CPT code 33517: Combined CABG, one venous graft2026 Medicare rate & RVUs in Washington, DC area
Reports one venous graft used during coronary bypass surgery that also includes arterial grafting, alongside the primary code for the arterial graft count.
In Washington, DC area, Medicare pays $184.20 for 33517 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33517 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 33517 covers
Code 33517 identifies one venous conduit used during coronary artery bypass surgery that also uses an arterial conduit. A cardiothoracic surgeon creates the bypass grafts in the operating room, commonly using a leg vein for the venous graft and an arterial conduit, such as an internal mammary artery, for another bypass. The arterial graft count is represented by the separate primary CABG code; 33517 captures the single venous graft in the combined operation.
Report 33517 only as an add-on with the applicable arterial CABG code from 33533–33536; it is not a stand-alone code for a venous-only operation. The operative report should establish that a venous graft was used and support the arterial graft count selected for the primary code. CMS places payment for 33517 within the primary procedure's global period. Code 33508 may describe endoscopic vein harvest when performed; harvesting is distinct from the graft count represented here.
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 33517
Across 109 of 109 payment localities, the facility rate for 33517 runs from $149.24 in Wisconsin to $217.62 in Alaska. Washington, DC area pays $184.20. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Washington, DC area · this page$184.20
- Los Angeles, CA · California$169.74−$14.46
- Miami, FL · Florida$215.75+$31.55
- Chicago, IL · Illinois$208.92+$24.72
- Manhattan, NY · New York$198.74+$14.54
- Alaska · Alaska$217.62+$33.42
- Alabama · Alabama$154.77−$29.43
Other areas in District of Columbia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $152.91 |
| ArizonaArizona | — | $165.42 |
| Bakersfield, CACalifornia | — | $163.49 |
| Chico, CACalifornia | — | $161.14 |
| El Centro, CACalifornia | — | $161.28 |
| Fresno, CACalifornia | — | $161.14 |
| Hanford, CACalifornia | — | $161.14 |
| Madera, CACalifornia | — | $161.14 |
| Merced, CACalifornia | — | $161.14 |
| Modesto, CACalifornia | — | $161.14 |
| Napa, CACalifornia | — | $171.00 |
| Oxnard, CACalifornia | — | $167.00 |
| Redding, CACalifornia | — | $161.14 |
| Rest of CaliforniaCalifornia | — | $161.14 |
| Riverside, CACalifornia | — | $170.47 |
| Sacramento, CACalifornia | — | $164.96 |
| Salinas, CACalifornia | — | $164.28 |
| San Diego, CACalifornia | — | $165.21 |
| Marin County, CACalifornia | — | $175.52 |
| San Francisco, CACalifornia | — | $174.53 |
| San Benito County, CACalifornia | — | $180.28 |
| Santa Clara County, CACalifornia | — | $176.24 |
| San Luis Obispo, CACalifornia | — | $162.16 |
| Santa Cruz, CACalifornia | — | $164.43 |
| Santa Maria, CACalifornia | — | $164.09 |
| Santa Rosa, CACalifornia | — | $165.80 |
| Stockton, CACalifornia | — | $161.14 |
| Vallejo, CACalifornia | — | $169.57 |
| Visalia, CACalifornia | — | $161.14 |
| Yuba City, CACalifornia | — | $161.14 |
| ColoradoColorado | — | $166.91 |
| ConnecticutConnecticut | — | $180.62 |
| DelawareDelaware | — | $167.71 |
| Fort Lauderdale, FLFlorida | — | $194.13 |
| Rest of FloridaFlorida | — | $183.92 |
| Atlanta, GAGeorgia | — | $176.92 |
| Rest of GeorgiaGeorgia | — | $173.36 |
| Hawaii, Guam, HIHawaii | — | $161.36 |
| IowaIowa | — | $150.81 |
| IdahoIdaho | — | $153.13 |
| East St. Louis, ILIllinois | — | $197.91 |
| Rest of IllinoisIllinois | — | $184.64 |
| Suburban Chicago, ILIllinois | — | $194.24 |
| IndianaIndiana | — | $153.68 |
| KansasKansas | — | $153.65 |
| KentuckyKentucky | — | $165.24 |
| New Orleans, LALouisiana | — | $172.90 |
| Rest of LouisianaLouisiana | — | $166.40 |
| Metropolitan Boston, MAMassachusetts | — | $176.57 |
| Rest of MassachusettsMassachusetts | — | $167.58 |
| Baltimore area, MDMaryland | — | $180.84 |
| Rest of MarylandMaryland | — | $169.42 |
| Rest of MaineMaine | — | $157.46 |
| Southern Maine, MEMaine | — | $159.41 |
| Detroit, MIMichigan | — | $189.45 |
| Rest of MichiganMichigan | — | $172.03 |
| MinnesotaMinnesota | — | $150.57 |
| Metropolitan Kansas City, MOMissouri | — | $168.23 |
| Metropolitan St. Louis, MOMissouri | — | $169.26 |
| Rest of MissouriMissouri | — | $166.32 |
| MississippiMississippi | — | $159.46 |
| MontanaMontana | — | $170.29 |
| North CarolinaNorth Carolina | — | $158.27 |
| North DakotaNorth Dakota | — | $153.08 |
| NebraskaNebraska | — | $150.44 |
| New HampshireNew Hampshire | — | $167.68 |
| Northern New JerseyNew Jersey | — | $183.52 |
| Rest of New JerseyNew Jersey | — | $180.05 |
| New MexicoNew Mexico | — | $174.22 |
| NevadaNevada | — | $165.52 |
| NYC suburbs and Long Island, NYNew York | — | $207.25 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $183.99 |
| Queens, NYNew York | — | $195.03 |
| Rest of New YorkNew York | — | $160.53 |
| OhioOhio | — | $168.51 |
| OklahomaOklahoma | — | $161.33 |
| Portland, OROregon | — | $167.42 |
| Rest of OregonOregon | — | $161.62 |
| Metropolitan Philadelphia, PAPennsylvania | — | $179.04 |
| Rest of PennsylvaniaPennsylvania | — | $166.80 |
| Puerto RicoPuerto Rico | — | $170.17 |
| Rhode IslandRhode Island | — | $170.22 |
| South CarolinaSouth Carolina | — | $164.18 |
| South DakotaSouth Dakota | — | $151.05 |
| TennesseeTennessee | — | $154.73 |
| Austin, TXTexas | — | $168.64 |
| Beaumont, TXTexas | — | $166.15 |
| Brazoria, TXTexas | — | $164.68 |
| Dallas, TXTexas | — | $167.18 |
| Fort Worth, TXTexas | — | $167.32 |
| Galveston, TXTexas | — | $166.12 |
| Houston, TXTexas | — | $182.05 |
| Rest of TexasTexas | — | $166.32 |
| UtahUtah | — | $165.96 |
| VirginiaVirginia | — | $161.40 |
| Virgin Islands, VIUnited States Virgin Islands | — | $170.17 |
| VermontVermont | — | $155.75 |
| Rest of WashingtonWashington | — | $166.18 |
| King County, WAWashington | — | $176.29 |
| WisconsinWisconsin | — | $149.24 |
| West VirginiaWest Virginia | — | $179.76 |
| WyomingWyoming | — | $162.79 |
33517 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 33517 rate is calculated
Each of 33517’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 · 33517
RVUs × geographic indexes × conversion factor
Work3.52
3.52 RVUs× 1.000 GPCI
Practice expense0.71
0.71 RVUs× 1.000 GPCI
Malpractice0.87
0.87 RVUs× 1.000 GPCI
Adjusted RVUs
5.1000
Conversion factor
$33.4009
Medicare rate
$170.34
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
3,989
- Code
- 33517
- Physician work
- 3.52
- Practice expense
- 0.71
- Malpractice
- 0.87
GPCI2026.csv
39
- Locality
- Washington, DC area
- Physician work
- 1.054
- Practice expense
- 1.178
- Malpractice
- 1.113
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.52 | × 1.054 | 3.7101 |
| Practice expense | 0.71 | × 1.178 | 0.8364 |
| Malpractice | 0.87 | × 1.113 | 0.9683 |
| Total RVUs | 5.5148 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Washington, DC area$184.20
Facility: (3.52 × 1.054 + 0.71 × 1.178 + 0.87 × 1.113) × $33.4009 = $184.20
Payment rules and modifiers for 33517
The CMS indicators that decide how 33517 is paid alongside other services.
CMS payment indicators · 33517
Combined CABG, one venous graft
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| 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. |
What modifiers do to the payment
Modifier 80 · payment effect
With and without the modifier
33517 without 80 · national facility
$170.34
Combined CABG, one venous graft
33517-80 · Assistant: 16%
$27.25
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 33517 has changed in Washington, DC area
33517 · 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 | $184.20 | RVU26D |
| 2026-07-01 | Not available in this setting | $184.20 | RVU26C |
| 2026-04-01 | Not available in this setting | $184.20 | RVU26B |
| 2026-01-01 | Not available in this setting | $184.20 | RVU26A |
| 2025-10-01 | Not available in this setting | $194.87 | RVU25D |
| 2025-07-01 | Not available in this setting | $194.87 | RVU25C |
| 2025-04-01 | Not available in this setting | $194.87 | RVU25B |
| 2025-01-01 | Not available in this setting | $194.87 | RVU25A |
| 2024-10-01 | Not available in this setting | $200.52 | RVU24D |
| 2024-07-01 | Not available in this setting | $200.52 | RVU24C |
| 2024-04-01 | Not available in this setting | $200.52 | RVU24B |
| 2024-03-09 | Not available in this setting | $200.52 | RVU24AR |
| 2024-01-01 | Not available in this setting | $197.25 | RVU24A |
| 2023-10-01 | Not available in this setting | $205.36 | RVU23D |
| 2023-07-01 | Not available in this setting | $205.36 | RVU23C |
| 2023-04-01 | Not available in this setting | $205.36 | RVU23B |
| 2023-01-01 | Not available in this setting | $205.36 | RVU23A |
| 2022-10-01 | Not available in this setting | $214.24 | RVU22D |
| 2022-07-01 | Not available in this setting | $214.24 | RVU22C |
| 2022-04-01 | Not available in this setting | $214.24 | RVU22B |
| 2022-01-01 | Not available in this setting | $214.24 | RVU22A |
| 2021-10-01 | Not available in this setting | $214.19 | RVU21D |
| 2021-07-01 | Not available in this setting | $214.19 | RVU21C |
| 2021-04-01 | Not available in this setting | $214.19 | RVU21B |
| 2021-01-01 | Not available in this setting | $214.19 | RVU21A |
| 2020-10-01 | Not available in this setting | $218.94 | RVU20D |
| 2020-07-01 | Not available in this setting | $218.94 | RVU20C |
| 2020-04-01 | Not available in this setting | $218.94 | RVU20B |
| 2020-01-01 | Not available in this setting | $218.94 | RVU20A |
| 2019-10-01 | Not available in this setting | $215.74 | RVU19D |
| 2019-07-01 | Not available in this setting | $215.74 | RVU19C |
| 2019-04-01 | Not available in this setting | $215.74 | RVU19B |
| 2019-01-01 | Not available in this setting | $215.74 | RVU19A |
| 2018-10-01 | Not available in this setting | $216.39 | RVU18D |
| 2018-07-01 | Not available in this setting | $216.39 | RVU18C |
| 2018-04-01 | Not available in this setting | $216.39 | RVU18B |
| 2018-01-01 | Not available in this setting | $216.39 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $217.27 | RVU17D |
| 2017-07-01 | Not available in this setting | $217.27 | RVU17C |
| 2017-04-01 | Not available in this setting | $217.27 | RVU17B |
| 2017-01-01 | Not available in this setting | $217.27 | RVU17A |
| 2016-10-01 | Not available in this setting | $217.86 | RVU16D |
| 2016-07-01 | Not available in this setting | $217.86 | RVU16C |
| 2016-04-01 | Not available in this setting | $217.86 | RVU16B |
| 2016-01-01 | Not available in this setting | $217.86 | RVU16A |
| 2015-10-01 | Not available in this setting | $218.62 | RVU15D |
| 2015-07-01 | Not available in this setting | $218.62 | RVU15C |
| 2015-04-01 | Not available in this setting | $217.54 | RVU15B |
| 2015-01-01 | Not available in this setting | $217.54 | RVU15A |
| 2014-10-01 | Not available in this setting | $216.39 | RVU14D |
| 2014-07-01 | Not available in this setting | $216.39 | RVU14C |
| 2014-04-01 | Not available in this setting | $216.39 | RVU14B |
| 2014-01-01 | Not available in this setting | $216.39 | RVU14A |
| 2013-10-01 | Not available in this setting | $208.78 | RVU13D |
| 2013-07-01 | Not available in this setting | $208.78 | RVU13C |
| 2013-04-01 | Not available in this setting | $208.78 | RVU13B |
| 2013-01-01 | Not available in this setting | $208.78 | RVU13AR |
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
33517 billing questions
Which primary code is reported with 33517?
Report it with the applicable arterial CABG code from 33533–33536. The primary code represents the arterial graft count, while 33517 represents one venous graft.
Can 33517 be reported for a venous-only bypass?
No. It is for a combined operation that includes venous and arterial grafting. A venous-only CABG is reported from the venous-only code series, such as 33510 for one venous graft.
When is 33518 used instead?
Use 33518 when the combined arterial-and-venous CABG includes two venous grafts. Code 33517 represents one venous graft.
Does 33517 include endoscopic vein harvesting?
No. The code represents the venous graft used in the bypass; 33508 describes endoscopic vein harvest when that service is performed.
What documentation supports 33517?
The operative report should establish use of one venous graft and document the arterial grafting that supports the separately reported primary CABG code.
How does CMS treat payment for 33517?
It is an add-on code reported only with a primary procedure, and CMS places its payment within that procedure's global period.
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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