{"id":161717,"date":"2026-07-22T14:37:05","date_gmt":"2026-07-22T14:37:05","guid":{"rendered":"https:\/\/pabau.com\/?p=161717"},"modified":"2026-08-17T11:55:18","modified_gmt":"2026-08-17T11:55:18","slug":"cpt-code-33362","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-33362\/","title":{"rendered":"CPT code 33362: Open femoral TAVR billing guide"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT Code 33362: Open Femoral TAVR Billing Guide\",\"description\":\"CPT Code 33362 (transcatheter aortic valve replacement via open femoral artery approach). Complete billing reference covering procedure description, modifiers, ICD-10 crosswalk, Medicare NCD 20.32, documentation, RVUs, and denial avoidance for cardiovascular coders.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-33362\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-07-22\",\"dateModified\":\"2026-07-22\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key Takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key Takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 33362 describes transcatheter aortic valve replacement (TAVR) performed through an open surgical exposure of the femoral artery, used when a percutaneous approach isn&#8217;t feasible.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The access route is the differentiator across the family: CPT 33361 covers percutaneous femoral access, while CPT 33362 covers the same femoral vessel accessed through a surgical cutdown.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Medicare coverage under NCD 20.32 requires a certified TAVR facility, an FDA-approved prosthetic valve, and a documented Heart Team evaluation before the procedure.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Pabau&#8217;s claims management software helps cardiovascular billing teams capture required documentation, apply correct modifiers, and reduce denials on complex structural heart procedure claims.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT Code 33362 is the procedure code for transcatheter aortic valve replacement (TAVR\/TAVI) performed through an open surgical exposure of the femoral artery. Surgeons use this approach when calcification, vessel size, or tortuosity rules out the standard percutaneous femoral route covered by CPT 33361.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This guide covers the full descriptor, how 33362 differs from the rest of the 33361-33366 family, applicable ICD-10 codes, modifiers, Medicare NCD 20.32 requirements, current RVU values, and the denial patterns that trip up cardiovascular billing teams.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">According to the <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-code-set-overview\" target=\"_blank\" rel=\"nofollow noopener\">American Medical Association<\/a> (AMA), CPT codes are the authoritative standard for reporting medical procedures in the United States. CPT Code 33362 falls under Surgery &gt; Cardiovascular System &gt; Heart and Pericardium &gt; Cardiac Valves &gt; Aortic Valve &gt; Transcatheter Aortic Valve Replacement, a section that requires careful code selection based on surgical access route.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-cpt-code-33362-definition-and-full-descriptor\" class=\"wp-block-heading\">CPT code 33362: Definition and full descriptor<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 33362 describes a specific procedure. The official AMA descriptor reads: <strong>Transcatheter aortic valve replacement (TAVR\/TAVI) with prosthetic valve; open femoral artery exposure.<\/strong> The descriptor limits this code to procedures where the surgeon performs a surgical cutdown to expose the femoral artery directly, rather than accessing it percutaneously through a needle puncture.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">TAVR itself replaces a diseased aortic valve without open-heart surgery in the traditional sense. A prosthetic valve is delivered via catheter and expanded inside the existing valve. What distinguishes CPT Code 33362 from CPT 33361 is not the valve or the catheter but how the surgeon reaches the femoral artery: a surgical exposure versus a percutaneous puncture.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code element<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">33362<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Procedure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Transcatheter aortic valve replacement (TAVR\/TAVI) with prosthetic valve<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Access approach<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open femoral artery exposure (surgical cutdown)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Surgery > Cardiovascular > Heart and Pericardium > Cardiac Valves > Aortic Valve > TAVR<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0 days<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Place of service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">21 (Inpatient Hospital) &#8211; confirm payer-specific rules<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<h2 id=\"h-cpt-code-33362-vs-cpt-33361-the-access-approach-difference\" class=\"wp-block-heading\">CPT code 33362 vs CPT 33361: The access approach difference<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The most common coding error in the TAVR family is selecting 33361 when the case actually required an open surgical cutdown to the femoral artery. Both codes describe access through the same vessel; the differentiator is whether the surgeon punctured the artery percutaneously or exposed it surgically.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Selecting the wrong code means the billed procedure does not match the operative report, which triggers a denial or a post-payment audit.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Access approach<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Specific technique<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Surgical incision required?<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">33361<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Percutaneous \/ transcatheter<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Needle puncture of the femoral artery (Seldinger technique)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">33362<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open femoral (surgical)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Surgical cutdown exposing the femoral artery directly<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Yes &#8211; groin incision required<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">When reviewing the operative report, look for explicit documentation of how the femoral artery was accessed. A percutaneous case describes needle puncture and closure-device deployment. An open case describes a groin incision, surgical dissection to expose the vessel, and a formal arteriotomy closure.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A case that starts percutaneous but converts to an open cutdown intraoperatively should be documented as such, since the final access technique determines the code.<\/p>\n\n\n\n<h2 id=\"h-full-cpt-code-family-33361-through-33366\" class=\"wp-block-heading\">Full CPT code family: 33361 through 33366<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 33362 belongs to a six-code TAVR family. Each code maps to a distinct access approach. Coders handling structural heart programs should keep this full reference table available, since the same patient may need a different access route across multiple procedures or revision encounters. See the <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC CPT code lookup<\/a> for the current descriptor text of each code in this family.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Access approach<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Short descriptor<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">33361<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Percutaneous femoral<\/td>\n<td style=\"padding:12px 16px;color:#374151\">TAVR with prosthetic valve; percutaneous femoral artery approach<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">33362<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open femoral<\/td>\n<td style=\"padding:12px 16px;color:#374151\">TAVR with prosthetic valve; open femoral artery approach<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">33363<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open axillary<\/td>\n<td style=\"padding:12px 16px;color:#374151\">TAVR with prosthetic valve; open axillary artery approach<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">33364<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open iliac<\/td>\n<td style=\"padding:12px 16px;color:#374151\">TAVR with prosthetic valve; open iliac artery approach<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">33365<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Transaortic<\/td>\n<td style=\"padding:12px 16px;color:#374151\">TAVR with prosthetic valve; transaortic approach (e.g., median sternotomy, mediastinotomy)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">33366<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Transapical<\/td>\n<td style=\"padding:12px 16px;color:#374151\">TAVR with prosthetic valve; transapical exposure (e.g., left thoracotomy)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Verify the exact current descriptor for each code against the current AMA CPT codebook before billing, since access-approach terminology in this family is periodically refined. Many cardiovascular practices also handle other complex procedure coding families.<\/p>\n\n\n\n<h2 id=\"h-applicable-icd-10-diagnosis-codes-for-cpt-code-33362\" class=\"wp-block-heading\">Applicable ICD-10 diagnosis codes for CPT code 33362<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">TAVR procedures are performed on patients with severe valvular disease. Aortic stenosis is the primary driver, but the ICD-10-CM codes that support medical necessity under NCD 20.32 include several valvular pathologies. Coders should document the primary diagnosis as the condition directly necessitating the valve replacement, with secondary codes capturing comorbidities relevant to the risk stratification that the Heart Team documented.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">I35.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nonrheumatic aortic (valve) stenosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Primary diagnosis for most TAVR patients<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">I35.2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nonrheumatic aortic (valve) stenosis with insufficiency<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Combined stenosis and regurgitation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">I06.0<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rheumatic aortic stenosis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Use when rheumatic etiology is documented<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">I35.