No office rate
Use 33534 for two arterial bypasses; use 33535 when three arterial bypasses are performed.
On this page
CMS RVU26D · Effective 2026-10-01
33535 Arterial CABG Medicare reimbursement rates in Delaware
Reported for coronary artery bypass surgery using three arterial grafts to create three bypasses, rather than a mixed arterial-and-venous graft pattern. Compare 33535 office and facility rates across CMS payment localities in Delaware.
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.
What does Medicare pay for 33535 in Delaware?
Delaware has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$2251.10
1 of 1 localities have a supported rate.
Payment area: Delaware
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Cardiac surgery
About 33535: Three arterial coronary bypass grafts
Reported for coronary artery bypass surgery using three arterial grafts to create three bypasses, rather than a mixed arterial-and-venous graft pattern.
This code represents coronary artery bypass surgery using arterial grafts for three coronary bypasses. A cardiac surgeon typically performs the operation in a hospital operating room. Common arterial conduits include the internal thoracic artery and radial artery. The operative report should identify the conduits used and the coronary targets bypassed so the arterial count and graft type are clear.
Select this level based on three arterial bypasses; use the mixed-conduit code family when the operation also uses venous grafts. The service has a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this code. CMS permits payment for an assistant at surgery, but does not permit co-surgeons or team surgery.
CMS billing rules for 33535
- 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 not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU43.63 · 64%
- Practice expense (office) RVU14.08 · 21%
- Malpractice RVU10.72 · 16%
1.3K
Medicare services in 2024 · #2807 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.
33535 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
Use 33536 when four or more arterial bypasses are performed, rather than the three-bypass level in 33535.
No office rate
33512 describes three venous bypass grafts. Choose 33535 for three arterial bypasses.
No office rate
33519 represents a mixed arterial-and-venous CABG pattern; 33535 is for the three-bypass arterial-only level.
Compare 33535 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Delaware →
Office / nonfacility
Unavailable
Facility
$2251.10
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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 33535 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
4,000
- Code
- 33535
- Physician work
- 43.63
- Practice expense
- 14.08
- Malpractice
- 10.72
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 43.63 | × 1.005 | 43.8481 |
| Practice expense | 14.08 | × 0.988 | 13.9110 |
| Malpractice | 10.72 | × 0.899 | 9.6373 |
| Total RVUs | 67.3965 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$2251.10
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 43.63 | 1.005 |
| Practice expense | 14.08 | 0.988 |
| Malpractice | 10.72 | 0.899 |
(43.63 × 1.005 + 14.08 × 0.988 + 10.72 × 0.899) × $33.4009 = $2251.10
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.
33535 billing questions
How is this code distinguished from the two- or four-bypass arterial codes?
Use this code when the operation includes three arterial bypasses. The adjacent arterial levels describe two bypasses and four or more bypasses.
Can this code be used when the surgeon also uses a vein graft?
Use the mixed arterial-and-venous CABG coding structure when both conduit types are used. This code describes the three-bypass arterial-only level.
What should the operative report document?
Document the arterial conduits used, the coronary targets bypassed, and the number of bypasses. These details support the arterial-only classification and three-bypass level.
Should modifier 50 be appended?
No. CMS identifies bilateral adjustment as inappropriate for this code because its descriptor and anatomy are not bilateral.
How does the global period affect postoperative billing?
The 90-day global period includes the day-before preoperative visit and related postoperative care. CMS permits assistant-at-surgery payment, but not co-surgeon or team-surgery payment.
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.
3,99733530,,Coronary artery bypass/reop,A,,9.88,1.99,NA,1.99,,2.42,14.29,14.29,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99833533,,Cabg arterial single,A,,32.91,11.59,NA,11.59,,8.13,52.63,52.63,0,090,0.09,0.82,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99933534,,Cabg arterial two,A,,38.88,13.22,NA,13.22,,9.61,61.71,61.71,0,090,0.09,0.82,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00033535,,Cabg arterial three,A,,43.63,14.08,NA,14.08,,10.72,68.43,68.43,0,090,0.09,0.82,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,00133536,,Cabg arterial four or more,A,,47.22,14.80,NA,14.80,,11.65,73.67,73.67,0,090,0.09,0.82,0.09,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,0023353F,,Mild-mod 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
4,00333542,,Removal of heart lesion,A,,47.00,14.90,NA,14.90,,11.62,73.52,73.52,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503