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CMS RVU26D · Effective 2026-10-01

33514 Coronary bypass Medicare reimbursement rates in Kentucky

Reports coronary artery bypass surgery using venous conduits for five coronary targets, with code selection based on the graft type and bypass count. Compare 33514 office and facility rates across CMS payment localities in Kentucky.

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 33514 in Kentucky?

Kentucky 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

$2363.68

1 of 1 localities have a supported rate.

Payment area: Kentucky

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 33514 in your payment locality →

Cardiothoracic surgery

About 33514: Five venous graft coronary bypass

Reports coronary artery bypass surgery using venous conduits for five coronary targets, with code selection based on the graft type and bypass count.

This code represents coronary artery bypass surgery using venous grafts for five coronary targets. It is generally performed by a cardiothoracic surgeon in an operating room, with vein conduit taken from the patient and connected to bypass narrowed or blocked coronary arteries. The operative report should establish that the bypasses use venous grafts and support the five-target level; arterial grafting changes the code selection.

Select this code from the operative details, not from the number of diseased arteries listed before surgery. The 90-day global period includes the day-before preoperative visit and related postoperative care during the following 90 days. 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. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted. Modifier 50 is inappropriate for this code.

CMS billing rules for 33514

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 RVU46.88 · 64%
  • Practice expense (office) RVU15.27 · 21%
  • Malpractice RVU11.27 · 15%

25

Medicare services in 2024 · #5788 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.

33514 compared with similar codes

Office rates for Kentucky, from the same CMS release.

33513

Coronary bypass

Four venous grafts

No office rate

Use 33513 when the operative report supports four venous grafts; use 33514 for five.

33516

Coronary bypass

Six or more vein grafts

No office rate

Use 33516 for six or more venous grafts rather than the five-graft level reported with 33514.

33522

Coronary bypass

Five venous grafts

No office rate

Use 33522 when CABG combines arterial grafting with five venous grafts. Code 33514 is for the five-graft venous-only CABG level.

33533

Arterial CABG

Single arterial graft

No office rate

Use 33533 for arterial-only CABG at the single-graft level; 33514 represents five venous grafts.

Compare 33514 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 33514 in Kentucky.

PPRRVU2026_Oct_nonQPP.csv

3,987

Code
33514
Physician work
46.88
Practice expense
15.27
Malpractice
11.27

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Facility calculation for 33514 in Kentucky
ComponentRVULocality factorAdjusted
Physician work46.88× 1.00046.8800
Practice expense15.27× 0.88913.5750
Malpractice11.27× 0.91510.3120
Total RVUs70.7671
Conversion factor× 33.4009

Facility rate, Kentucky$2363.68

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work46.881
Practice expense15.270.889
Malpractice11.270.915

(46.88 × 1 + 15.27 × 0.889 + 11.27 × 0.915) × $33.4009 = $2363.68

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.

33514 billing questions

How is this code distinguished from 33513 or 33516?

Choose by the documented number of venous bypasses: 33513 is the four-graft level, 33514 the five-graft level, and 33516 six or more.

Can this code be used when an arterial graft is also placed?

No. For a combination of arterial and venous grafting, use the mixed-graft code family, selecting the code that reflects the documented graft combination.

Can modifier 50 be appended for bypasses on both sides?

No. Modifier 50 is inappropriate for this CABG code; report the applicable graft-count code for the operation.

What documentation supports the five-graft level?

The operative report should identify the conduit type and describe the bypasses performed, supporting five venous grafts to coronary targets.

How does the multiple-procedure reduction affect payment?

For procedures performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction.

Is endoscopic vein harvesting reported with this surgery?

Code 33508 describes endoscopic vein harvesting and may be reported with CABG when that harvesting method is performed and documented.

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 33514PPRRVU2026_Oct_nonQPP.csv, line 3,987 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet