CPT code 33863: Aortic graft, valve conduit, coronary reconstruction2026 Medicare rate & RVUs in New Mexico
Reports ascending aortic replacement using a valve-containing composite graft with coronary reconstruction, as in a Bentall operation for aortic root disease.
In New Mexico, Medicare pays $2,957.73 for 33863 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33863 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 33863 covers
This operation replaces the diseased ascending aorta with a composite conduit that includes a prosthetic aortic valve, then reconnects the coronary arteries to the graft. Cardiac surgeons commonly perform it in a hospital operating room for aortic root or ascending aortic disease when the valve and aorta are addressed together. The operative report should establish the composite valve graft and coronary reconstruction; a simple aortic graft or a valve replacement without this reconstruction describes a different service.
Report the code for the operation documented, including the graft and coronary work; do not separately report the valve replacement that is built into this composite procedure. The 90-day global period includes the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment may be available; co-surgeon payment requires supporting documentation, and team surgery is 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 New Mexico compares for 33863
Across 109 of 109 payment localities, the facility rate for 33863 runs from $2,557.25 in Wisconsin to $3,684.83 in Alaska. New Mexico pays $2,957.73. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$2,957.73
- Los Angeles, CA · California$2,920.67−$37.06
- Washington, DC area · District of Columbia$3,155.02+$197.29
- Miami, FL · Florida$3,649.29+$691.56
- Chicago, IL · Illinois$3,533.49+$575.76
- Manhattan, NY · New York$3,389.26+$431.53
- Alaska · Alaska$3,684.83+$727.10
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $2,636.02 |
| ArkansasArkansas | — | $2,603.63 |
| ArizonaArizona | — | $2,821.78 |
| Bakersfield, CACalifornia | — | $2,807.42 |
| Chico, CACalifornia | — | $2,769.11 |
| El Centro, CACalifornia | — | $2,771.47 |
| Fresno, CACalifornia | — | $2,769.11 |
| Hanford, CACalifornia | — | $2,769.11 |
| Madera, CACalifornia | — | $2,769.11 |
| Merced, CACalifornia | — | $2,769.11 |
| Modesto, CACalifornia | — | $2,769.11 |
| Napa, CACalifornia | — | $2,959.19 |
| Oxnard, CACalifornia | — | $2,875.90 |
| Redding, CACalifornia | — | $2,769.11 |
| Rest of CaliforniaCalifornia | — | $2,769.11 |
| Riverside, CACalifornia | — | $2,920.74 |
| Sacramento, CACalifornia | — | $2,840.26 |
| Salinas, CACalifornia | — | $2,828.62 |
| San Diego, CACalifornia | — | $2,848.74 |
| Marin County, CACalifornia | — | $3,045.06 |
| San Francisco, CACalifornia | — | $3,029.00 |
| San Benito County, CACalifornia | — | $3,126.76 |
| Santa Clara County, CACalifornia | — | $3,061.11 |
| San Luis Obispo, CACalifornia | — | $2,791.43 |
| Santa Cruz, CACalifornia | — | $2,838.54 |
| Santa Maria, CACalifornia | — | $2,826.51 |
| Santa Rosa, CACalifornia | — | $2,862.52 |
| Stockton, CACalifornia | — | $2,769.11 |
| Vallejo, CACalifornia | — | $2,936.04 |
| Visalia, CACalifornia | — | $2,769.11 |
| Yuba City, CACalifornia | — | $2,769.11 |
| ColoradoColorado | — | $2,858.64 |
| ConnecticutConnecticut | — | $3,083.32 |
| DelawareDelaware | — | $2,861.52 |
| Fort Lauderdale, FLFlorida | — | $3,294.24 |
| Rest of FloridaFlorida | — | $3,120.60 |
| Atlanta, GAGeorgia | — | $3,014.86 |
| Rest of GeorgiaGeorgia | — | $2,940.50 |
| Hawaii, Guam, HIHawaii | — | $2,778.15 |
| IowaIowa | — | $2,576.97 |
| IdahoIdaho | — | $2,615.46 |
| East St. Louis, ILIllinois | — | $3,343.26 |
| Rest of IllinoisIllinois | — | $3,126.62 |
| Suburban Chicago, ILIllinois | — | $3,297.90 |
| IndianaIndiana | — | $2,625.23 |
| KansasKansas | — | $2,621.79 |
| KentuckyKentucky | — | $2,808.12 |
| New Orleans, LALouisiana | — | $2,939.49 |
| Rest of LouisianaLouisiana | — | $2,826.35 |
| Metropolitan Boston, MAMassachusetts | — | $3,033.12 |
| Rest of MassachusettsMassachusetts | — | $2,868.15 |
| Baltimore area, MDMaryland | — | $3,086.33 |
| Rest of MarylandMaryland | — | $2,892.52 |
| Rest of MaineMaine | — | $2,685.83 |
| Southern Maine, MEMaine | — | $2,726.93 |
| Detroit, MIMichigan | — | $3,211.70 |
| Rest of MichiganMichigan | — | $2,921.65 |
