CPT code 33886: Aortic extension, delayed distal placement2026 Medicare rate & RVUs in Montana
Reports a later endovascular placement of a distal extension prosthesis to extend a prior repair of the descending thoracic aorta.
In Montana, Medicare pays $960.29 for 33886 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 33886 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 33886 covers
This service extends a prior endovascular repair of the descending thoracic aorta by placing a prosthesis distally, toward the lower thoracic aorta. A vascular or cardiothoracic surgeon typically performs the catheter-based procedure in a hospital operating or endovascular suite using fluoroscopic imaging. It is distinct from placing the original thoracic endograft and from adding an extension at the proximal end.
Report the code when the operative record supports delayed distal extension placement after an earlier thoracic endovascular repair. Documentation should identify the prior repair, the reason for the later intervention, and the distal extension performed. Procedural imaging supervision and interpretation are included in the service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery and co-surgeon services may be paid; 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 Montana compares for 33886
Across 109 of 109 payment localities, the facility rate for 33886 runs from $842.41 in Wisconsin to $1,221.97 in Alaska. Montana pays $960.29. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Montana · this page$960.29
- Los Angeles, CA · California$960.44+$0.15
- Washington, DC area · District of Columbia$1,040.70+$80.41
- Miami, FL · Florida$1,213.96+$253.67
- Chicago, IL · Illinois$1,175.25+$214.96
- Manhattan, NY · New York$1,121.24+$160.95
- Alaska · Alaska$1,221.97+$261.68
Other areas in Montana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $871.62 |
| ArkansasArkansas | — | $860.96 |
| ArizonaArizona | — | $932.66 |
| Bakersfield, CACalifornia | — | $924.18 |
| Chico, CACalifornia | — | $911.08 |
| El Centro, CACalifornia | — | $911.89 |
| Fresno, CACalifornia | — | $911.08 |
| Hanford, CACalifornia | — | $911.08 |
| Madera, CACalifornia | — | $911.08 |
| Merced, CACalifornia | — | $911.08 |
| Modesto, CACalifornia | — | $911.08 |
| Napa, CACalifornia | — | $969.82 |
| Oxnard, CACalifornia | — | $945.23 |
| Redding, CACalifornia | — | $911.08 |
| Rest of CaliforniaCalifornia | — | $911.08 |
| Riverside, CACalifornia | — | $962.98 |
| Sacramento, CACalifornia | — | $933.49 |
| Salinas, CACalifornia | — | $929.65 |
| San Diego, CACalifornia | — | $935.54 |
| Marin County, CACalifornia | — | $996.50 |
| San Francisco, CACalifornia | — | $991.01 |
| San Benito County, CACalifornia | — | $1,023.50 |
| Santa Clara County, CACalifornia | — | $1,001.02 |
| San Luis Obispo, CACalifornia | — | $917.56 |
| Santa Cruz, CACalifornia | — | $931.60 |
| Santa Maria, CACalifornia | — | $928.76 |
| Santa Rosa, CACalifornia | — | $939.39 |
| Stockton, CACalifornia | — | $911.08 |
| Vallejo, CACalifornia | — | $961.90 |
| Visalia, CACalifornia | — | $911.08 |
| Yuba City, CACalifornia | — | $911.08 |
| ColoradoColorado | — | $942.63 |
| ConnecticutConnecticut | — | $1,019.12 |
| DelawareDelaware | — | $945.72 |
| Fort Lauderdale, FLFlorida | — | $1,093.19 |
| Rest of FloridaFlorida | — | $1,035.30 |
| Atlanta, GAGeorgia | — | $997.46 |
| Rest of GeorgiaGeorgia | — | $975.38 |
| Hawaii, Guam, HIHawaii | — | $913.19 |
| IowaIowa | — | $850.32 |
| IdahoIdaho | — | $863.36 |
| East St. Louis, ILIllinois | — | $1,112.48 |
| Rest of IllinoisIllinois | — | $1,038.52 |
| Suburban Chicago, ILIllinois | — | $1,094.02 |
| IndianaIndiana | — | $866.52 |
| KansasKansas | — | $865.97 |
| KentuckyKentucky | — | $930.15 |
| New Orleans, LALouisiana | — | $973.71 |
| Rest of LouisianaLouisiana | — | $936.50 |
| Metropolitan Boston, MAMassachusetts | — | $998.63 |
| Rest of MassachusettsMassachusetts | — | $946.15 |
| Baltimore area, MDMaryland | — | $1,020.29 |
| Rest of MarylandMaryland | — | $955.64 |
| Rest of MaineMaine | — | $887.45 |
| Southern Maine, MEMaine | — | $899.60 |
| Detroit, MIMichigan | — | $1,066.24 |
| Rest of MichiganMichigan | — | $968.36 |
| MinnesotaMinnesota | — | $851.17 |
| Metropolitan Kansas City, MOMissouri | — | $947.70 |
| Metropolitan St. Louis, MOMissouri | — | $953.70 |
| Rest of MissouriMissouri | — | $935.62 |
| MississippiMississippi | — | $897.48 |
| North CarolinaNorth Carolina | — | $892.16 |
| North DakotaNorth Dakota | — | $864.58 |
| NebraskaNebraska | — | $848.46 |
| New HampshireNew Hampshire | — | $946.58 |
| Northern New JerseyNew Jersey | — | $1,036.55 |
| Rest of New JerseyNew Jersey | — | $1,016.08 |
| New MexicoNew Mexico | — | $980.60 |
| NevadaNevada | — | $933.76 |
| NYC suburbs and Long Island, NYNew York | — | $1,169.12 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $1,038.04 |
| Queens, NYNew York | — | $1,100.97 |
| Rest of New YorkNew York | — | $905.06 |
| OhioOhio | — | $948.80 |
| OklahomaOklahoma | — | $908.44 |
| Portland, OROregon | — | $946.32 |
| Rest of OregonOregon | — | $911.99 |
| Metropolitan Philadelphia, PAPennsylvania | — | $1,009.66 |
| Rest of PennsylvaniaPennsylvania | — | $939.37 |
| Puerto RicoPuerto Rico | — | $959.84 |
| Rhode IslandRhode Island | — | $960.44 |
| South CarolinaSouth Carolina | — | $924.91 |
| South DakotaSouth Dakota | — | $853.27 |
| TennesseeTennessee | — | $872.05 |
| Austin, TXTexas | — | $952.21 |
| Beaumont, TXTexas | — | $935.57 |
| Brazoria, TXTexas | — | $928.88 |
| Dallas, TXTexas | — | $942.89 |
| Fort Worth, TXTexas | — | $943.48 |
| Galveston, TXTexas | — | $936.94 |
| Houston, TXTexas | — | $1,025.53 |
| Rest of TexasTexas | — | $937.25 |
| UtahUtah | — | $935.08 |
| VirginiaVirginia | — | $910.52 |
| Virgin Islands, VIUnited States Virgin Islands | — | $959.84 |
| VermontVermont | — | $879.24 |
| Rest of WashingtonWashington | — | $938.38 |
| King County, WAWashington | — | $997.64 |
| WisconsinWisconsin | — | $842.41 |
| West VirginiaWest Virginia | — | $1,010.55 |
| WyomingWyoming | — | $918.58 |
33886 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 33886 rate is calculated
Each of 33886’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 · 33886
RVUs × geographic indexes × conversion factor
Work19.41
19.41 RVUs× 1.000 GPCI
Practice expense4.51
4.51 RVUs× 1.000 GPCI
Malpractice4.84
4.84 RVUs× 1.000 GPCI
Adjusted RVUs
28.7600
Conversion factor
$33.4009
Medicare rate
$960.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Montana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
4,103
- Code
- 33886
- Physician work
- 19.41
- Practice expense
- 4.51
- Malpractice
- 4.84
GPCI2026.csv
71
- Locality
- Montana
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.998
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 19.41 | × 1.000 | 19.4100 |
| Practice expense | 4.51 | × 1.000 | 4.5100 |
| Malpractice | 4.84 | × 0.998 | 4.8303 |
| Total RVUs | 28.7503 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Montana$960.29
Facility: (19.41 × 1 + 4.51 × 1 + 4.84 × 0.998) × $33.4009 = $960.29
Payment rules and modifiers for 33886
33886 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 33886
Aortic extension, delayed distal placement
| 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) | 2 | Permitted. |
| 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 · 33886
Aortic extension, delayed distal placement
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
33886 without 51 · national facility
$960.61
Aortic extension, delayed distal placement
33886-51 · Second procedure: 50%
$480.31
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 33886 has changed in Montana
33886 · 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 | $960.29 | RVU26D |
| 2026-07-01 | Not available in this setting | $960.29 | RVU26C |
| 2026-04-01 | Not available in this setting | $960.29 | RVU26B |
| 2026-01-01 | Not available in this setting | $960.29 | RVU26A |
| 2025-10-01 | Not available in this setting | $906.47 | RVU25D |
| 2025-07-01 | Not available in this setting | $906.47 | RVU25C |
| 2025-04-01 | Not available in this setting | $906.47 | RVU25B |
| 2025-01-01 | Not available in this setting | $906.47 | RVU25A |
| 2024-10-01 | Not available in this setting | $933.16 | RVU24D |
| 2024-07-01 | Not available in this setting | $933.16 | RVU24C |
| 2024-04-01 | Not available in this setting | $933.16 | RVU24B |
| 2024-03-09 | Not available in this setting | $933.16 | RVU24AR |
| 2024-01-01 | Not available in this setting | $917.93 | RVU24A |
| 2023-10-01 | Not available in this setting | $948.69 | RVU23D |
| 2023-07-01 | Not available in this setting | $948.69 | RVU23C |
| 2023-04-01 | Not available in this setting | $948.69 | RVU23B |
| 2023-01-01 | Not available in this setting | $948.69 | RVU23A |
| 2022-10-01 | Not available in this setting | $973.44 | RVU22D |
| 2022-07-01 | Not available in this setting | $973.44 | RVU22C |
| 2022-04-01 | Not available in this setting | $973.44 | RVU22B |
| 2022-01-01 | Not available in this setting | $973.44 | RVU22A |
| 2021-10-01 | Not available in this setting | $965.95 | RVU21D |
| 2021-07-01 | Not available in this setting | $965.95 | RVU21C |
| 2021-04-01 | Not available in this setting | $965.95 | RVU21B |
| 2021-01-01 | Not available in this setting | $965.95 | RVU21A |
| 2020-10-01 | Not available in this setting | $1,046.69 | RVU20D |
| 2020-07-01 | Not available in this setting | $1,046.69 | RVU20C |
| 2020-04-01 | Not available in this setting | $1,046.69 | RVU20B |
| 2020-01-01 | Not available in this setting | $1,046.69 | RVU20A |
| 2019-10-01 | Not available in this setting | $1,089.02 | RVU19D |
| 2019-07-01 | Not available in this setting | $1,089.02 | RVU19C |
| 2019-04-01 | Not available in this setting | $1,089.02 | RVU19B |
| 2019-01-01 | Not available in this setting | $1,089.02 | RVU19A |
| 2018-10-01 | Not available in this setting | $1,109.82 | RVU18D |
| 2018-07-01 | Not available in this setting | $1,109.82 | RVU18C |
| 2018-04-01 | Not available in this setting | $1,109.82 | RVU18B |
| 2018-01-01 | Not available in this setting | $1,109.82 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $1,073.65 | RVU17D |
| 2017-07-01 | Not available in this setting | $1,073.65 | RVU17C |
| 2017-04-01 | Not available in this setting | $1,073.65 | RVU17B |
| 2017-01-01 | Not available in this setting | $1,073.65 | RVU17A |
| 2016-10-01 | Not available in this setting | $1,050.17 | RVU16D |
| 2016-07-01 | Not available in this setting | $1,050.17 | RVU16C |
| 2016-04-01 | Not available in this setting | $1,050.17 | RVU16B |
| 2016-01-01 | Not available in this setting | $1,050.17 | RVU16A |
| 2015-10-01 | Not available in this setting | $1,056.45 | RVU15D |
| 2015-07-01 | Not available in this setting | $1,056.45 | RVU15C |
| 2015-04-01 | Not available in this setting | $1,051.19 | RVU15B |
| 2015-01-01 | Not available in this setting | $1,051.19 | RVU15A |
| 2014-10-01 | Not available in this setting | $1,051.69 | RVU14D |
| 2014-07-01 | Not available in this setting | $1,051.69 | RVU14C |
| 2014-04-01 | Not available in this setting | $1,051.69 | RVU14B |
| 2014-01-01 | Not available in this setting | $1,051.69 | RVU14A |
| 2013-10-01 | Not available in this setting | $1,022.15 | RVU13D |
| 2013-07-01 | Not available in this setting | $1,022.15 | RVU13C |
| 2013-04-01 | Not available in this setting | $1,022.15 | RVU13B |
| 2013-01-01 | Not available in this setting | $1,022.15 | RVU13AR |
Where the Montana rate applies
Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.
- Absarokee
- Acton
- Alberton
- Alder
- Alzada
- Amsterdam
- Anaconda-Deer Lodge County
- Antelope
33886 billing questions
How does this differ from code 33883?
This code describes delayed placement of a distal extension. Code 33883 describes delayed placement of a proximal extension.
Can this code describe placement of the original thoracic endograft?
No. It describes a delayed distal extension following an earlier endovascular repair; codes 33880 and 33881 describe initial descending thoracic aortic repair.
Can imaging supervision and interpretation be billed separately?
No. Procedural imaging supervision and interpretation are included in this service.
Should modifier 50 be used for bilateral placement?
No. Modifier 50 is inappropriate for this code.
What global period applies?
Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care.
May an assistant or co-surgeon be reported?
Assistant-at-surgery and co-surgeon services may be paid. Team surgery is not permitted.
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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