Billing code 33367: TAVR bypass supportMedicare rate & RVUs in Nevada
Reports cardiopulmonary bypass support used during transcatheter aortic valve replacement, alongside the primary TAVR code for the valve procedure.
CMS doesn’t publish an office rate for 33367 in Nevada.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 33367 covers
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.
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 in Nevada**
| Payment locality | Office | Facility |
|---|---|---|
| Nevada** | Unavailable | $543.15 |
How the 33367 rate is calculated
Each of 33367’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 33367
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 11.58Practice expense 2.38Malpractice 2.76
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33367
The CMS indicators that decide how 33367 is paid alongside other services.
CMS payment indicators · 33367
TAVR bypass support
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 1 | Permitted with supporting documentation. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
33367 compared with similar codes
Compare codes
33367 vs 33361 vs 33362 vs 33363: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 33361TAVR
- 33361 reports the primary TAVR performed through percutaneous femoral access. Add 33367 only when cardiopulmonary bypass was also used.
- 33362Aortic valve replacement
- 33362 reports the primary TAVR performed through open femoral access. It identifies the approach, while 33367 captures bypass support during the procedure.
- 33363TAVR
- 33363 identifies TAVR through an open axillary or subclavian approach. It is a primary approach code, not a substitute for the bypass add-on.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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