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Billing code 33882: Thoracic endograftMedicare rate & RVUs

Reports endovascular repair of the descending thoracic aorta using a multiple-component prosthesis, including the associated imaging supervision and interpretation.

CMS RVU26DEffective Oct 1, 2026109 payment localities

Medicare pays $1,762.90 for 33882 nationally in a facility.

Medicare rate · 33882

Thoracic endograft

Swap in your local Medicare rate.

Work RVUs
35
Total RVUs
52.78
Global days
090

National rate · 2026

$1,762.90

Facility setting, before claim adjustments.

See every locality for 33882 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 33882 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 33882 covers

This service repairs disease or injury of the descending thoracic aorta by delivering and deploying a multiple-component endovascular prosthesis through the vascular system. Typical indications include a thoracic aortic aneurysm, dissection, pseudoaneurysm, penetrating ulcer, or traumatic disruption. A vascular or cardiothoracic surgeon generally performs the repair in an operating room or hybrid suite with endovascular imaging guidance. The code includes the radiological supervision and interpretation associated with the repair.

Select this code when the documented repair uses a multiple-component endovascular prosthesis; distinguish it from the related repair codes based on prosthesis configuration and whether the left subclavian artery origin is covered. The operative report should support the treated aortic segment, indication, device deployment, and relevant branch-vessel coverage. CMS 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 is paid in full and other procedures are subject to the standard multiple-procedure 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.

Where 33882 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

33882 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$1,605.38
Alaska*Unavailable$2,247.47
ArizonaUnavailable$1,714.03
ArkansasUnavailable$1,586.44
AtlantaUnavailable$1,825.77
AustinUnavailable$1,753.32
BakersfieldUnavailable$1,710.85
Baltimore/Surr. CntysUnavailable$1,869.16
BeaumontUnavailable$1,714.57
BrazoriaUnavailable$1,710.03

33882 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
33882 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 33882 rate is calculated

Each of 33882’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 · 33882

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 35.00Practice expense 9.71Malpractice 8.07

52.7800 adjusted RVUs×$33.4009 conversion factor=$1,762.90

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 33882

33882 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 33882

Thoracic endograft

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 · 33882

Thoracic endograft

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.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned 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

33882 without 51 · national facility

$1,762.90

Thoracic endograft

33882-51 · Second procedure: 50%

$881.45

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

33882 compared with similar codes

Compare codes

33882 vs 33880 vs 33881 vs 33883 vs 33875: national Medicare rates

Swap in your local Medicare rate.

  • 33882
    Thoracic endograft · 35 wRVU
    —
  • 33880
    Thoracic endovascular repair · 26.33 wRVU
    —
  • 33881
    Thoracic endograft · 21.97 wRVU
    —
  • 33883
    Aortic extension · 19.41 wRVU
    —
  • 33875
    Aortic graft · 49.45 wRVU
    —

How to choose

33880Thoracic endovascular repair
Both address endovascular repair of the descending thoracic aorta, but 33880 involves coverage of the left subclavian artery origin and describes an initial endoprosthesis.
33881Thoracic endograft
This related repair code describes an initial endoprosthesis without coverage of the left subclavian artery origin; this code is distinguished by a multiple-component prosthesis.
33883Aortic extension
33883 describes delayed placement of a proximal extension prosthesis. Use this code for the multiple-component descending thoracic aortic repair itself, not a delayed extension placement.
33875Aortic graft
33875 describes open thoracic aortic graft repair. This code describes endovascular repair using a multiple-component prosthesis.

Codes related to 33882

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 33882
CodeHow it relatesNational office range
Used instead
33880Thoracic endovascular repairRelated descending thoracic aortic endovascular repair involving coverage of the left subclavian artery origin.No office rate
33881Thoracic endograftRelated descending thoracic aortic endovascular repair without coverage of the left subclavian artery origin.No office rate
33875Aortic graftOpen graft repair of the thoracic aorta rather than endovascular repair.No office rate
Same family
33883Aortic extensionDescribes delayed placement of a proximal extension prosthesis in the thoracic aortic endovascular repair family.No office rate
33886Aortic extensionDescribes delayed placement of a distal extension prosthesis in the thoracic aortic endovascular repair family.No office rate

33882 billing questions

How does this code differ from 33880 and 33881?

This code is for a multiple-component endovascular prosthesis. Codes 33880 and 33881 describe the related repair using an initial endoprosthesis, with the distinction involving coverage of the left subclavian artery origin.

Can the imaging guidance be billed separately?

The radiological supervision and interpretation associated with this repair are included in the code. Do not report that same guidance separately as a distinct service.

What documentation supports reporting this service?

The operative report should identify the descending thoracic aortic condition and segment treated, the multiple-component prosthesis deployed, and whether the left subclavian artery origin was covered.

What global period applies?

CMS assigns a 90-day global period. The day-before preoperative visit and 90 days of related postoperative care are included.

Can an assistant or co-surgeon be reported?

CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted for this code.

Should modifier 50 be used for bilateral repair?

No. CMS identifies bilateral adjustment as inappropriate for this code because of its descriptor or anatomy.

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 33882PPRRVU2026_Oct_nonQPP.csv, line 4,101 (RVU26D)

Open CMS sourceHow we calculate rates

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