CPT code 33510: Coronary bypass, single vein graft2026 Medicare rate & RVUs in Vermont
Report this code for coronary artery bypass surgery using one venous graft to bypass one coronary target, without an arterial bypass graft.
In Vermont, Medicare pays $1,672.61 for 33510 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33510 nationwide
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 11 sections
What 33510 covers
A cardiac surgeon uses a vein conduit, commonly the saphenous vein, to route blood around a blocked coronary artery. This code describes a bypass using one venous graft to one coronary target. The operation is performed in a cardiac operating room, usually in a hospital; the code identifies the graft configuration rather than whether the operation is performed on or off pump.
Select the code from the operative report’s account of the conduit type and number of coronary targets bypassed. A single venous graft supports this code; two or more venous grafts point to higher-count codes in the same series. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Assistant-at-surgery payment may be made; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this descriptor and anatomy.
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 Vermont compares for 33510
Across 109 of 109 payment localities, the facility rate for 33510 runs from $1,604.59 in Wisconsin to $2,284.53 in Alaska. Vermont pays $1,672.61. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Vermont · this page$1,672.61
- Los Angeles, CA · California$1,839.88+$167.27
- Washington, DC area · District of Columbia$1,978.24+$305.63
- Miami, FL · Florida$2,258.35+$585.74
- Chicago, IL · Illinois$2,186.66+$514.05
- Manhattan, NY · New York$2,115.53+$442.92
- Alaska · Alaska$2,284.53+$611.92
Other areas in Vermont first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,643.86 |
| ArkansasArkansas | — | $1,623.27 |
| ArizonaArizona | — | $1,762.14 |
| Bakersfield, CACalifornia | — | $1,765.00 |
| Chico, CACalifornia | — | $1,742.32 |
| El Centro, CACalifornia | — | $1,743.72 |
| Fresno, CACalifornia | — | $1,742.32 |
| Hanford, CACalifornia | — | $1,742.32 |
| Madera, CACalifornia | — | $1,742.32 |
| Merced, CACalifornia | — | $1,742.32 |
| Modesto, CACalifornia | — | $1,742.32 |
| Napa, CACalifornia | — | $1,874.77 |
| Oxnard, CACalifornia | — | $1,813.21 |
| Redding, CACalifornia | — | $1,742.32 |
| Rest of CaliforniaCalifornia | — | $1,742.32 |
| Riverside, CACalifornia | — | $1,832.08 |
| Sacramento, CACalifornia | — | $1,790.48 |
| Salinas, CACalifornia | — | $1,783.20 |
| San Diego, CACalifornia | — | $1,798.39 |
| Marin County, CACalifornia | — | $1,933.94 |
| San Francisco, CACalifornia | — | $1,924.43 |
| San Benito County, CACalifornia | — | $1,985.22 |
| Santa Clara County, CACalifornia | — | $1,946.36 |
| San Luis Obispo, CACalifornia | — | $1,759.34 |
| Santa Cruz, CACalifornia | — | $1,793.98 |
| Santa Maria, CACalifornia | — | $1,782.56 |
| Santa Rosa, CACalifornia | — | $1,809.37 |
| Stockton, CACalifornia | — | $1,742.32 |
| Vallejo, CACalifornia | — | $1,861.07 |
| Visalia, CACalifornia | — | $1,742.32 |
| Yuba City, CACalifornia | — | $1,742.32 |
| ColoradoColorado | — | $1,792.45 |
| ConnecticutConnecticut | — | $1,926.64 |
| DelawareDelaware | — | $1,787.38 |
| Fort Lauderdale, FLFlorida | — | $2,045.71 |
| Rest of FloridaFlorida | — | $1,937.88 |
| Atlanta, GAGeorgia | — | $1,880.61 |
| Rest of GeorgiaGeorgia | — | $1,825.60 |
| Hawaii, Guam, HIHawaii | — | $1,751.20 |
| IowaIowa | — | $1,612.45 |
| IdahoIdaho | — | $1,635.68 |
| East St. Louis, ILIllinois | — | $2,066.49 |
| Rest of IllinoisIllinois | — | $1,937.63 |
| Suburban Chicago, ILIllinois | — | $2,049.16 |
| IndianaIndiana | — | $1,642.08 |
| KansasKansas | — | $1,638.01 |
| KentuckyKentucky | — | $1,746.97 |
| New Orleans, LALouisiana | — | $1,829.34 |
| Rest of LouisianaLouisiana | — | $1,757.41 |
| Metropolitan Boston, MAMassachusetts | — | $1,907.42 |
| Rest of MassachusettsMassachusetts | — | $1,797.13 |
| Baltimore area, MDMaryland | — | $1,928.05 |
| Rest of MarylandMaryland | — | $1,807.89 |
| Rest of MaineMaine | — | $1,677.33 |
| Southern Maine, MEMaine | — | $1,707.95 |
