No office rate
Use 33518 when the combined CABG includes two venous grafts; 33519 represents three.
On this page
CMS RVU26D · Effective 2026-10-01
33519 in Beaumont
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$481.89
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Cardiac surgery
About 33519: Coronary bypass with three venous grafts
Reports three venous grafts used during coronary artery bypass surgery that also includes arterial grafting, alongside the appropriate arterial bypass code.
This add-on code identifies the venous portion of a combined coronary artery bypass operation when three venous grafts are used along with arterial grafting. A cardiothoracic surgeon typically performs the bypass in an operating room, using arterial conduits such as an internal thoracic artery and venous conduits such as saphenous vein. The code represents the three venous grafts, not the arterial graft count or the total number of bypass grafts.
Select this code from the number of venous grafts documented in the operative report, and report it with the primary arterial CABG code that reflects the arterial graft count. The record should support the conduits and grafts used. This is an add-on code: it is billed only with a primary procedure and is paid within that procedure's global period. It is not a standalone CABG code.
CMS billing rules for 33519
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU10.23 · 69%
- Practice expense (office) RVU2.04 · 14%
- Malpractice RVU2.52 · 17%
15.3K
Medicare services in 2024 · #1247 by national volume
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.
33519 compared with similar codes
Office rates for Beaumont, from the same CMS release.
No office rate
Use 33521 when the combined CABG includes four venous grafts; 33519 represents three.
No office rate
33512 describes three venous grafts in a vein-only CABG. 33519 is the venous add-on for a procedure that also includes arterial grafting.
No office rate
33535 represents three arterial grafts, not three venous grafts. In a combined procedure, 33535 may be the primary code paired with 33519 when the documented counts support both.
The same code, a different location
How does Beaumont compare?
33519 across payment areas
Same release and payment basis · bars start at $0
Beaumont · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Rest Of Texas
Texas · 33519
Office
Unavailable
Facility
$482.36
No comparable office rate is available.
Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)
California · 33519
Office
Unavailable
Facility
$492.20
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33519
Office
Unavailable
Facility
$534.09
No comparable office rate is available.
Miami
Florida · 33519
Office
Unavailable
Facility
$625.49
No comparable office rate is available.
Chicago
Illinois · 33519
Office
Unavailable
Facility
$605.73
No comparable office rate is available.
Manhattan
New York · 33519
Office
Unavailable
Facility
$576.23
No comparable office rate is available.
Alaska*
Alaska · 33519
Office
Unavailable
Facility
$631.48
No comparable office rate is available.
Alabama
Alabama · 33519
Office
Unavailable
Facility
$448.95
No comparable office rate is available.
Arkansas
Arkansas · 33519
Office
Unavailable
Facility
$443.57
No comparable office rate is available.
Arizona
Arizona · 33519
Office
Unavailable
Facility
$479.77
No comparable office rate is available.
Bakersfield
California · 33519
Office
Unavailable
Facility
$474.12
No comparable office rate is available.
Chico
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
El Centro
California · 33519
Office
Unavailable
Facility
$467.72
No comparable office rate is available.
Fresno
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Hanford-Corcoran
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Madera
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Merced
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Modesto
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Napa
California · 33519
Office
Unavailable
Facility
$495.78
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33519
Office
Unavailable
Facility
$484.24
No comparable office rate is available.
Redding
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Rest Of California
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33519
Office
Unavailable
Facility
$494.32
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33519
Office
Unavailable
Facility
$478.35
No comparable office rate is available.
Salinas
California · 33519
Office
Unavailable
Facility
$476.37
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33519
Office
Unavailable
Facility
$479.06
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33519
Office
Unavailable
Facility
$508.86
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33519
Office
Unavailable
Facility
$506.00
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33519
Office
Unavailable
Facility
$522.65
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33519
Office
Unavailable
Facility
$510.95
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33519
Office
Unavailable
Facility
$470.22
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33519
Office
Unavailable
Facility
$476.77
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33519
Office
Unavailable
Facility
$475.82
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33519
Office
Unavailable
Facility
$480.73
No comparable office rate is available.
Stockton
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Vallejo
California · 33519
Office
Unavailable
Facility
$491.66
No comparable office rate is available.
Visalia
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Yuba City
California · 33519
Office
Unavailable
Facility
$467.29
No comparable office rate is available.
Colorado
Colorado · 33519
Office
Unavailable
Facility
$484.03
No comparable office rate is available.
Connecticut
Connecticut · 33519
Office
Unavailable
Facility
$523.76
No comparable office rate is available.
Delaware
Delaware · 33519
Office
Unavailable
Facility
$486.39
No comparable office rate is available.
Fort Lauderdale
Florida · 33519
Office
Unavailable
Facility
$562.89
No comparable office rate is available.
