CPT code 33514: Coronary bypass, five venous grafts2026 Medicare rate & RVUs in Minnesota

Reports coronary artery bypass surgery using venous conduits for five coronary targets, with code selection based on the graft type and bypass count.

CMS RVU26DEffective Oct 1, 2026One payment locality25 Medicare services in 2024

In Minnesota, Medicare pays $2,202.08 for 33514 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,202.08Hospital or facility

Check a contract rate as a % of Medicare · 33514 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 33514 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 33514 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 33514 covers

This code represents coronary artery bypass surgery using venous grafts for five coronary targets. It is generally performed by a cardiothoracic surgeon in an operating room, with vein conduit taken from the patient and connected to bypass narrowed or blocked coronary arteries. The operative report should establish that the bypasses use venous grafts and support the five-target level; arterial grafting changes the code selection.

Select this code from the operative details, not from the number of diseased arteries listed before surgery. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this code.

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 Minnesota compares for 33514

Across 109 of 109 payment localities, the facility rate for 33514 runs from $2,170.38 in Wisconsin to $3,099.35 in Alaska. Minnesota pays $2,202.08. The RVUs are the same everywhere; the geographic indexes change the dollars.

33514 in Minnesota vs other payment areas
  1. Minnesota · this page$2,202.08
  2. Los Angeles, CA · California$2,483.35+$281.27
  3. Washington, DC area · District of Columbia$2,670.17+$468.09
  4. Miami, FL · Florida$3,048.76+$846.68
  5. Chicago, IL · Illinois$2,953.28+$751.20
  6. Manhattan, NY · New York$2,855.72+$653.64
  7. Alaska · Alaska$3,099.35+$897.27

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

Every other payment area

33514 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$2,225.17
ArkansasArkansas—$2,197.81
ArizonaArizona—$2,382.28
Bakersfield, CACalifornia—$2,383.82
Chico, CACalifornia—$2,353.21
El Centro, CACalifornia—$2,355.10
Fresno, CACalifornia—$2,353.21
Hanford, CACalifornia—$2,353.21

33514 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
33514 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 33514 in every payment locality

How the 33514 rate is calculated

Each of 33514’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 · 33514

RVUs × geographic indexes × conversion factor

Office or facility?

Work46.88

46.88 RVUs× 1.000 GPCI

Practice expense15.27

15.27 RVUs× 1.000 GPCI

Malpractice11.27

11.27 RVUs× 1.000 GPCI

Adjusted RVUs

73.4200

Conversion factor

$33.4009

Medicare rate

$2,452.29

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

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,987

Code
33514
Physician work
46.88
Practice expense
15.27
Malpractice
11.27

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 33514 in Minnesota
ComponentRVULocality factorAdjusted
Physician work46.88× 1.00046.8800
Practice expense15.27× 1.02915.7128
Malpractice11.27× 0.2963.3359
Total RVUs65.9287
Conversion factor× 33.4009

Facility rate, Minnesota$2202.08

Facility: (46.88 × 1 + 15.27 × 1.029 + 11.27 × 0.296) × $33.4009 = $2202.08

Open 33514 in the RVU calculator

Payment rules and modifiers for 33514

33514 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33514

Coronary bypass, five venous grafts

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33514

Coronary bypass, five 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.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33514 without 51 · national facility

$2,452.29

Coronary bypass, five venous grafts

33514-51 · Second procedure: 50%

$1,226.15

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%).

