kentucky
Kentucky · 33363
Office
Unavailable
Facility
$1182.88
No comparable office rate is available.
New Orleans
Louisiana · 33363
Office
Unavailable
Facility
$1237.23
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33363
Office
Unavailable
Facility
$1190.76
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33363
Office
Unavailable
Facility
$1270.02
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33363
Office
Unavailable
Facility
$1203.70
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33363
Office
Unavailable
Facility
$1295.98
No comparable office rate is available.
Rest Of Maryland
Maryland · 33363
Office
Unavailable
Facility
$1215.23
No comparable office rate is available.
Rest Of Maine
Maine · 33363
Office
Unavailable
Facility
$1129.87
No comparable office rate is available.
Southern Maine
Maine · 33363
Office
Unavailable
Facility
$1145.22
No comparable office rate is available.
Detroit
Michigan · 33363
Office
Unavailable
Facility
$1352.40
No comparable office rate is available.
Rest Of Michigan
Michigan · 33363
Office
Unavailable
Facility
$1230.48
No comparable office rate is available.
Minnesota
Minnesota · 33363
Office
Unavailable
Facility
$1085.11
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33363
Office
Unavailable
Facility
$1204.88
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33363
Office
Unavailable
Facility
$1212.38
No comparable office rate is available.
Rest Of Missouri
Missouri · 33363
Office
Unavailable
Facility
$1189.59
No comparable office rate is available.
Mississippi
Mississippi · 33363
Office
Unavailable
Facility
$1142.15
No comparable office rate is available.
Montana**
Montana · 33363
Office
Unavailable
Facility
$1220.73
No comparable office rate is available.
North Carolina
North Carolina · 33363
Office
Unavailable
Facility
$1135.77
No comparable office rate is available.
North Dakota**
North Dakota · 33363
Office
Unavailable
Facility
$1101.70
No comparable office rate is available.
Nebraska
Nebraska · 33363
Office
Unavailable
Facility
$1081.38
No comparable office rate is available.
New Hampshire
New Hampshire · 33363
Office
Unavailable
Facility
$1203.82
No comparable office rate is available.
Northern Nj
New Jersey · 33363
Office
Unavailable
Facility
$1317.57
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33363
Office
Unavailable
Facility
$1291.36
No comparable office rate is available.
New Mexico
New Mexico · 33363
Office
Unavailable
Facility
$1245.72
No comparable office rate is available.
Nevada**
Nevada · 33363
Office
Unavailable
Facility
$1187.75
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33363
Office
Unavailable
Facility
$1482.58
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33363
Office
Unavailable
Facility
$1318.80
No comparable office rate is available.
Queens
New York · 33363
Office
Unavailable
Facility
$1397.80
No comparable office rate is available.
Rest Of New York
New York · 33363
Office
Unavailable
Facility
$1151.88
No comparable office rate is available.
Ohio
Ohio · 33363
Office
Unavailable
Facility
$1206.15
No comparable office rate is available.
Oklahoma
Oklahoma · 33363
Office
Unavailable
Facility
$1155.89
No comparable office rate is available.
Portland
Oregon · 33363
Office
Unavailable
Facility
$1204.10
No comparable office rate is available.
Rest Of Oregon
Oregon · 33363
Office
Unavailable
Facility
$1160.66
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33363
Office
Unavailable
Facility
$1282.69
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33363
Office
Unavailable
Facility
$1194.44
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33363
Office
Unavailable
Facility
$1220.22
No comparable office rate is available.
Rhode Island
Rhode Island · 33363
Office
Unavailable
Facility
$1221.47
No comparable office rate is available.
South Carolina
South Carolina · 33363
Office
Unavailable
Facility
$1176.48
No comparable office rate is available.
South Dakota**
South Dakota · 33363
Office
Unavailable
Facility
$1087.62
No comparable office rate is available.
Tennessee
Tennessee · 33363
Office
Unavailable
Facility
$1110.68
No comparable office rate is available.
Austin
Texas · 33363
Office
Unavailable
Facility
$1210.93
No comparable office rate is available.
Beaumont
Texas · 33363
Office
Unavailable
Facility
$1189.70
No comparable office rate is available.
Brazoria
Texas · 33363
Office
Unavailable
Facility
$1181.82
No comparable office rate is available.