Rest Of Florida
Florida · 33519
Office
Unavailable
Facility
$533.34
No comparable office rate is available.
Atlanta
Georgia · 33519
Office
Unavailable
Facility
$513.03
No comparable office rate is available.
Rest Of Georgia
Georgia · 33519
Office
Unavailable
Facility
$502.80
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33519
Office
Unavailable
Facility
$467.90
No comparable office rate is available.
Iowa
Iowa · 33519
Office
Unavailable
Facility
$437.45
No comparable office rate is available.
Idaho
Idaho · 33519
Office
Unavailable
Facility
$444.19
No comparable office rate is available.
East St. Louis
Illinois · 33519
Office
Unavailable
Facility
$573.90
No comparable office rate is available.
Rest Of Illinois
Illinois · 33519
Office
Unavailable
Facility
$535.46
No comparable office rate is available.
Suburban Chicago
Illinois · 33519
Office
Unavailable
Facility
$563.21
No comparable office rate is available.
Indiana
Indiana · 33519
Office
Unavailable
Facility
$445.76
No comparable office rate is available.
Kansas
Kansas · 33519
Office
Unavailable
Facility
$445.71
No comparable office rate is available.
Kentucky
Kentucky · 33519
Office
Unavailable
Facility
$479.28
No comparable office rate is available.
New Orleans
Louisiana · 33519
Office
Unavailable
Facility
$501.43
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33519
Office
Unavailable
Facility
$482.63
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33519
Office
Unavailable
Facility
$511.97
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33519
Office
Unavailable
Facility
$485.99
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33519
Office
Unavailable
Facility
$524.39
No comparable office rate is available.
Rest Of Maryland
Maryland · 33519
Office
Unavailable
Facility
$491.33
No comparable office rate is available.
Rest Of Maine
Maine · 33519
Office
Unavailable
Facility
$456.73
No comparable office rate is available.
Southern Maine
Maine · 33519
Office
Unavailable
Facility
$462.33
No comparable office rate is available.
Detroit
Michigan · 33519
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Rest Of Michigan
Michigan · 33519
Office
Unavailable
Facility
$498.93
No comparable office rate is available.
Minnesota
Minnesota · 33519
Office
Unavailable
Facility
$436.72
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33519
Office
Unavailable
Facility
$487.91
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33519
Office
Unavailable
Facility
$490.90
No comparable office rate is available.
Rest Of Missouri
Missouri · 33519
Office
Unavailable
Facility
$482.41
No comparable office rate is available.
Mississippi
Mississippi · 33519
Office
Unavailable
Facility
$462.56
No comparable office rate is available.
Montana**
Montana · 33519
Office
Unavailable
Facility
$493.83
No comparable office rate is available.
North Carolina
North Carolina · 33519
Office
Unavailable
Facility
$459.05
No comparable office rate is available.
North Dakota**
North Dakota · 33519
Office
Unavailable
Facility
$444.00
No comparable office rate is available.
Nebraska
Nebraska · 33519
Office
Unavailable
Facility
$436.40
No comparable office rate is available.
New Hampshire
New Hampshire · 33519
Office
Unavailable
Facility
$486.27
No comparable office rate is available.
Northern Nj
New Jersey · 33519
Office
Unavailable
Facility
$532.15
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33519
Office
Unavailable
Facility
$522.10
No comparable office rate is available.
New Mexico
New Mexico · 33519
Office
Unavailable
Facility
$505.26
No comparable office rate is available.
Nevada**
Nevada · 33519
Office
Unavailable
Facility
$480.01
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33519
Office
Unavailable
Facility
$600.88
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33519
Office
Unavailable
Facility
$533.52
No comparable office rate is available.
Queens
New York · 33519
Office
Unavailable
Facility
$565.47
No comparable office rate is available.
Rest Of New York
New York · 33519
Office
Unavailable
Facility
$465.59
No comparable office rate is available.
Ohio
Ohio · 33519
Office
Unavailable
Facility
$488.74
No comparable office rate is available.
Oklahoma
Oklahoma · 33519
Office
Unavailable
Facility
$467.94
No comparable office rate is available.
Portland
Oregon · 33519
Office
Unavailable
Facility
$485.48
No comparable office rate is available.
Rest Of Oregon
Oregon · 33519
Office
Unavailable
Facility
$468.73
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33519
Office
Unavailable
Facility
$519.19
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33519
Office
Unavailable
Facility
$483.78
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33519
Office
Unavailable
Facility
$493.49
No comparable office rate is available.
Rhode Island
Rhode Island · 33519
Office
Unavailable
Facility
$493.65
No comparable office rate is available.
South Carolina
South Carolina · 33519
Office
Unavailable
Facility
$476.20
No comparable office rate is available.
South Dakota**
South Dakota · 33519
Office
Unavailable
Facility
$438.11
No comparable office rate is available.
