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

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, 2026One payment locality1.4K Medicare services in 2024

In Washington, DC area, Medicare pays $1,393.07 for 33880 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$1,393.07Hospital or facility

Check a contract rate as a % of Medicare · 33880 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 33880 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 33880 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 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.

How Washington, DC area compares for 33880

Across 109 of 109 payment localities, the facility rate for 33880 runs from $1,127.29 in Wisconsin to $1,640.54 in Alaska. Washington, DC area pays $1,393.07. The RVUs are the same everywhere; the geographic indexes change the dollars.

33880 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$1,393.07
  2. Los Angeles, CA · California$1,283.90−$109.17
  3. Miami, FL · Florida$1,631.02+$237.95
  4. Chicago, IL · Illinois$1,578.98+$185.91
  5. Manhattan, NY · New York$1,502.81+$109.74
  6. Alaska · Alaska$1,640.54+$247.47
  7. Alabama · Alabama$1,168.38−$224.69

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

33880 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas—$1,154.16
ArizonaArizona—$1,249.79
Bakersfield, CACalifornia—$1,236.10
Chico, CACalifornia—$1,218.30
El Centro, CACalifornia—$1,219.40
Fresno, CACalifornia—$1,218.30
Hanford, CACalifornia—$1,218.30
Madera, CACalifornia—$1,218.30

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.

View every state and territory as a table
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

See 33880 in every payment locality

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.

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,099

Code
33880
Physician work
26.33
Practice expense
5.63
Malpractice
6.58

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Facility calculation for 33880 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work26.33× 1.05427.7518
Practice expense5.63× 1.1786.6321
Malpractice6.58× 1.1137.3235
Total RVUs41.7075
Conversion factor× 33.4009

Facility rate, Washington, DC area$1393.07

Facility: (26.33 × 1.054 + 5.63 × 1.178 + 6.58 × 1.113) × $33.4009 = $1393.07

Open 33880 in the RVU calculator

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

How 33880 has changed in Washington, DC area

33880 · 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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$1,393.07RVU26D
2026-07-01Not available in this setting$1,393.07RVU26C
2026-04-01Not available in this setting$1,393.07RVU26B
2026-01-01Not available in this setting$1,393.07RVU26A
2025-10-01Not available in this setting$1,858.34RVU25D
2025-07-01Not available in this setting$1,858.34RVU25C
2025-04-01Not available in this setting$1,858.34RVU25B
2025-01-01Not available in this setting$1,858.34RVU25A
2024-10-01Not available in this setting$1,911.55RVU24D
2024-07-01Not available in this setting$1,911.55RVU24C
2024-04-01Not available in this setting$1,911.55RVU24B
2024-03-09Not available in this setting$1,911.55RVU24AR
2024-01-01Not available in this setting$1,880.35RVU24A
2023-10-01Not available in this setting$1,968.63RVU23D
2023-07-01Not available in this setting$1,968.63RVU23C
2023-04-01Not available in this setting$1,968.63RVU23B
2023-01-01Not available in this setting$1,968.63RVU23A
2022-10-01Not available in this setting$2,042.18RVU22D
2022-07-01Not available in this setting$2,042.18RVU22C
2022-04-01Not available in this setting$2,042.18RVU22B
2022-01-01Not available in this setting$2,042.18RVU22A
2021-10-01Not available in this setting$2,044.60RVU21D
2021-07-01Not available in this setting$2,044.60RVU21C
2021-04-01Not available in this setting$2,044.60RVU21B
2021-01-01Not available in this setting$2,044.60RVU21A
2020-10-01Not available in this setting$2,095.30RVU20D
2020-07-01Not available in this setting$2,095.30RVU20C
2020-04-01Not available in this setting$2,095.30RVU20B
2020-01-01Not available in this setting$2,095.30RVU20A
2019-10-01Not available in this setting$2,074.95RVU19D
2019-07-01Not available in this setting$2,074.95RVU19C
2019-04-01Not available in this setting$2,074.95RVU19B
2019-01-01Not available in this setting$2,074.95RVU19A
2018-10-01Not available in this setting$2,079.39RVU18D
2018-07-01Not available in this setting$2,079.39RVU18C
2018-04-01Not available in this setting$2,079.39RVU18B
2018-01-01Not available in this setting$2,079.39RVU18AR1
2017-10-01Not available in this setting$2,093.81RVU17D
2017-07-01Not available in this setting$2,093.81RVU17C
2017-04-01Not available in this setting$2,093.81RVU17B
2017-01-01Not available in this setting$2,093.81RVU17A
2016-10-01Not available in this setting$2,114.65RVU16D
2016-07-01Not available in this setting$2,114.65RVU16C
2016-04-01Not available in this setting$2,114.65RVU16B
2016-01-01Not available in this setting$2,114.65RVU16A
2015-10-01Not available in this setting$2,123.31RVU15D
2015-07-01Not available in this setting$2,123.31RVU15C
2015-04-01Not available in this setting$2,112.75RVU15B
2015-01-01Not available in this setting$2,112.75RVU15A
2014-10-01Not available in this setting$2,091.62RVU14D
2014-07-01Not available in this setting$2,091.62RVU14C
2014-04-01Not available in this setting$2,091.62RVU14B
2014-01-01Not available in this setting$2,091.62RVU14A
2013-10-01Not available in this setting$2,033.13RVU13D
2013-07-01Not available in this setting$2,033.13RVU13C
2013-04-01Not available in this setting$2,033.13RVU13B
2013-01-01Not available in this setting$2,033.13RVU13AR

Price 33880 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

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)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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