CPT code 33516: Coronary bypass, six or more vein grafts2026 Medicare rate & RVUs in Washington, DC area

Reports coronary artery bypass surgery using six or more venous grafts, without an arterial graft counted as part of this venous-only code.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Washington, DC area, Medicare pays $2,765.62 for 33516 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$2,765.62Hospital or facility

Check a contract rate as a % of Medicare · 33516 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 33516 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 33516 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 33516 covers

A cardiac surgeon uses this code for coronary artery bypass surgery in which six or more venous grafts are placed to route blood around obstructed coronary arteries. A common setting is an operating room during surgery for multivessel coronary artery disease. The surgeon’s operative report should identify the conduits used and the number of venous bypass grafts performed; the count is not the number of veins harvested.

Select this code for six or more venous grafts when the bypass uses venous grafts only. When arterial and venous grafts are both used, report the appropriate arterial CABG primary code with the corresponding venous-graft add-on code instead. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. 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 Washington, DC area compares for 33516

Across 109 of 109 payment localities, the facility rate for 33516 runs from $2,248.05 in Wisconsin to $3,209.68 in Alaska. Washington, DC area pays $2,765.62. The RVUs are the same everywhere; the geographic indexes change the dollars.

33516 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$2,765.62
  2. Los Angeles, CA · California$2,572.33−$193.29
  3. Miami, FL · Florida$3,157.00+$391.38
  4. Chicago, IL · Illinois$3,058.14+$292.52
  5. Manhattan, NY · New York$2,957.56+$191.94
  6. Alaska · Alaska$3,209.68+$444.06
  7. Alabama · Alabama$2,304.56−$461.06

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

33516 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$2,276.23
ArizonaArizona—$2,467.30
Bakersfield, CACalifornia—$2,469.17
Chico, CACalifornia—$2,437.50
El Centro, CACalifornia—$2,439.45
Fresno, CACalifornia—$2,437.50
Hanford, CACalifornia—$2,437.50
Madera, CACalifornia—$2,437.50

33516 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
33516 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 33516 in every payment locality

How the 33516 rate is calculated

Each of 33516’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 · 33516

RVUs × geographic indexes × conversion factor

Office or facility?

Work48.52

48.52 RVUs× 1.000 GPCI

Practice expense15.86

15.86 RVUs× 1.000 GPCI

Malpractice11.66

11.66 RVUs× 1.000 GPCI

Adjusted RVUs

76.0400

Conversion factor

$33.4009

Medicare rate

$2,539.80

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,988

Code
33516
Physician work
48.52
Practice expense
15.86
Malpractice
11.66

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 33516 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work48.52× 1.05451.1401
Practice expense15.86× 1.17818.6831
Malpractice11.66× 1.11312.9776
Total RVUs82.8007
Conversion factor× 33.4009

Facility rate, Washington, DC area$2765.62

Facility: (48.52 × 1.054 + 15.86 × 1.178 + 11.66 × 1.113) × $33.4009 = $2765.62

Open 33516 in the RVU calculator

Payment rules and modifiers for 33516

33516 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33516

Coronary bypass, six or more vein 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 · 33516

Coronary bypass, six or more vein 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

33516 without 51 · national facility

$2,539.80

Coronary bypass, six or more vein grafts

33516-51 · Second procedure: 50%

$1,269.90

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 33516 has changed in Washington, DC area

33516 · 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$2,765.62RVU26D
2026-07-01Not available in this setting$2,765.62RVU26C
2026-04-01Not available in this setting$2,765.62RVU26B
2026-01-01Not available in this setting$2,765.62RVU26A
2025-10-01Not available in this setting$2,834.90RVU25D
2025-07-01Not available in this setting$2,834.90RVU25C
2025-04-01Not available in this setting$2,834.90RVU25B
2025-01-01Not available in this setting$2,834.90RVU25A
2024-10-01Not available in this setting$2,903.77RVU24D
2024-07-01Not available in this setting$2,903.77RVU24C
2024-04-01Not available in this setting$2,903.77RVU24B
2024-03-09Not available in this setting$2,903.77RVU24AR
2024-01-01Not available in this setting$2,856.38RVU24A
2023-10-01Not available in this setting$2,988.37RVU23D
2023-07-01Not available in this setting$2,988.37RVU23C
2023-04-01Not available in this setting$2,988.37RVU23B
2023-01-01Not available in this setting$2,988.37RVU23A
2022-10-01Not available in this setting$3,101.47RVU22D
2022-07-01Not available in this setting$3,101.47RVU22C
2022-04-01Not available in this setting$3,101.47RVU22B
2022-01-01Not available in this setting$3,101.47RVU22A
2021-10-01Not available in this setting$3,110.87RVU21D
2021-07-01Not available in this setting$3,110.87RVU21C
2021-04-01Not available in this setting$3,110.87RVU21B
2021-01-01Not available in this setting$3,110.87RVU21A
2020-10-01Not available in this setting$3,169.02RVU20D
2020-07-01Not available in this setting$3,169.02RVU20C
2020-04-01Not available in this setting$3,169.02RVU20B
2020-01-01Not available in this setting$3,169.02RVU20A
2019-10-01Not available in this setting$3,167.13RVU19D
2019-07-01Not available in this setting$3,167.13RVU19C
2019-04-01Not available in this setting$3,128.05RVU19B
2019-01-01Not available in this setting$3,128.05RVU19A
2018-10-01Not available in this setting$3,158.47RVU18D
2018-07-01Not available in this setting$3,158.47RVU18C
2018-04-01Not available in this setting$3,158.47RVU18B
2018-01-01Not available in this setting$3,158.47RVU18AR1
2017-10-01Not available in this setting$3,195.50RVU17D
2017-07-01Not available in this setting$3,195.50RVU17C
2017-04-01Not available in this setting$3,195.50RVU17B
2017-01-01Not available in this setting$3,195.50RVU17A
2016-10-01Not available in this setting$3,185.12RVU16D
2016-07-01Not available in this setting$3,185.12RVU16C
2016-04-01Not available in this setting$3,185.12RVU16B
2016-01-01Not available in this setting$3,185.12RVU16A
2015-10-01Not available in this setting$3,221.08RVU15D
2015-07-01Not available in this setting$3,221.08RVU15C
2015-04-01Not available in this setting$3,205.05RVU15B
2015-01-01Not available in this setting$3,205.05RVU15A
2014-10-01Not available in this setting$3,159.98RVU14D
2014-07-01Not available in this setting$3,159.98RVU14C
2014-04-01Not available in this setting$3,159.98RVU14B
2014-01-01Not available in this setting$3,159.98RVU14A
2013-10-01Not available in this setting$3,071.87RVU13D
2013-07-01Not available in this setting$3,071.87RVU13C
2013-04-01Not available in this setting$3,071.87RVU13B
2013-01-01Not available in this setting$3,071.87RVU13AR

Price 33516 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

33516 billing questions

How many grafts qualify for this code?

Report it when the operation places six or more venous bypass grafts. Use the operative report to support the graft count.

Should this code be used when arterial and venous grafts are both performed?

No. For a combined arterial-and-venous bypass, report the appropriate arterial CABG primary code with the venous-graft add-on code matching the venous graft count.

Can vein harvesting be reported with the bypass?

Endoscopic vein harvesting may be reported with CABG when that service is performed and separately reportable. The bypass code itself represents the grafting operation, not the harvest technique.

Can modifier 50 be used?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the multiple-procedure payment rule affect this code?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and other procedures at 50%.

What does the global period include, and may an assistant be reported?

The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. 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
RVUs for 33516PPRRVU2026_Oct_nonQPP.csv, line 3,988 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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