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Nonrheumatic aortic (valve) insufficiency<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Regurgitation without stenosis; confirm NCD coverage criteria apply<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z95.2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Presence of prosthetic heart valve<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Secondary code for valve-in-valve procedures<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Confirm current covered diagnoses against the active NCD 20.32 text at CMS.gov before billing. Coverage criteria can be updated, and using a diagnosis outside the currently covered list will result in a coverage denial regardless of whether the procedure was clinically appropriate. For ICD-10 crosswalk lookups, the <a href=\"https:\/\/www.aapc.com\/codify\/icd-10-crosswalk.aspx\" target=\"_blank\" rel=\"nofollow noopener\">AAPC crosswalk tool<\/a> provides a useful reference for pairing procedure and diagnosis codes.<\/p>\n\n\n\n<h2 id=\"h-modifiers-for-cpt-code-33362\" class=\"wp-block-heading\">Modifiers for CPT code 33362<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">TAVR procedures typically involve a multidisciplinary surgical team. The modifier you apply depends on the physician&#8217;s role during the procedure and the payer&#8217;s specific rules. Medicare and commercial payers often differ on co-surgeon and assistant surgeon reimbursement for structural heart procedures, so verify modifier policy before submission.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-62<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Two surgeons (co-surgeons)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When two surgeons of different specialties (e.g., cardiac surgeon + interventional cardiologist) each perform a distinct, necessary portion of the procedure. Both surgeons report CPT Code 33362 with modifier -62. Reimbursement is typically split at 62.5% each.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-80<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Assistant surgeon<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When a physician assists the primary surgeon throughout the procedure. Reimbursement is typically 16% of the primary surgeon&#8217;s fee. Confirm payer policy: Medicare may restrict -80 for certain TAVR scenarios.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-AS<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Physician assistant or NP as assistant<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When a PA, NP, or CNS assists in lieu of a physician. Medicare requires -AS rather than -80 for non-physician practitioners.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Increased procedural services<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When the procedure required substantially more work than typical (e.g., heavily calcified valve, anatomical complexity). Requires documentation of the additional work. Use sparingly; payers scrutinize this modifier.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier -62 eligibility for CPT Code 33362 is payer-specific. Medicare permits co-surgeon billing when two distinct physician specialties are both required, but commercial payers may only allow one surgeon to bill. Always verify through the payer&#8217;s provider manual before submitting both claims.<\/p>\n\n\n\n<h2 id=\"h-companion-and-add-on-codes-commonly-billed-with-cpt-code-33362\" class=\"wp-block-heading\">Companion and add-on codes commonly billed with CPT code 33362<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">TAVR procedures almost always involve imaging guidance and monitoring services that can be billed separately from the primary surgical code. The Society for Cardiovascular Angiography and Interventions (SCAI) coding guidelines identify several companion codes relevant to TAVR cases regardless of access approach. Bundling rules apply, so confirm current CMS edits before submitting add-on codes alongside CPT Code 33362.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>CPT 93355<\/strong> &#8211; Echocardiographic guidance for transcatheter aortic valve replacement (TAVR); includes all imaging performed during the procedure. This is the primary add-on code. Per SCAI guidelines, 93355 may be reported separately by the echocardiographer when a different physician provides the imaging guidance. Verify current CMS bundling edits before submitting.<\/li>\n\n\n\n<li><strong>CPT 93306<\/strong> &#8211; Transthoracic echocardiography; complete study. Report when a separate, complete echo is performed and documented outside the intraoperative guidance covered by 93355.<\/li>\n\n\n\n<li><strong>CPT 71046<\/strong> &#8211; Radiologic examination of the chest, 2 views. Often performed post-procedure for device position confirmation.<\/li>\n\n\n\n<li><strong>CPT 75600 series<\/strong> &#8211; Aortography codes. May apply when fluoroscopic aortography is performed as a separate diagnostic service during the same session, subject to bundling rules.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Add-on code separability is one of the most audit-prone areas in TAVR billing. Practices handling complex cardiovascular procedure coding also benefit from understanding how similar multi-code families work across other specialties.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Before submitting CPT 93355 alongside CPT Code 33362, confirm the echocardiographer has a separate operative note documenting their distinct imaging interpretation. Without separate documentation, payers will bundle 93355 into the primary TAVR code and deny the add-on claim.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-medicare-coverage-requirements-ncd-20-32-for-cpt-code-33362\" class=\"wp-block-heading\">Medicare coverage requirements: NCD 20.32 for CPT code 33362<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare does not cover TAVR procedures performed outside a narrow set of requirements established under National Coverage Determination (NCD) 20.32. Claims for CPT Code 33362 that do not meet every NCD criterion will be denied, regardless of how clinically appropriate the procedure was. The <a href=\"https:\/\/www.cms.gov\/medicare-coverage-database\/view\/ncd.aspx?ncdid=355\" target=\"_blank\" rel=\"nofollow noopener\">NCD 20.32<\/a> policy on the Medicare Coverage Database governs what qualifies.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Three requirements are absolute under NCD 20.32. First, the procedure must be performed at a hospital that CMS has certified as a TAVR facility. Second, the prosthetic valve used must carry FDA approval for the specific indication. Third, a formal multidisciplinary Heart Team must evaluate the patient before the procedure and document that evaluation in the medical record.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Certified TAVR facility<\/strong> &#8211; The hospital must hold current CMS certification. Billing from a non-certified facility is the single largest denial category for TAVR claims. Verify certification status before scheduling the procedure, not after.<\/li>\n\n\n\n<li><strong>FDA-approved device<\/strong> &#8211; The specific prosthetic valve brand and model must have FDA approval for the patient&#8217;s indication. Not all TAVR valves are approved for all valve sizes or pathologies.<\/li>\n\n\n\n<li><strong>Heart Team evaluation<\/strong> &#8211; A formal written evaluation by a multidisciplinary team (at minimum a cardiac surgeon and an interventional cardiologist) must be in the medical record. The team must have agreed on TAVR as the appropriate treatment modality.<\/li>\n\n\n\n<li><strong>Patient risk documentation<\/strong> &#8211; Risk stratification scores (STS score, Frailty Index, or equivalent) must be documented. NCD 20.32 ties coverage to defined high-risk, extreme-risk, or intermediate-risk classifications depending on the indication.<\/li>\n\n\n\n<li><strong>Data registry participation<\/strong> &#8211; CMS requires facilities to submit procedure data to an approved national registry (typically TVT Registry). Non-submission can affect future coverage and certification status.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-documentation-requirements-for-billing-cpt-code-33362\" class=\"wp-block-heading\">Documentation requirements for billing CPT code 33362<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A clean CPT Code 33362 claim rests on documentation that confirms access approach, medical necessity, facility eligibility, and Heart Team consensus. Missing any of these four elements invites a denial or a pre-payment review request.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cardiovascular billing teams should build a documentation checklist for every TAVR case before the claim leaves the department. Using digital intake forms alongside a structured client information template streamlines the collection of required documentation across the care team.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-33362\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Customizable consent and intake forms<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Operative report<\/strong> &#8211; Must explicitly identify the femoral access technique (percutaneous or open surgical cutdown), the vessel exposure and closure method, the prosthetic valve brand\/model\/size, and any complications encountered.<\/li>\n\n\n\n<li><strong>Heart Team evaluation report<\/strong> &#8211; A dated, signed document from the multidisciplinary team. Must confirm team composition, decision rationale, and the clinical basis for choosing TAVR over surgical aortic valve replacement (SAVR).<\/li>\n\n\n\n<li><strong>Patient risk stratification<\/strong> &#8211; STS Predicted Risk of Mortality score or equivalent, documented in the pre-procedure assessment. The specific risk category (high, extreme, or intermediate risk) must align with the NCD coverage criteria for the indication billed.<\/li>\n\n\n\n<li><strong>Echocardiography reports<\/strong> &#8211; Pre-procedure echo confirming aortic valve area, mean gradient, and valve morphology. Post-procedure echo if 93355 is billed separately.<\/li>\n\n\n\n<li><strong>Implant data<\/strong> &#8211; Device sticker or procedural record identifying the specific prosthetic valve implanted, with FDA approval reference for that device.