CPT code 33534: Arterial CABG, two arterial grafts2026 Medicare rate & RVUs in Virginia
Reports coronary artery bypass surgery using two arterial grafts to bypass obstructive coronary disease, with the documented graft count determining the code level.
In Virginia, Medicare pays $1,959.29 for 33534 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33534 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 33534 covers
Code 33534 represents coronary artery bypass surgery using two arterial grafts to route blood around obstructive coronary disease. A cardiothoracic surgeon performs the grafting during open cardiac surgery, usually in a hospital operating room. The operative report should identify the arterial grafts and completed bypasses so the documented graft count supports this level.
Report 33534 for the arterial portion when two arterial grafts are performed. If venous grafts are also used, report the applicable 33517–33523 add-on code for their number; 33518 corresponds to two venous grafts. CMS assigns major surgery a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. An assistant at surgery 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 Virginia compares for 33534
Across 109 of 109 payment localities, the facility rate for 33534 runs from $1,820.50 in Wisconsin to $2,595.06 in Alaska. Virginia pays $1,959.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$1,959.29
- Los Angeles, CA · California$2,087.37+$128.08
- Washington, DC area · District of Columbia$2,246.16+$286.87
- Miami, FL · Florida$2,570.06+$610.77
- Chicago, IL · Illinois$2,488.14+$528.85
- Manhattan, NY · New York$2,403.91+$444.62
- Alaska · Alaska$2,595.06+$635.77
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $1,866.67 |
| ArkansasArkansas | — | $1,843.23 |
| ArizonaArizona | — | $2,001.26 |
| Bakersfield, CACalifornia | — | $2,002.73 |
| Chico, CACalifornia | — | $1,976.70 |
| El Centro, CACalifornia | — | $1,978.30 |
| Fresno, CACalifornia | — | $1,976.70 |
| Hanford, CACalifornia | — | $1,976.70 |
| Madera, CACalifornia | — | $1,976.70 |
| Merced, CACalifornia | — | $1,976.70 |
| Modesto, CACalifornia | — | $1,976.70 |
| Napa, CACalifornia | — | $2,125.48 |
| Oxnard, CACalifornia | — | $2,056.88 |
| Redding, CACalifornia | — | $1,976.70 |
| Rest of CaliforniaCalifornia | — | $1,976.70 |
| Riverside, CACalifornia | — | $2,079.75 |
| Sacramento, CACalifornia | — | $2,030.96 |
| Salinas, CACalifornia | — | $2,022.70 |
| San Diego, CACalifornia | — | $2,039.66 |
| Marin County, CACalifornia | — | $2,191.93 |
| San Francisco, CACalifornia | — | $2,181.01 |
| San Benito County, CACalifornia | — | $2,250.25 |
| Santa Clara County, CACalifornia | — | $2,205.64 |
| San Luis Obispo, CACalifornia | — | $1,995.69 |
| Santa Cruz, CACalifornia | — | $2,034.44 |
| Santa Maria, CACalifornia | — | $2,021.89 |
| Santa Rosa, CACalifornia | — | $2,051.87 |
| Stockton, CACalifornia | — | $1,976.70 |
| Vallejo, CACalifornia | — | $2,109.75 |
| Visalia, CACalifornia | — | $1,976.70 |
| Yuba City, CACalifornia | — | $1,976.70 |
| ColoradoColorado | — | $2,034.72 |
| ConnecticutConnecticut | — | $2,188.55 |
| DelawareDelaware | — | $2,029.94 |
| Fort Lauderdale, FLFlorida | — | $2,326.26 |
| Rest of FloridaFlorida | — | $2,203.20 |
| Atlanta, GAGeorgia | — | $2,136.65 |
| Rest of GeorgiaGeorgia | — | $2,075.11 |
| Hawaii, Guam, HIHawaii | — | $1,986.53 |
| IowaIowa | — | $1,830.08 |
| IdahoIdaho | — | $1,856.69 |
| East St. Louis, ILIllinois | — | $2,351.32 |
| Rest of IllinoisIllinois | — | $2,203.47 |
| Suburban Chicago, ILIllinois | — | $2,329.98 |
| IndianaIndiana | — | $1,863.95 |
| KansasKansas | — | $1,859.57 |
| KentuckyKentucky | — | $1,984.87 |
| New Orleans, LALouisiana | — | $2,078.77 |
| Rest of LouisianaLouisiana | — | $1,996.91 |
| Metropolitan Boston, MAMassachusetts | — | $2,164.77 |
