CPT code 33866: Aortic graft, hemiarch extension2026 Medicare rate & RVUs in Connecticut

Reports graft reconstruction of the aortic hemiarch added to an eligible ascending aortic replacement during open repair of complex aortic disease.

CMS RVU26DEffective Oct 1, 2026One payment locality2.2K Medicare services in 2024

In Connecticut, Medicare pays $887.13 for 33866 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$887.13Hospital or facility

Check a contract rate as a % of Medicare · 33866 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 33866 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 33866 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 33866 covers

This add-on describes reconstruction of the proximal aortic arch’s hemiarch segment as part of an open aortic operation. The cardiac surgeon replaces the diseased portion with graft material, often while treating aneurysmal or other complex disease that also requires ascending aortic replacement. These procedures are typically performed in a hospital operating room with cardiopulmonary bypass; the operative report should identify the hemiarch work and the extent of aortic replacement performed.

Report 33866 with an eligible primary ascending aortic replacement, such as 33858, 33859, 33863, or 33864; it is not a stand-alone service. Documentation should distinguish hemiarch reconstruction from replacement limited to the ascending aorta and describe the grafted segment. CMS treats this as an add-on code billed with the primary procedure, with payment 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 Connecticut compares for 33866

Across 109 of 109 payment localities, the facility rate for 33866 runs from $733.13 in Wisconsin to $1,069.27 in Alaska. Connecticut pays $887.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

33866 in Connecticut vs other payment areas
  1. Connecticut · this page$887.13
  2. Los Angeles, CA · California$833.69−$53.44
  3. Washington, DC area · District of Columbia$904.66+$17.53
  4. Miami, FL · Florida$1,059.51+$172.38
  5. Chicago, IL · Illinois$1,026.01+$138.88
  6. Manhattan, NY · New York$976.05+$88.92
  7. Alaska · Alaska$1,069.27+$182.14

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

Every other payment area

33866 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$760.31
ArkansasArkansas—$751.18
ArizonaArizona—$812.56
Bakersfield, CACalifornia—$803.04
Chico, CACalifornia—$791.47
El Centro, CACalifornia—$792.18
Fresno, CACalifornia—$791.47
Hanford, CACalifornia—$791.47

33866 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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33866 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 33866 in every payment locality

How the 33866 rate is calculated

Each of 33866’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 · 33866

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.31

17.31 RVUs× 1.000 GPCI

Practice expense3.47

3.47 RVUs× 1.000 GPCI

Malpractice4.27

4.27 RVUs× 1.000 GPCI

Adjusted RVUs

25.0500

Conversion factor

$33.4009

Medicare rate

$836.69

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,094

Code
33866
Physician work
17.31
Practice expense
3.47
Malpractice
4.27

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Facility calculation for 33866 in Connecticut
ComponentRVULocality factorAdjusted
Physician work17.31× 1.02017.6562
Practice expense3.47× 1.0773.7372
Malpractice4.27× 1.2105.1667
Total RVUs26.5601
Conversion factor× 33.4009

Facility rate, Connecticut$887.13

Facility: (17.31 × 1.02 + 3.47 × 1.077 + 4.27 × 1.21) × $33.4009 = $887.13

Open 33866 in the RVU calculator

Payment rules and modifiers for 33866

The CMS indicators that decide how 33866 is paid alongside other services.

CMS payment indicators · 33866

Aortic graft, hemiarch extension

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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)1Permitted with supporting documentation.
Professional/technical0Physician service: no professional/technical split.

How 33866 has changed in Connecticut

33866 · 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
  1. January 1, 2019

    RVU19A

    No ratechanged toNo rate

    Held through RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$887.13RVU26D
2026-07-01Not available in this setting$887.13RVU26C
2026-04-01Not available in this setting$887.13RVU26B
2026-01-01Not available in this setting$887.13RVU26A
2025-10-01Not available in this setting$928.42RVU25D
2025-07-01Not available in this setting$928.42RVU25C
2025-04-01Not available in this setting$928.42RVU25B
2025-01-01Not available in this setting$928.42RVU25A
2024-10-01Not available in this setting$951.83RVU24D
2024-07-01Not available in this setting$951.83RVU24C
2024-04-01Not available in this setting$951.83RVU24B
2024-03-09Not available in this setting$951.83RVU24AR
2024-01-01Not available in this setting$936.30RVU24A
2023-10-01Not available in this setting$956.74RVU23D
2023-07-01Not available in this setting$956.74RVU23C
2023-04-01Not available in this setting$956.74RVU23B
2023-01-01Not available in this setting$956.74RVU23A
2022-10-01Not available in this setting$967.10RVU22D
2022-07-01Not available in this setting$967.10RVU22C
2022-04-01Not available in this setting$967.10RVU22B
2022-01-01Not available in this setting$967.10RVU22A
2021-10-01Not available in this setting$974.12RVU21D
2021-07-01Not available in this setting$974.12RVU21C
2021-04-01Not available in this setting$974.12RVU21B
2021-01-01Not available in this setting$974.12RVU21A
2020-10-01Not available in this setting$1,019.58RVU20D
2020-07-01Not available in this setting$1,019.58RVU20C
2020-04-01Not available in this setting$1,019.58RVU20B
2020-01-01Not available in this setting$1,019.58RVU20A
2019-10-01Not available in this setting$1,152.44RVU19D
2019-07-01Not available in this setting$1,152.44RVU19C
2019-04-01Not available in this setting$1,152.44RVU19B
2019-01-01Not available in this setting$1,152.44RVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 33866 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

33866 billing questions

Which primary codes can be paired with 33866?

It is reported as an add-on with eligible ascending aortic replacement procedures, including 33858, 33859, 33863, and 33864. The operative report must support that hemiarch reconstruction was performed.

Can 33866 be reported by itself?

No. CMS identifies it as an add-on code, so it must be billed with a primary procedure and is paid within that procedure’s global period.

How is hemiarch reconstruction distinguished from an ascending aortic graft?

The documentation should show that the graft reconstruction extended into the hemiarch, rather than being limited to the ascending aorta. The primary code identifies the associated ascending aortic operation.

When is a broader arch replacement code more appropriate?

When the operative work replaces the transverse aortic arch rather than a hemiarch segment, compare the documented extent with code 33871. The code selection should follow the actual arch reconstruction performed.

What should the operative report document?

It should describe the diseased aortic segments treated, the hemiarch graft reconstruction, and the associated primary ascending aortic replacement. This supports reporting the add-on with the operation that required it.

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 33866PPRRVU2026_Oct_nonQPP.csv, line 4,094 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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