CPT code 33518: CABG grafts, two venous grafts2026 Medicare rate & RVUs in New Mexico
Add-on reporting for coronary bypass surgery using two venous grafts together with one or more arterial grafts.
In New Mexico, Medicare pays $382.28 for 33518 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33518 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 33518 covers
This add-on represents the venous-graft portion of coronary artery bypass surgery when the operation also uses an arterial graft. A cardiac surgeon typically performs the bypass in a hospital operating room, using venous conduit such as saphenous vein to route blood around coronary artery blockages alongside an arterial conduit such as an internal mammary artery. The code is selected for two venous grafts; it does not represent two total grafts or the arterial graft count.
Report 33518 with the primary arterial CABG code that reflects the number of arterial grafts. The operative report should identify the arterial and venous conduits and document the number of each used. As an add-on, 33518 is billed only with a primary procedure and is paid within that procedure’s global period; it is not a stand-alone CABG report. The venous graft count determines this add-on level, while the arterial graft count determines the primary 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 New Mexico compares for 33518
Across 109 of 109 payment localities, the facility rate for 33518 runs from $327.44 in Wisconsin to $477.57 in Alaska. New Mexico pays $382.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$382.28
- Los Angeles, CA · California$372.38−$9.90
- Washington, DC area · District of Columbia$404.12+$21.84
- Miami, FL · Florida$473.42+$91.14
- Chicago, IL · Illinois$458.44+$76.16
- Manhattan, NY · New York$436.05+$53.77
- Alaska · Alaska$477.57+$95.29
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $339.60 |
| ArkansasArkansas | — | $335.52 |
| ArizonaArizona | — | $362.96 |
| Bakersfield, CACalifornia | — | $358.69 |
| Chico, CACalifornia | — | $353.51 |
| El Centro, CACalifornia | — | $353.83 |
| Fresno, CACalifornia | — | $353.51 |
| Hanford, CACalifornia | — | $353.51 |
| Madera, CACalifornia | — | $353.51 |
| Merced, CACalifornia | — | $353.51 |
| Modesto, CACalifornia | — | $353.51 |
| Napa, CACalifornia | — | $375.10 |
| Oxnard, CACalifornia | — | $366.36 |
| Redding, CACalifornia | — | $353.51 |
| Rest of CaliforniaCalifornia | — | $353.51 |
| Riverside, CACalifornia | — | $374.00 |
| Sacramento, CACalifornia | — | $361.89 |
| Salinas, CACalifornia | — | $360.39 |
| San Diego, CACalifornia | — | $362.43 |
| Marin County, CACalifornia | — | $385.00 |
| San Francisco, CACalifornia | — | $382.83 |
| San Benito County, CACalifornia | — | $395.44 |
| Santa Clara County, CACalifornia | — | $386.57 |
| San Luis Obispo, CACalifornia | — | $355.74 |
| Santa Cruz, CACalifornia | — | $360.71 |
| Santa Maria, CACalifornia | — | $359.98 |
| Santa Rosa, CACalifornia | — | $363.70 |
| Stockton, CACalifornia | — | $353.51 |
| Vallejo, CACalifornia | — | $371.97 |
| Visalia, CACalifornia | — | $353.51 |
| Yuba City, CACalifornia | — | $353.51 |
| ColoradoColorado | — | $366.20 |
| ConnecticutConnecticut | — | $396.30 |
| DelawareDelaware | — | $367.98 |
| Fort Lauderdale, FLFlorida | — | $425.98 |
| Rest of FloridaFlorida | — | $403.57 |
| Atlanta, GAGeorgia | — | $388.18 |
| Rest of GeorgiaGeorgia | — | $380.41 |
| Hawaii, Guam, HIHawaii | — | $353.99 |
| IowaIowa | — | $330.89 |
| IdahoIdaho | — | $335.99 |
