33369 Replace aortic valve w/byp
What 33369 is
CMS fee schedule short descriptor: Replace aortic valve w/byp.
Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.
Medicare payment for 33369 (CY2026)
| Work RVU | Practice expense RVU | Malpractice RVU | Total | Medicare rate | |
|---|---|---|---|---|---|
| Non-facility (office) | 18.53 | 3.80 | 4.44 | 26.77 | $894.14 |
| Facility (hospital, ASC) | 18.53 | 3.80 | 4.44 | 26.77 | $894.14 |
National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.
Status: Active - payable under the Physician Fee Schedule. Global period: Add-on code: global period of the primary procedure applies.
Medically Unlikely Edit (MUE)
Medicare caps 33369 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Anatomic Consideration. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.
Billed with 33369? These codes are bundled into it
33369 is a Column 1 code in 117 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.
| Column 2 code | Short description | Modifier indicator | |
|---|---|---|---|
01920 | Anes cardiac catheterization | 0 - no modifier bypass | Check pair |
01925 | Anes ivntl rad artl crtd/c | 0 - no modifier bypass | Check pair |
0213T | Njx paravert w/us cer/thor | 0 - no modifier bypass | Check pair |
0216T | Njx paravert w/us lumb/sac | 0 - no modifier bypass | Check pair |
11000 | Dbrdmt ecz/infected skin<10% | 1 - modifier may bypass | Check pair |
11001 | Dbrdmt ecz/infct skn ea addl | 1 - modifier may bypass | Check pair |
11004 | Dbrdmt skin xtrnl gent&per | 1 - modifier may bypass | Check pair |
11005 | Dbrdmt skin abdominal wall | 1 - modifier may bypass | Check pair |
11006 | Dbrdmt skin xtrnl gent per | 1 - modifier may bypass | Check pair |
11042 | Dbrdmt subq tis 1st 20sqcm/< | 1 - modifier may bypass | Check pair |
11043 | Dbrdmt musc&/fsca 1st 20/< | 1 - modifier may bypass | Check pair |
11044 | Dbrdmt bone 1st 20 sq cm/< | 1 - modifier may bypass | Check pair |
11045 | Dbrdmt subq tiss each addl | 1 - modifier may bypass | Check pair |
11046 | Dbrdmt musc&/fsca ea addl | 1 - modifier may bypass | Check pair |
11047 | Dbrdmt bone each addl | 1 - modifier may bypass | Check pair |
20680 | Removal of implant deep | 0 - no modifier bypass | Check pair |
21750 | Repair of sternum separation | 0 - no modifier bypass | Check pair |
32100 | Exploration of chest | 1 - modifier may bypass | Check pair |
32551 | Insertion of chest tube | 1 - modifier may bypass | Check pair |
32554 | Aspirate pleura w/o imaging | 1 - modifier may bypass | Check pair |
32555 | Aspirate pleura w/ imaging | 1 - modifier may bypass | Check pair |
32556 | Insert cath pleura w/o image | 1 - modifier may bypass | Check pair |
32557 | Insert cath pleura w/ image | 1 - modifier may bypass | Check pair |
33140 | Heart revascularize (tmr) | 0 - no modifier bypass | Check pair |
33210 | Insert electrd/pm cath sngl | 0 - no modifier bypass | Check pair |
33211 | Insert card electrodes dual | 0 - no modifier bypass | Check pair |
33254 | Ablate atria lmtd | 0 - no modifier bypass | Check pair |
33255 | Ablate atria w/o bypass ext | 0 - no modifier bypass | Check pair |
33256 | Ablate atria w/bypass exten | 0 - no modifier bypass | Check pair |
33310 | Exploratory heart surgery | 1 - modifier may bypass | Check pair |
Showing 30 of 117 column 2 codes. Use the pair checker for any specific combination.
Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.