CPT code 33522: Coronary bypass, five venous grafts2026 Medicare rate & RVUs in Delaware
Reports the venous-graft portion of coronary bypass surgery when five venous grafts are used along with one or more arterial grafts.
In Delaware, Medicare pays $655.11 for 33522 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33522 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 33522 covers
This add-on code represents the venous-graft portion of coronary artery bypass grafting when five venous grafts are placed along with arterial grafting. A cardiothoracic surgeon typically performs the operation in a hospital operating room, using conduits such as saphenous vein to bypass obstructed coronary arteries. The code counts the venous grafts; it does not describe the arterial graft count or the total number of coronary targets by itself.
Report 33522 with the appropriate primary arterial CABG code, selected by the number of arterial grafts. The operative report should identify the conduits used and document the five venous grafts, along with the arterial grafting. Do not report 33522 as a stand-alone service: CMS treats it as an add-on billed with a primary procedure, with payment included within that procedure’s global period.
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 Delaware compares for 33522
Across 109 of 109 payment localities, the facility rate for 33522 runs from $583.15 in Wisconsin to $850.75 in Alaska. Delaware pays $655.11. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Delaware · this page$655.11
- Los Angeles, CA · California$662.93+$7.82
- Washington, DC area · District of Columbia$719.30+$64.19
- Miami, FL · Florida$842.23+$187.12
- Chicago, IL · Illinois$815.66+$160.55
- Manhattan, NY · New York$776.00+$120.89
- Alaska · Alaska$850.75+$195.64
Other areas in Delaware first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $604.76 |
| ArkansasArkansas | — | $597.53 |
| ArizonaArizona | — | $646.20 |
| Bakersfield, CACalifornia | — | $638.61 |
| Chico, CACalifornia | — | $629.42 |
| El Centro, CACalifornia | — | $629.99 |
| Fresno, CACalifornia | — | $629.42 |
| Hanford, CACalifornia | — | $629.42 |
| Madera, CACalifornia | — | $629.42 |
| Merced, CACalifornia | — | $629.42 |
| Modesto, CACalifornia | — | $629.42 |
| Napa, CACalifornia | — | $667.76 |
| Oxnard, CACalifornia | — | $652.21 |
| Redding, CACalifornia | — | $629.42 |
| Rest of CaliforniaCalifornia | — | $629.42 |
| Riverside, CACalifornia | — | $665.78 |
| Sacramento, CACalifornia | — | $644.31 |
| Salinas, CACalifornia | — | $641.64 |
| San Diego, CACalifornia | — | $645.24 |
| Marin County, CACalifornia | — | $685.37 |
| San Francisco, CACalifornia | — | $681.52 |
| San Benito County, CACalifornia | — | $703.92 |
| Santa Clara County, CACalifornia | — | $688.19 |
| San Luis Obispo, CACalifornia | — | $633.36 |
| Santa Cruz, CACalifornia | — | $642.16 |
| Santa Maria, CACalifornia | — | $640.90 |
| Santa Rosa, CACalifornia | — | $647.49 |
| Stockton, CACalifornia | — | $629.42 |
| Vallejo, CACalifornia | — | $662.21 |
| Visalia, CACalifornia | — | $629.42 |
| Yuba City, CACalifornia | — | $629.42 |
| ColoradoColorado | — | $651.93 |
| ConnecticutConnecticut | — | $705.38 |
| Fort Lauderdale, FLFlorida | — | $758.02 |
| Rest of FloridaFlorida | — | $718.27 |
| Atlanta, GAGeorgia | — | $690.95 |
| Rest of GeorgiaGeorgia | — | $677.20 |
| Hawaii, Guam, HIHawaii | — | $630.21 |
| IowaIowa | — | $589.29 |
| IdahoIdaho | — | $598.35 |
| East St. Louis, ILIllinois | — | $772.84 |
| Rest of IllinoisIllinois | — | $721.13 |
| Suburban Chicago, ILIllinois | — | $758.45 |
| IndianaIndiana | — | $600.47 |
| KansasKansas | — | $600.40 |
| KentuckyKentucky | — | $645.56 |