Tennessee
Tennessee · 33519
Office
Unavailable
Facility
$448.83
No comparable office rate is available.
Utah
Utah · 33519
Office
Unavailable
Facility
$481.33
No comparable office rate is available.
Virginia
Virginia · 33519
Office
Unavailable
Facility
$468.09
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33519
Office
Unavailable
Facility
$493.49
No comparable office rate is available.
Vermont
Vermont · 33519
Office
Unavailable
Facility
$451.74
No comparable office rate is available.
Rest Of Washington
Washington · 33519
Office
Unavailable
Facility
$481.94
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33519
Office
Unavailable
Facility
$511.15
No comparable office rate is available.
Wisconsin
Wisconsin · 33519
Office
Unavailable
Facility
$432.89
No comparable office rate is available.
West Virginia
West Virginia · 33519
Office
Unavailable
Facility
$521.35
No comparable office rate is available.
Wyoming**
Wyoming · 33519
Office
Unavailable
Facility
$472.12
No comparable office rate is available.
See how rates vary across the country
33519 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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 all state and territory rates as a table
| State / territory | 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 |
Where does this rate apply?
Beaumont is a Medicare payment area. Our Census mapping connects it to 13 cities and communities in Texas, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 33519 in Beaumont. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$530.08
$481.89 × 110% = $530.08
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 33519 in Beaumont.
PPRRVU2026_Oct_nonQPP.csv
3,991
- Code
- 33519
- Physician work
- 10.23
- Practice expense
- 2.04
- Malpractice
- 2.52
GPCI2026.csv
97
- Locality
- Beaumont
- Physician work
- 1.000
- Practice expense
- 0.910
- Malpractice
- 0.929
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.23 | × 1.000 | 10.2300 |
| Practice expense | 2.04 | × 0.910 | 1.8564 |
| Malpractice | 2.52 | × 0.929 | 2.3411 |
| Total RVUs | 14.4275 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Beaumont$481.89
Open 33519 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.23 | 1 |
| Practice expense | 2.04 | 0.91 |
| Malpractice | 2.52 | 0.929 |
(10.23 × 1 + 2.04 × 0.91 + 2.52 × 0.929) × $33.4009 = $481.89
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
33519 · 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
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $481.89 | RVU26D |
| 2026-07-01 | Not available in this setting | $481.89 | RVU26C |
| 2026-04-01 | Not available in this setting | $481.89 | RVU26B |
| 2026-01-01 | Not available in this setting | $481.89 | RVU26A |
| 2025-10-01 | Not available in this setting | $501.16 | RVU25D |
| 2025-07-01 | Not available in this setting | $501.16 | RVU25C |
| 2025-04-01 | Not available in this setting | $501.16 | RVU25B |
| 2025-01-01 | Not available in this setting | $501.16 | RVU25A |
33519 billing questions
Which primary code is reported with 33519?
Report the arterial CABG code that matches the number of arterial grafts, such as 33533 for one arterial graft or 33534 for two. Code 33519 captures the three venous grafts.
Does 33519 mean three grafts total?
No. It represents three venous grafts in a combined arterial-and-venous bypass operation; the arterial graft count is represented by the primary CABG code.
How is 33519 different from 33512?
33519 is for three venous grafts used with arterial grafting. 33512 describes a three-vein-graft CABG without the arterial-grafting combination represented by 33519.
Can 33519 be billed by itself?
No. It is an add-on code and must be reported with the appropriate primary arterial CABG procedure. CMS pays it within that primary procedure's global period.
What documentation supports the three-graft level?
The operative report should identify the venous grafts used and support that three venous grafts were placed. It should also document the arterial grafting represented by the separately reported primary code.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
3,98833516,,Cabg vein six or more,A,,48.52,15.86,NA,15.86,,11.66,76.04,76.04,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,98933517,,Cabg artery-vein single,A,,3.52,0.71,NA,0.71,,0.87,5.10,5.10,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99033518,,Cabg artery-vein two,A,,7.73,1.55,NA,1.55,,1.91,11.19,11.19,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99133519,,Cabg artery-vein three,A,,10.23,2.04,NA,2.04,,2.52,14.79,14.79,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9923351F,,Neg scrn dep symp by deptool,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99333521,,Cabg artery-vein four,A,,12.28,2.45,NA,2.45,,3.03,17.76,17.76,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99433522,,Cabg artery-vein five,A,,13.79,2.74,NA,2.74,,3.39,19.92,19.92,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537
9604412,TX,31,AUSTIN,1.002,1.058,0.886
9704412,TX,20,BEAUMONT,1.000,0.910,0.929
9804412,TX,09,BRAZORIA,1.008,0.991,0.780
9904412,TX,11,DALLAS,1.009,0.996,0.858
10004412,TX,28,FORT WORTH,1.009,0.986,0.871