CPT code 33519: CABG grafts, three venous grafts2026 Medicare rate & RVUs in Arizona
Reports three venous grafts used during coronary artery bypass surgery that also includes arterial grafting, alongside the appropriate arterial bypass code.
In Arizona, Medicare pays $479.77 for 33519 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33519 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 33519 covers
This add-on code identifies the venous portion of a combined coronary artery bypass operation when three venous grafts are used along with arterial grafting. A cardiothoracic surgeon typically performs the bypass in an operating room, using arterial conduits such as an internal thoracic artery and venous conduits such as saphenous vein. The code represents the three venous grafts, not the arterial graft count or the total number of bypass grafts.
Select this code from the number of venous grafts documented in the operative report, and report it with the primary arterial CABG code that reflects the arterial graft count. The record should support the conduits and grafts used. This is an add-on code: it is billed only with a primary procedure and is paid within that procedure's global period. It is not a standalone CABG 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 Arizona compares for 33519
Across 109 of 109 payment localities, the facility rate for 33519 runs from $432.89 in Wisconsin to $631.48 in Alaska. Arizona pays $479.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$479.77
- Los Angeles, CA · California$492.20+$12.43
- Washington, DC area · District of Columbia$534.09+$54.32
- Miami, FL · Florida$625.49+$145.72
- Chicago, IL · Illinois$605.73+$125.96
- Manhattan, NY · New York$576.23+$96.46
- Alaska · Alaska$631.48+$151.71
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $448.95 |
| ArkansasArkansas | — | $443.57 |
| Bakersfield, CACalifornia | — | $474.12 |
| Chico, CACalifornia | — | $467.29 |
| El Centro, CACalifornia | — | $467.72 |
| Fresno, CACalifornia | — | $467.29 |
| Hanford, CACalifornia | — | $467.29 |
| Madera, CACalifornia | — | $467.29 |
| Merced, CACalifornia | — | $467.29 |
| Modesto, CACalifornia | — | $467.29 |
| Napa, CACalifornia | — | $495.78 |
| Oxnard, CACalifornia | — | $484.24 |
| Redding, CACalifornia | — | $467.29 |
| Rest of CaliforniaCalifornia | — | $467.29 |
| Riverside, CACalifornia | — | $494.32 |
| Sacramento, CACalifornia | — | $478.35 |
| Salinas, CACalifornia | — | $476.37 |
| San Diego, CACalifornia | — | $479.06 |
| Marin County, CACalifornia | — | $508.86 |
| San Francisco, CACalifornia | — | $506.00 |
| San Benito County, CACalifornia | — | $522.65 |
| Santa Clara County, CACalifornia | — | $510.95 |
| San Luis Obispo, CACalifornia | — | $470.22 |
| Santa Cruz, CACalifornia | — | $476.77 |
| Santa Maria, CACalifornia | — | $475.82 |
| Santa Rosa, CACalifornia | — | $480.73 |
| Stockton, CACalifornia | — | $467.29 |
| Vallejo, CACalifornia | — | $491.66 |
| Visalia, CACalifornia | — | $467.29 |
| Yuba City, CACalifornia | — | $467.29 |
| ColoradoColorado | — | $484.03 |
| ConnecticutConnecticut | — | $523.76 |
| DelawareDelaware | — | $486.39 |
| Fort Lauderdale, FLFlorida | — | $562.89 |
| Rest of FloridaFlorida | — | $533.34 |
| Atlanta, GAGeorgia | — | $513.03 |
| Rest of GeorgiaGeorgia | — | $502.80 |
| Hawaii, Guam, HIHawaii | — | $467.90 |
| IowaIowa | — | $437.45 |
| IdahoIdaho | — | $444.19 |
| East St. Louis, ILIllinois | — | $573.90 |
| Rest of IllinoisIllinois | — | $535.46 |
| Suburban Chicago, ILIllinois | — | $563.21 |
| IndianaIndiana | — | $445.76 |
| KansasKansas | — | $445.71 |
| KentuckyKentucky | — | $479.28 |
| New Orleans, LALouisiana | — | $501.43 |
| Rest of LouisianaLouisiana | — | $482.63 |
| Metropolitan Boston, MAMassachusetts | — | $511.97 |
| Rest of MassachusettsMassachusetts | — | $485.99 |
| Baltimore area, MDMaryland | — | $524.39 |
| Rest of MarylandMaryland | — | $491.33 |
| Rest of MaineMaine | — | $456.73 |
| Southern Maine, MEMaine | — | $462.33 |
| Detroit, MIMichigan | — | $549.36 |
| Rest of MichiganMichigan | — | $498.93 |
| MinnesotaMinnesota | — | $436.72 |
| Metropolitan Kansas City, MOMissouri | — | $487.91 |
| Metropolitan St. Louis, MOMissouri | — | $490.90 |
| Rest of MissouriMissouri | — | $482.41 |
| MississippiMississippi | — | $462.56 |
| MontanaMontana | — | $493.83 |
| North CarolinaNorth Carolina | — | $459.05 |
| North DakotaNorth Dakota | — | $444.00 |
| NebraskaNebraska | — | $436.40 |
| New HampshireNew Hampshire | — | $486.27 |
| Northern New JerseyNew Jersey | — | $532.15 |
| Rest of New JerseyNew Jersey | — | $522.10 |
| New MexicoNew Mexico | — | $505.26 |
| NevadaNevada | — | $480.01 |
| NYC suburbs and Long Island, NYNew York | — | $600.88 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $533.52 |
| Queens, NYNew York | — | $565.47 |
| Rest of New YorkNew York | — | $465.59 |
| OhioOhio | — | $488.74 |
| OklahomaOklahoma | — | $467.94 |
| Portland, OROregon | — | $485.48 |
| Rest of OregonOregon | — | $468.73 |
| Metropolitan Philadelphia, PAPennsylvania | — | $519.19 |
| Rest of PennsylvaniaPennsylvania | — | $483.78 |
| Puerto RicoPuerto Rico | — | $493.49 |
| Rhode IslandRhode Island | — | $493.65 |
| South CarolinaSouth Carolina | — | $476.20 |
| South DakotaSouth Dakota | — | $438.11 |
| TennesseeTennessee | — | $448.83 |
| Austin, TXTexas | — | $489.04 |
| Beaumont, TXTexas | — | $481.89 |
| Brazoria, TXTexas | — | $477.60 |
| Dallas, TXTexas | — | $484.85 |
| Fort Worth, TXTexas | — | $485.26 |
| Galveston, TXTexas | — | $481.78 |
| Houston, TXTexas | — | $527.90 |
| Rest of TexasTexas | — | $482.36 |
| UtahUtah | — | $481.33 |
| VirginiaVirginia | — | $468.09 |
| Virgin Islands, VIUnited States Virgin Islands | — | $493.49 |
| VermontVermont | — | $451.74 |
| Rest of WashingtonWashington | — | $481.94 |
| King County, WAWashington | — | $511.15 |
| WisconsinWisconsin | — | $432.89 |
| West VirginiaWest Virginia | — | $521.35 |
| WyomingWyoming | — | $472.12 |
33519 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 33519 rate is calculated
Each of 33519’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 · 33519
RVUs × geographic indexes × conversion factor
Work10.23
10.23 RVUs× 1.000 GPCI
Practice expense2.04
2.04 RVUs× 1.000 GPCI
Malpractice2.52
2.52 RVUs× 1.000 GPCI
Adjusted RVUs
14.7900
Conversion factor
$33.4009
Medicare rate
$494.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,991
- Code
- 33519
- Physician work
- 10.23
- Practice expense
- 2.04
- Malpractice
- 2.52
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.23 | × 1.000 | 10.2300 |
| Practice expense | 2.04 | × 0.969 | 1.9768 |
| Malpractice | 2.52 | × 0.856 | 2.1571 |
| Total RVUs | 14.3639 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$479.77
Facility: (10.23 × 1 + 2.04 × 0.969 + 2.52 × 0.856) × $33.4009 = $479.77
Payment rules and modifiers for 33519
The CMS indicators that decide how 33519 is paid alongside other services.
CMS payment indicators · 33519
CABG grafts, three 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
33519 without 80 · national facility
$494.00
CABG grafts, three venous grafts
33519-80 · Assistant: 16%
$79.04
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 33519 has changed in Arizona
33519 · 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 | $479.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $479.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $479.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $479.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $500.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $500.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $500.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $500.54 | RVU25A |
| 2024-10-01 | Not available in this setting | $514.01 | RVU24D |
| 2024-07-01 | Not available in this setting | $514.01 | RVU24C |
| 2024-04-01 | Not available in this setting | $514.01 | RVU24B |
| 2024-03-09 | Not available in this setting | $514.01 | RVU24AR |
| 2024-01-01 | Not available in this setting | $505.62 | RVU24A |
| 2023-10-01 | Not available in this setting | $522.08 | RVU23D |
| 2023-07-01 | Not available in this setting | $522.08 | RVU23C |
| 2023-04-01 | Not available in this setting | $522.08 | RVU23B |
| 2023-01-01 | Not available in this setting | $522.08 | RVU23A |
| 2022-10-01 | Not available in this setting | $534.31 | RVU22D |
| 2022-07-01 | Not available in this setting | $534.31 | RVU22C |
| 2022-04-01 | Not available in this setting | $534.31 | RVU22B |
| 2022-01-01 | Not available in this setting | $534.31 | RVU22A |
| 2021-10-01 | Not available in this setting | $537.08 | RVU21D |
| 2021-07-01 | Not available in this setting | $537.08 | RVU21C |
| 2021-04-01 | Not available in this setting | $537.08 | RVU21B |
| 2021-01-01 | Not available in this setting | $537.08 | RVU21A |
| 2020-10-01 | Not available in this setting | $552.95 | RVU20D |
| 2020-07-01 | Not available in this setting | $552.95 | RVU20C |
| 2020-04-01 | Not available in this setting | $552.95 | RVU20B |
| 2020-01-01 | Not available in this setting | $552.95 | RVU20A |
| 2019-10-01 | Not available in this setting | $551.47 | RVU19D |
| 2019-07-01 | Not available in this setting | $551.47 | RVU19C |
| 2019-04-01 | Not available in this setting | $551.47 | RVU19B |
| 2019-01-01 | Not available in this setting | $551.47 | RVU19A |
| 2018-10-01 | Not available in this setting | $550.66 | RVU18D |
| 2018-07-01 | Not available in this setting | $550.66 | RVU18C |
| 2018-04-01 | Not available in this setting | $550.66 | RVU18B |
| 2018-01-01 | Not available in this setting | $550.66 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $554.42 | RVU17D |
| 2017-07-01 | Not available in this setting | $554.42 | RVU17C |
| 2017-04-01 | Not available in this setting | $554.42 | RVU17B |
| 2017-01-01 | Not available in this setting | $554.42 | RVU17A |
| 2016-10-01 | Not available in this setting | $557.73 | RVU16D |
| 2016-07-01 | Not available in this setting | $557.73 | RVU16C |
| 2016-04-01 | Not available in this setting | $557.73 | RVU16B |
| 2016-01-01 | Not available in this setting | $557.73 | RVU16A |
| 2015-10-01 | Not available in this setting | $559.47 | RVU15D |
| 2015-07-01 | Not available in this setting | $559.47 | RVU15C |
| 2015-04-01 | Not available in this setting | $556.69 | RVU15B |
| 2015-01-01 | Not available in this setting | $556.69 | RVU15A |
| 2014-10-01 | Not available in this setting | $565.16 | RVU14D |
| 2014-07-01 | Not available in this setting | $565.16 | RVU14C |
| 2014-04-01 | Not available in this setting | $565.16 | RVU14B |
| 2014-01-01 | Not available in this setting | $565.16 | RVU14A |
| 2013-10-01 | Not available in this setting | $554.73 | RVU13D |
| 2013-07-01 | Not available in this setting | $554.73 | RVU13C |
| 2013-04-01 | Not available in this setting | $554.73 | RVU13B |
| 2013-01-01 | Not available in this setting | $554.73 | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
33519 billing questions
Which primary code is reported with 33519?
Report the arterial CABG code that matches the number of arterial grafts, such as 33533 for one arterial graft or 33534 for two. Code 33519 captures the three venous grafts.
Does 33519 mean three grafts total?
No. It represents three venous grafts in a combined arterial-and-venous bypass operation; the arterial graft count is represented by the primary CABG code.
How is 33519 different from 33512?
33519 is for three venous grafts used with arterial grafting. 33512 describes a three-vein-graft CABG without the arterial-grafting combination represented by 33519.
Can 33519 be billed by itself?
No. It is an add-on code and must be reported with the appropriate primary arterial CABG procedure. CMS pays it within that primary procedure's global period.
What documentation supports the three-graft level?
The operative report should identify the venous grafts used and support that three venous grafts were placed. It should also document the arterial grafting represented by the separately reported primary code.
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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