No office rate
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 Thoracic endovascular repair Medicare reimbursement rates in Georgia
Reports initial endovascular stent-graft repair of descending thoracic aortic disease when the repair covers the origin of the left subclavian artery. Compare 33880 office and facility rates across CMS payment localities in Georgia.
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 33880 in Georgia?
Georgia has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$1309.16–$1337.09
2 of 2 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.
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 Georgia, from the same CMS release.
No office rate
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.
No office rate
33883 describes delayed placement of a proximal extension prosthesis, not the initial repair reported by 33880.
No office rate
33875 describes open thoracic aortic graft repair. Code 33880 is for catheter-based endograft repair with coverage of the left subclavian artery origin.
Compare 33880 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.
2 of 2 payment localities
Atlanta →
Office / nonfacility
Unavailable
Facility
$1337.09
Rest Of Georgia →
Office / nonfacility
Unavailable
Facility
$1309.16
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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.
4,09633871,,Transvrs a-arch grf hypthrm,A,,59.36,15.84,NA,15.84,,14.72,89.92,89.92,0,090,0.09,0.84,0.07,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,09733875,,Thoracic aortic graft,A,,49.45,14.17,NA,14.17,,12.33,75.95,75.95,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,09833877,,Thoracoabdominal graft,A,,67.30,14.21,NA,14.21,,17.06,98.57,98.57,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,09933880,,Evasc rpr ta ndgft cov lsa,A,,26.33,5.63,NA,5.63,,6.58,38.54,38.54,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10033881,,Evasc rpr ta ndgft xcov lsa,A,,21.97,4.90,NA,4.90,,5.49,32.36,32.36,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10133882,,Evasc rpr ta dplmt mltpc sys,A,,35.00,9.71,NA,9.71,,8.07,52.78,52.78,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10233883,,Delayed plmt prox xtn prosth,A,,19.41,4.60,NA,4.60,,4.78,28.79,28.79,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00