| New Orleans, LALouisiana | — | $675.35 |
| Rest of LouisianaLouisiana | — | $650.07 |
| Metropolitan Boston, MAMassachusetts | — | $689.53 |
| Rest of MassachusettsMassachusetts | — | $654.58 |
| Baltimore area, MDMaryland | — | $706.23 |
| Rest of MarylandMaryland | — | $661.77 |
| Rest of MaineMaine | — | $615.22 |
| Southern Maine, MEMaine | — | $622.74 |
| Detroit, MIMichigan | — | $739.82 |
| Rest of MichiganMichigan | — | $671.99 |
| MinnesotaMinnesota | — | $588.29 |
| Metropolitan Kansas City, MOMissouri | — | $657.16 |
| Metropolitan St. Louis, MOMissouri | — | $661.18 |
| Rest of MissouriMissouri | — | $649.77 |
| MississippiMississippi | — | $623.07 |
| MontanaMontana | — | $665.12 |
| North CarolinaNorth Carolina | — | $618.34 |
| North DakotaNorth Dakota | — | $598.09 |
| NebraskaNebraska | — | $587.87 |
| New HampshireNew Hampshire | — | $654.94 |
| Northern New JerseyNew Jersey | — | $716.71 |
| Rest of New JerseyNew Jersey | — | $703.17 |
| New MexicoNew Mexico | — | $680.51 |
| NevadaNevada | — | $646.53 |
| NYC suburbs and Long Island, NYNew York | — | $809.16 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $718.55 |
| Queens, NYNew York | — | $761.53 |
| Rest of New YorkNew York | — | $627.14 |
| OhioOhio | — | $658.29 |
| OklahomaOklahoma | — | $630.30 |
| Portland, OROregon | — | $653.89 |
| Rest of OregonOregon | — | $631.35 |
| Metropolitan Philadelphia, PAPennsylvania | — | $699.24 |
| Rest of PennsylvaniaPennsylvania | — | $651.61 |
| Puerto RicoPuerto Rico | — | $664.65 |
| Rhode IslandRhode Island | — | $664.89 |
| South CarolinaSouth Carolina | — | $641.41 |
| South DakotaSouth Dakota | — | $590.16 |
| TennesseeTennessee | — | $604.59 |
| Austin, TXTexas | — | $658.67 |
| Beaumont, TXTexas | — | $649.07 |
| Brazoria, TXTexas | — | $643.30 |
| Dallas, TXTexas | — | $653.05 |
| Fort Worth, TXTexas | — | $653.60 |
| Galveston, TXTexas | — | $648.91 |
| Houston, TXTexas | — | $710.96 |
| Rest of TexasTexas | — | $649.70 |
| UtahUtah | — | $648.31 |
| VirginiaVirginia | — | $630.50 |
| Virgin Islands, VIUnited States Virgin Islands | — | $664.65 |
| VermontVermont | — | $608.50 |
| Rest of WashingtonWashington | — | $649.12 |
| King County, WAWashington | — | $688.43 |
| WisconsinWisconsin | — | $583.15 |
| West VirginiaWest Virginia | — | $702.16 |
| WyomingWyoming | — | $635.91 |
33522 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 33522 rate is calculated
Each of 33522’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 · 33522
RVUs × geographic indexes × conversion factor
Work13.79
13.79 RVUs× 1.000 GPCI
Practice expense2.74
2.74 RVUs× 1.000 GPCI
Malpractice3.39
3.39 RVUs× 1.000 GPCI
Adjusted RVUs
19.9200
Conversion factor
$33.4009
Medicare rate
$665.35
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Delaware inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,994
- Code
- 33522
- Physician work
- 13.79
- Practice expense
- 2.74
- Malpractice
- 3.39
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.79 | × 1.005 | 13.8589 |
| Practice expense | 2.74 | × 0.988 | 2.7071 |
| Malpractice | 3.39 | × 0.899 | 3.0476 |
| Total RVUs | 19.6137 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$655.11
Facility: (13.79 × 1.005 + 2.74 × 0.988 + 3.39 × 0.899) × $33.4009 = $655.11
Payment rules and modifiers for 33522
The CMS indicators that decide how 33522 is paid alongside other services.
CMS payment indicators · 33522
Coronary bypass, five 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
33522 without 80 · national facility
$665.35
Coronary bypass, five venous grafts
33522-80 · Assistant: 16%
$106.46
A physician assistant at surgery is paid 16% of the surgeon’s fee schedule amount.
