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CMS RVU26D · Effective 2026-10-01

33335 Aortic graft Medicare reimbursement rates in Hawaii

Reports placement of an aortic graft during open surgery using cardiopulmonary bypass to support circulation while the aorta is treated. Compare 33335 office and facility rates across CMS payment localities in Hawaii.

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 33335 in Hawaii?

Hawaii 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

$1712.18

1 of 1 localities have a supported rate.

Payment area: Hawaii, Guam

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.

Find 33335 in your payment locality →

Cardiovascular surgery

About 33335: Aortic graft placement with bypass

Reports placement of an aortic graft during open surgery using cardiopulmonary bypass to support circulation while the aorta is treated.

This code captures placement of an aortic graft during an operation that uses cardiopulmonary bypass (CPB). A cardiac surgeon performs the reconstruction in an operating room, commonly when an aortic segment requires graft replacement or reconstruction. CPB supports circulation while the aorta is treated. The operative report should identify the aortic work and document use of bypass.

Report the code when the documented service is aortic graft placement with CPB, rather than direct vessel repair or graft placement without bypass. Documentation should establish the aortic segment treated, graft reconstruction, and CPB. The code has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. For same-session multiple procedures, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted.

CMS billing rules for 33335

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 RVU33.06 · 62%
  • Practice expense (office) RVU11.97 · 23%
  • Malpractice RVU7.93 · 15%

55

Medicare services in 2024 · #5299 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.

33335 compared with similar codes

Office rates for Hawaii, from the same CMS release.

33330

Vessel graft

Without cardiopulmonary bypass

No office rate

Choose 33335 when the aortic graft operation uses cardiopulmonary bypass. Code 33330 describes the related graft procedure without bypass.

33320

Major vessel repair

With cardiopulmonary bypass

No office rate

Code 33320 is for direct repair of an intrathoracic blood vessel. Use 33335 for aortic graft placement with cardiopulmonary bypass.

33321

Vessel repair

With cardiopulmonary bypass

No office rate

Code 33321 concerns intrathoracic vessel repair using a graft; 33335 is specific to aortic graft placement with cardiopulmonary bypass.

Compare 33335 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

Office and facility base rates · shared scale starting at $0

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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 33335 in Hawaii, Guam.

PPRRVU2026_Oct_nonQPP.csv

3,921

Code
33335
Physician work
33.06
Practice expense
11.97
Malpractice
7.93

GPCI2026.csv

46

Locality
Hawaii, Guam
Physician work
1.000
Practice expense
1.137
Malpractice
0.579
Facility calculation for 33335 in Hawaii, Guam
ComponentRVULocality factorAdjusted
Physician work33.06× 1.00033.0600
Practice expense11.97× 1.13713.6099
Malpractice7.93× 0.5794.5915
Total RVUs51.2614
Conversion factor× 33.4009

Facility rate, Hawaii, Guam$1712.18

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work33.061
Practice expense11.971.137
Malpractice7.930.579

(33.06 × 1 + 11.97 × 1.137 + 7.93 × 0.579) × $33.4009 = $1712.18

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.

33335 billing questions

How does this code differ from 33330?

Both concern aortic graft placement, but 33335 is for an operation using cardiopulmonary bypass. Code 33330 is the related option when bypass is not used.

What documentation supports reporting this code?

The operative report should describe the aortic segment treated, graft placement or reconstruction, and use of cardiopulmonary bypass.

Are related postoperative visits separately included?

The 90-day 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, while team surgery is not permitted.

Can modifier 50 be used for bilateral work?

No. The anatomy and descriptor make a bilateral adjustment inappropriate for this code.

How are additional procedures in the same session paid?

Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and the other procedures are paid at 50%.

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.

RVUs for 33335PPRRVU2026_Oct_nonQPP.csv, line 3,921 (RVU26D)
Geographic factors for Hawaii, GuamGPCI2026.csv, line 46 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet