No office rate
Both describe endovascular stent repair of aortic coarctation. Choose 33894 when the stent repair crosses a branch vessel; choose 33895 when it does not.
On this page
CMS RVU26D · Effective 2026-10-01
33895 Coarctation stent repair Medicare reimbursement rates in Maine
Reports endovascular stent repair of aortic coarctation when the stent does not cross a branch vessel, including imaging supervision and interpretation. Compare 33895 office and facility rates across CMS payment localities in Maine.
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 33895 in Maine?
Maine 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
$625.18–$632.46
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 33895: Aortic coarctation stent repair without branch crossing
Reports endovascular stent repair of aortic coarctation when the stent does not cross a branch vessel, including imaging supervision and interpretation.
This code describes endovascular stent treatment of aortic coarctation when the stent can be placed without crossing a branch vessel. It is typically performed by an interventional cardiologist, vascular surgeon, or other specialist experienced in aortic catheter procedures, often in a hospital catheterization or hybrid procedure suite. The service includes radiological supervision and interpretation associated with the stent repair.
Choose this code based on the documented aortic anatomy and the stent’s relationship to branch vessels; a repair that crosses a branch vessel is represented by 33894. The procedure report should identify the coarctation, describe the access and stent deployment, and establish whether a branch vessel was crossed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this anatomy. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 33895
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU14.18 · 70%
- Practice expense (office) RVU2.64 · 13%
- Malpractice RVU3.39 · 17%
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.
33895 compared with similar codes
Office rates for Maine, from the same CMS release.
No office rate
33897 is for angioplasty of native or recurrent coarctation. Use 33895 for endovascular stent repair rather than angioplasty alone.
No office rate
33840 describes open excision of coarctation with direct anastomosis. It is not the endovascular stent approach reported with 33895.
Compare 33895 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
Rest Of Maine →
Office / nonfacility
Unavailable
Facility
$625.18
Southern Maine →
Office / nonfacility
Unavailable
Facility
$632.46
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33895 billing questions
How is 33895 distinguished from 33894?
Use 33895 when the stent repair does not cross a branch vessel. Use 33894 when the repair crosses a branch vessel.
Can 33895 be reported for balloon angioplasty alone?
No. This code describes endovascular stent repair. Angioplasty of native or recurrent aortic coarctation without stent repair is represented by 33897.
Is imaging supervision and interpretation separately reported?
The imaging supervision and interpretation associated with the stent repair are included in the service.
What documentation supports choosing 33895?
The procedure report should describe the coarctation, stent deployment, and the relationship of the stent to nearby branch vessels, showing that no branch vessel was crossed.
Can modifier 50 be used for 33895?
No. The anatomy and descriptor make a bilateral adjustment inappropriate.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included. When other procedures are performed in the same session, CMS applies 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.
4,10333886,,Delayed plmt dstl xtn prosth,A,,19.41,4.51,NA,4.51,,4.84,28.76,28.76,0,090,0.09,0.84,0.07,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,1043388F,,Ajcc cln cncr stage 3 docd,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
4,10533894,,Evasc st rpr thrc/aa acrs br,A,,17.81,3.32,NA,3.32,,4.26,25.39,25.39,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10633895,,Evasc st rpr thrc/aa x crsg,A,,14.18,2.64,NA,2.64,,3.39,20.21,20.21,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10733897,,Perq trluml angp nt/recr coa,A,,10.54,1.96,NA,1.96,,2.52,15.02,15.02,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10833900,,Perq p-art revsc 1 nm nt uni,A,,10.75,2.00,NA,2.00,,2.57,15.32,15.32,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4,10933901,,Perq p-art revsc 1 nm nt bi,A,,14.14,2.63,NA,2.63,,3.38,20.15,20.15,0,000,0.00,0.00,0.00,2,2,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00