Dallas
Texas · 33363
Office
Unavailable
Facility
$1199.29
No comparable office rate is available.
Fort Worth
Texas · 33363
Office
Unavailable
Facility
$1199.99
No comparable office rate is available.
Galveston
Texas · 33363
Office
Unavailable
Facility
$1191.85
No comparable office rate is available.
Houston
Texas · 33363
Office
Unavailable
Facility
$1302.04
No comparable office rate is available.
Rest Of Texas
Texas · 33363
Office
Unavailable
Facility
$1191.91
No comparable office rate is available.
Utah
Utah · 33363
Office
Unavailable
Facility
$1189.18
No comparable office rate is available.
Virginia
Virginia · 33363
Office
Unavailable
Facility
$1158.78
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33363
Office
Unavailable
Facility
$1220.22
No comparable office rate is available.
Vermont
Vermont · 33363
Office
Unavailable
Facility
$1119.90
No comparable office rate is available.
Rest Of Washington
Washington · 33363
Office
Unavailable
Facility
$1193.97
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33363
Office
Unavailable
Facility
$1269.10
No comparable office rate is available.
Wisconsin
Wisconsin · 33363
Office
Unavailable
Facility
$1073.98
No comparable office rate is available.
West Virginia
West Virginia · 33363
Office
Unavailable
Facility
$1282.82
No comparable office rate is available.
Wyoming**
Wyoming · 33363
Office
Unavailable
Facility
$1168.86
No comparable office rate is available.
See how rates vary across the country
33363 · 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?
Merced is a Medicare payment area. Our Census mapping connects it to 24 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 33363 in Merced. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1276.28
$1160.25 × 110% = $1276.28
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 33363 in Merced.
PPRRVU2026_Oct_nonQPP.csv
3,925
- Code
- 33363
- Physician work
- 24.83
- Practice expense
- 5.71
- Malpractice
- 6.02
GPCI2026.csv
15
- Locality
- Merced
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 24.83 | × 1.017 | 25.2521 |
| Practice expense | 5.71 | × 1.096 | 6.2582 |
| Malpractice | 6.02 | × 0.536 | 3.2267 |
| Total RVUs | 34.7370 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Merced$1160.25
Open 33363 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 24.83 | 1.017 |
| Practice expense | 5.71 | 1.096 |
| Malpractice | 6.02 | 0.536 |
(24.83 × 1.017 + 5.71 × 1.096 + 6.02 × 0.536) × $33.4009 = $1160.25
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
33363 · 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 | $1160.25 | RVU26D |
| 2026-07-01 | Not available in this setting | $1160.25 | RVU26C |
| 2026-04-01 | Not available in this setting | $1160.25 | RVU26B |
| 2026-01-01 | Not available in this setting | $1160.25 | RVU26A |
| 2025-10-01 | Not available in this setting | $1251.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $1251.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $1251.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $1251.63 | RVU25A |
33363 billing questions
How does 33363 differ from conventional open aortic valve replacement?
The valve is delivered and deployed by catheter through surgically exposed axillary artery access. It does not describe direct surgical replacement of the valve through an open-heart approach.
How do I choose between 33363 and 33362?
Use 33363 for open axillary artery access and 33362 for open femoral artery access. The documented access route distinguishes these TAVR codes.
Does the 0-day global period include same-day care?
Yes. CMS includes same-day preoperative and postoperative care in the 0-day global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted; team-surgery payment requires supporting documentation.
Should modifier 50 be used for bilateral access?
No. CMS identifies bilateral adjustment as inappropriate for this code.
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.
3,92233340,,Perq clsr tcat l atr apndge,A,,9.99,6.18,NA,6.18,,2.35,18.52,18.52,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,92333361,,Replace aortic valve perq,A,,21.91,5.14,NA,5.14,,5.26,32.31,32.31,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,92433362,,Replace aortic valve open,A,,23.93,5.48,NA,5.48,,5.78,35.19,35.19,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,92533363,,Replace aortic valve open,A,,24.83,5.71,NA,5.71,,6.02,36.56,36.56,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,92633364,,Replace aortic valve open,A,,25.32,6.48,NA,6.48,,6.07,37.87,37.87,0,000,0.00,0.00,0.00,2,0,0,2,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,92733365,,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
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
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623