CPT code 33516: Coronary bypass, six or more vein grafts2026 Medicare rate & RVUs in Utah
Reports coronary artery bypass surgery using six or more venous grafts, without an arterial graft counted as part of this venous-only code.
In Utah, Medicare pays $2,468.30 for 33516 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Utah 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. Utah pays $2,468.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$2,468.30
- Los Angeles, CA · California$2,572.33+$104.03
- Washington, DC area · District of Columbia$2,765.62+$297.32
- Miami, FL · Florida$3,157.00+$688.70
- Chicago, IL · Illinois$3,058.14+$589.84
- Manhattan, NY · New York$2,957.56+$489.26
- Alaska · Alaska$3,209.68+$741.38
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,304.56 |
| 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 |
| Merced, CACalifornia | — | $2,437.50 |
| Modesto, CACalifornia | — | $2,437.50 |
| Napa, CACalifornia | — | $2,618.75 |
| Oxnard, CACalifornia | — | $2,534.77 |
| Redding, CACalifornia | — | $2,437.50 |
| Rest of CaliforniaCalifornia | — | $2,437.50 |
| Riverside, CACalifornia | — | $2,562.58 |
| Sacramento, CACalifornia | — | $2,503.79 |
| Salinas, CACalifornia | — | $2,493.56 |
| San Diego, CACalifornia | — | $2,513.88 |
| Marin County, CACalifornia | — | $2,700.26 |
| San Francisco, CACalifornia | — | $2,687.02 |
| San Benito County, CACalifornia | — | $2,771.51 |
| Santa Clara County, CACalifornia | — | $2,717.37 |
| San Luis Obispo, CACalifornia | — | $2,460.28 |
| Santa Cruz, CACalifornia | — | $2,507.02 |
| Santa Maria, CACalifornia | — | $2,492.41 |
| Santa Rosa, CACalifornia | — | $2,528.50 |
| Stockton, CACalifornia | — | $2,437.50 |
| Vallejo, CACalifornia | — | $2,599.66 |
| Visalia, CACalifornia | — | $2,437.50 |
| Yuba City, CACalifornia | — | $2,437.50 |
| ColoradoColorado | — | $2,507.86 |
| ConnecticutConnecticut | — | $2,694.79 |
| DelawareDelaware | — | $2,502.22 |
| Fort Lauderdale, FLFlorida | — | $2,861.37 |
| Rest of FloridaFlorida | — | $2,712.39 |
| Atlanta, GAGeorgia | — | $2,631.42 |
| Rest of GeorgiaGeorgia | — | $2,557.37 |
| Hawaii, Guam, HIHawaii | — | $2,448.42 |
| IowaIowa | — | $2,259.94 |
| IdahoIdaho | — | $2,292.18 |
| East St. Louis, ILIllinois | — | $2,892.33 |
| Rest of IllinoisIllinois | — | $2,712.98 |
| Suburban Chicago, ILIllinois | — | $2,866.11 |
| IndianaIndiana | — | $2,300.95 |
| KansasKansas | — | $2,295.78 |
| KentuckyKentucky | — | $2,447.90 |
| New Orleans, LALouisiana | — | $2,561.52 |
| Rest of LouisianaLouisiana | — | $2,462.53 |
| Metropolitan Boston, MAMassachusetts | — | $2,666.18 |
| Rest of MassachusettsMassachusetts | — | $2,514.75 |
| Baltimore area, MDMaryland | — | $2,696.71 |
| Rest of MarylandMaryland | — | $2,530.43 |
| Rest of MaineMaine | — | $2,350.21 |
| Southern Maine, MEMaine | — | $2,391.33 |
| Detroit, MIMichigan | — | $2,788.43 |
| Rest of MichiganMichigan | — | $2,543.96 |
| MinnesotaMinnesota | — | $2,280.99 |
| Metropolitan Kansas City, MOMissouri | — | $2,498.53 |
| Metropolitan St. Louis, MOMissouri | — | $2,515.16 |
| Rest of MissouriMissouri | — | $2,456.57 |
| MississippiMississippi | — | $2,364.52 |
| MontanaMontana | — | $2,539.03 |
| North CarolinaNorth Carolina | — | $2,363.72 |
| North DakotaNorth Dakota | — | $2,308.47 |
| NebraskaNebraska | — | $2,256.77 |
| New HampshireNew Hampshire | — | $2,512.84 |
| Northern New JerseyNew Jersey | — | $2,753.14 |
| Rest of New JerseyNew Jersey | — | $2,691.14 |
| New MexicoNew Mexico | — | $2,574.12 |
| NevadaNevada | — | $2,475.30 |
| NYC suburbs and Long Island, NYNew York | — | $3,077.41 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,744.84 |
| Queens, NYNew York | — | $2,912.07 |
| Rest of New YorkNew York | — | $2,397.65 |
| OhioOhio | — | $2,496.83 |
| OklahomaOklahoma | — | $2,396.27 |
| Portland, OROregon | — | $2,524.83 |
| Rest of OregonOregon | — | $2,422.02 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,665.86 |
| Rest of PennsylvaniaPennsylvania | — | $2,474.95 |
| Puerto RicoPuerto Rico | — | $2,539.79 |
| Rhode IslandRhode Island | — | $2,546.02 |
| South CarolinaSouth Carolina | — | $2,441.13 |
| South DakotaSouth Dakota | — | $2,281.21 |
| TennesseeTennessee | — | $2,311.28 |
| Austin, TXTexas | — | $2,529.37 |
| Beaumont, TXTexas | — | $2,464.48 |
| Brazoria, TXTexas | — | $2,462.32 |
| Dallas, TXTexas | — | $2,496.97 |
| Fort Worth, TXTexas | — | $2,496.73 |
| Galveston, TXTexas | — | $2,482.07 |
| Houston, TXTexas | — | $2,695.50 |
| Rest of TexasTexas | — | $2,475.01 |
| VirginiaVirginia | — | $2,416.30 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,539.79 |
| VermontVermont | — | $2,342.12 |
| Rest of WashingtonWashington | — | $2,495.87 |
