No office rate
This is the direct counterpart for coronary arteriovenous fistula repair performed with cardiopulmonary bypass. Code 33500 is for repair without bypass.
On this page
CMS RVU26D · Effective 2026-10-01
33500 Coronary fistula repair Medicare reimbursement rates in Florida
Reports operative repair of a coronary arteriovenous fistula when the surgeon performs the repair without cardiopulmonary bypass. Compare 33500 office and facility rates across CMS payment localities in Florida.
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 33500 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1581.88–$1836.26
3 of 3 localities have a supported rate.
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.
Where 33500 pays more and less in Florida
Cardiac surgery
About 33500: Coronary arteriovenous fistula repair without bypass
Reports operative repair of a coronary arteriovenous fistula when the surgeon performs the repair without cardiopulmonary bypass.
A cardiothoracic surgeon uses this code to surgically close or repair an abnormal connection involving a coronary artery, such as a coronary artery draining into a cardiac chamber or vessel. The repair is performed without cardiopulmonary bypass. It is typically an operating-room service in a hospital facility, rather than an office procedure.
Select the code when the operative report documents repair of a coronary arteriovenous fistula and confirms that cardiopulmonary bypass was not used; the bypass method distinguishes it from 33501. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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. Bilateral adjustment is inappropriate for this anatomy. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.
CMS billing rules for 33500
- 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 paid only with supporting documentation.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU27.24 · 61%
- Practice expense (office) RVU10.78 · 24%
- Malpractice RVU6.53 · 15%
25
Medicare services in 2024 · #5787 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.
33500 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
This addresses correction of an anomalous coronary artery origin, not repair of a coronary arteriovenous fistula.
No office rate
This addresses a coronary artery graft procedure, rather than closure or repair of a coronary arteriovenous fistula.
Compare 33500 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
Unavailable
Facility
$1668.92
Miami →
Office / nonfacility
Unavailable
Facility
$1836.26
Rest Of Florida →
Office / nonfacility
Unavailable
Facility
$1581.88
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33500 billing questions
How is 33500 distinguished from 33501?
Both describe repair of a coronary arteriovenous fistula. Use 33500 when the repair is performed without cardiopulmonary bypass; 33501 is the bypass counterpart.
What documentation supports reporting 33500?
The operative report should identify the coronary arteriovenous fistula, describe its surgical repair, and establish that cardiopulmonary bypass was not used.
Does the 90-day global period include related postoperative care?
Yes. The global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.
Should modifier 50 be used for a fistula on each side?
No. CMS identifies bilateral adjustment as inappropriate for this code's 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 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.
3,96933477,,Implant tcat pulm vlv perq,A,,24.38,5.11,NA,5.11,,4.23,33.72,33.72,0,000,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97033478,,Revision of heart chamber,A,,26.85,11.11,NA,11.11,,6.75,44.71,44.71,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97133496,,Repair prosth valve clot,A,,29.09,11.43,NA,11.43,,6.98,47.50,47.50,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97233500,,Repair heart vessel fistula,A,,27.24,10.78,NA,10.78,,6.53,44.55,44.55,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97333501,,Repair heart vessel fistula,A,,19.02,8.62,NA,8.62,,4.55,32.19,32.19,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97433502,,Coronary artery correction,A,,21.30,10.02,NA,10.02,,5.36,36.68,36.68,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,97533503,,Coronary artery graft,A,,21.95,10.77,NA,10.77,,5.53,38.25,38.25,0,090,0.09,0.84,0.07,2,0,0,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00