CPT code 33508: Vein harvest, endoscopic technique2026 Medicare rate & RVUs in New Mexico

Reports endoscopic procurement of vein for coronary artery bypass surgery as an add-on to a qualifying CABG procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality56.6K Medicare services in 2024

In New Mexico, Medicare pays $14.67 for 33508 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$14.67Hospital or facility

Check a contract rate as a % of Medicare · 33508 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33508 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in New Mexico
  2. What 33508 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 33508 covers

During coronary artery bypass surgery, this service captures endoscopic procurement of a vein conduit, most often the saphenous vein from the leg, for use in the bypass. The surgeon or another qualified member of the cardiac surgical team works through small incisions using an endoscope to locate, free, and retrieve the conduit. The bypass graft is fashioned and connected as part of the primary operation; 33508 represents the vein-harvest work, not the coronary bypass anastomoses.

Report 33508 as an add-on with an eligible CABG primary procedure when the vein was harvested endoscopically. It may accompany vein-only, combined artery-and-vein, or arterial CABG coding when the operative report supports the qualifying bypass and documents the endoscopic harvest. Do not report it alone. Under the CMS rule for this code, payment falls within the primary procedure's global period. Documentation should identify the harvested conduit and site, the endoscopic approach, and its intended use for coronary revascularization.

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.

How New Mexico compares for 33508

Across 109 of 109 payment localities, the facility rate for 33508 runs from $12.66 in Wisconsin to $18.45 in Alaska. New Mexico pays $14.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

33508 in New Mexico vs other payment areas
  1. New Mexico · this page$14.67
  2. Los Angeles, CA · California$14.35−$0.32
  3. Washington, DC area · District of Columbia$15.52+$0.85
  4. Miami, FL · Florida$18.02+$3.35
  5. Chicago, IL · Illinois$17.47+$2.80
  6. Manhattan, NY · New York$16.70+$2.03
  7. Alaska · Alaska$18.45+$3.78

Other areas in New Mexico first, then benchmark localities. Bars start at $0.

Every other payment area

33508 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$13.10
ArkansasArkansas—$12.95
ArizonaArizona—$13.96
Bakersfield, CACalifornia—$13.83
Chico, CACalifornia—$13.64
El Centro, CACalifornia—$13.65
Fresno, CACalifornia—$13.64
Hanford, CACalifornia—$13.64

33508 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
33508 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33508 in every payment locality

How the 33508 rate is calculated

Each of 33508’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 · 33508

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.30

0.30 RVUs× 1.000 GPCI

Practice expense0.06

0.06 RVUs× 1.000 GPCI

Malpractice0.07

0.07 RVUs× 1.000 GPCI

Adjusted RVUs

0.4300

Conversion factor

$33.4009

Medicare rate

$14.36

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact New Mexico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,980

Code
33508
Physician work
0.30
Practice expense
0.06
Malpractice
0.07

GPCI2026.csv

77

Locality
New Mexico
Physician work
1.000
Practice expense
0.917
Malpractice
1.201
Facility calculation for 33508 in New Mexico
ComponentRVULocality factorAdjusted
Physician work0.30× 1.0000.3000
Practice expense0.06× 0.9170.0550
Malpractice0.07× 1.2010.0841
Total RVUs0.4391
Conversion factor× 33.4009

Facility rate, New Mexico$14.67

Facility: (0.3 × 1 + 0.06 × 0.917 + 0.07 × 1.201) × $33.4009 = $14.67

Open 33508 in the RVU calculator

Payment rules and modifiers for 33508

The CMS indicators that decide how 33508 is paid alongside other services.

CMS payment indicators · 33508

Vein harvest, endoscopic technique

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)1Permitted with supporting documentation.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 80 · payment effect

With and without the modifier

33508 without 80 · national facility

$14.36

Vein harvest, endoscopic technique

33508-80 · Assistant: 16%

$2.30

A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.

When to use modifier 80

How 33508 has changed in New Mexico

33508 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$14.67RVU26D
2026-07-01Not available in this setting$14.67RVU26C
2026-04-01Not available in this setting$14.67RVU26B
2026-01-01Not available in this setting$14.67RVU26A
2025-10-01Not available in this setting$15.32RVU25D
2025-07-01Not available in this setting$15.32RVU25C
2025-04-01Not available in this setting$15.32RVU25B
2025-01-01Not available in this setting$15.32RVU25A
2024-10-01Not available in this setting$15.77RVU24D
2024-07-01Not available in this setting$15.77RVU24C
2024-04-01Not available in this setting$15.77RVU24B
2024-03-09Not available in this setting$15.77RVU24AR
2024-01-01Not available in this setting$15.51RVU24A
2023-10-01Not available in this setting$16.03RVU23D
2023-07-01Not available in this setting$16.03RVU23C
2023-04-01Not available in this setting$16.03RVU23B
2023-01-01Not available in this setting$16.03RVU23A
2022-10-01Not available in this setting$16.75RVU22D
2022-07-01Not available in this setting$16.75RVU22C
2022-04-01Not available in this setting$16.75RVU22B
2022-01-01Not available in this setting$16.75RVU22A
2021-10-01Not available in this setting$16.07RVU21D
2021-07-01Not available in this setting$16.07RVU21C
2021-04-01Not available in this setting$16.07RVU21B
2021-01-01Not available in this setting$16.07RVU21A
2020-10-01Not available in this setting$17.62RVU20D
2020-07-01Not available in this setting$17.62RVU20C
2020-04-01Not available in this setting$17.62RVU20B
2020-01-01Not available in this setting$17.62RVU20A
2019-10-01Not available in this setting$17.31RVU19D
2019-07-01Not available in this setting$17.31RVU19C
2019-04-01Not available in this setting$17.31RVU19B
2019-01-01Not available in this setting$17.31RVU19A
2018-10-01Not available in this setting$17.29RVU18D
2018-07-01Not available in this setting$17.29RVU18C
2018-04-01Not available in this setting$17.29RVU18B
2018-01-01Not available in this setting$17.29RVU18AR1
2017-10-01Not available in this setting$17.12RVU17D
2017-07-01Not available in this setting$17.12RVU17C
2017-04-01Not available in this setting$17.12RVU17B
2017-01-01Not available in this setting$17.12RVU17A
2016-10-01Not available in this setting$16.97RVU16D
2016-07-01Not available in this setting$16.97RVU16C
2016-04-01Not available in this setting$16.97RVU16B
2016-01-01Not available in this setting$16.97RVU16A
2015-10-01Not available in this setting$16.61RVU15D
2015-07-01Not available in this setting$16.61RVU15C
2015-04-01Not available in this setting$16.53RVU15B
2015-01-01Not available in this setting$16.53RVU15A
2014-10-01Not available in this setting$16.77RVU14D
2014-07-01Not available in this setting$16.77RVU14C
2014-04-01Not available in this setting$16.77RVU14B
2014-01-01Not available in this setting$16.77RVU14A
2013-10-01Not available in this setting$16.04RVU13D
2013-07-01Not available in this setting$16.04RVU13C
2013-04-01Not available in this setting$16.04RVU13B
2013-01-01Not available in this setting$16.04RVU13AR

Price 33508 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

  • Abeytas
  • Abiquiu
  • Acomita Lake
  • Adelino
  • Agua Fria
  • Alamillo
  • Alamo
  • Alamogordo

Browse all communities in New Mexico

33508 billing questions

Can 33508 be reported by itself?

No. It is an add-on and must be reported with a qualifying primary CABG procedure.

Which CABG procedures can be paired with 33508?

It may be paired with eligible vein-only, combined artery-and-vein, or arterial CABG procedures when the record supports endoscopic vein harvest for the bypass.

How is 33508 different from 33510?

33508 reports the endoscopic harvest of vein; 33510 reports a single-vein coronary bypass. The harvest code supplements the bypass procedure rather than replacing it.

What should the operative report document?

Document the vein and harvest site, the endoscopic approach, and that the conduit was procured for coronary bypass.

How does the CMS global-period rule affect payment?

CMS treats 33508 as an add-on paid within the global period of the primary CABG 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
RVUs for 33508PPRRVU2026_Oct_nonQPP.csv, line 3,980 (RVU26D)
Geographic factors for New MexicoGPCI2026.csv, line 77 (RVU26D)

Open CMS sourceHow we calculate rates

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