How 33522 has changed in Delaware
33522 · 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 | $655.11 | RVU26D |
| 2026-07-01 | Not available in this setting | $655.11 | RVU26C |
| 2026-04-01 | Not available in this setting | $655.11 | RVU26B |
| 2026-01-01 | Not available in this setting | $655.11 | RVU26A |
| 2025-10-01 | Not available in this setting | $691.38 | RVU25D |
| 2025-07-01 | Not available in this setting | $691.38 | RVU25C |
| 2025-04-01 | Not available in this setting | $691.38 | RVU25B |
| 2025-01-01 | Not available in this setting | $691.38 | RVU25A |
| 2024-10-01 | Not available in this setting | $709.47 | RVU24D |
| 2024-07-01 | Not available in this setting | $709.47 | RVU24C |
| 2024-04-01 | Not available in this setting | $709.47 | RVU24B |
| 2024-03-09 | Not available in this setting | $709.47 | RVU24AR |
| 2024-01-01 | Not available in this setting | $697.89 | RVU24A |
| 2023-10-01 | Not available in this setting | $721.52 | RVU23D |
| 2023-07-01 | Not available in this setting | $721.52 | RVU23C |
| 2023-04-01 | Not available in this setting | $721.52 | RVU23B |
| 2023-01-01 | Not available in this setting | $721.52 | RVU23A |
| 2022-10-01 | Not available in this setting | $739.37 | RVU22D |
| 2022-07-01 | Not available in this setting | $739.37 | RVU22C |
| 2022-04-01 | Not available in this setting | $739.37 | RVU22B |
| 2022-01-01 | Not available in this setting | $739.37 | RVU22A |
| 2021-10-01 | Not available in this setting | $744.01 | RVU21D |
| 2021-07-01 | Not available in this setting | $744.01 | RVU21C |
| 2021-04-01 | Not available in this setting | $744.01 | RVU21B |
| 2021-01-01 | Not available in this setting | $744.01 | RVU21A |
| 2020-10-01 | Not available in this setting | $775.95 | RVU20D |
| 2020-07-01 | Not available in this setting | $775.95 | RVU20C |
| 2020-04-01 | Not available in this setting | $775.95 | RVU20B |
| 2020-01-01 | Not available in this setting | $775.95 | RVU20A |
| 2019-10-01 | Not available in this setting | $786.20 | RVU19D |
| 2019-07-01 | Not available in this setting | $786.20 | RVU19C |
| 2019-04-01 | Not available in this setting | $786.20 | RVU19B |
| 2019-01-01 | Not available in this setting | $786.20 | RVU19A |
| 2018-10-01 | Not available in this setting | $784.46 | RVU18D |
| 2018-07-01 | Not available in this setting | $784.46 | RVU18C |
| 2018-04-01 | Not available in this setting | $784.46 | RVU18B |
| 2018-01-01 | Not available in this setting | $784.46 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $784.94 | RVU17D |
| 2017-07-01 | Not available in this setting | $784.94 | RVU17C |
| 2017-04-01 | Not available in this setting | $784.94 | RVU17B |
| 2017-01-01 | Not available in this setting | $784.94 | RVU17A |
| 2016-10-01 | Not available in this setting | $784.44 | RVU16D |
| 2016-07-01 | Not available in this setting | $784.44 | RVU16C |
| 2016-04-01 | Not available in this setting | $784.44 | RVU16B |
| 2016-01-01 | Not available in this setting | $784.44 | RVU16A |
| 2015-10-01 | Not available in this setting | $787.64 | RVU15D |
| 2015-07-01 | Not available in this setting | $787.64 | RVU15C |
| 2015-04-01 | Not available in this setting | $783.72 | RVU15B |
| 2015-01-01 | Not available in this setting | $783.72 | RVU15A |
| 2014-10-01 | Not available in this setting | $767.12 | RVU14D |
| 2014-07-01 | Not available in this setting | $767.12 | RVU14C |
| 2014-04-01 | Not available in this setting | $767.12 | RVU14B |
| 2014-01-01 | Not available in this setting | $767.12 | RVU14A |
| 2013-10-01 | Not available in this setting | $724.41 | RVU13D |
| 2013-07-01 | Not available in this setting | $724.41 | RVU13C |
| 2013-04-01 | Not available in this setting | $724.41 | RVU13B |
| 2013-01-01 | Not available in this setting | $724.41 | RVU13AR |
Where the Delaware rate applies
Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.
- Arden
- Ardencroft
- Ardentown
- Bear
- Bellefonte
- Bethany Beach
- Bethel
- Blades
33522 billing questions
Does five refer to venous grafts or total grafts?
It refers to five venous grafts. The arterial graft count is represented by the primary arterial CABG code.
Which primary code is reported with 33522?
Report it with the arterial CABG code that matches the arterial graft count: 33533, 33534, 33535, or 33536.
Can 33522 be reported by itself?
No. It is an add-on code and must be reported with a primary procedure.
How does 33522 differ from 33514?
33522 describes five venous grafts in a CABG that also includes arterial grafting. 33514 describes five venous grafts for vein-only CABG.
Should 33522 be reported once for each venous graft?
No. Select the code by the number of venous grafts in the case; 33522 represents the five-graft tier.
What documentation supports 33522?
The operative report should identify the venous and arterial conduits and support that five venous grafts were used.
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 33522 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet