CPT code 33513: Coronary bypass, four venous grafts2026 Medicare rate & RVUs in North Dakota

In North Dakota, Medicare pays $2,090.18 for 33513 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 33513 nationwide

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

What 33513 covers

Code 33513 describes coronary artery bypass surgery using venous conduits to bypass four coronary targets. A cardiothoracic surgeon typically performs the operation in a hospital operating room, often using segments of the patient’s saphenous vein to route blood around obstructed coronary arteries. The operative report should identify the conduit type and the distal coronary targets; sequential grafting may require attention to the number of distal anastomoses rather than simply the number of harvested vein segments.

Select this code when the bypasses are venous-only. If arterial and venous conduits are both used, the arterial bypass code and the applicable venous add-on code describe that combination instead. Endoscopic vein harvesting may be reported separately with 33508 when performed and supported by the operative record. The code has a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate; an assistant at surgery may be paid, but 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 North Dakota compares for 33513

Across 109 of 109 payment localities, the facility rate for 33513 runs from $2,035.36 in Wisconsin to $2,911.45 in Alaska. North Dakota pays $2,090.18. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

33513 rates by state

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

See 33513 in every payment locality

How the 33513 rate is calculated

Each of 33513’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.

Payment rules and modifiers for 33513

33513 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 33513

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 33513 has changed in North Dakota

Price 33513 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

• Abercrombie
• Adams
• Alamo
• Alexander
• Alice
• Almont
• Alsen
• Ambrose

Browse all communities in North Dakota

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

Open CMS sourceHow we calculate rates