No office rate
Use 33518 when the combined CABG includes two venous grafts; 33519 represents three.
On this page
CMS RVU26D · Effective 2026-10-01
33519 CABG grafts Medicare reimbursement rates in Massachusetts
Reports three venous grafts used during coronary artery bypass surgery that also includes arterial grafting, alongside the appropriate arterial bypass code. Compare 33519 office and facility rates across CMS payment localities in Massachusetts.
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 33519 in Massachusetts?
Massachusetts 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
$485.99–$511.97
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.
Cardiac surgery
About 33519: Coronary bypass with three venous grafts
Reports three venous grafts used during coronary artery bypass surgery that also includes arterial grafting, alongside the appropriate arterial bypass code.
This add-on code identifies the venous portion of a combined coronary artery bypass operation when three venous grafts are used along with arterial grafting. A cardiothoracic surgeon typically performs the bypass in an operating room, using arterial conduits such as an internal thoracic artery and venous conduits such as saphenous vein. The code represents the three venous grafts, not the arterial graft count or the total number of bypass grafts.
Select this code from the number of venous grafts documented in the operative report, and report it with the primary arterial CABG code that reflects the arterial graft count. The record should support the conduits and grafts used. This is an add-on code: it is billed only with a primary procedure and is paid within that procedure's global period. It is not a standalone CABG code.
CMS billing rules for 33519
- Global period
- Add-on code: billed only together with a primary procedure and paid within that procedure's global period.
Where the value comes from
- Work RVU10.23 · 69%
- Practice expense (office) RVU2.04 · 14%
- Malpractice RVU2.52 · 17%
15.3K
Medicare services in 2024 · #1247 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.
33519 compared with similar codes
Office rates for Massachusetts, from the same CMS release.
No office rate
Use 33521 when the combined CABG includes four venous grafts; 33519 represents three.
No office rate
33512 describes three venous grafts in a vein-only CABG. 33519 is the venous add-on for a procedure that also includes arterial grafting.
No office rate
33535 represents three arterial grafts, not three venous grafts. In a combined procedure, 33535 may be the primary code paired with 33519 when the documented counts support both.
Compare 33519 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
Metropolitan Boston →
Office / nonfacility
Unavailable
Facility
$511.97
Rest Of Massachusetts →
Office / nonfacility
Unavailable
Facility
$485.99
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
33519 billing questions
Which primary code is reported with 33519?
Report the arterial CABG code that matches the number of arterial grafts, such as 33533 for one arterial graft or 33534 for two. Code 33519 captures the three venous grafts.
Does 33519 mean three grafts total?
No. It represents three venous grafts in a combined arterial-and-venous bypass operation; the arterial graft count is represented by the primary CABG code.
How is 33519 different from 33512?
33519 is for three venous grafts used with arterial grafting. 33512 describes a three-vein-graft CABG without the arterial-grafting combination represented by 33519.
Can 33519 be billed by itself?
No. It is an add-on code and must be reported with the appropriate primary arterial CABG procedure. CMS pays it within that primary procedure's global period.
What documentation supports the three-graft level?
The operative report should identify the venous grafts used and support that three venous grafts were placed. It should also document the arterial grafting represented by the separately reported primary code.
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.
3,98833516,,Cabg vein six or more,A,,48.52,15.86,NA,15.86,,11.66,76.04,76.04,0,090,0.09,0.84,0.07,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,98933517,,Cabg artery-vein single,A,,3.52,0.71,NA,0.71,,0.87,5.10,5.10,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99033518,,Cabg artery-vein two,A,,7.73,1.55,NA,1.55,,1.91,11.19,11.19,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99133519,,Cabg artery-vein three,A,,10.23,2.04,NA,2.04,,2.52,14.79,14.79,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,9923351F,,Neg scrn dep symp by deptool,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
3,99333521,,Cabg artery-vein four,A,,12.28,2.45,NA,2.45,,3.03,17.76,17.76,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3,99433522,,Cabg artery-vein five,A,,13.79,2.74,NA,2.74,,3.39,19.92,19.92,0,ZZZ,0.00,0.00,0.00,0,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00