| Rest of MassachusettsMassachusetts | — | $2,040.19 |
| Baltimore area, MDMaryland | — | $2,190.25 |
| Rest of MarylandMaryland | — | $2,053.13 |
| Rest of MaineMaine | — | $1,904.51 |
| Southern Maine, MEMaine | — | $1,938.75 |
| Detroit, MIMichigan | — | $2,265.91 |
| Rest of MichiganMichigan | — | $2,064.16 |
| MinnesotaMinnesota | — | $1,848.00 |
| Metropolitan Kansas City, MOMissouri | — | $2,026.85 |
| Metropolitan St. Louis, MOMissouri | — | $2,040.62 |
| Rest of MissouriMissouri | — | $1,991.89 |
| MississippiMississippi | — | $1,916.02 |
| MontanaMontana | — | $2,060.53 |
| North CarolinaNorth Carolina | — | $1,915.71 |
| North DakotaNorth Dakota | — | $1,870.51 |
| NebraskaNebraska | — | $1,827.52 |
| New HampshireNew Hampshire | — | $2,039.15 |
| Northern New JerseyNew Jersey | — | $2,235.46 |
| Rest of New JerseyNew Jersey | — | $2,184.87 |
| New MexicoNew Mexico | — | $2,089.04 |
| NevadaNevada | — | $2,008.01 |
| NYC suburbs and Long Island, NYNew York | — | $2,502.82 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,228.96 |
| Queens, NYNew York | — | $2,366.52 |
| Rest of New YorkNew York | — | $1,943.76 |
| OhioOhio | — | $2,025.32 |
| OklahomaOklahoma | — | $1,942.34 |
| Portland, OROregon | — | $2,048.79 |
| Rest of OregonOregon | — | $1,964.07 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,164.60 |
| Rest of PennsylvaniaPennsylvania | — | $2,007.31 |
| Puerto RicoPuerto Rico | — | $2,061.21 |
| Rhode IslandRhode Island | — | $2,065.75 |
| South CarolinaSouth Carolina | — | $1,979.46 |
| South DakotaSouth Dakota | — | $1,848.04 |
| TennesseeTennessee | — | $1,872.37 |
| Austin, TXTexas | — | $2,052.79 |
| Beaumont, TXTexas | — | $1,998.64 |
| Brazoria, TXTexas | — | $1,996.97 |
| Dallas, TXTexas | — | $2,025.51 |
| Fort Worth, TXTexas | — | $2,025.27 |
| Galveston, TXTexas | — | $2,013.26 |
| Houston, TXTexas | — | $2,189.16 |
| Rest of TexasTexas | — | $2,007.51 |
| UtahUtah | — | $2,001.94 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,061.21 |
| VermontVermont | — | $1,898.19 |
| Rest of WashingtonWashington | — | $2,024.74 |
| King County, WAWashington | — | $2,167.60 |
| WisconsinWisconsin | — | $1,820.50 |
| West VirginiaWest Virginia | — | $2,141.67 |
| WyomingWyoming | — | $1,977.71 |
33534 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 33534 rate is calculated
Each of 33534’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 · 33534
RVUs × geographic indexes × conversion factor
Work38.88
38.88 RVUs× 1.000 GPCI
Practice expense13.22
13.22 RVUs× 1.000 GPCI
Malpractice9.61
9.61 RVUs× 1.000 GPCI
Adjusted RVUs
61.7100
Conversion factor
$33.4009
Medicare rate
$2,061.17
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Virginia inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
3,999
- Code
- 33534
- Physician work
- 38.88
- Practice expense
- 13.22
- Malpractice
- 9.61
GPCI2026.csv
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 38.88 | × 1.000 | 38.8800 |
| Practice expense | 13.22 | × 0.983 | 12.9953 |
| Malpractice | 9.61 | × 0.706 | 6.7847 |
| Total RVUs | 58.6599 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Virginia$1959.29
Facility: (38.88 × 1 + 13.22 × 0.983 + 9.61 × 0.706) × $33.4009 = $1959.29
Payment rules and modifiers for 33534
33534 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33534
Arterial CABG, two arterial grafts
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| 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. |
| Split (54/55/56) | 0.09/0.82/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33534
Arterial CABG, two arterial grafts
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.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
33534 without 51 · national facility
$2,061.17
Arterial CABG, two arterial grafts
33534-51 · Second procedure: 50%
$1,030.59
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%).
How 33534 has changed in Virginia
33534 · 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 | $1,959.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $1,959.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $1,959.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $1,959.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $2,021.00 | RVU25D |
| 2025-07-01 | Not available in this setting | $2,021.00 | RVU25C |
| 2025-04-01 | Not available in this setting | $2,021.00 | RVU25B |
| 2025-01-01 | Not available in this setting | $2,021.00 | RVU25A |
| 2024-10-01 | Not available in this setting | $2,069.86 | RVU24D |
| 2024-07-01 | Not available in this setting | $2,069.86 | RVU24C |
| 2024-04-01 | Not available in this setting | $2,069.86 | RVU24B |
| 2024-03-09 | Not available in this setting | $2,069.86 | RVU24AR |
| 2024-01-01 | Not available in this setting | $2,036.08 | RVU24A |
| 2023-10-01 | Not available in this setting | $2,123.85 | RVU23D |
| 2023-07-01 | Not available in this setting | $2,123.85 | RVU23C |
| 2023-04-01 | Not available in this setting | $2,123.85 | RVU23B |
| 2023-01-01 | Not available in this setting | $2,123.85 | RVU23A |
| 2022-10-01 | Not available in this setting | $2,195.65 | RVU22D |
| 2022-07-01 | Not available in this setting | $2,195.65 | RVU22C |
| 2022-04-01 | Not available in this setting | $2,195.65 | RVU22B |
| 2022-01-01 | Not available in this setting | $2,195.65 | RVU22A |
| 2021-10-01 | Not available in this setting | $2,204.53 | RVU21D |
| 2021-07-01 | Not available in this setting | $2,204.53 | RVU21C |
| 2021-04-01 | Not available in this setting | $2,204.53 | RVU21B |
| 2021-01-01 | Not available in this setting | $2,204.53 | RVU21A |
| 2020-10-01 | Not available in this setting | $2,261.71 | RVU20D |
| 2020-07-01 | Not available in this setting | $2,261.71 | RVU20C |
| 2020-04-01 | Not available in this setting | $2,261.71 | RVU20B |
| 2020-01-01 | Not available in this setting | $2,261.71 | RVU20A |
| 2019-10-01 | Not available in this setting | $2,255.39 | RVU19D |
| 2019-07-01 | Not available in this setting | $2,255.39 | RVU19C |
| 2019-04-01 | Not available in this setting | $2,255.39 | RVU19B |
| 2019-01-01 | Not available in this setting | $2,255.39 | RVU19A |
| 2018-10-01 | Not available in this setting | $2,252.52 | RVU18D |
| 2018-07-01 | Not available in this setting | $2,252.52 | RVU18C |
| 2018-04-01 | Not available in this setting | $2,252.52 | RVU18B |
| 2018-01-01 | Not available in this setting | $2,252.52 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $2,238.43 | RVU17D |
| 2017-07-01 | Not available in this setting | $2,238.43 | RVU17C |
| 2017-04-01 | Not available in this setting | $2,238.43 | RVU17B |
| 2017-01-01 | Not available in this setting | $2,238.43 | RVU17A |
| 2016-10-01 | Not available in this setting | $2,224.86 | RVU16D |
| 2016-07-01 | Not available in this setting | $2,224.86 | RVU16C |
| 2016-04-01 | Not available in this setting | $2,224.86 | RVU16B |
| 2016-01-01 | Not available in this setting | $2,224.86 | RVU16A |
| 2015-10-01 | Not available in this setting | $2,231.53 | RVU15D |
| 2015-07-01 | Not available in this setting | $2,231.53 | RVU15C |
| 2015-04-01 | Not available in this setting | $2,220.42 | RVU15B |
| 2015-01-01 | Not available in this setting | $2,220.42 | RVU15A |
| 2014-10-01 | Not available in this setting | $2,215.76 | RVU14D |
| 2014-07-01 | Not available in this setting | $2,215.76 | RVU14C |
| 2014-04-01 | Not available in this setting | $2,215.76 | RVU14B |
| 2014-01-01 | Not available in this setting | $2,215.76 | RVU14A |
| 2013-10-01 | Not available in this setting | $2,152.87 | RVU13D |
| 2013-07-01 | Not available in this setting | $2,152.87 | RVU13C |
| 2013-04-01 | Not available in this setting | $2,152.87 | RVU13B |
| 2013-01-01 | Not available in this setting | $2,152.87 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
33534 billing questions
How does 33534 differ from 33533 or 33535?
Choose among these arterial CABG levels by the number of arterial grafts documented: 33533 is for one, 33534 for two, and 33535 for three.
Can 33534 be reported with a venous CABG code?
Yes. When the operation includes venous grafts as well as the two arterial grafts, report the applicable 33517–33523 add-on code for the number of venous grafts; 33518 corresponds to two.
Is endoscopic vein harvesting included in 33534?
33534 identifies the arterial bypass work. Endoscopic vein harvesting is described separately by 33508 when performed and reportable.
Can modifier 50 be used, and what about surgical assistants?
Modifier 50 is inappropriate for 33534. CMS indicates that an assistant at surgery may be paid, while co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
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 33534 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet