No office rate
Both use the femoral route for transcatheter valve delivery. Choose 33362 for surgical exposure of the femoral artery and 33361 for percutaneous access.
On this page
CMS RVU26D · Effective 2026-10-01
33362 Aortic valve replacement Medicare reimbursement rates in New York
Report 33362 when a prosthetic aortic valve is delivered by catheter through a femoral artery that has been surgically exposed. Compare 33362 office and facility rates across CMS payment localities in New York.
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 33362 in New York?
New York has 5 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 5 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1108.89–$1426.58
5 of 5 localities have a supported rate.
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.
Where 33362 pays more and less in New York
Cardiac procedures
About 33362: Transcatheter aortic valve replacement through open femoral access
Report 33362 when a prosthetic aortic valve is delivered by catheter through a femoral artery that has been surgically exposed.
This procedure replaces the aortic valve using a catheter introduced through a surgically exposed femoral artery. It is an option for a patient undergoing transcatheter treatment of aortic stenosis when open femoral access is used rather than a needle puncture through the skin. An interventional cardiologist and cardiac surgeon may work together in a catheterization laboratory or hybrid operating room. The valve is delivered through the femoral access site and positioned within the diseased aortic valve; the surgical opening is the access route, not an open surgical replacement of the valve.
Select 33362 from the documented route of access, specifically a femoral artery exposed by incision. Document the access method and valve implantation. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures at 50%. Modifier 50 is inappropriate for this valve procedure. An assistant surgeon requires documentation of medical necessity; co-surgeons are permitted, while team surgery requires supporting documentation.
CMS billing rules for 33362
- 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 RVU23.93 · 68%
- Practice expense (office) RVU5.48 · 16%
- Malpractice RVU5.78 · 16%
1.9K
Medicare services in 2024 · #2512 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.
33362 compared with similar codes
Office rates for New York, from the same CMS release.
No office rate
Choose 33363 when the valve is delivered through an apical approach. Code 33362 requires surgically exposed femoral arterial access.
No office rate
Choose 33364 for an aortic access approach. Code 33362 describes catheter delivery through a surgically exposed femoral artery.
Compare 33362 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.
5 of 5 payment localities
Manhattan →
Office / nonfacility
Unavailable
Facility
$1369.32
Nyc Suburbs/Long Island →
Office / nonfacility
Unavailable
Facility
$1426.58
Poughkpsie/N Nyc Suburbs →
Office / nonfacility
Unavailable
Facility
$1269.28
Queens →
Office / nonfacility
Unavailable
Facility
$1345.18
Rest Of New York →
Office / nonfacility
Unavailable
Facility
$1108.89
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33362 billing questions
When is 33362 used instead of 33361?
Use 33362 when the femoral artery is surgically exposed for valve delivery. Use 33361 when femoral access is percutaneous.
Does an open femoral incision make this an open surgical valve replacement?
No. In 33362, the incision provides arterial access; the prosthetic valve is delivered and implanted by catheter.
Is same-day postoperative care separately reported?
CMS assigns 33362 a 0-day global period that includes same-day preoperative and postoperative care.
Can modifier 50 be used for femoral access?
No. The bilateral adjustment is inappropriate for this aortic valve procedure, even though femoral arteries exist on both sides.
How does CMS treat multiple procedures and additional surgeons?
In the same session, the highest-valued procedure is paid in full and other procedures at 50%. An assistant surgeon requires documentation of medical necessity; co-surgeons are permitted, and team surgery requires supporting documentation.
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.
3,92133335,,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
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