| East St. Louis, ILIllinois | — | $434.30 |
| Rest of IllinoisIllinois | — | $405.17 |
| Suburban Chicago, ILIllinois | — | $426.21 |
| IndianaIndiana | — | $337.19 |
| KansasKansas | — | $337.14 |
| KentuckyKentucky | — | $362.59 |
| New Orleans, LALouisiana | — | $379.38 |
| Rest of LouisianaLouisiana | — | $365.12 |
| Metropolitan Boston, MAMassachusetts | — | $387.37 |
| Rest of MassachusettsMassachusetts | — | $367.68 |
| Baltimore area, MDMaryland | — | $396.79 |
| Rest of MarylandMaryland | — | $371.73 |
| Rest of MaineMaine | — | $345.50 |
| Southern Maine, MEMaine | — | $349.75 |
| Detroit, MIMichigan | — | $415.71 |
| Rest of MichiganMichigan | — | $377.48 |
| MinnesotaMinnesota | — | $330.35 |
| Metropolitan Kansas City, MOMissouri | — | $369.13 |
| Metropolitan St. Louis, MOMissouri | — | $371.40 |
| Rest of MissouriMissouri | — | $364.95 |
| MississippiMississippi | — | $349.91 |
| MontanaMontana | — | $373.63 |
| North CarolinaNorth Carolina | — | $347.26 |
| North DakotaNorth Dakota | — | $335.86 |
| NebraskaNebraska | — | $330.09 |
| New HampshireNew Hampshire | — | $367.90 |
| Northern New JerseyNew Jersey | — | $402.64 |
| Rest of New JerseyNew Jersey | — | $395.03 |
| NevadaNevada | — | $363.15 |
| NYC suburbs and Long Island, NYNew York | — | $454.74 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $403.69 |
| Queens, NYNew York | — | $427.90 |
| Rest of New YorkNew York | — | $352.22 |
| OhioOhio | — | $369.76 |
| OklahomaOklahoma | — | $353.99 |
| Portland, OROregon | — | $367.30 |
| Rest of OregonOregon | — | $354.60 |
| Metropolitan Philadelphia, PAPennsylvania | — | $392.84 |
| Rest of PennsylvaniaPennsylvania | — | $366.00 |
| Puerto RicoPuerto Rico | — | $373.37 |
| Rhode IslandRhode Island | — | $373.48 |
| South CarolinaSouth Carolina | — | $360.25 |
| South DakotaSouth Dakota | — | $331.40 |
| TennesseeTennessee | — | $339.51 |
| Austin, TXTexas | — | $370.00 |
| Beaumont, TXTexas | — | $364.57 |
| Brazoria, TXTexas | — | $361.32 |
| Dallas, TXTexas | — | $366.81 |
| Fort Worth, TXTexas | — | $367.13 |
| Galveston, TXTexas | — | $364.49 |
| Houston, TXTexas | — | $399.45 |
| Rest of TexasTexas | — | $364.93 |
| UtahUtah | — | $364.14 |
| VirginiaVirginia | — | $354.12 |
| Virgin Islands, VIUnited States Virgin Islands | — | $373.37 |
| VermontVermont | — | $341.72 |
| Rest of WashingtonWashington | — | $364.61 |
| King County, WAWashington | — | $386.74 |
| WisconsinWisconsin | — | $327.44 |
| West VirginiaWest Virginia | — | $394.47 |
| WyomingWyoming | — | $357.17 |
33518 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 33518 rate is calculated
Each of 33518’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 · 33518
RVUs × geographic indexes × conversion factor
Work7.73
7.73 RVUs× 1.000 GPCI
Practice expense1.55
1.55 RVUs× 1.000 GPCI
Malpractice1.91
1.91 RVUs× 1.000 GPCI
Adjusted RVUs
11.1900
Conversion factor
$33.4009
Medicare rate
$373.76
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,990
- Code
- 33518
- Physician work
- 7.73
- Practice expense
- 1.55
- Malpractice
- 1.91
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.73 | × 1.000 | 7.7300 |
| Practice expense | 1.55 | × 0.917 | 1.4214 |
| Malpractice | 1.91 | × 1.201 | 2.2939 |
| Total RVUs | 11.4453 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$382.28
Facility: (7.73 × 1 + 1.55 × 0.917 + 1.91 × 1.201) × $33.4009 = $382.28
Payment rules and modifiers for 33518
The CMS indicators that decide how 33518 is paid alongside other services.
