CPT code 33511: Coronary bypass, two venous grafts2026 Medicare rate & RVUs in Delaware
Reports coronary artery bypass surgery using venous conduits for two coronary bypasses, when both bypasses use vein rather than an arterial graft.
In Delaware, Medicare pays $1,964.53 for 33511 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33511 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 33511 covers
This code describes coronary artery bypass surgery in which vein is used to create two bypasses around obstructed coronary arteries. The surgeon typically uses saphenous vein harvested from the leg and performs the bypass during open-heart surgery in a hospital operating room. The operative report should identify the bypassed coronary targets and the conduit used for each. If vein is harvested endoscopically, the harvest service may be reported separately with 33508 when supported by the operative documentation.
Select the code by the number of coronary bypasses performed with venous grafts; do not base the count solely on how much vein was harvested. This major surgery has a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. The graft count is not a bilateral service, so modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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 Delaware compares for 33511
Across 109 of 109 payment localities, the facility rate for 33511 runs from $1,762.48 in Wisconsin to $2,510.09 in Alaska. Delaware pays $1,964.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$1,964.53
- Los Angeles, CA · California$2,021.40+$56.87
- Washington, DC area · District of Columbia$2,174.38+$209.85
- Miami, FL · Florida$2,485.37+$520.84
- Chicago, IL · Illinois$2,406.17+$441.64
- Manhattan, NY · New York$2,326.27+$361.74
- Alaska · Alaska$2,510.09+$545.56
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,806.32 |
| ArkansasArkansas | — | $1,783.61 |
| ArizonaArizona | — | $1,936.73 |
| Bakersfield, CACalifornia | — | $1,939.15 |
| Chico, CACalifornia | — | $1,914.07 |
| El Centro, CACalifornia | — | $1,915.61 |
| Fresno, CACalifornia | — | $1,914.07 |
| Hanford, CACalifornia | — | $1,914.07 |
| Madera, CACalifornia | — | $1,914.07 |
| Merced, CACalifornia | — | $1,914.07 |
| Modesto, CACalifornia | — | $1,914.07 |
| Napa, CACalifornia | — | $2,059.18 |
| Oxnard, CACalifornia | — | $1,992.00 |
| Redding, CACalifornia | — | $1,914.07 |
| Rest of CaliforniaCalifornia | — | $1,914.07 |
| Riverside, CACalifornia | — | $2,013.36 |
| Sacramento, CACalifornia | — | $1,966.88 |
| Salinas, CACalifornia | — | $1,958.89 |
| San Diego, CACalifornia | — | $1,975.52 |
| Marin County, CACalifornia | — | $2,123.95 |
| San Francisco, CACalifornia | — | $2,113.43 |
| San Benito County, CACalifornia | — | $2,180.41 |
| Santa Clara County, CACalifornia | — | $2,137.42 |
| San Luis Obispo, CACalifornia | — | $1,932.69 |
| Santa Cruz, CACalifornia | — | $1,970.63 |
| Santa Maria, CACalifornia | — | $1,958.16 |
| Santa Rosa, CACalifornia | — | $1,987.53 |
| Stockton, CACalifornia | — | $1,914.07 |
| Vallejo, CACalifornia | — | $2,044.02 |
| Visalia, CACalifornia | — | $1,914.07 |
| Yuba City, CACalifornia | — | $1,914.07 |
| ColoradoColorado | — | $1,969.72 |
| ConnecticutConnecticut | — | $2,118.05 |
| Fort Lauderdale, FLFlorida | — | $2,250.24 |
| Rest of FloridaFlorida | — | $2,131.21 |
| Atlanta, GAGeorgia | — | $2,067.56 |
| Rest of GeorgiaGeorgia | — | $2,007.30 |
| Hawaii, Guam, HIHawaii | — | $1,923.84 |
| IowaIowa | — | $1,771.38 |
| IdahoIdaho | — | $1,797.05 |
| East St. Louis, ILIllinois | — | $2,273.67 |
| Rest of IllinoisIllinois | — | $2,131.14 |
| Suburban Chicago, ILIllinois | — | $2,253.94 |
| IndianaIndiana | — | $1,804.10 |
| KansasKansas | — | $1,799.70 |
| KentuckyKentucky | — | $1,920.33 |
| New Orleans, LALouisiana | — | $2,011.21 |
| Rest of LouisianaLouisiana | — | $1,931.89 |
| Metropolitan Boston, MAMassachusetts | — | $2,096.06 |
| Rest of MassachusettsMassachusetts | — | $1,974.91 |
| Baltimore area, MDMaryland | — | $2,119.66 |
| Rest of MarylandMaryland | — | $1,987.06 |
| Rest of MaineMaine | — | $1,843.13 |
| Southern Maine, MEMaine | — | $1,876.67 |
| Detroit, MIMichigan | — | $2,191.71 |
| Rest of MichiganMichigan | — | $1,996.91 |
| MinnesotaMinnesota | — | $1,789.52 |
| Metropolitan Kansas City, MOMissouri | — | $1,961.16 |
| Metropolitan St. Louis, MOMissouri | — | $1,974.53 |
| Rest of MissouriMissouri | — | $1,926.88 |
| MississippiMississippi | — | $1,853.76 |
| MontanaMontana | — | $1,994.08 |
| North CarolinaNorth Carolina | — | $1,854.02 |
| North DakotaNorth Dakota | — | $1,810.98 |
| NebraskaNebraska | — | $1,768.96 |
| New HampshireNew Hampshire | — | $1,973.80 |
| Northern New JerseyNew Jersey | — | $2,163.94 |
| Rest of New JerseyNew Jersey | — | $2,114.65 |
| New MexicoNew Mexico | — | $2,020.91 |
| NevadaNevada | — | $1,943.48 |
| NYC suburbs and Long Island, NYNew York | — | $2,421.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,157.16 |
| Queens, NYNew York | — | $2,290.39 |
| Rest of New YorkNew York | — | $1,881.18 |
| OhioOhio | — | $1,959.49 |
| OklahomaOklahoma | — | $1,879.38 |
| Portland, OROregon | — | $1,983.64 |
| Rest of OregonOregon | — | $1,901.11 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,094.70 |
| Rest of PennsylvaniaPennsylvania | — | $1,942.17 |
| Puerto RicoPuerto Rico | — | $1,994.83 |
| Rhode IslandRhode Island | — | $1,999.39 |
| South CarolinaSouth Carolina | — | $1,915.38 |
| South DakotaSouth Dakota | — | $1,789.33 |
| TennesseeTennessee | — | $1,812.08 |
| Austin, TXTexas | — | $1,987.07 |
| Beaumont, TXTexas | — | $1,933.75 |
| Brazoria, TXTexas | — | $1,932.78 |
| Dallas, TXTexas | — | $1,960.32 |
| Fort Worth, TXTexas | — | $1,960.01 |
| Galveston, TXTexas | — | $1,948.49 |
| Houston, TXTexas | — | $2,117.98 |
| Rest of TexasTexas | — | $1,942.61 |
| UtahUtah | — | $1,937.16 |
| VirginiaVirginia | — | $1,896.41 |
| Virgin Islands, VIUnited States Virgin Islands | — | $1,994.83 |
| VermontVermont | — | $1,837.58 |
| Rest of WashingtonWashington | — | $1,960.02 |
| King County, WAWashington | — | $2,099.05 |
| WisconsinWisconsin | — | $1,762.48 |
| West VirginiaWest Virginia | — | $2,071.26 |
| WyomingWyoming | — | $1,914.29 |
33511 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 33511 rate is calculated
Each of 33511’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 · 33511
RVUs × geographic indexes × conversion factor
Work37.49
37.49 RVUs× 1.000 GPCI
Practice expense12.97
12.97 RVUs× 1.000 GPCI
Malpractice9.26
9.26 RVUs× 1.000 GPCI
Adjusted RVUs
59.7200
Conversion factor
$33.4009
Medicare rate
$1,994.70
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,984
- Code
- 33511
- Physician work
- 37.49
- Practice expense
- 12.97
- Malpractice
- 9.26
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 37.49 | × 1.005 | 37.6775 |
| Practice expense | 12.97 | × 0.988 | 12.8144 |
| Malpractice | 9.26 | × 0.899 | 8.3247 |
| Total RVUs | 58.8165 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$1964.53
Facility: (37.49 × 1.005 + 12.97 × 0.988 + 9.26 × 0.899) × $33.4009 = $1964.53
Payment rules and modifiers for 33511
33511 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33511
Coronary bypass, two venous grafts
| 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 · 33511
Coronary bypass, two venous grafts
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
33511 without 51 · national facility
$1,994.70
Coronary bypass, two venous grafts
33511-51 · Second procedure: 50%
$997.35
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 33511 has changed in Delaware
33511 · 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 | $1,964.53 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,964.53 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,964.53 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,964.53 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,020.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,020.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,020.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,020.69 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,071.11 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,071.11 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,071.11 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,071.11 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,037.30 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,102.71 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,102.71 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,102.71 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,102.71 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,152.05 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,152.05 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,152.05 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,152.05 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,159.87 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,159.87 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,159.87 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,159.87 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,246.30 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,246.30 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,246.30 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,246.30 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,271.41 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,271.41 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,271.41 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,271.41 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,267.35 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,267.35 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,267.35 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,267.35 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,270.01 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,270.01 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,270.01 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,270.01 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,271.40 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,271.40 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,271.40 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,271.40 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,276.83 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,276.83 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,265.50 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,265.50 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,219.99 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,219.99 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,219.99 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,219.99 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,114.70 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,114.70 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,114.70 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,114.70 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
33511 billing questions
How does 33511 differ from 33510 and 33512?
These codes distinguish the number of coronary bypasses performed with vein: 33510 represents one, 33511 two, and 33512 three.
What if the operation uses both vein and an arterial graft?
Use the mixed-conduit coding structure rather than 33511 alone. Code 33518 represents two venous grafts when reported as an add-on to the appropriate arterial CABG code.
Can endoscopic vein harvesting be reported separately?
Code 33508 may be reported for endoscopic vein harvest performed for CABG when the operative documentation supports that service.
What documentation supports reporting two venous grafts?
The operative report should identify the coronary targets bypassed and show that two bypasses used venous conduits. Vein length or the amount harvested alone does not establish the bypass count.
Is modifier 50 appropriate, and what surgical modifiers are relevant?
Modifier 50 is inappropriate because the code counts coronary bypasses, not a bilateral service. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
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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