| Detroit, MIMichigan | — | $1,992.60 |
| Rest of MichiganMichigan | — | $1,816.30 |
| MinnesotaMinnesota | — | $1,629.33 |
| Metropolitan Kansas City, MOMissouri | — | $1,784.10 |
| Metropolitan St. Louis, MOMissouri | — | $1,796.23 |
| Rest of MissouriMissouri | — | $1,752.78 |
| MississippiMississippi | — | $1,686.69 |
| MontanaMontana | — | $1,814.11 |
| North CarolinaNorth Carolina | — | $1,687.23 |
| North DakotaNorth Dakota | — | $1,648.61 |
| NebraskaNebraska | — | $1,610.30 |
| New HampshireNew Hampshire | — | $1,795.95 |
| Northern New JerseyNew Jersey | — | $1,968.79 |
| Rest of New JerseyNew Jersey | — | $1,923.77 |
| New MexicoNew Mexico | — | $1,838.01 |
| NevadaNevada | — | $1,768.38 |
| NYC suburbs and Long Island, NYNew York | — | $2,201.98 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,962.25 |
| Queens, NYNew York | — | $2,083.19 |
| Rest of New YorkNew York | — | $1,711.85 |
| OhioOhio | — | $1,782.47 |
| OklahomaOklahoma | — | $1,709.98 |
| Portland, OROregon | — | $1,805.26 |
| Rest of OregonOregon | — | $1,730.06 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,905.36 |
| Rest of PennsylvaniaPennsylvania | — | $1,766.84 |
| Puerto RicoPuerto Rico | — | $1,814.83 |
| Rhode IslandRhode Island | — | $1,819.19 |
| South CarolinaSouth Carolina | — | $1,742.66 |
| South DakotaSouth Dakota | — | $1,629.04 |
| TennesseeTennessee | — | $1,649.21 |
| Austin, TXTexas | — | $1,808.04 |
| Beaumont, TXTexas | — | $1,759.20 |
| Brazoria, TXTexas | — | $1,758.72 |
| Dallas, TXTexas | — | $1,783.64 |
| Fort Worth, TXTexas | — | $1,783.32 |
| Galveston, TXTexas | — | $1,772.93 |
| Houston, TXTexas | — | $1,926.13 |
| Rest of TexasTexas | — | $1,767.37 |
| UtahUtah | — | $1,762.41 |
| VirginiaVirginia | — | $1,725.75 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,814.83 |
| Rest of WashingtonWashington | — | $1,783.64 |
| King County, WAWashington | — | $1,910.32 |
| WisconsinWisconsin | — | $1,604.59 |
| West VirginiaWest Virginia | — | $1,883.31 |
| WyomingWyoming | — | $1,741.98 |
33510 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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 33510 rate is calculated
Each of 33510’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 · 33510
RVUs × geographic indexes × conversion factor
Work34.11
34.11 RVUs× 1.000 GPCI
Practice expense11.85
11.85 RVUs× 1.000 GPCI
Malpractice8.37
8.37 RVUs× 1.000 GPCI
Adjusted RVUs
54.3300
Conversion factor
$33.4009
Medicare rate
$1,814.67
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Vermont inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,983
- Code
- 33510
- Physician work
- 34.11
- Practice expense
- 11.85
- Malpractice
- 8.37
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 34.11 | × 1.000 | 34.1100 |
| Practice expense | 11.85 | × 0.990 | 11.7315 |
| Malpractice | 8.37 | × 0.506 | 4.2352 |
| Total RVUs | 50.0767 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$1672.61
Facility: (34.11 × 1 + 11.85 × 0.99 + 8.37 × 0.506) × $33.4009 = $1672.61
Payment rules and modifiers for 33510
33510 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33510
Coronary bypass, single vein graft
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 2 | Paid. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33510
Coronary bypass, single vein graft
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33510 without 51 · national facility
$1,814.67
Coronary bypass, single vein graft
33510-51 · Second procedure: 50%
$907.34
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 33510 has changed in Vermont
33510 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $1,672.61 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,672.61 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,672.61 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,672.61 | RVU26A |
| 2025-10-01 | Not available in this setting | $1,714.59 | RVU25D |
| 2025-07-01 | Not available in this setting | $1,714.59 | RVU25C |
| 2025-04-01 | Not available in this setting | $1,714.59 | RVU25B |
| 2025-01-01 | Not available in this setting | $1,714.59 | RVU25A |
| 2024-10-01 | Not available in this setting | $1,756.42 | RVU24D |