CMS payment indicators · 33518
CABG grafts, two venous grafts
| 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
33518 without 80 · national facility
$373.76
CABG grafts, two venous grafts
33518-80 · Assistant: 16%
$59.80
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 33518 has changed in New Mexico
33518 · 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 | $382.28 | RVU26D |
| 2026-07-01 | Not available in this setting | $382.28 | RVU26C |
| 2026-04-01 | Not available in this setting | $382.28 | RVU26B |
| 2026-01-01 | Not available in this setting | $382.28 | RVU26A |
| 2025-10-01 | Not available in this setting | $394.03 | RVU25D |
| 2025-07-01 | Not available in this setting | $394.03 | RVU25C |
| 2025-04-01 | Not available in this setting | $394.03 | RVU25B |
| 2025-01-01 | Not available in this setting | $394.03 | RVU25A |
| 2024-10-01 | Not available in this setting | $403.59 | RVU24D |
| 2024-07-01 | Not available in this setting | $403.59 | RVU24C |
| 2024-04-01 | Not available in this setting | $403.59 | RVU24B |
| 2024-03-09 | Not available in this setting | $403.59 | RVU24AR |
| 2024-01-01 | Not available in this setting | $397.01 | RVU24A |
| 2023-10-01 | Not available in this setting | $410.26 | RVU23D |
| 2023-07-01 | Not available in this setting | $410.26 | RVU23C |
| 2023-04-01 | Not available in this setting | $410.26 | RVU23B |
| 2023-01-01 | Not available in this setting | $410.26 | RVU23A |
| 2022-10-01 | Not available in this setting | $418.84 | RVU22D |
| 2022-07-01 | Not available in this setting | $418.84 | RVU22C |
| 2022-04-01 | Not available in this setting | $418.84 | RVU22B |
| 2022-01-01 | Not available in this setting | $418.84 | RVU22A |
| 2021-10-01 | Not available in this setting | $421.31 | RVU21D |
| 2021-07-01 | Not available in this setting | $421.31 | RVU21C |
| 2021-04-01 | Not available in this setting | $421.31 | RVU21B |
| 2021-01-01 | Not available in this setting | $421.31 | RVU21A |
| 2020-10-01 | Not available in this setting | $437.35 | RVU20D |
| 2020-07-01 | Not available in this setting | $437.35 | RVU20C |
| 2020-04-01 | Not available in this setting | $437.35 | RVU20B |
| 2020-01-01 | Not available in this setting | $437.35 | RVU20A |
| 2019-10-01 | Not available in this setting | $439.59 | RVU19D |
| 2019-07-01 | Not available in this setting | $439.59 | RVU19C |
| 2019-04-01 | Not available in this setting | $439.59 | RVU19B |
| 2019-01-01 | Not available in this setting | $439.59 | RVU19A |
| 2018-10-01 | Not available in this setting | $438.99 | RVU18D |
| 2018-07-01 | Not available in this setting | $438.99 | RVU18C |
| 2018-04-01 | Not available in this setting | $438.99 | RVU18B |
| 2018-01-01 | Not available in this setting | $438.99 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $436.23 | RVU17D |
| 2017-07-01 | Not available in this setting | $436.23 | RVU17C |
| 2017-04-01 | Not available in this setting | $436.23 | RVU17B |
| 2017-01-01 | Not available in this setting | $436.23 | RVU17A |
| 2016-10-01 | Not available in this setting | $433.44 | RVU16D |
| 2016-07-01 | Not available in this setting | $433.44 | RVU16C |
| 2016-04-01 | Not available in this setting | $433.44 | RVU16B |
| 2016-01-01 | Not available in this setting | $433.44 | RVU16A |
| 2015-10-01 | Not available in this setting | $434.92 | RVU15D |
| 2015-07-01 | Not available in this setting | $434.92 | RVU15C |
| 2015-04-01 | Not available in this setting | $432.76 | RVU15B |
| 2015-01-01 | Not available in this setting | $432.76 | RVU15A |
| 2014-10-01 | Not available in this setting | $430.45 | RVU14D |
| 2014-07-01 | Not available in this setting | $430.45 | RVU14C |
| 2014-04-01 | Not available in this setting | $430.45 | RVU14B |
| 2014-01-01 | Not available in this setting | $430.45 | RVU14A |
| 2013-10-01 | Not available in this setting | $413.13 | RVU13D |
| 2013-07-01 | Not available in this setting | $413.13 | RVU13C |
| 2013-04-01 | Not available in this setting | $413.13 | RVU13B |
| 2013-01-01 | Not available in this setting | $413.13 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
33518 billing questions
Does 33518 mean two total bypass grafts?
No. It represents two venous grafts used with arterial grafting. The primary arterial CABG code reflects the arterial graft count.
Which primary code is reported with 33518?
Report the arterial CABG code for the number of arterial grafts, such as 33533 for one arterial graft or 33534 for two.
How does 33518 differ from 33511?
33518 is for two venous grafts used with arterial grafting. 33511 represents two venous grafts without the arterial-graft combination represented by 33518.
What documentation supports the two-graft level?
The operative report should identify the graft types and document two venous grafts, along with the arterial grafting that supports the primary CABG code.
Can 33518 be reported by itself?
No. It is an add-on code reported with the primary arterial CABG procedure and is paid 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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