| King County, WAWashington | — | $2,669.82 |
| WisconsinWisconsin | — | $2,248.05 |
| West VirginiaWest Virginia | — | $2,638.26 |
| WyomingWyoming | — | $2,438.55 |
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
| 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 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
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 Utah 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
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 48.52 | × 1.000 | 48.5200 |
| Practice expense | 15.86 | × 0.940 | 14.9084 |
| Malpractice | 11.66 | × 0.898 | 10.4707 |
| Total RVUs | 73.8991 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Utah$2468.30
Facility: (48.52 × 1 + 15.86 × 0.94 + 11.66 × 0.898) × $33.4009 = $2468.30
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
| 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 · 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.
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%).
How 33516 has changed in Utah
33516 · 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 | $2,468.30 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,468.30 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,468.30 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,468.30 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,502.67 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,502.67 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,502.67 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,502.67 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,564.90 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,564.90 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,564.90 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,564.90 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,523.04 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,579.34 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,579.34 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,579.34 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,579.34 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,612.77 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,612.77 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,612.77 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,612.77 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,624.52 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,624.52 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,624.52 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,624.52 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,774.12 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,774.12 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,774.12 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,774.12 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,870.78 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,870.78 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,834.68 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,834.68 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,862.17 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,862.17 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,862.17 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,862.17 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,882.96 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,882.96 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,882.96 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,882.96 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,866.09 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,866.09 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,866.09 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,866.09 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,895.70 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,895.70 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,881.29 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,881.29 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,858.98 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,858.98 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,858.98 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,858.98 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,784.51 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,784.51 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,784.51 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,784.51 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
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
Fee sheets
Put 33516 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet