Both describe endovascular repair of the descending thoracic aorta. The key distinction is whether the repair covers the left subclavian artery origin: covered is 33880; uncovered is 33881.
On this page
CMS RVU26D · Effective 2026-10-01
33880 in Madera
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$1218.30
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.
Vascular surgery
About 33880: Thoracic endovascular repair with subclavian coverage
Reports initial endovascular stent-graft repair of descending thoracic aortic disease when the repair covers the origin of the left subclavian artery.
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.
CMS billing rules for 33880
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU26.33 · 68%
- Practice expense (office) RVU5.63 · 15%
- Malpractice RVU6.58 · 17%
1.4K
Medicare services in 2024 · #2737 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.
33880 compared with similar codes
Office rates for Madera, from the same CMS release.
33882 is associated with a repair requiring multiple component systems. Review the device configuration and operative technique rather than choosing between these codes solely by the aortic diagnosis.
33883 describes delayed placement of a proximal extension prosthesis, not the initial repair reported by 33880.
33875 describes open thoracic aortic graft repair. Code 33880 is for catheter-based endograft repair with coverage of the left subclavian artery origin.
The same code, a different location
How does Madera compare?
33880 across payment areas
Same release and payment basis · bars start at $0
Madera · 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.
No comparable rate is available in this setting.
Other payment areas listed in California 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
Merced
California · 33880
Office
Unavailable
Facility
$1218.30
No comparable office rate is available.
Modesto
California · 33880
Office
Unavailable
Facility
$1218.30
No comparable office rate is available.
Napa
California · 33880
Office
Unavailable
Facility
$1294.34
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 33880
Office
Unavailable
Facility
$1263.26
No comparable office rate is available.
Redding
California · 33880
Office
Unavailable
Facility
$1218.30
No comparable office rate is available.
Rest Of California
California · 33880
Office
Unavailable
Facility
$1218.30
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 33880
Office
Unavailable
Facility
$1288.85
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 33880
Office
Unavailable
Facility
$1247.61
No comparable office rate is available.
Salinas
California · 33880
Office
Unavailable
Facility
$1242.46
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 33880
Office
Unavailable
Facility
$1249.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 33880
Office
Unavailable
Facility
$1329.02
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 33880
Office
Unavailable
Facility
$1321.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 33880
Office
Unavailable
Facility
$1365.15
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 33880
Office
Unavailable
Facility
$1334.60
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 33880
Office
Unavailable
Facility
$1226.38
No comparable office rate is available.
Santa Cruz-Watsonville
California · 33880
Office
Unavailable
Facility
$1244.19
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 33880
Office
Unavailable
Facility
$1241.13
No comparable office rate is available.
Santa Rosa-Petaluma
California · 33880
Office
Unavailable
Facility
$1254.55
No comparable office rate is available.
Stockton
California · 33880
Office
Unavailable
Facility
$1218.30
No comparable office rate is available.
Vallejo
California · 33880
Office
Unavailable
Facility
$1283.57
No comparable office rate is available.
Visalia
California · 33880
Office
Unavailable
Facility
$1218.30
No comparable office rate is available.
Yuba City
California · 33880
Office
Unavailable
Facility
$1218.30
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 33880
Office
Unavailable
Facility
$1393.07
No comparable office rate is available.
Miami
Florida · 33880
Office
Unavailable
Facility
$1631.02
No comparable office rate is available.
Chicago
Illinois · 33880
Office
Unavailable
Facility
$1578.98
No comparable office rate is available.
Manhattan
New York · 33880
Office
Unavailable
Facility
$1502.81
No comparable office rate is available.
Alaska*
Alaska · 33880
Office
Unavailable
Facility
$1640.54
No comparable office rate is available.
Alabama
Alabama · 33880
Office
Unavailable
Facility
$1168.38
No comparable office rate is available.
Arkansas
Arkansas · 33880
Office
Unavailable
Facility
$1154.16
No comparable office rate is available.
Arizona
Arizona · 33880
Office
Unavailable
Facility
$1249.79
No comparable office rate is available.
Colorado
Colorado · 33880
Office
Unavailable
Facility
$1261.73
No comparable office rate is available.
Connecticut
Connecticut · 33880
Office
Unavailable
Facility
$1365.49
No comparable office rate is available.
Delaware
Delaware · 33880
Office
Unavailable
Facility
$1267.21
No comparable office rate is available.
Fort Lauderdale
Florida · 33880
Office
Unavailable
Facility
$1467.30
No comparable office rate is available.
Rest Of Florida
Florida · 33880
Office
Unavailable
Facility
$1389.54
No comparable office rate is available.
Atlanta
Georgia · 33880
Office
Unavailable
Facility
$1337.09
No comparable office rate is available.
Rest Of Georgia
Georgia · 33880
Office
Unavailable
Facility
$1309.16
No comparable office rate is available.
Hawaii, Guam
Hawaii · 33880
Office
Unavailable
Facility
$1220.51
No comparable office rate is available.
Iowa
Iowa · 33880
Office
Unavailable
Facility
$1138.76
No comparable office rate is available.
Idaho
Idaho · 33880
Office
Unavailable
Facility
$1156.40
No comparable office rate is available.
East St. Louis
Illinois · 33880
Office
Unavailable
Facility
$1495.08
No comparable office rate is available.
Rest Of Illinois
Illinois · 33880
Office
Unavailable
Facility
$1394.65
No comparable office rate is available.
Suburban Chicago
Illinois · 33880
Office
Unavailable
Facility
$1468.17
No comparable office rate is available.
Indiana
Indiana · 33880
Office
Unavailable
Facility
$1160.58
No comparable office rate is available.
Kansas
Kansas · 33880
Office
Unavailable
Facility
$1160.21
No comparable office rate is available.
Kentucky
Kentucky · 33880
Office
Unavailable
Facility
$1247.72
No comparable office rate is available.
New Orleans
Louisiana · 33880
Office
Unavailable
Facility
$1306.07
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 33880
Office
Unavailable
Facility
$1256.41
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 33880
Office
Unavailable
Facility
$1335.63
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 33880
Office
Unavailable
Facility
$1266.69
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 33880
Office
Unavailable
Facility
$1367.16
No comparable office rate is available.
Rest Of Maryland
Maryland · 33880
Office
Unavailable
Facility
$1280.30
No comparable office rate is available.
Rest Of Maine
Maine · 33880
Office
Unavailable
Facility
$1189.15
No comparable office rate is available.
Southern Maine
Maine · 33880
Office
Unavailable
Facility
$1204.48
No comparable office rate is available.
Detroit
Michigan · 33880
Office
Unavailable
Facility
$1431.46
No comparable office rate is available.
Rest Of Michigan
Michigan · 33880
Office
Unavailable
Facility
$1299.26
No comparable office rate is available.
Minnesota
Minnesota · 33880
Office
Unavailable
Facility
$1138.00
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 33880
Office
Unavailable
Facility
$1270.74
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 33880
Office
Unavailable
Facility
$1278.68
No comparable office rate is available.
Rest Of Missouri
Missouri · 33880
Office
Unavailable
Facility
$1255.61
No comparable office rate is available.
Mississippi
Mississippi · 33880
Office
Unavailable
Facility
$1203.77
No comparable office rate is available.
Montana**
Montana · 33880
Office
Unavailable
Facility
$1286.83
No comparable office rate is available.
North Carolina
North Carolina · 33880
Office
Unavailable
Facility
$1195.33
No comparable office rate is available.
North Dakota**
North Dakota · 33880
Office
Unavailable
Facility
$1156.72
No comparable office rate is available.
Nebraska
Nebraska · 33880
Office
Unavailable
Facility
$1136.09
No comparable office rate is available.
New Hampshire
New Hampshire · 33880
Office
Unavailable
Facility
$1267.51
No comparable office rate is available.
Northern Nj
New Jersey · 33880
Office
Unavailable
Facility
$1387.71
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 33880
Office
Unavailable
Facility
$1361.07
No comparable office rate is available.
New Mexico
New Mexico · 33880
Office
Unavailable
Facility
$1315.84
No comparable office rate is available.
Nevada**
Nevada · 33880
Office
Unavailable
Facility
$1250.76
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 33880
Office
Unavailable
Facility
$1567.45
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 33880
Office
Unavailable
Facility
$1390.86
No comparable office rate is available.
Queens
New York · 33880
Office
Unavailable
Facility
$1474.92
No comparable office rate is available.
Rest Of New York
New York · 33880
Office
Unavailable
Facility
$1212.59
No comparable office rate is available.
Ohio
Ohio · 33880
Office
Unavailable
Facility
$1272.67
No comparable office rate is available.
Oklahoma
Oklahoma · 33880
Office
Unavailable
Facility
$1218.14
No comparable office rate is available.
Portland
Oregon · 33880
Office
Unavailable
Facility
$1265.95
No comparable office rate is available.
Rest Of Oregon
Oregon · 33880
Office
Unavailable
Facility
$1221.24
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 33880
Office
Unavailable
Facility
$1353.23
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 33880
Office
Unavailable
Facility
$1259.76
No comparable office rate is available.
Puerto Rico
Puerto Rico · 33880
Office
Unavailable
Facility
$1286.04
No comparable office rate is available.
Rhode Island
Rhode Island · 33880
Office
Unavailable
Facility
$1286.45
No comparable office rate is available.
South Carolina
South Carolina · 33880
Office
Unavailable
Facility
$1240.01
No comparable office rate is available.
South Dakota**
South Dakota · 33880
Office
Unavailable
Facility
$1141.34
No comparable office rate is available.
Tennessee
Tennessee · 33880
Office
Unavailable
Facility
$1168.40
No comparable office rate is available.
Austin
Texas · 33880
Office
Unavailable
Facility
$1274.88
No comparable office rate is available.
Beaumont
Texas · 33880
Office
Unavailable
Facility
$1254.74
No comparable office rate is available.
Brazoria
Texas · 33880
Office
Unavailable
Facility
$1244.26
No comparable office rate is available.
Dallas
Texas · 33880
Office
Unavailable
Facility
$1263.23
No comparable office rate is available.
Fort Worth
Texas · 33880
Office
Unavailable
Facility
$1264.20
No comparable office rate is available.
Galveston
Texas · 33880
Office
Unavailable
Facility
$1255.19
No comparable office rate is available.
Houston
Texas · 33880
Office
Unavailable
Facility
$1375.63
No comparable office rate is available.
Rest Of Texas
Texas · 33880
Office
Unavailable
Facility
$1256.36
No comparable office rate is available.
Utah
Utah · 33880
Office
Unavailable
Facility
$1253.57
No comparable office rate is available.
Virginia
Virginia · 33880
Office
Unavailable
Facility
$1219.46
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 33880
Office
Unavailable
Facility
$1286.04
No comparable office rate is available.
Vermont
Vermont · 33880
Office
Unavailable
Facility
$1176.82
No comparable office rate is available.
Rest Of Washington
Washington · 33880
Office
Unavailable
Facility
$1256.14
No comparable office rate is available.
Seattle (King Cnty)
Washington · 33880
Office
Unavailable
Facility
$1333.71
No comparable office rate is available.
Wisconsin
Wisconsin · 33880
Office
Unavailable
Facility
$1127.29
No comparable office rate is available.
West Virginia
West Virginia · 33880
Office
Unavailable
Facility
$1357.36
No comparable office rate is available.
Wyoming**
Wyoming · 33880
Office
Unavailable
Facility
$1230.13
No comparable office rate is available.
See how rates vary across the country
33880 · 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?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, 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 33880 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$1340.13
$1218.30 × 110% = $1340.13
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 33880 in Madera.
PPRRVU2026_Oct_nonQPP.csv
4,099
- Code
- 33880
- Physician work
- 26.33
- Practice expense
- 5.63
- Malpractice
- 6.58
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 26.33 | × 1.017 | 26.7776 |
| Practice expense | 5.63 | × 1.096 | 6.1705 |
| Malpractice | 6.58 | × 0.536 | 3.5269 |
| Total RVUs | 36.4750 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Madera$1218.30
Open 33880 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 26.33 | 1.017 |
| Practice expense | 5.63 | 1.096 |
| Malpractice | 6.58 | 0.536 |
(26.33 × 1.017 + 5.63 × 1.096 + 6.58 × 0.536) × $33.4009 = $1218.30
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
33880 · 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 | $1218.30 | RVU26D |
| 2026-07-01 | Not available in this setting | $1218.30 | RVU26C |
| 2026-04-01 | Not available in this setting | $1218.30 | RVU26B |
| 2026-01-01 | Not available in this setting | $1218.30 | RVU26A |
| 2025-10-01 | Not available in this setting | $1617.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $1617.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $1617.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $1617.40 | RVU25A |
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 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.
