Billing code 33368: TAVR with bypassMedicare rate & RVUs in Utah
Reports cardiopulmonary bypass support during transcatheter aortic valve replacement performed through an open femoral artery approach.
CMS doesn’t publish an office rate for 33368 in Utah.
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 33368 covers
Code 33368 represents cardiopulmonary bypass used during transcatheter aortic valve replacement when the valve is reached through an open femoral artery exposure. The procedure is generally performed by a cardiac surgery team in a hospital operating room for a patient undergoing TAVR who requires bypass support. It is distinct from the TAVR service itself: the open femoral access route and valve replacement are represented by the matching primary procedure code.
Report 33368 only with its qualifying primary TAVR procedure, not as a standalone service. For an open femoral approach, pair it with 33362. The operative report should support the open femoral route and the use of cardiopulmonary bypass during the valve procedure. CMS treats this as an add-on code paid within the primary procedure’s global period, so it does not establish a separate global period.
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.
33368 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $659.52 |
How the 33368 rate is calculated
Each of 33368’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 · 33368
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 14.03Practice expense 2.88Malpractice 3.35
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 33368
The CMS indicators that decide how 33368 is paid alongside other services.
CMS payment indicators · 33368
TAVR with bypass
| 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. |
33368 compared with similar codes
Compare codes
33368 vs 33362 vs 33367 vs 33369 vs 33361: national Medicare rates
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How to choose
- 33362Aortic valve replacement
- 33362 is the primary TAVR service for open femoral access. Add 33368 when cardiopulmonary bypass is used during that procedure.
- 33367TAVR bypass support
- Both are TAVR bypass add-ons, but they correspond to different access approaches. Select the code matching the primary TAVR approach.
- 33369Aortic valve replacement
- 33369 is the bypass add-on for a different TAVR access approach; 33368 corresponds to open femoral access.
- 33361TAVR
- 33361 is the primary TAVR code for percutaneous femoral access, not the open femoral approach represented by the 33362 and 33368 pairing.
33368 billing questions
Which primary code is paired with 33368?
For TAVR using an open femoral artery approach, report 33368 with primary code 33362. The primary code describes the TAVR access approach; 33368 accounts for the bypass service.
Can 33368 be reported by itself?
No. It is an add-on code and must be reported with the qualifying primary procedure.
How is 33368 different from 33362?
Code 33362 represents TAVR through open femoral access. Code 33368 is the add-on for cardiopulmonary bypass used during that procedure.
What documentation supports 33368?
The operative record should identify the open femoral access route and document cardiopulmonary bypass use during TAVR.
Does 33368 have its own global period?
No. CMS pays this add-on within the global period of the primary 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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