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.

CMS RVU26DEffective Oct 1, 2026One payment locality334 Medicare services in 2024

In Delaware, Medicare pays $655.11 for 33522 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$655.11Hospital or facility

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.

We’ll open 33522 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 33522 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

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.

33522 in Delaware vs other payment areas
  1. Delaware · this page$655.11
  2. Los Angeles, CA · California$662.93+$7.82
  3. Washington, DC area · District of Columbia$719.30+$64.19
  4. Miami, FL · Florida$842.23+$187.12
  5. Chicago, IL · Illinois$815.66+$160.55
  6. Manhattan, NY · New York$776.00+$120.89
  7. Alaska · Alaska$850.75+$195.64

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

33522 in every other Medicare payment locality
Payment localityOfficeFacility
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

33522 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

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33522 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 33522 in every payment locality

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

Office or facility?

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
Facility calculation for 33522 in Delaware
ComponentRVULocality factorAdjusted
Physician work13.79× 1.00513.8589
Practice expense2.74× 0.9882.7071
Malpractice3.39× 0.8993.0476
Total RVUs19.6137
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

Open 33522 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)2Paid.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician 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.

When to use modifier 80

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.

Base rate by release · bars start at $0 · select a bar to compare

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$655.11RVU26D
2026-07-01Not available in this setting$655.11RVU26C
2026-04-01Not available in this setting$655.11RVU26B
2026-01-01Not available in this setting$655.11RVU26A
2025-10-01Not available in this setting$691.38RVU25D
2025-07-01Not available in this setting$691.38RVU25C
2025-04-01Not available in this setting$691.38RVU25B
2025-01-01Not available in this setting$691.38RVU25A
2024-10-01Not available in this setting$709.47RVU24D
2024-07-01Not available in this setting$709.47RVU24C
2024-04-01Not available in this setting$709.47RVU24B
2024-03-09Not available in this setting$709.47RVU24AR
2024-01-01Not available in this setting$697.89RVU24A
2023-10-01Not available in this setting$721.52RVU23D
2023-07-01Not available in this setting$721.52RVU23C
2023-04-01Not available in this setting$721.52RVU23B
2023-01-01Not available in this setting$721.52RVU23A
2022-10-01Not available in this setting$739.37RVU22D
2022-07-01Not available in this setting$739.37RVU22C
2022-04-01Not available in this setting$739.37RVU22B
2022-01-01Not available in this setting$739.37RVU22A
2021-10-01Not available in this setting$744.01RVU21D
2021-07-01Not available in this setting$744.01RVU21C
2021-04-01Not available in this setting$744.01RVU21B
2021-01-01Not available in this setting$744.01RVU21A
2020-10-01Not available in this setting$775.95RVU20D
2020-07-01Not available in this setting$775.95RVU20C
2020-04-01Not available in this setting$775.95RVU20B
2020-01-01Not available in this setting$775.95RVU20A
2019-10-01Not available in this setting$786.20RVU19D
2019-07-01Not available in this setting$786.20RVU19C
2019-04-01Not available in this setting$786.20RVU19B
2019-01-01Not available in this setting$786.20RVU19A
2018-10-01Not available in this setting$784.46RVU18D
2018-07-01Not available in this setting$784.46RVU18C
2018-04-01Not available in this setting$784.46RVU18B
2018-01-01Not available in this setting$784.46RVU18AR1
2017-10-01Not available in this setting$784.94RVU17D
2017-07-01Not available in this setting$784.94RVU17C
2017-04-01Not available in this setting$784.94RVU17B
2017-01-01Not available in this setting$784.94RVU17A
2016-10-01Not available in this setting$784.44RVU16D
2016-07-01Not available in this setting$784.44RVU16C
2016-04-01Not available in this setting$784.44RVU16B
2016-01-01Not available in this setting$784.44RVU16A
2015-10-01Not available in this setting$787.64RVU15D
2015-07-01Not available in this setting$787.64RVU15C
2015-04-01Not available in this setting$783.72RVU15B
2015-01-01Not available in this setting$783.72RVU15A
2014-10-01Not available in this setting$767.12RVU14D
2014-07-01Not available in this setting$767.12RVU14C
2014-04-01Not available in this setting$767.12RVU14B
2014-01-01Not available in this setting$767.12RVU14A
2013-10-01Not available in this setting$724.41RVU13D
2013-07-01Not available in this setting$724.41RVU13C
2013-04-01Not available in this setting$724.41RVU13B
2013-01-01Not available in this setting$724.41RVU13AR

Price 33522 for an earlier date of service

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

Browse all communities in Delaware

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
RVUs for 33522PPRRVU2026_Oct_nonQPP.csv, line 3,994 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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