No office rate
33361 reports the primary TAVR performed through percutaneous femoral access. Add 33367 only when cardiopulmonary bypass was also used.
On this page
CMS RVU26D · Effective 2026-10-01
33367 TAVR bypass support Medicare reimbursement rates in Colorado
Reports cardiopulmonary bypass support used during transcatheter aortic valve replacement, alongside the primary TAVR code for the valve procedure. Compare 33367 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 33367 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
$548.00
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.
Cardiothoracic surgery
About 33367: TAVR with cardiopulmonary bypass
Reports cardiopulmonary bypass support used during transcatheter aortic valve replacement, alongside the primary TAVR code for the valve procedure.
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.
CMS billing rules for 33367
- 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 RVU11.58 · 69%
- Practice expense (office) RVU2.38 · 14%
- Malpractice RVU2.76 · 17%
38
Medicare services in 2024 · #5524 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.
33367 compared with similar codes
Office rates for Colorado, from the same CMS release.
No office rate
33362 reports the primary TAVR performed through open femoral access. It identifies the approach, while 33367 captures bypass support during the procedure.
No office rate
33363 identifies TAVR through an open axillary or subclavian approach. It is a primary approach code, not a substitute for the bypass add-on.
Compare 33367 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
$548.00
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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 33367 in Colorado.
PPRRVU2026_Oct_nonQPP.csv
3,929
- Code
- 33367
- Physician work
- 11.58
- Practice expense
- 2.38
- Malpractice
- 2.76
GPCI2026.csv
37
- Locality
- Colorado
- Physician work
- 1.012
- Practice expense
- 1.064
- Malpractice
- 0.781
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.58 | × 1.012 | 11.7190 |
| Practice expense | 2.38 | × 1.064 | 2.5323 |
| Malpractice | 2.76 | × 0.781 | 2.1556 |
| Total RVUs | 16.4068 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Colorado$548.00
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.58 | 1.012 |
| Practice expense | 2.38 | 1.064 |
| Malpractice | 2.76 | 0.781 |
(11.58 × 1.012 + 2.38 × 1.064 + 2.76 × 0.781) × $33.4009 = $548.00
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.
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 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.
3,92633364,,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
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
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