<\/li>\n\n\n\n<li><strong>Place of service<\/strong> &#8211; Claim must reflect POS 21 (Inpatient Hospital) for standard TAVR admissions. Confirm with payer if the procedure was performed in a hybrid OR under outpatient status, as some payers have updated their POS requirements.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The Heart Team evaluation report is the single most commonly missing document when a CPT Code 33362 claim is denied. It is not enough for the evaluation to have occurred; the written report must be retrievable in the medical record at the time of claim submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For practices managing documentation across multiple care sites.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Streamline complex cardiovascular billing with Pabau                <\/h3>\n\n                <p class=\"description\">\n                    Pabau&#8217;s claims management software helps cardiovascular practices capture procedure documentation, apply correct modifiers, and submit clean claims for complex codes like CPT 33362. See how it works for your team.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management software dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-reimbursement-rates-and-rvu-values-for-cpt-code-33362\" class=\"wp-block-heading\">Reimbursement rates and RVU values for CPT code 33362<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 33362 is a high-complexity surgical code carrying substantial relative value unit (RVU) weight. Under the CY2026 Medicare Physician Fee Schedule final rule (CMS-1832-F), the code carries a work RVU of 23.93 and a national facility payment of $1,176. These are unadjusted national averages; actual payment varies by geographic locality.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Use the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule<\/a> lookup tool to check the adjusted rate for a specific locality before posting an expected reimbursement figure.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">RVU component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Value<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Work RVU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">23.93<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CY2026 national value, per CMS-1832-F (effective Jan 1-Dec 31, 2026)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU (facility, estimated)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">~35.2<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Calculated estimate (national payment divided by the CY2026 non-QP conversion factor of $33.4009); CMS&#8217;s published tables for this code list work RVU and payment directly, not a total RVU figure, so treat this as an approximation and verify locally<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Medicare payment (facility)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">$1,176 national average<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CY2026 rate; multiply by the locality&#8217;s geographic practice cost index for an exact figure<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">0 days<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No post-operative period is bundled beyond the day of the procedure itself<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 33362 carries a 0-day global period, so there is no bundled post-operative window the way there is with 10-day or 90-day global codes. Post-operative visits beyond the day of the procedure are billed separately without needing modifier -24.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A significant, separately identifiable E\/M service performed by the same physician on the same day as the procedure still needs modifier -25 to be paid separately. Co-surgeons billing with modifier -62 each receive approximately 62.5% of the total allowable, not the full amount independently.<\/p>\n\n\n\n<h2 id=\"h-common-denial-reasons-and-how-to-avoid-them\" class=\"wp-block-heading\">Common denial reasons and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">TAVR claims are among the most scrutinized in cardiovascular billing. The combination of high dollar value, strict Medicare criteria, and multidisciplinary documentation requirements creates multiple points of failure. The five denial patterns below account for the majority of rejected CPT Code 33362 claims based on Novitas Solutions Medicare claim submission guidance.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Missing Heart Team evaluation report<\/strong> &#8211; The most frequent denial. The evaluation must be a written, dated, signed document in the medical record. A verbal team consensus or a brief note in the progress record does not satisfy NCD 20.32. Solution: build a Heart Team documentation template that captures all required elements and make chart completion a prerequisite for claim submission.<\/li>\n\n\n\n<li><strong>Non-certified facility<\/strong> &#8211; Claims from hospitals without active CMS TAVR certification are denied at the coverage level, not the coding level. No appeal succeeds for this denial. Solution: verify certification annually and confirm status before scheduling high-risk patients for TAVR.<\/li>\n\n\n\n<li><strong>Wrong access approach code<\/strong> &#8211; Submitting 33361 for a case that required an open surgical cutdown, or 33362 for a case where percutaneous femoral access was used throughout, creates a mismatch between the billed code and the operative report. Payers catching this in a post-payment audit may seek full recoupment. Solution: require coders to confirm the access technique in the operative report before code assignment.<\/li>\n\n\n\n<li><strong>Missing risk stratification documentation<\/strong> &#8211; NCD 20.32 ties coverage to specific patient risk categories. An STS score or equivalent risk tool must be in the chart. Solution: confirm risk stratification completion as part of the pre-procedure checklist, not as a retrospective documentation task.<\/li>\n\n\n\n<li><strong>Add-on code denied due to bundling<\/strong> &#8211; CPT 93355 submitted without separate echocardiographer documentation, or without confirming that a different physician performed the imaging guidance, will be bundled into the primary code. Solution: require a separate operative note from the echocardiographer for every case where 93355 is billed.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices using structured automated billing workflows can embed documentation checkpoints directly into the claim preparation process, flagging incomplete records before submission rather than after denial. This approach is particularly effective for high-value codes like CPT Code 33362 where a single denied claim represents significant lost revenue.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-33362\/automated-communication-in-pabau.webp\" alt=\"Automated communication in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Automated communication in Pabau<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">Related CPT codes<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-36561\/\">CPT code 36561 \u2014 Tunneled Central Venous Catheter with Subcutaneous Port<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-36140\/\">CPT Code 36140 \u2014 Arterial Access<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-36415\/\">CPT code 36415 \u2014 Venipuncture<\/a><\/li>\n\n\n<li><a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-36465\/\">CPT code 36465 \u2014 Non-Compounded Foam Sclerotherapy<\/a><\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-how-pabau-supports-cardiovascular-billing-workflows\" class=\"wp-block-heading\">How Pabau supports cardiovascular billing workflows<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 33362 is not a code that tolerates incomplete workflows. The NCD requirements, the multi-physician team structure, and the strict Medicare documentation rules all create dependencies that a manual billing process handles poorly at scale. Cardiovascular practices billing TAVR procedures regularly need systems that capture structured documentation, track modifier assignments, and surface claim errors before submission.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s claims management software helps cardiovascular teams build procedure-specific documentation checklists, assign modifier rules to complex codes, and maintain the audit trail required for NCD 20.32 compliance.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For practices managing multi-physician teams on high-value surgical cases, the platform&#8217;s ability to capture discrete documentation fields from each provider reduces the manual reconciliation that typically precedes claim submission. Many practices exploring practice management software find that integrating claims management with scheduling and documentation in one system reduces the pre-submission review burden.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The referring physicians behind a TAVR workup range from <a href=\"https:\/\/pabau.com\/industry\/gp-clinic-software\/\">primary care practices<\/a> monitoring long-term cardiovascular risk to longevity clinics tracking preventive heart health markers, and all of them need documentation that hands off cleanly to the surgical team.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-33362\/fully-integrated-with-pabau-billing.webp\" alt=\"Fully Integrated with Pabau Billing\"\/><figcaption class=\"wp-element-caption\"><em>Fully Integrated with Pabau Billing<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Practices also benefit from structured approaches to managing complex billing codes across specialties. The Bupa CCSD codes reference illustrates how multi-code families with payer-specific rules require the same documentation-first approach that TAVR billing demands.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Coding uncertainty isn&#8217;t unique to cardiology. The coaching CPT codes reference shows how other procedure-specific billing guides reduce ambiguity across service lines.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run a pre-submission audit on every CPT Code 33362 claim before it leaves the department. Confirm: (1) access technique in the operative report matches the billed code, (2) Heart Team evaluation report is in the chart, (3) facility certification is current, (4) risk stratification score is documented, and (5) modifier -62 or -80 is applied only where the payer&#8217;s rules permit.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">For practices managing HIPAA-compliant documentation workflows across a cardiovascular program. Effective billing starts with secure, structured documentation capture, and the same systems that protect patient data also support clean claim submission for high-value codes like CPT Code 33362.<\/p>\n\n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT Code 33362 demands precision at every stage: confirming the femoral access technique before coding, verifying NCD 20.32 eligibility before billing, and securing the Heart Team evaluation report before submission. Most denials on this code are preventable with the right pre-submission checklist in place.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s claims management software gives cardiovascular billing teams the structured documentation and workflow tools to submit cleaner claims on complex codes. To see how Pabau handles cardiovascular billing workflows, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a> with the team.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need a faster way to document TAVR follow-up encounters?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/apso-note-template\/\">APSO note template<\/a> gives coders and clinicians a consistent structure for capturing the assessment and plan details that support a claim.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Preparing for a payer audit or records request on a high-value claim?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/authorization-for-release-of-protected-health-information\/\">authorization for release template<\/a> covers the compliant paperwork needed before sharing protected health information.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Handling handoffs between the Heart Team and the billing department?<\/strong> The <a href=\"https:\/\/pabau.com\/templates\/bedside-shift-report\/\">bedside shift report<\/a> template shows how structured handoff documentation reduces the same kind of information loss that causes coding denials.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding accuracy issues aren&#8217;t unique to cardiology.<\/strong> <a href=\"https:\/\/pabau.com\/diagnostic-codes\/icd-10-code-m779\/\">M77.9<\/a> is a good example of how an unspecified diagnosis code creates the same kind of denial risk seen in complex CPT families.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Capturing clean patient records before the first visit?<\/strong> A <a href=\"https:\/\/pabau.com\/templates\/client-information\/\">client information template<\/a> standardizes intake so billing teams start every case with consistent demographic and history data.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1784726167738\"><h3 class=\"schema-faq-question\">What is CPT Code 33362?<\/h3> <p class=\"schema-faq-answer\">CPT Code 33362 is the procedure code for transcatheter aortic valve replacement (TAVR\/TAVI) performed through an open surgical exposure of the femoral artery. It applies when a surgeon exposes the femoral artery with a groin incision and cutdown rather than accessing it percutaneously, distinguishing it from the percutaneous femoral code, CPT 33361, in the 33361-33366 access-approach family.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726167739\"><h3 class=\"schema-faq-question\">What is the difference between CPT 33361 and CPT 33362?<\/h3> <p class=\"schema-faq-answer\">CPT 33361 covers TAVR performed via percutaneous femoral access &#8211; a needle puncture and closure device, with no incision. CPT Code 33362 covers TAVR through the same femoral vessel, but accessed via a surgical cutdown when percutaneous access isn&#8217;t feasible. The access technique documented in the operative report determines which code applies.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726167740\"><h3 class=\"schema-faq-question\">What is the Medicare reimbursement rate for CPT 33362?<\/h3> <p class=\"schema-faq-answer\">The CY2026 Medicare Physician Fee Schedule (CMS-1832-F) sets a work RVU of 23.93 for CPT Code 33362 and a national facility payment of $1,176, effective January 1 through December 31, 2026. Actual payment varies by locality; use the CMS Physician Fee Schedule lookup tool to check the geographically adjusted rate.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726167741\"><h3 class=\"schema-faq-question\">Does Medicare cover TAVR under CPT Code 33362?<\/h3> <p class=\"schema-faq-answer\">Yes, Medicare covers CPT Code 33362 when the procedure meets all requirements under NCD 20.32: the facility must hold active CMS TAVR certification, the device must be FDA-approved for the specific indication, the patient must have a documented multidisciplinary Heart Team evaluation, and the patient&#8217;s risk classification must align with the covered indications in the current NCD text.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726167742\"><h3 class=\"schema-faq-question\">What is the global surgery period for CPT 33362?<\/h3> <p class=\"schema-faq-answer\">CPT Code 33362 carries a 0-day global surgery period under the Medicare Physician Fee Schedule, so no post-operative visits are bundled into the primary payment beyond the day of the procedure itself. A separately identifiable E\/M service on the same day still needs modifier -25 to be paid apart from the procedure.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1784726167743\"><h3 class=\"schema-faq-question\">What add-on codes can be billed with CPT Code 33362?<\/h3> <p class=\"schema-faq-answer\">CPT 93355 (echocardiographic guidance for TAVR) is the primary add-on code reported with CPT Code 33362 when a separate physician provides and documents imaging guidance. CPT 93306 may apply for a separate complete echocardiography study performed outside the intraoperative setting. Confirm current CMS bundling edits before submitting, as CMS may bundle certain add-on codes into the primary TAVR code.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>CPT Code 33362 is the procedure code for transcatheter aortic valve replacement (TAVR\/TAVI) performed through an open surgical exposure of the femoral artery. Surgeons use this approach when calcification, vessel size, or tortuosity rules out the standard percutaneous femoral route covered by CPT 33361. This guide covers the full descriptor, how 33362 differs from the [&hellip;]<\/p>\n","protected":false},"author":77,"featured_media":161715,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"91","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[1364,2978,1162,2385,1236],"class_list":["post-161717","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-billing","tag-cardiovascular-codes","tag-cpt-codes","tag-medicare-coverage","tag-medicare-reimbursement"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT code 33362: open femoral TAVR billing guide (2026)<\/title>\n<meta name=\"description\" content=\"CPT code 33362 is the open femoral surgical approach for TAVR. 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See 2026 Medicare RVU values, NCD 20.32 rules, and how to avoid denials.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-33362\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-07-22T14:37:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-17T11:55:18+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/07\/cpt-code-33362.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Katy Piper\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Katy Piper\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"16 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-33362\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-33362\\\/\"},\"author\":{\"name\":\"Katy Piper\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/5de22f4ff3ec59b1925ef02dce956d7d\"},\"headline\":\"CPT code 33362: Open femoral TAVR billing guide\",\"datePublished\":\"2026-07-22T14:37:05+00:00\",\"dateModified\":\"2026-08-17T11:55:18+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-33362\\\/\"},\"wordCount\":3223,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-33362\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/cpt-code-33362.webp\",\"keywords\":[\"billing\",\"Cardiovascular codes\",\"CPT Codes\",\"Medicare coverage\",\"Medicare reimbursement\"],\"articleSection\":[\"Billing Codes\",\"CPT Codes\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-33362\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-33362\\\/\",\"name\":\"CPT code 33362: open femoral TAVR billing guide (2026)\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-33362\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-33362\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/07\\\/cpt-code-33362.webp\",\"datePublished\":\"2026-07-22T14:37:05+00:00\",\"dateModified\":\"2026-08-17T11:55:18+00:00\",\"description\":\"CPT code 33362 is the open femoral surgical approach for TAVR. 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A separately identifiable E\/M service on the same day still needs modifier -25 to be paid apart from the procedure.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-33362\/#faq-question-1784726167743","position":6,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-33362\/#faq-question-1784726167743","name":"What add-on codes can be billed with CPT Code 33362?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT 93355 (echocardiographic guidance for TAVR) is the primary add-on code reported with CPT Code 33362 when a separate physician provides and documents imaging guidance. CPT 93306 may apply for a separate complete echocardiography study performed outside the intraoperative setting. Confirm current CMS bundling edits before submitting, as CMS may bundle certain add-on codes into the primary TAVR code.","inLanguage":"es"},"inLanguage":"es"}]}},"yoast":{"focus_keyword":"CPT code 33362","seo_title":"CPT code 33362: open femoral TAVR billing guide (2026)","meta_description":"CPT code 33362 is the open femoral surgical approach for TAVR. See 2026 Medicare RVU values, NCD 20.32 rules, and how to avoid denials.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"CPT code 33361 vs 33362","score":56},{"keyword":"TAVR ICD-10 diagnosis codes","score":56},{"keyword":"Medicare TAVR coverage","score":61},{"keyword":"aortic stenosis CPT code","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/161717","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/users\/77"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/comments?post=161717"}],"version-history":[{"count":5,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/161717\/revisions"}],"predecessor-version":[{"id":182416,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/161717\/revisions\/182416"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media\/161715"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media?parent=161717"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/categories?post=161717"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/tags?post=161717"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}