| 2024-07-01 | Not available in this setting | $1,756.42 | RVU24C |
| 2024-04-01 | Not available in this setting | $1,756.42 | RVU24B |
| 2024-03-09 | Not available in this setting | $1,756.42 | RVU24AR |
| 2024-01-01 | Not available in this setting | $1,727.75 | RVU24A |
| 2023-10-01 | Not available in this setting | $1,794.12 | RVU23D |
| 2023-07-01 | Not available in this setting | $1,794.12 | RVU23C |
| 2023-04-01 | Not available in this setting | $1,794.12 | RVU23B |
| 2023-01-01 | Not available in this setting | $1,794.12 | RVU23A |
| 2022-10-01 | Not available in this setting | $1,842.66 | RVU22D |
| 2022-07-01 | Not available in this setting | $1,842.66 | RVU22C |
| 2022-04-01 | Not available in this setting | $1,842.66 | RVU22B |
| 2022-01-01 | Not available in this setting | $1,842.66 | RVU22A |
| 2021-10-01 | Not available in this setting | $1,852.18 | RVU21D |
| 2021-07-01 | Not available in this setting | $1,852.18 | RVU21C |
| 2021-04-01 | Not available in this setting | $1,852.18 | RVU21B |
| 2021-01-01 | Not available in this setting | $1,852.18 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,906.62 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,906.62 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,906.62 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,906.62 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,908.15 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,908.15 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,908.15 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,908.15 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,905.68 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,905.68 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,905.68 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,905.68 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,915.33 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,915.33 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,915.33 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,915.33 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,925.01 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,925.01 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,925.01 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,925.01 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,930.49 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,930.49 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,920.88 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,920.88 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,916.50 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,916.50 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,916.50 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,916.50 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Vermont rate applies
Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.
- Albany
- Alburgh
- Algiers
- Arlington
- Ascutney
- Bakersfield
- Barnet
- Barre
33510 billing questions
How is this code distinguished from 33511?
This code represents one venous coronary bypass graft. Code 33511 represents two venous grafts; use the operative report’s documented graft count.
Does the number of harvested veins determine the code?
Choose the CABG code based on the bypass graft configuration and coronary targets documented in the operative report, not simply the amount of vein harvested.
Can vein harvesting be reported separately?
Endoscopic vein harvesting has a separate code, 33508. The operative documentation should identify the harvesting method and the CABG procedure performed.
Can modifier 50 be used for a bypass on both sides?
No. Bilateral adjustment is inappropriate for this descriptor and anatomy.
How are multiple procedures and postoperative visits handled?
The 90-day global period includes the day-before preoperative visit and related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%.
May an assistant or co-surgeon be reported?
Assistant-at-surgery payment may be made. Co-surgeons and team surgery are not permitted for this code.
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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