CPT code 33880: Thoracic endovascular repair, left subclavian origin covered2026 Medicare rate & RVUs

Reports initial endovascular stent-graft repair of descending thoracic aortic disease when the repair covers the origin of the left subclavian artery.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.4K Medicare services in 2024

Medicare pays $1,287.27 for 33880 nationally in a facility.

Medicare rate · 33880

Thoracic endovascular repair, left subclavian origin covered

Office or facility?

Work RVUs
26.33
Total RVUs
38.54
Global days
090

National rate · 2026

$1,287.27

Facility setting, before claim adjustments.

See every locality for 33880 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 33880 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 33880 covers

A vascular or cardiothoracic surgeon uses catheter-based delivery to place an endograft in the descending thoracic aorta, excluding disease such as an aneurysm, dissection, pseudoaneurysm, penetrating ulcer, or traumatic disruption. This code distinguishes a repair that covers the left subclavian artery origin from one that leaves that origin uncovered. These procedures are typically performed in a hospital operating room or hybrid suite.

Select the code based on the operative anatomy and the repair performed: documentation should identify the aortic disease and show that the initial endoprosthesis covers the left subclavian origin. Extensions placed as part of the initial repair are included in the procedure; delayed extension placement is represented by separate codes. The CMS global period includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon payment are permitted; 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.

Where 33880 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

33880 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,168.38
AlaskaUnavailable$1,640.54
ArizonaUnavailable$1,249.79
ArkansasUnavailable$1,154.16
Atlanta, GAUnavailable$1,337.09
Austin, TXUnavailable$1,274.88
Bakersfield, CAUnavailable$1,236.10
Baltimore area, MDUnavailable$1,367.16
Beaumont, TXUnavailable$1,254.74
Brazoria, TXUnavailable$1,244.26

33880 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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33880 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

How the 33880 rate is calculated

Each of 33880’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 · 33880

RVUs × geographic indexes × conversion factor

Office or facility?

Work26.33

26.33 RVUs× 1.000 GPCI

Practice expense5.63

5.63 RVUs× 1.000 GPCI

Malpractice6.58

6.58 RVUs× 1.000 GPCI

Adjusted RVUs

38.5400

Conversion factor

$33.4009

Medicare rate

$1,287.27

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

Payment rules and modifiers for 33880

33880 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33880

Thoracic endovascular repair, left subclavian origin covered

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)2Permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.09/0.84/0.07Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 33880

Thoracic endovascular repair, left subclavian origin covered

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

33880 without 51 · national facility

$1,287.27

Thoracic endovascular repair, left subclavian origin covered

33880-51 · Second procedure: 50%

$643.64

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

33880 compared with similar codes

Compare codes · National

5 codes, side by side

Office or facility?

  • 33880

    Thoracic endovascular repair, left subclavian origin covered26.33 wRVU

    Not priced

  • 33881

    Thoracic endograft, left subclavian origin spared21.97 wRVU

    Not priced

  • 33882

    Thoracic endograft, multiple-component prosthesis35 wRVU

    Not priced

  • 33883

    Aortic extension, delayed, proximal placement19.41 wRVU

    Not priced

  • 33875

    Aortic graft, descending thoracic aorta49.45 wRVU

    Not priced

How to choose

33881Thoracic endograftLeft subclavian origin spared
Both describe endovascular repair of the descending thoracic aorta. The key distinction is whether the repair covers the left subclavian artery origin: covered is 33880; uncovered is 33881.
33882Thoracic endograftMultiple-component prosthesis
33882 is associated with a repair requiring multiple component systems. Review the device configuration and operative technique rather than choosing between these codes solely by the aortic diagnosis.
33883Aortic extensionDelayed, proximal placement
33883 describes delayed placement of a proximal extension prosthesis, not the initial repair reported by 33880.
33875Aortic graftDescending thoracic aorta
33875 describes open thoracic aortic graft repair. Code 33880 is for catheter-based endograft repair with coverage of the left subclavian artery origin.

33880 billing questions

How does this differ from 33881?

33880 is selected when the endograft covers the left subclavian artery origin. Use 33881 when the repair does not cover that origin.

Can an extension placed during the initial repair be reported separately?

Extensions placed as part of the initial repair are included in the endovascular repair. Delayed placement of an extension is described by separate codes, such as 33883 or 33886, depending on its location.

What documentation supports 33880?

Document the descending thoracic aortic condition, the endograft repair, and the relationship of the deployed graft to the left subclavian artery origin. The record should make clear that the origin was covered.

Is modifier 50 appropriate?

No. Modifier 50 is inappropriate for this code because of the descriptor and anatomy.

May an assistant or co-surgeon be reported?

CMS permits payment for an assistant at surgery and for co-surgeons. The operative record should identify each surgeon's role and work; team surgery is not permitted.

How does the 90-day global period affect postoperative claims?

The day-before preoperative visit and 90 days of related postoperative care are included in the global period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures receive the standard multiple-procedure reduction.

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 33880PPRRVU2026_Oct_nonQPP.csv, line 4,099 (RVU26D)

Open CMS sourceHow we calculate rates

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