No office rate
Both describe transfemoral TAVR, but 33361 uses percutaneous femoral access; 33362 applies when the femoral artery is surgically exposed.
On this page
CMS RVU26D · Effective 2026-10-01
33361 TAVR Medicare reimbursement rates in Colorado
Reports transcatheter replacement of the aortic valve when the prosthesis is delivered through percutaneous femoral arterial access. Compare 33361 office and facility rates across CMS payment localities in Colorado.
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.
What does Medicare pay for 33361 in Colorado?
Colorado has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1060.48
1 of 1 localities have a supported rate.
Payment area: Colorado
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Interventional cardiology
About 33361: Transfemoral transcatheter aortic valve replacement
Reports transcatheter replacement of the aortic valve when the prosthesis is delivered through percutaneous femoral arterial access.
Code 33361 reports transcatheter aortic valve replacement for a patient whose prosthetic valve is delivered through percutaneous femoral arterial access. The procedure treats aortic valve disease such as aortic stenosis. An interventional cardiologist and cardiac surgeon commonly perform the procedure together in a hospital catheterization laboratory or hybrid operating room. The operative record should identify the valve replacement and show that the femoral artery was accessed percutaneously rather than exposed surgically or approached through another route.
Select 33361 based on the access route, not simply because a TAVR occurred. Document the approach and any conversion to a different access method. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons are permitted, and team-surgery payment requires supporting documentation.
CMS billing rules for 33361
- 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 RVU21.91 · 68%
- Practice expense (office) RVU5.14 · 16%
- Malpractice RVU5.26 · 16%
104.1K
Medicare services in 2024 · #545 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.
33361 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
33363 describes TAVR through open axillary or subclavian access, rather than the percutaneous femoral route used for 33361.
No office rate
33365 is for a transapical TAVR approach. Use 33361 when the prosthesis is delivered through percutaneous femoral arterial access.
No office rate
33367 describes TAVR with cardiopulmonary bypass using percutaneous femoral access; 33361 identifies the percutaneous femoral approach without that bypass distinction.
Compare 33361 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Colorado →
Office / nonfacility
Unavailable
Facility
$1060.48
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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 33361 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
3,923
- Code
- 33361
- Physician work
- 21.91
- Practice expense
- 5.14
- Malpractice
- 5.26
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 21.91 | × 1.012 | 22.1729 |
| Practice expense | 5.14 | × 1.064 | 5.4690 |
| Malpractice | 5.26 | × 0.781 | 4.1081 |
| Total RVUs | 31.7499 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$1060.48
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 21.91 | 1.012 |
| Practice expense | 5.14 | 1.064 |
| Malpractice | 5.26 | 0.781 |
(21.91 × 1.012 + 5.14 × 1.064 + 5.26 × 0.781) × $33.4009 = $1060.48
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.
33361 billing questions
How does 33361 differ from 33362?
33361 is for percutaneous femoral access. Use 33362 when the femoral artery is surgically exposed for the TAVR.
Can 33361 be reported with another TAVR access code for the same valve?
Choose the code that matches the access route used for the valve replacement. Do not report a second TAVR access code for the same implantation.
Is modifier 50 appropriate for 33361?
No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons are permitted, while team-surgery payment requires supporting documentation.
What does the 0-day global period include?
Same-day preoperative and postoperative care is included in the procedure's global period.
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.
3,92033330,,Insert major vessel graft,A,,24.66,10.25,NA,10.25,,5.91,40.82,40.82,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,92133335,,Insert major vessel graft,A,,33.06,11.97,NA,11.97,,7.93,52.96,52.96,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
3401112,CA,69,VISALIA,1.017,1.096,0.536
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899