CPT code 33533: Arterial CABG, single arterial graft2026 Medicare rate & RVUs in North Carolina

Reports coronary artery bypass surgery using one arterial graft, such as an internal thoracic artery graft to bypass a diseased coronary artery.

CMS RVU26DEffective Oct 1, 2026One payment locality68.7K Medicare services in 2024

In North Carolina, Medicare pays $1,633.92 for 33533 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,633.92Hospital or facility

Check a contract rate as a % of Medicare · 33533 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 33533 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Carolina
  2. What 33533 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 33533 covers

A cardiac surgeon uses an arterial conduit to route blood around a coronary artery blockage. A common example is an internal thoracic artery graft to the left anterior descending artery. The operation is typically performed in a hospital operating room for a patient with coronary artery disease requiring surgical revascularization. This code represents the bypass operation, not simply conduit harvesting.

Select this code when the operation uses one arterial graft; use the arterial CABG family’s higher-level codes when more arterial grafts are used. If venous grafting is also performed, the applicable combined arterial-venous code is reported with the arterial CABG code. The operative report should identify the graft type and number, bypassed vessels, and completed procedure. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate for this code. Assistant-at-surgery services may be paid; co-surgeons and team surgery are not permitted.

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 North Carolina compares for 33533

Across 109 of 109 payment localities, the facility rate for 33533 runs from $1,553.72 in Wisconsin to $2,210.74 in Alaska. North Carolina pays $1,633.92. The RVUs are the same everywhere; the geographic indexes change the dollars.

33533 in North Carolina vs other payment areas
  1. North Carolina · this page$1,633.92
  2. Los Angeles, CA · California$1,782.56+$148.64
  3. Washington, DC area · District of Columbia$1,916.84+$282.92
  4. Miami, FL · Florida$2,188.96+$555.04
  5. Chicago, IL · Illinois$2,119.18+$485.26
  6. Manhattan, NY · New York$2,050.08+$416.16
  7. Alaska · Alaska$2,210.74+$576.82

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

Every other payment area

33533 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$1,591.65
ArkansasArkansas—$1,571.60
ArizonaArizona—$1,706.79
Bakersfield, CACalifornia—$1,709.76
Chico, CACalifornia—$1,687.74
El Centro, CACalifornia—$1,689.10
Fresno, CACalifornia—$1,687.74
Hanford, CACalifornia—$1,687.74

33533 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
33533 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 33533 in every payment locality

How the 33533 rate is calculated

Each of 33533’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 · 33533

RVUs × geographic indexes × conversion factor

Office or facility?

Work32.91

32.91 RVUs× 1.000 GPCI

Practice expense11.59

11.59 RVUs× 1.000 GPCI

Malpractice8.13

8.13 RVUs× 1.000 GPCI

Adjusted RVUs

52.6300

Conversion factor

$33.4009

Medicare rate

$1,757.89

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

3,998

Code
33533
Physician work
32.91
Practice expense
11.59
Malpractice
8.13

GPCI2026.csv

83

Locality
North Carolina
Physician work
1.000
Practice expense
0.933
Malpractice
0.639
Facility calculation for 33533 in North Carolina
ComponentRVULocality factorAdjusted
Physician work32.91× 1.00032.9100
Practice expense11.59× 0.93310.8135
Malpractice8.13× 0.6395.1951
Total RVUs48.9185
Conversion factor× 33.4009

Facility rate, North Carolina$1633.92

Facility: (32.91 × 1 + 11.59 × 0.933 + 8.13 × 0.639) × $33.4009 = $1633.92

Open 33533 in the RVU calculator

Payment rules and modifiers for 33533

33533 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33533

Arterial CABG, single arterial graft

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
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.
Split (54/55/56)0.09/0.82/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33533

Arterial CABG, single arterial graft

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33533 without 51 · national facility

$1,757.89

Arterial CABG, single arterial graft

33533-51 · Second procedure: 50%

$878.95

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

How 33533 has changed in North Carolina

33533 · 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$1,633.92RVU26D
2026-07-01Not available in this setting$1,633.92RVU26C
2026-04-01Not available in this setting$1,633.92RVU26B
2026-01-01Not available in this setting$1,633.92RVU26A
2025-10-01Not available in this setting$1,669.77RVU25D
2025-07-01Not available in this setting$1,669.77RVU25C
2025-04-01Not available in this setting$1,669.77RVU25B
2025-01-01Not available in this setting$1,669.77RVU25A
2024-10-01Not available in this setting$1,710.87RVU24D
2024-07-01Not available in this setting$1,710.87RVU24C
2024-04-01Not available in this setting$1,710.87RVU24B
2024-03-09Not available in this setting$1,710.87RVU24AR
2024-01-01Not available in this setting$1,682.95RVU24A
2023-10-01Not available in this setting$1,758.62RVU23D
2023-07-01Not available in this setting$1,758.62RVU23C
2023-04-01Not available in this setting$1,758.62RVU23B
2023-01-01Not available in this setting$1,758.62RVU23A
2022-10-01Not available in this setting$1,818.48RVU22D
2022-07-01Not available in this setting$1,818.48RVU22C
2022-04-01Not available in this setting$1,818.48RVU22B
2022-01-01Not available in this setting$1,818.48RVU22A
2021-10-01Not available in this setting$1,826.37RVU21D
2021-07-01Not available in this setting$1,826.37RVU21C
2021-04-01Not available in this setting$1,826.37RVU21B
2021-01-01Not available in this setting$1,826.37RVU21A
2020-10-01Not available in this setting$1,856.23RVU20D
2020-07-01Not available in this setting$1,856.23RVU20C
2020-04-01Not available in this setting$1,856.23RVU20B
2020-01-01Not available in this setting$1,856.23RVU20A
2019-10-01Not available in this setting$1,833.97RVU19D
2019-07-01Not available in this setting$1,833.97RVU19C
2019-04-01Not available in this setting$1,833.97RVU19B
2019-01-01Not available in this setting$1,833.97RVU19A
2018-10-01Not available in this setting$1,831.71RVU18D
2018-07-01Not available in this setting$1,831.71RVU18C
2018-04-01Not available in this setting$1,831.71RVU18B
2018-01-01Not available in this setting$1,831.71RVU18AR1
2017-10-01Not available in this setting$1,841.06RVU17D
2017-07-01Not available in this setting$1,841.06RVU17C
2017-04-01Not available in this setting$1,841.06RVU17B
2017-01-01Not available in this setting$1,841.06RVU17A
2016-10-01Not available in this setting$1,850.90RVU16D
2016-07-01Not available in this setting$1,850.90RVU16C
2016-04-01Not available in this setting$1,850.90RVU16B
2016-01-01Not available in this setting$1,850.90RVU16A
2015-10-01Not available in this setting$1,856.59RVU15D
2015-07-01Not available in this setting$1,856.59RVU15C
2015-04-01Not available in this setting$1,847.36RVU15B
2015-01-01Not available in this setting$1,847.36RVU15A
2014-10-01Not available in this setting$1,848.06RVU14D
2014-07-01Not available in this setting$1,848.06RVU14C
2014-04-01Not available in this setting$1,848.06RVU14B
2014-01-01Not available in this setting$1,848.06RVU14A
2013-10-01Not available in this setting$1,786.80RVU13D
2013-07-01Not available in this setting$1,786.80RVU13C
2013-04-01Not available in this setting$1,786.80RVU13B
2013-01-01Not available in this setting$1,786.80RVU13AR

Price 33533 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Aberdeen
  • Advance
  • Ahoskie
  • Alamance
  • Albemarle
  • Alexis
  • Alliance
  • Altamahaw

Browse all communities in North Carolina

33533 billing questions

When should this code be chosen instead of 33534?

Use 33533 when one arterial graft is used for CABG. Code 33534 represents CABG using two arterial grafts.

Can this code be reported when venous grafting is also performed?

Yes. Report the applicable combined arterial-venous CABG code, such as 33517 for one venous graft, with the arterial CABG code when both graft types are used.

Does this code describe harvesting the arterial conduit?

No. It represents the coronary bypass operation using an arterial graft, rather than conduit harvesting alone.

What operative documentation supports one arterial graft?

The operative report should identify the arterial conduit used, the number of arterial grafts, the coronary targets, and the bypass work performed.

How does the global period affect postoperative billing?

The 90-day global period includes the day-before preoperative visit and related postoperative care. Those services are part of the surgical global package.

Can an assistant surgeon or co-surgeon be reported?

CMS indicates that an assistant at surgery may be paid for this procedure. Co-surgeons and team surgery are not permitted.

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 33533PPRRVU2026_Oct_nonQPP.csv, line 3,998 (RVU26D)
Geographic factors for North CarolinaGPCI2026.csv, line 83 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 33533 pays in North Carolina?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 33533 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet