CPT code 33536: CABG, four or more arterial grafts2026 Medicare rate & RVUs in Alaska
Reports coronary artery bypass surgery using four or more arterial grafts, such as internal thoracic or radial artery conduits, for coronary revascularization.
In Alaska, Medicare pays $3,106.66 for 33536 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33536 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 33536 covers
This code describes coronary artery bypass grafting with four or more arterial grafts. Cardiothoracic surgeons perform the operation, generally in a hospital operating room, to revascularize coronary arteries affected by obstructive disease. Arterial conduits may include an internal thoracic artery or a radial artery. The operative report should identify the conduits used and the number of arterial bypass grafts performed.
Select this code based on the arterial graft count, not the combined number of arterial and venous grafts. When venous grafts are also used, report the appropriate venous-graft add-on code with the arterial CABG code. The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. For multiple procedures in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment may be available; co-surgeon and team-surgery payment are not permitted for this 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 Alaska compares for 33536
Across 109 of 109 payment localities, the facility rate for 33536 runs from $2,170.61 in Wisconsin to $3,106.66 in Alaska. Alaska pays $3,106.66. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Alaska · this page$3,106.66
- Los Angeles, CA · California$2,485.03−$621.63
- Washington, DC area · District of Columbia$2,677.77−$428.89
- Miami, FL · Florida$3,075.88−$30.78
- Chicago, IL · Illinois$2,978.07−$128.59
- Manhattan, NY · New York$2,869.69−$236.97
- Alabama · Alabama$2,229.97−$876.69
Other areas in Alaska first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| ArkansasArkansas | — | $2,202.22 |
| ArizonaArizona | — | $2,389.29 |
| Bakersfield, CACalifornia | — | $2,385.92 |
| Chico, CACalifornia | — | $2,354.36 |
| El Centro, CACalifornia | — | $2,356.31 |
| Fresno, CACalifornia | — | $2,354.36 |
| Hanford, CACalifornia | — | $2,354.36 |
| Madera, CACalifornia | — | $2,354.36 |
| Merced, CACalifornia | — | $2,354.36 |
| Modesto, CACalifornia | — | $2,354.36 |
| Napa, CACalifornia | — | $2,525.76 |
| Oxnard, CACalifornia | — | $2,448.08 |
| Redding, CACalifornia | — | $2,354.36 |
| Rest of CaliforniaCalifornia | — | $2,354.36 |
| Riverside, CACalifornia | — | $2,479.29 |
| Sacramento, CACalifornia | — | $2,417.45 |
| Salinas, CACalifornia | — | $2,407.58 |
| San Diego, CACalifornia | — | $2,426.63 |
| Marin County, CACalifornia | — | $2,602.64 |
| San Francisco, CACalifornia | — | $2,589.41 |
| San Benito County, CACalifornia | — | $2,672.08 |
| Santa Clara County, CACalifornia | — | $2,617.99 |
| San Luis Obispo, CACalifornia | — | $2,375.62 |
| Santa Cruz, CACalifornia | — | $2,419.50 |
| Santa Maria, CACalifornia | — | $2,406.31 |
| Santa Rosa, CACalifornia | — | $2,440.12 |
| Stockton, CACalifornia | — | $2,354.36 |
| Vallejo, CACalifornia | — | $2,506.69 |
| Visalia, CACalifornia | — | $2,354.36 |
| Yuba City, CACalifornia | — | $2,354.36 |
| ColoradoColorado | — | $2,425.99 |
| ConnecticutConnecticut | — | $2,611.97 |
| DelawareDelaware | — | $2,423.30 |
| Fort Lauderdale, FLFlorida | — | $2,781.48 |
| Rest of FloridaFlorida | — | $2,634.62 |
| Atlanta, GAGeorgia | — | $2,551.50 |
| Rest of GeorgiaGeorgia | — | $2,481.97 |
| Hawaii, Guam, HIHawaii | — | $2,364.55 |
| IowaIowa | — | $2,183.99 |
| IdahoIdaho | — | $2,216.03 |
| East St. Louis, ILIllinois | — | $2,815.67 |
| Rest of IllinoisIllinois | — | $2,636.71 |
| Suburban Chicago, ILIllinois | — | $2,785.43 |
| IndianaIndiana | — | $2,224.55 |
| KansasKansas | — | $2,220.18 |
| KentuckyKentucky | — | $2,372.70 |
| New Orleans, LALouisiana | — | $2,484.40 |
| Rest of LouisianaLouisiana | — | $2,387.45 |
| Metropolitan Boston, MAMassachusetts | — | $2,578.41 |
| Rest of MassachusettsMassachusetts | — | $2,433.09 |
| Baltimore area, MDMaryland | — | $2,614.19 |
| Rest of MarylandMaryland | — | $2,450.44 |
| Rest of MaineMaine | — | $2,274.01 |
| Southern Maine, MEMaine | — | $2,312.61 |
| Detroit, MIMichigan | — | $2,710.28 |
| Rest of MichiganMichigan | — | $2,467.83 |
| MinnesotaMinnesota | — | $2,201.04 |
| Metropolitan Kansas City, MOMissouri | — | $2,421.54 |
| Metropolitan St. Louis, MOMissouri | — | $2,437.69 |
| Rest of MissouriMissouri | — | $2,382.31 |
| MississippiMississippi | — | $2,290.37 |
| MontanaMontana | — | $2,459.87 |
| North CarolinaNorth Carolina | — | $2,287.05 |
| North DakotaNorth Dakota | — | $2,229.51 |
| NebraskaNebraska | — | $2,180.55 |
| New HampshireNew Hampshire | — | $2,432.27 |
| Northern New JerseyNew Jersey | — | $2,665.56 |
| Rest of New JerseyNew Jersey | — | $2,606.96 |
| New MexicoNew Mexico | — | $2,497.83 |
| NevadaNevada | — | $2,396.16 |
| NYC suburbs and Long Island, NYNew York | — | $2,988.49 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $2,660.29 |
| Queens, NYNew York | — | $2,823.54 |
| Rest of New YorkNew York | — | $2,320.36 |
| OhioOhio | — | $2,420.75 |
| OklahomaOklahoma | — | $2,320.98 |
| Portland, OROregon | — | $2,441.14 |
| Rest of OregonOregon | — | $2,343.10 |
| Metropolitan Philadelphia, PAPennsylvania | — | $2,584.40 |
| Rest of PennsylvaniaPennsylvania | — | $2,398.71 |
| Puerto RicoPuerto Rico | — | $2,460.25 |
| Rhode IslandRhode Island | — | $2,464.90 |
| South CarolinaSouth Carolina | — | $2,364.71 |
| South DakotaSouth Dakota | — | $2,202.27 |
| TennesseeTennessee | — | $2,235.50 |
| Austin, TXTexas | — | $2,448.11 |
| Beaumont, TXTexas | — | $2,388.53 |
| Brazoria, TXTexas | — | $2,383.21 |
| Dallas, TXTexas | — | $2,417.61 |
| Fort Worth, TXTexas | — | $2,417.72 |
| Galveston, TXTexas | — | $2,402.87 |
| Houston, TXTexas | — | $2,616.11 |
| Rest of TexasTexas | — | $2,397.69 |
| UtahUtah | — | $2,391.29 |
| VirginiaVirginia | — | $2,337.84 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,460.25 |
| VermontVermont | — | $2,263.48 |
| Rest of WashingtonWashington | — | $2,414.35 |
| King County, WAWashington | — | $2,580.51 |
| WisconsinWisconsin | — | $2,170.61 |
| West VirginiaWest Virginia | — | $2,563.60 |
| WyomingWyoming | — | $2,359.47 |
33536 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 33536 rate is calculated
Each of 33536’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 · 33536
RVUs × geographic indexes × conversion factor
Work47.22
47.22 RVUs× 1.000 GPCI
Practice expense14.80
14.80 RVUs× 1.000 GPCI
Malpractice11.65
11.65 RVUs× 1.000 GPCI
Adjusted RVUs
73.6700
Conversion factor
$33.4009
Medicare rate
$2,460.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Alaska inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,001
- Code
- 33536
- Physician work
- 47.22
- Practice expense
- 14.80
- Malpractice
- 11.65
GPCI2026.csv
5
- Locality
- Alaska
- Physician work
- 1.500
- Practice expense
- 1.065
- Malpractice
- 0.551
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 47.22 | × 1.500 | 70.8300 |
| Practice expense | 14.80 | × 1.065 | 15.7620 |
| Malpractice | 11.65 | × 0.551 | 6.4192 |
| Total RVUs | 93.0112 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Alaska$3106.66
Facility: (47.22 × 1.5 + 14.8 × 1.065 + 11.65 × 0.551) × $33.4009 = $3106.66
Payment rules and modifiers for 33536
33536 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33536
CABG, four or more 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 · 33536
CABG, four or more 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
33536 without 51 · national facility
$2,460.64
CABG, four or more arterial grafts
33536-51 · Second procedure: 50%
$1,230.32
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 33536 has changed in Alaska
33536 · 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 | $3,106.66 | RVU26D |
| 2026-07-01 | Not available in this setting | $3,106.66 | RVU26C |
| 2026-04-01 | Not available in this setting | $3,106.66 | RVU26B |
| 2026-01-01 | Not available in this setting | $3,106.66 | RVU26A |
| 2025-10-01 | Not available in this setting | $3,194.20 | RVU25D |
| 2025-07-01 | Not available in this setting | $3,194.20 | RVU25C |
| 2025-04-01 | Not available in this setting | $3,194.20 | RVU25B |
| 2025-01-01 | Not available in this setting | $3,194.20 | RVU25A |
| 2024-10-01 | Not available in this setting | $3,275.03 | RVU24D |
| 2024-07-01 | Not available in this setting | $3,275.03 | RVU24C |
| 2024-04-01 | Not available in this setting | $3,275.03 | RVU24B |
| 2024-03-09 | Not available in this setting | $3,275.03 | RVU24AR |
| 2024-01-01 | Not available in this setting | $3,221.58 | RVU24A |
| 2023-10-01 | Not available in this setting | $3,342.82 | RVU23D |
| 2023-07-01 | Not available in this setting | $3,342.82 | RVU23C |
| 2023-04-01 | Not available in this setting | $3,342.82 | RVU23B |
| 2023-01-01 | Not available in this setting | $3,342.82 | RVU23A |
| 2022-10-01 | Not available in this setting | $3,434.80 | RVU22D |
| 2022-07-01 | Not available in this setting | $3,434.80 | RVU22C |
| 2022-04-01 | Not available in this setting | $3,434.80 | RVU22B |
| 2022-01-01 | Not available in this setting | $3,434.80 | RVU22A |
| 2021-10-01 | Not available in this setting | $3,455.21 | RVU21D |
| 2021-07-01 | Not available in this setting | $3,455.21 | RVU21C |
| 2021-04-01 | Not available in this setting | $3,455.21 | RVU21B |
| 2021-01-01 | Not available in this setting | $3,455.21 | RVU21A |
| 2020-10-01 | Not available in this setting | $3,574.75 | RVU20D |
| 2020-07-01 | Not available in this setting | $3,574.75 | RVU20C |
| 2020-04-01 | Not available in this setting | $3,574.75 | RVU20B |
| 2020-01-01 | Not available in this setting | $3,574.75 | RVU20A |
| 2019-10-01 | Not available in this setting | $3,575.80 | RVU19D |
| 2019-07-01 | Not available in this setting | $3,575.80 | RVU19C |
| 2019-04-01 | Not available in this setting | $3,575.80 | RVU19B |
| 2019-01-01 | Not available in this setting | $3,575.80 | RVU19A |
| 2018-10-01 | Not available in this setting | $3,572.32 | RVU18D |
| 2018-07-01 | Not available in this setting | $3,572.32 | RVU18C |
| 2018-04-01 | Not available in this setting | $3,572.32 | RVU18B |
| 2018-01-01 | Not available in this setting | $3,572.32 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $3,581.60 | RVU17D |
| 2017-07-01 | Not available in this setting | $3,581.60 | RVU17C |
| 2017-04-01 | Not available in this setting | $3,581.60 | RVU17B |
| 2017-01-01 | Not available in this setting | $3,581.60 | RVU17A |
| 2016-10-01 | Not available in this setting | $3,576.06 | RVU16D |
| 2016-07-01 | Not available in this setting | $3,576.06 | RVU16C |
| 2016-04-01 | Not available in this setting | $3,576.06 | RVU16B |
| 2016-01-01 | Not available in this setting | $3,576.06 | RVU16A |
| 2015-10-01 | Not available in this setting | $3,591.21 | RVU15D |
| 2015-07-01 | Not available in this setting | $3,591.21 | RVU15C |
| 2015-04-01 | Not available in this setting | $3,573.34 | RVU15B |
| 2015-01-01 | Not available in this setting | $3,573.34 | RVU15A |
| 2014-10-01 | Not available in this setting | $3,548.27 | RVU14D |
| 2014-07-01 | Not available in this setting | $3,548.27 | RVU14C |
| 2014-04-01 | Not available in this setting | $3,548.27 | RVU14B |
| 2014-01-01 | Not available in this setting | $3,548.27 | RVU14A |
| 2013-10-01 | Not available in this setting | $3,420.48 | RVU13D |
| 2013-07-01 | Not available in this setting | $3,420.48 | RVU13C |
| 2013-04-01 | Not available in this setting | $3,420.48 | RVU13B |
| 2013-01-01 | Not available in this setting | $3,420.48 | RVU13AR |
Where the Alaska rate applies
Alaska is a Medicare payment area, not a city. Our Census mapping connects it to 355 cities and communities in Alaska. Some span more than one payment area; confirm with the service ZIP.
- Adak
- Akhiok
- Akiachak
- Akiak
- Akutan
- Alakanuk
- Alatna
- Alcan Border
33536 billing questions
How many grafts qualify for this code?
Use it when the operative documentation supports four or more arterial bypass grafts. For fewer arterial grafts, select the corresponding lower-count arterial CABG code.
Do venous grafts count toward the four-graft threshold?
No. Select the arterial CABG code by the number of arterial grafts; report the appropriate venous-graft add-on code when venous grafts are also used.
What documentation supports reporting this code?
The operative report should identify the arterial conduits and document the number of arterial bypass grafts performed. It should also distinguish any venous grafts used during the operation.
How does the 90-day global period affect postoperative billing?
The day-before preoperative visit and related postoperative care for 90 days after surgery are included in this code's global period.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment may be available. Co-surgeon and team-surgery payment are not permitted for this 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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