When to use modifier 51

How 33514 has changed in Minnesota

33514 · 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$2,202.08RVU26D
2026-07-01Not available in this setting$2,202.08RVU26C
2026-04-01Not available in this setting$2,202.08RVU26B
2026-01-01Not available in this setting$2,202.08RVU26A
2025-10-01Not available in this setting$2,246.16RVU25D
2025-07-01Not available in this setting$2,246.16RVU25C
2025-04-01Not available in this setting$2,246.16RVU25B
2025-01-01Not available in this setting$2,246.16RVU25A
2024-10-01Not available in this setting$2,296.96RVU24D
2024-07-01Not available in this setting$2,296.96RVU24C
2024-04-01Not available in this setting$2,296.96RVU24B
2024-03-09Not available in this setting$2,296.96RVU24AR
2024-01-01Not available in this setting$2,259.47RVU24A
2023-10-01Not available in this setting$2,348.85RVU23D
2023-07-01Not available in this setting$2,348.85RVU23C
2023-04-01Not available in this setting$2,348.85RVU23B
2023-01-01Not available in this setting$2,348.85RVU23A
2022-10-01Not available in this setting$2,405.89RVU22D
2022-07-01Not available in this setting$2,405.89RVU22C
2022-04-01Not available in this setting$2,405.89RVU22B
2022-01-01Not available in this setting$2,405.89RVU22A
2021-10-01Not available in this setting$2,430.78RVU21D
2021-07-01Not available in this setting$2,430.78RVU21C
2021-04-01Not available in this setting$2,430.78RVU21B
2021-01-01Not available in this setting$2,430.78RVU21A
2020-10-01Not available in this setting$2,483.53RVU20D
2020-07-01Not available in this setting$2,483.53RVU20C
2020-04-01Not available in this setting$2,483.53RVU20B
2020-01-01Not available in this setting$2,483.53RVU20A
2019-10-01Not available in this setting$2,488.59RVU19D
2019-07-01Not available in this setting$2,488.59RVU19C
2019-04-01Not available in this setting$2,488.59RVU19B
2019-01-01Not available in this setting$2,488.59RVU19A
2018-10-01Not available in this setting$2,492.60RVU18D
2018-07-01Not available in this setting$2,492.60RVU18C
2018-04-01Not available in this setting$2,492.60RVU18B
2018-01-01Not available in this setting$2,492.60RVU18AR1
2017-10-01Not available in this setting$2,486.45RVU17D
2017-07-01Not available in this setting$2,486.45RVU17C
2017-04-01Not available in this setting$2,486.45RVU17B
2017-01-01Not available in this setting$2,486.45RVU17A
2016-10-01Not available in this setting$2,473.73RVU16D
2016-07-01Not available in this setting$2,473.73RVU16C
2016-04-01Not available in this setting$2,473.73RVU16B
2016-01-01Not available in this setting$2,473.73RVU16A
2015-10-01Not available in this setting$2,487.72RVU15D
2015-07-01Not available in this setting$2,487.72RVU15C
2015-04-01Not available in this setting$2,475.34RVU15B
2015-01-01Not available in this setting$2,475.34RVU15A
2014-10-01Not available in this setting$2,476.15RVU14D
2014-07-01Not available in this setting$2,476.15RVU14C
2014-04-01Not available in this setting$2,476.15RVU14B
2014-01-01Not available in this setting$2,476.15RVU14A
2013-10-01Not available in this setting$2,409.35RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 33514 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

33514 billing questions

How is this code distinguished from 33513 or 33516?

Choose by the documented number of venous bypasses: 33513 is the four-graft level, 33514 the five-graft level, and 33516 six or more.

Can this code be used when an arterial graft is also placed?

No. For a combination of arterial and venous grafting, use the mixed-graft code family, selecting the code that reflects the documented graft combination.

Can modifier 50 be appended for bypasses on both sides?

No. Modifier 50 is inappropriate for this CABG code; report the applicable graft-count code for the operation.

What documentation supports the five-graft level?

The operative report should identify the conduit type and describe the bypasses performed, supporting five venous grafts to coronary targets.

How does the multiple-procedure reduction affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.

Is endoscopic vein harvesting reported with this surgery?

Code 33508 describes endoscopic vein harvesting and may be reported with CABG when that harvesting method is performed and documented.

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 33514PPRRVU2026_Oct_nonQPP.csv, line 3,987 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 33514 pays in Minnesota?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 33514 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet