CPT code 33894: Thoracic endograft, one branch vessel2026 Medicare rate & RVUs in Puerto Rico

Reports endovascular repair of the descending thoracic aorta or arch with a branched endograft that incorporates one branch vessel.

CMS RVU26DEffective Oct 1, 2026One payment locality

In Puerto Rico, Medicare pays $847.13 for 33894 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$847.13Hospital or facility

Check a contract rate as a % of Medicare · 33894 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 33894 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 33894 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 33894 covers

This service repairs disease of the descending thoracic aorta or aortic arch by delivering a branched endograft through vascular access and positioning it to exclude the diseased aortic segment while preserving flow through one branch vessel. Vascular or cardiothoracic surgeons typically perform it in an operating room or hybrid endovascular suite for conditions such as thoracic aortic aneurysm or dissection involving an arch branch. The branch-preserving graft configuration distinguishes this procedure from standard thoracic endografting.

Report the code when the documented repair uses a branched endograft involving one branch vessel; the operative report should support the aortic treatment and branch configuration. Associated radiological supervision and interpretation are included in the procedure. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate for this service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are 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 Puerto Rico compares for 33894

Across 109 of 109 payment localities, the facility rate for 33894 runs from $744.93 in Wisconsin to $1,088.80 in Alaska. Puerto Rico pays $847.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

33894 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$847.13
  2. Los Angeles, CA · California$844.92−$2.21
  3. Washington, DC area · District of Columbia$915.99+$68.86
  4. Miami, FL · Florida$1,070.15+$223.02
  5. Chicago, IL · Illinois$1,037.03+$189.90
  6. Manhattan, NY · New York$987.47+$140.34
  7. Alaska · Alaska$1,088.80+$241.67

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

Every other payment area

33894 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$772.43
ArkansasArkansas—$763.40
ArizonaArizona—$824.12
Bakersfield, CACalifornia—$814.36
Chico, CACalifornia—$802.79
El Centro, CACalifornia—$803.50
Fresno, CACalifornia—$802.79
Hanford, CACalifornia—$802.79

33894 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
33894 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 33894 in every payment locality

How the 33894 rate is calculated

Each of 33894’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 · 33894

RVUs × geographic indexes × conversion factor

Office or facility?

Work17.81

17.81 RVUs× 1.000 GPCI

Practice expense3.32

3.32 RVUs× 1.000 GPCI

Malpractice4.26

4.26 RVUs× 1.000 GPCI

Adjusted RVUs

25.3900

Conversion factor

$33.4009

Medicare rate

$848.05

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

The exact Puerto Rico inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

4,105

Code
33894
Physician work
17.81
Practice expense
3.32
Malpractice
4.26

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 33894 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work17.81× 1.00017.8100
Practice expense3.32× 1.0113.3565
Malpractice4.26× 0.9854.1961
Total RVUs25.3626
Conversion factor× 33.4009

Facility rate, Puerto Rico$847.13

Facility: (17.81 × 1 + 3.32 × 1.011 + 4.26 × 0.985) × $33.4009 = $847.13

Open 33894 in the RVU calculator

Payment rules and modifiers for 33894

The CMS indicators that decide how 33894 is paid alongside other services.

CMS payment indicators · 33894

Thoracic endograft, one branch vessel

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33894 without 51 · national facility

$848.05

Thoracic endograft, one branch vessel

33894-51 · Second procedure: 50%

$424.03

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 33894 has changed in Puerto Rico

33894 · 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, 2022

    RVU22A

    No ratechanged toNo rate

    Held through 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, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$847.13RVU26D
2026-07-01Not available in this setting$847.13RVU26C
2026-04-01Not available in this setting$847.13RVU26B
2026-01-01Not available in this setting$847.13RVU26A
2025-10-01Not available in this setting$928.64RVU25D
2025-07-01Not available in this setting$928.64RVU25C
2025-04-01Not available in this setting$928.64RVU25B
2025-01-01Not available in this setting$928.64RVU25A
2024-10-01Not available in this setting$954.60RVU24D
2024-07-01Not available in this setting$954.60RVU24C
2024-04-01Not available in this setting$954.60RVU24B
2024-03-09Not available in this setting$954.60RVU24AR
2024-01-01Not available in this setting$939.02RVU24A
2023-10-01Not available in this setting$969.64RVU23D
2023-07-01Not available in this setting$970.19RVU23C
2023-04-01Not available in this setting$970.19RVU23B
2023-01-01Not available in this setting$970.19RVU23A
2022-10-01Not available in this setting$985.65RVU22D
2022-07-01Not available in this setting$985.65RVU22C
2022-04-01Not available in this setting$985.65RVU22B
2022-01-01Not available in this setting$985.65RVU22A
2021-10-01Not in this releaseNot in this releaseRVU21D
2021-07-01Not in this releaseNot in this releaseRVU21C
2021-04-01Not in this releaseNot in this releaseRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
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 33894 for an earlier date of service

Where the Puerto Rico rate applies

Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.

  • Aceitunas
  • Adjuntas
  • Aguada
  • Aguadilla
  • Aguas Buenas
  • Aguas Claras
  • Aguilita
  • Aibonito

Browse all communities in Puerto Rico

33894 billing questions

How is 33894 distinguished from 33895?

33894 is for a branched endograft repair involving one branch vessel. Use 33895 for the sibling configuration involving two branch vessels.

Are radiological supervision and interpretation separately reported?

No. The associated radiological supervision and interpretation are included in this repair.

Can modifier 50 be used?

No. The CMS bilateral adjustment does not apply to this service, and modifier 50 is inappropriate.

What supports reporting 33894?

The operative report should describe the descending thoracic aortic or arch repair and establish that the branched endograft involves one branch vessel.

How are other same-session procedures paid?

The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are 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
RVUs for 33894PPRRVU2026_Oct_nonQPP.csv, line 4,105 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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