No office rate
33361 reports the primary TAVR through a percutaneous femoral approach. 33369 is an add-on for bypass support and cannot replace the primary procedure code.
On this page
CMS RVU26D · Effective 2026-10-01
33369 Aortic valve replacement Medicare reimbursement rates in Iowa
An add-on for cardiopulmonary bypass support during transcatheter aortic valve replacement, reported with the primary TAVR procedure documented in the operative record. Compare 33369 office and facility rates across CMS payment localities in Iowa.
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 33369 in Iowa?
Iowa 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
$793.93
1 of 1 localities have a supported rate.
Payment area: Iowa
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.
Cardiac surgery
About 33369: TAVR with cardiopulmonary bypass support
An add-on for cardiopulmonary bypass support during transcatheter aortic valve replacement, reported with the primary TAVR procedure documented in the operative record.
This add-on represents cardiopulmonary bypass support used during transcatheter aortic valve replacement (TAVR). TAVR teams, including cardiac surgeons and interventional cardiologists, may perform the procedure in a hospital hybrid operating room or catheterization laboratory. The primary TAVR code describes the valve procedure and access approach; this code captures the bypass-supported service rather than the valve implantation by itself.
Report 33369 only with the primary procedure, as an add-on. The operative report should support that TAVR was performed and that cardiopulmonary bypass support was used; it should also identify the access approach so the appropriate primary TAVR code can be selected. CMS pays this add-on within the primary procedure’s global period. It is not a stand-alone TAVR claim line.
CMS billing rules for 33369
- 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 RVU18.53 · 69%
- Practice expense (office) RVU3.80 · 14%
- Malpractice RVU4.44 · 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.
33369 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
33362 reports the primary TAVR through an open femoral approach. Use 33369 only as the applicable bypass-support add-on, not as the valve procedure.
No office rate
Both are bypass-support add-ons in the TAVR family. The specific code depends on the operative details and applicable access-approach distinction.
Compare 33369 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
Iowa →
Office / nonfacility
Unavailable
Facility
$793.93
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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 33369 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
3,931
- Code
- 33369
- Physician work
- 18.53
- Practice expense
- 3.80
- Malpractice
- 4.44
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 18.53 | × 1.000 | 18.5300 |
| Practice expense | 3.80 | × 0.915 | 3.4770 |
| Malpractice | 4.44 | × 0.397 | 1.7627 |
| Total RVUs | 23.7697 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$793.93
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 18.53 | 1 |
| Practice expense | 3.8 | 0.915 |
| Malpractice | 4.44 | 0.397 |
(18.53 × 1 + 3.8 × 0.915 + 4.44 × 0.397) × $33.4009 = $793.93
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.
33369 billing questions
Can 33369 be reported by itself?
No. CMS identifies 33369 as an add-on that must be billed with a primary procedure.
What distinguishes 33369 from the primary TAVR code?
The primary code reports the transcatheter valve replacement and its approach. This add-on reports cardiopulmonary bypass support during that procedure.
What documentation supports 33369?
The operative report should document the TAVR, use of cardiopulmonary bypass support, and the access approach needed to select the matching primary procedure code.
How does the global period affect payment?
CMS pays 33369 within the global period of the primary procedure with which it is billed.
Which code identifies the TAVR access approach?
The primary TAVR code identifies the approach. Select it from the operative details and report 33369 as the bypass-support add-on.
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.
3,92833366,,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
3,93433391,,Valvuloplasty aortic valve,A,,40.46,13.28,NA,13.28,,9.71,63.45,63.45,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136