Billing code 33895: Coarctation stent repairMedicare rate & RVUs in Minnesota

Reports endovascular stent repair of aortic coarctation when the stent does not cross a branch vessel, including imaging supervision and interpretation.

CMS RVU26DEffective Oct 1, 20261 payment locality

CMS doesn’t publish an office rate for 33895 in Minnesota.

—Office (non-facility)
$597.88Hospital or facility

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 33895 for the payment locality that covers the ZIP.

On this page 9 sections
  1. Rate in Minnesota
  2. What 33895 covers
  3. By payment locality
  4. How it’s calculated
  5. Payment rules
  6. Similar codes
  7. Related codes
  8. Billing questions
  9. Sources

What 33895 covers

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.

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 in Minnesota

33895 office and facility rates by payment locality
Payment localityOfficeFacility
MinnesotaUnavailable$597.88

How the 33895 rate is calculated

Each of 33895’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 33895

RVUs × geographic indexes × conversion factor

Work14.18

14.18 RVUs× 1.000 GPCI

Practice expense2.64

2.64 RVUs× 1.000 GPCI

Malpractice3.39

3.39 RVUs× 1.000 GPCI

Adjusted RVUs

20.2100

Conversion factor

$33.4009

Medicare rate

$675.03

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for 33895

The CMS indicators that decide how 33895 is paid alongside other services.

CMS payment indicators · 33895

Coarctation stent repair

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

33895 without 51 · national facility

$675.03

Coarctation stent repair

33895-51 · Second procedure: 50%

$337.52

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

33895 compared with similar codes

Compare codes · National

4 codes, side by side

  • 33895

    Coarctation stent repair14.18 wRVU

    Not priced

  • 33894

    Thoracic endograft17.81 wRVU

    Not priced

  • 33897

    Aortic angioplasty10.54 wRVU

    Not priced

  • 33840

    Coarctation repair20.81 wRVU

    Not priced

How to choose

33894Thoracic endograft
Both describe endovascular stent repair of aortic coarctation. Choose 33894 when the stent repair crosses a branch vessel; choose 33895 when it does not.
33897Aortic angioplasty
33897 is for angioplasty of native or recurrent coarctation. Use 33895 for endovascular stent repair rather than angioplasty alone.
33840Coarctation repair
33840 describes open excision of coarctation with direct anastomosis. It is not the endovascular stent approach reported with 33895.

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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 33895PPRRVU2026_Oct_nonQPP.csv, line 4,106 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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