| MinnesotaMinnesota | — | $2,588.44 |
| Metropolitan Kansas City, MOMissouri | — | $2,863.35 |
| Metropolitan St. Louis, MOMissouri | — | $2,881.91 |
| Rest of MissouriMissouri | — | $2,821.97 |
| MississippiMississippi | — | $2,710.46 |
| MontanaMontana | — | $2,904.93 |
| North CarolinaNorth Carolina | — | $2,700.61 |
| North DakotaNorth Dakota | — | $2,625.34 |
| NebraskaNebraska | — | $2,572.15 |
| New HampshireNew Hampshire | — | $2,868.12 |
| Northern New JerseyNew Jersey | — | $3,141.66 |
| Rest of New JerseyNew Jersey | — | $3,076.02 |
| NevadaNevada | — | $2,827.53 |
| NYC suburbs and Long Island, NYNew York | — | $3,531.26 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $3,140.52 |
| Queens, NYNew York | — | $3,331.63 |
| Rest of New YorkNew York | — | $2,739.66 |
| OhioOhio | — | $2,864.50 |
| OklahomaOklahoma | — | $2,745.02 |
| Portland, OROregon | — | $2,873.22 |
| Rest of OregonOregon | — | $2,763.53 |
| Metropolitan Philadelphia, PAPennsylvania | — | $3,052.77 |
| Rest of PennsylvaniaPennsylvania | — | $2,837.34 |
| Puerto RicoPuerto Rico | — | $2,904.50 |
| Rhode IslandRhode Island | — | $2,908.38 |
| South CarolinaSouth Carolina | — | $2,795.59 |
| South DakotaSouth Dakota | — | $2,592.28 |
| TennesseeTennessee | — | $2,639.98 |
| Austin, TXTexas | — | $2,885.97 |
| Beaumont, TXTexas | — | $2,825.63 |
| Brazoria, TXTexas | — | $2,812.62 |
| Dallas, TXTexas | — | $2,853.97 |
| Fort Worth, TXTexas | — | $2,854.92 |
| Galveston, TXTexas | — | $2,836.33 |
| Houston, TXTexas | — | $3,095.14 |
| Rest of TexasTexas | — | $2,833.59 |
| UtahUtah | — | $2,826.56 |
| VirginiaVirginia | — | $2,758.20 |
| Virgin Islands, VIUnited States Virgin Islands | — | $2,904.50 |
| VermontVermont | — | $2,667.38 |
| Rest of WashingtonWashington | — | $2,845.40 |
| King County, WAWashington | — | $3,033.00 |
| WisconsinWisconsin | — | $2,557.25 |
| West VirginiaWest Virginia | — | $3,041.44 |
| WyomingWyoming | — | $2,783.08 |
33863 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 33863 rate is calculated
Each of 33863’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 · 33863
RVUs × geographic indexes × conversion factor
Work57.32
57.32 RVUs× 1.000 GPCI
Practice expense15.54
15.54 RVUs× 1.000 GPCI
Malpractice14.14
14.14 RVUs× 1.000 GPCI
Adjusted RVUs
87.0000
Conversion factor
$33.4009
Medicare rate
$2,905.88
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,092
- Code
- 33863
- Physician work
- 57.32
- Practice expense
- 15.54
- Malpractice
- 14.14
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 57.32 | × 1.000 | 57.3200 |
| Practice expense | 15.54 | × 0.917 | 14.2502 |
| Malpractice | 14.14 | × 1.201 | 16.9821 |
| Total RVUs | 88.5523 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$2957.73
Facility: (57.32 × 1 + 15.54 × 0.917 + 14.14 × 1.201) × $33.4009 = $2957.73
Payment rules and modifiers for 33863
33863 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33863
Aortic graft, valve conduit, coronary reconstruction
| 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) | 1 | Permitted with supporting documentation. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.09/0.84/0.07 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 33863
Aortic graft, valve conduit, coronary reconstruction
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
33863 without 51 · national facility
$2,905.88
Aortic graft, valve conduit, coronary reconstruction
33863-51 · Second procedure: 50%
$1,452.94
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 33863 has changed in New Mexico
33863 · 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 | $2,957.73 | RVU26D |
| 2026-07-01 | Not available in this setting | $2,957.73 | RVU26C |
| 2026-04-01 | Not available in this setting | $2,957.73 | RVU26B |
| 2026-01-01 | Not available in this setting | $2,957.73 | RVU26A |
| 2025-10-01 | Not available in this setting | $3,009.64 | RVU25D |
| 2025-07-01 | Not available in this setting | $3,009.64 | RVU25C |
| 2025-04-01 | Not available in this setting | $3,009.64 | RVU25B |
| 2025-01-01 | Not available in this setting | $3,009.64 | RVU25A |
| 2024-10-01 | Not available in this setting | $3,089.83 | RVU24D |
| 2024-07-01 | Not available in this setting | $3,089.83 | RVU24C |
| 2024-04-01 | Not available in this setting | $3,089.83 | RVU24B |
| 2024-03-09 | Not available in this setting | $3,089.83 | RVU24AR |
| 2024-01-01 | Not available in this setting | $3,039.40 | RVU24A |
| 2023-10-01 | Not available in this setting | $3,130.19 | RVU23D |
| 2023-07-01 | Not available in this setting | $3,130.19 | RVU23C |
| 2023-04-01 | Not available in this setting | $3,130.19 | RVU23B |
| 2023-01-01 | Not available in this setting | $3,130.19 | RVU23A |
| 2022-10-01 | Not available in this setting | $3,200.07 | RVU22D |
| 2022-07-01 | Not available in this setting | $3,200.07 | RVU22C |
| 2022-04-01 | Not available in this setting | $3,200.07 | RVU22B |
| 2022-01-01 | Not available in this setting | $3,200.07 | RVU22A |
| 2021-10-01 | Not available in this setting | $3,213.08 | RVU21D |
| 2021-07-01 | Not available in this setting | $3,213.08 | RVU21C |
| 2021-04-01 | Not available in this setting | $3,213.08 | RVU21B |
| 2021-01-01 | Not available in this setting | $3,213.08 | RVU21A |
| 2020-10-01 | Not available in this setting | $3,335.46 | RVU20D |
| 2020-07-01 | Not available in this setting | $3,335.46 | RVU20C |
| 2020-04-01 | Not available in this setting | $3,335.46 | RVU20B |
| 2020-01-01 | Not available in this setting | $3,335.46 | RVU20A |
| 2019-10-01 | Not available in this setting | $3,358.60 | RVU19D |
| 2019-07-01 | Not available in this setting | $3,358.60 | RVU19C |
| 2019-04-01 | Not available in this setting | $3,358.60 | RVU19B |
| 2019-01-01 | Not available in this setting | $3,358.60 | RVU19A |
| 2018-10-01 | Not available in this setting | $3,344.54 | RVU18D |
| 2018-07-01 | Not available in this setting | $3,344.54 | RVU18C |
| 2018-04-01 | Not available in this setting | $3,344.54 | RVU18B |
| 2018-01-01 | Not available in this setting | $3,344.54 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $3,326.35 | RVU17D |
| 2017-07-01 | Not available in this setting | $3,326.35 | RVU17C |
| 2017-04-01 | Not available in this setting | $3,326.35 | RVU17B |
| 2017-01-01 | Not available in this setting | $3,326.35 | RVU17A |
| 2016-10-01 | Not available in this setting | $3,306.39 | RVU16D |
| 2016-07-01 | Not available in this setting | $3,306.39 | RVU16C |
| 2016-04-01 | Not available in this setting | $3,306.39 | RVU16B |
| 2016-01-01 | Not available in this setting | $3,306.39 | RVU16A |
| 2015-10-01 | Not available in this setting | $3,316.06 | RVU15D |
| 2015-07-01 | Not available in this setting | $3,316.06 | RVU15C |
| 2015-04-01 | Not available in this setting | $3,299.56 | RVU15B |
| 2015-01-01 | Not available in this setting | $3,299.56 | RVU15A |
| 2014-10-01 | Not available in this setting | $3,276.10 | RVU14D |
| 2014-07-01 | Not available in this setting | $3,276.10 | RVU14C |
| 2014-04-01 | Not available in this setting | $3,276.10 | RVU14B |
| 2014-01-01 | Not available in this setting | $3,276.10 | RVU14A |
| 2013-10-01 | Not available in this setting | $3,154.70 | RVU13D |
| 2013-07-01 | Not available in this setting | $3,154.70 | RVU13C |
| 2013-04-01 | Not available in this setting | $3,154.70 | RVU13B |
| 2013-01-01 | Not available in this setting | $3,154.70 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
33863 billing questions
When is this code chosen over an ascending aortic graft without a valve conduit?
Use this code when the operation uses a composite graft that includes a prosthetic valve and reconstructs the coronary connections. A graft replacement without that combined valve-and-coronary work points to a different code.
Can the aortic valve replacement be reported separately?
The valve replacement is part of the composite conduit service. Do not separately report it as an additional valve procedure for the same work.
What operative documentation supports this code?
The report should identify the composite valve-containing graft, the ascending aortic replacement, and coronary reconstruction or reimplantation. It should also describe the operative extent and any additional procedures performed.
Can an assistant or co-surgeon be reported?
CMS permits assistant-at-surgery payment for this service. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
How does the global period affect postoperative services?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Should modifier 50 be used for this operation?
No. The anatomy and descriptor make a bilateral adjustment inappropriate.
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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